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Cardio workouts: aerobic, anaerobic activity and heart health

Cardio workouts – also known as "cardio" or aerobic workouts – include any activity that significantly increases your heart rate and breathing rate for a certain period of time. Decades of research have confirmed that cardio workouts are important not only for better athletic performance but also for long-term health. People who regularly engage in this type of activity have greater endurance, higher energy levels, better mental well-being, and a lower risk of developing chronic diseases such as heart disease, high blood pressure, or type 2 diabetes.

In this comprehensive guide, we will discuss the basics of cardio training and present the key differences between aerobic and anaerobic activities. We will examine popular aerobic workouts – running, cycling, swimming – and compare them with high-intensity interval training (HIIT) and sprints. Additionally, we will explore in detail how all this affects the heart and how properly planned workouts can help achieve the best results. Whether your goal is weight control, athletic performance, or simply a healthier lifestyle, knowledge of these principles will provide a solid foundation for long-term cardiovascular health.


Characteristics of Cardiovascular Fitness

Cardiovascular fitness is, simply put, the body's ability to efficiently deliver oxygen to working muscles and manage metabolic byproducts produced during physical exertion. The term “cardiovascular” encompasses both the circulatory (heart and blood vessels) and respiratory (lungs) systems. Appropriate training strengthens the heart, improves vascular elasticity, and increases lung capacity.

One of the main indicators of cardiovascular fitness is your VO2 max, showing how much oxygen the body can consume during intense activity. Although VO2 max is partly determined by genetics, targeted training helps increase it, thereby developing endurance and overall physical capacity.

1.1 Basic Terms and Concepts

  • Heart Rate (HR): Often expressed in beats per minute (bpm). Monitoring HR is a simple way to assess exercise intensity.
  • Resting Pulse Rate (RPR): The heart rate when in complete rest. A lower RPR usually indicates better heart health.
  • Maximum Heart Rate (MHR): The highest possible number of heartbeats per minute during very intense exercise. Often preliminarily calculated as 220 – age, but individual differences exist.
  • Target Heart Rate Zones: Specific intensity ranges (usually percentages of MHR) that determine different training goals: from fat burning to maximum capacity development.
  • Aerobic and Anaerobic Thresholds: The aerobic threshold marks the upper limit where most energy is still derived from oxygen. Crossing this threshold approaches the anaerobic threshold, where lactic acid (lactate) accumulates faster than the body can remove it.

2. Aerobic Activity

In aerobic workouts, the body mainly uses oxygen to produce energy. These are moderate-intensity exercises lasting a longer time (usually at least 20 minutes). They train the ability to transport oxygen to muscles and use it efficiently, resulting in greater endurance and capacity.

2.1 Running

Running is one of the simplest ways to increase aerobic endurance, as it only requires proper footwear and a suitable environment. Distances and intensity can vary from light jogging to a marathon.

  • Weight control: Running burns a significant number of calories, helping reduce fat mass or maintain current weight.
  • Bone health: This weight-bearing activity increases bone density – especially in the hips, thighs, and spine.
  • Cardiorespiratory efficiency: Regular running trains the heart and gradually lowers your resting heart rate.
  • Psychological effect: Many runners experience "runner's euphoria," associated with endorphin release and improved mood.

However, running places considerable stress on the joints. If you have knee or hip problems, it is worth choosing lower-impact alternatives (e.g., walking or elliptical trainers) or consulting a physiotherapist to reduce the risk of injury.

2.2 Cycling

You can ride a bike outdoors on various terrains or use a stationary bike in the gym. This is a relatively low-impact activity emphasizing the muscles of the lower limbs (quadriceps, hamstrings, calves, glutes).

  • Low joint load: The bike itself supports the body weight, so the load on the joints is less than, for example, running.
  • Flexibility: Riding intensity can range from slow rides to intense spinning sessions or mountain climbing.
  • Muscle endurance: Especially strengthens leg muscle endurance, which is beneficial for hikes, runs, and more.
  • Core stability: Balancing on the bike engages core muscles, although not as strongly as some other exercises.

