Exercise Training in High-Risk Populations
Updated: July 09, 2026
- Although the health-related benefits of higher fitness and exercise training in both healthy individuals and patients with major comorbidities are widely recognized, participation in regular exercise and exercise training (ET) remains underutilized, especially in high-risk individuals.
- Certain high-risk populations, such as those with frailty, stroke, spinal cord injury, rheumatologic conditions, genetic cardiomyopathies, or recipients of advanced heart failure therapies or cardiac implantable electronic devices, warrant special considerations with regard to ET.
- The current Scientific Statement summarizes the present state and future directions of ET for specific high-risk populations, including their functional deficits, training modifications required to maximize efficacy and safety, and important knowledge gaps in this field.
Supporting Materials
Recommended Reading
- Core Components of Cardiac Rehabilitation Programs: 2024 Update
- 2020 AHA/ACC Guideline for the Diagnosis and Treatment of Patients With Hypertrophic Cardiomyopathy
- Clinical Considerations for Competitive Sports Participation for Athletes With Cardiovascular Abnormalities
- Physical Activity in Pediatric Cardiomyopathies: Moving for Health