To avoid pain, it is important to properly adjust the bike seat height and handlebar position. A poorly fitted bike can cause knee, back, or neck problems.

2.3 Swimming

Swimming is often called a full-body workout. In water, buoyancy reduces joint load, but many muscles work – arms, shoulders, torso, back, and legs.

  • Comprehensive muscle work: Each swimming style (freestyle, breaststroke, backstroke, butterfly) engages different muscle groups, increasing overall strength and endurance.
  • Respiratory training: It is necessary to control breathing, which helps develop greater lung capacity and better oxygen absorption ability.
  • Suitable for all levels of people: Beginners can use flotation devices or be in shallow water, while advanced swimmers can improve their technique and aim for competition level.
  • Low joint load, high benefit: Ideal for those with joint or mobility issues, as water reduces body weight.

Since technique plays a big role, it is recommended, especially for beginners, to use a coach's guidance to learn effective swimming movements and avoid, for example, shoulder joint overload.

2.4 Benefits of aerobic training

Whether you choose running, cycling, swimming, or another form of aerobics (e.g., brisk walking, rowing), the long-term health benefits are well documented:

  • Improved metabolism: Aerobic activity enhances insulin sensitivity, lowers blood pressure, and positively affects blood lipids.
  • Greater endurance: The ability to sustain moderate intensity longer, as the body learns to operate more efficiently under steady cardiovascular load.
  • Mood and cognition improvement: Aerobic workouts stimulate endorphin release and may contribute to the growth of nerve cells (neurons).
  • Weight management: Although nutrition remains the decisive factor, cardio workouts significantly contribute to creating a calorie deficit and maintaining healthy body mass.

3. Anaerobic activity

Unlike aerobic, anaerobic activity relies on energy production systems that do not require oxygen (e.g., ATP-PCr and glycolytic pathways). These are short-term, high-intensity efforts when the body needs energy faster than oxygen can be supplied. Anaerobic training usually focuses on developing strength, power, and speed.

3.1 High-Intensity Interval Training (HIIT)

HIIT consists of short, intense work phases alternating with rest or lower intensity periods. For example, 20 s sprint + 40 s walking, repeated in several cycles during a workout.

  • Time saving: HIIT often lasts 15–30 minutes, making it attractive for those who don't have much time to exercise.
  • Increased oxygen consumption after exercise (EPOC): After an intense HIIT session, the body continues to burn more calories (recovery mode) than after traditional training.
  • Better aerobic and anaerobic power: Although HIIT emphasizes anaerobic work, it can also improve overall endurance.
  • Metabolic benefits: Studies show that HIIT improves insulin sensitivity and helps adjust body composition (reducing fat mass while maintaining or increasing muscle).

HIIT requires a good base of aerobic fitness and appropriate rest, as it places a heavy load on joints, muscles, and the nervous system. Beginners should first build an endurance foundation before frequently using intense intervals.

3.2 Sprints

Sprinting is high-intensity running over short distances (usually from 50 to 400 m). It develops speed and power, not endurance.

  • Activation of muscle fibers: Sprinting primarily engages fast-twitch (type II) muscle fibers, important for explosive power.
  • "Afterburn" effect: Like HIIT, sprints can increase the number of calories burned even after the workout.
  • Improving sports performance: Many athletes use sprints to enhance start speed, agility, and field dynamism.
  • Importance of technique: To maximize speed and avoid injuries, proper foot contact, arm movements, and torso position are crucial.

Due to heavy loads on the legs, hips, and lower back, thorough warm-up, mobility exercises, and recovery are essential. Between sprint training sessions, rest days or lower-intensity activities are recommended to allow muscles to recover.

3.3 Combining Aerobic and Anaerobic Activities

Many programs skillfully combine both aerobic and anaerobic parts. For example, an athlete may do steady endurance training several days a week and include HIIT or sprints on other days. This combination develops comprehensive physical fitness, improving endurance and strength. Even for general wellness, a few intense intervals per week alongside steady cardio can significantly accelerate improvements in heart function, body composition, and metabolism.


4. Heart Health and Risk Reduction of Diseases

Cardiovascular diseases remain one of the leading causes of death worldwide. Factors such as high blood pressure, high cholesterol levels, and obesity significantly increase the risk of heart disease and stroke. Fortunately, regular cardio training is one of the most effective non-invasive ways to reduce these risks.

4.1 Strengthening the Heart Muscle

The heart itself is a muscle (myocardium). Like other muscles, it can strengthen with training:

  • Lower resting heart rate: A stronger heart pumps more blood with each beat, so the resting pulse can be slower.
  • Increased stroke volume: The blood ejected during one contraction is called stroke volume. Its increase indicates greater heart efficiency.
  • Increased cardiac output: The total volume of blood pumped by the heart per minute. With higher cardiac output, the body is supplied with oxygen more efficiently.

Over time, these heart adaptations reduce the risk of arrhythmias, lower high blood pressure, and improve overall heart strength.

4.2 Regulation of Blood Pressure and Cholesterol

Although both aerobic and anaerobic activities affect blood pressure, regular moderate-intensity (aerobic) training usually reduces systolic and diastolic blood pressure more effectively. Training improves endothelial function (the inner layer of blood vessels), allowing them to dilate better and improving blood flow.

Speaking about cholesterol:

  • Increased HDL ("good") cholesterol
  • Decreased LDL ("bad") cholesterol
  • Overall triglyceride profile in the blood improves

Such improvement in lipid profile significantly reduces the risk of atherosclerotic plaque buildup – a key factor in many heart diseases.

4.3 Weight control and body composition

Obesity, especially visceral (abdominal) fat accumulation, is directly linked to increased heart disease risk. Cardio training, especially combined with proper nutrition, helps maintain a healthy weight. Both long-term steady aerobic activity and intense anaerobic intervals can reduce fat mass and improve overall health.

4.4 Inflammation reduction

Low chronic inflammation is often associated with various diseases, including coronary artery disease. Regular cardio can help reduce inflammatory markers, improve immune system balance. Additionally, glycemic control (blood sugar regulation) improves, reducing the risk of metabolic syndrome – a cluster of diseases that greatly increase the risk of heart disease, stroke, and type 2 diabetes.


5. How to create a cardio training program

To train effectively, you need to match the type of training with personal goals, whether general health, weight control, or athletic aims. Here are some key principles for forming a comprehensive plan:

5.1 Frequency and duration

  • General health recommendations (WHO, ACSM): aim for at least 150 minutes of moderate intensity or 75 minutes of high intensity aerobic exercise per week, spread over 3–5 days.
  • For weight loss and performance: for even greater effect, you can increase the load to 200–300 minutes of moderate–high intensity training. Additionally, if ready, include 1–2 HIIT or sprint sessions per week.
  • Progression: if you are a beginner, start with shorter, easier sessions and gradually increase duration or intensity, avoiding injuries and fatigue.

5.2 Intensity management

Proper intensity regulation helps achieve the desired physiological effect:

  • Heart rate monitoring: Wearing a chest strap or smartwatch, intensity is divided into zones:
    • Zone 1 (50–60% MSD): very light load, often used for recovery or warm-up.
    • Zone 2 (60–70% MSD): base endurance, fat burning.
    • Zone 3 (70–80% MSD): moderate intensity, strengthens overall cardiovascular capacity.
    • Zone 4 (80–90% MSD): lactate threshold workouts, high load on heart and lungs.
    • Zone 5 (90–100% MSD): maximum or near-maximum effort – typical for HIIT or sprints.
  • Subjective load assessment (RPE): A subjective scale (usually 1–10) indicating how hard it feels. Useful if you don't have a heart rate monitor.

5.3 Variety and "cross" training

Repeating the same activity can lead to joint overload or adaptation plateau. Using different types of cardio – for example, alternating running with swimming or cycling – trains various muscles and creates different heart challenges. It is also worth including strength training, as greater muscle mass speeds up metabolism and improves overall results.

5.4 Recovery and periodization

Although cardio is often considered "safe," it also requires smart recovery. Excessive endurance load without adequate rest can cause overtraining syndrome (fatigue, poorer results, mood decline). Structured periodization, consisting of macrocycles, mesocycles, microcycles, allows cyclical increases and decreases in load and lighter weeks for recovery.


6. Monitoring progress and avoiding stagnation

To maintain motivation, it is important to track whether workouts deliver desired results. Some ways:

  • Training log: Record distance, time, heart rate zones, subjective feelings, and other metrics. Analyze over a longer period to identify improvements or potential issues.
  • Physical tests: Perform standardized tests periodically, such as the Cooper 12-minute run, Rockport walking test, or VO2 max assessments with portable devices.
  • Heart rate variability (HRV): Some smart devices measure daily HRV, indicating how rested your body is. If HRV is low for a long time, you may need more rest.
  • Small goals: Try to improve your 5 km time over time, increase swimming distance, or reach a specific heart rate zone. This motivates and shows progress.

If progress stagnates, i.e., running times do not improve, endurance no longer increases, it is worth changing the type of training, intensity, or extending rest time. Such stagnation indicates that the body needs a different stimulus or more recovery.


7. Special cases

7.1 Beginner athletes and specific groups

If you are a beginner or returning after a long break, start gradually. For example, light walking or short running/lifting intervals allow the body to adapt to cardio load. If you have high blood pressure, diabetes, or other health limitations, consult your doctor first.

Pregnant women are often advised to continue moderate-intensity aerobics (with doctor's approval), but to assess intensity more cautiously and avoid activities with a higher risk of falling. For older adults, cardio helps maintain bone density, muscle mass, and functional abilities. In such cases, lower-impact exercises like swimming or cycling are ideal.

7.2 Endurance athletes

If aiming to compete in marathons, triathlons, or similar endurance events, the program includes many longer endurance training sessions. However, elite endurance athletes often add more intense segments (e.g., tempo runs, hill repeats) that increase lactate threshold and speed. It is important to balance slow "base endurance" loads with speed workouts.

7.3 High-performance athletes

Team sports (e.g., soccer, basketball, ice hockey) require both aerobic and anaerobic capacity. Off-season focuses more on developing a general aerobic base, while during the season and pre-competition periods specialized exercises, sprints, and short intense segments reflecting game situations are introduced. This balanced approach ensures endurance throughout all competitions.


8. Psychological benefits of cardio training

The benefits of cardio training are not only physical. Many notice:

  • Less stress: Rhythmic movements help reduce cortisol levels, improving relaxation.
  • Better mood: Cardio increases endorphin and serotonin production, alleviating symptoms of depression or anxiety.
  • Psychological resilience: Overcoming intervals or long distances builds willpower and persistence, which also helps with daily challenges.
  • Focus: Activities like running or swimming can become meditative, helping to "clear" the mind and feel a better connection with the body.

People facing stressful work or personal issues often find that regular running or cycling helps manage emotions. Achieving a training goal increases self-esteem and positive feelings.


9. Sample weekly plan

Below is a sample schedule for a person with moderate physical fitness who wants to develop both aerobic and anaerobic abilities. Always adjust according to personal experience, preferences, and condition.

  • Monday (Aerobic base): 30–45 min of steady moderate pace cycling in the 2nd intensity zone. Focus on a comfortable, sustainable pace.
  • Tuesday (HIIT): 5 min warm-up walking or light jogging, then 10 repetitions – 20 s sprint, 40 s easy walking/jogging. Followed by 5–10 min recovery.
  • Wednesday (Active rest / recovery): Light yoga, stretching, or a 20 min walk. Focus on joint and muscle mobility.
  • Thursday (Swimming): About 30 min of mixed swimming (e.g., freestyle, breaststroke) at a moderate pace, with short breaks at the pool edge.
  • Friday (Continuous running + sprint intervals): 20–25 min of easy running, followed by 4–5 short "acceleration" intervals (10–15 s), returning to the initial pace between intervals.
  • Saturday (Longer Aerobic Workout): 45–60 minutes of moderate-intensity running or brisk walking, keeping heart rate in zones 2–3.
  • Sunday (Rest Day): Complete rest or light stretching, breathing exercises if desired.

This plan combines various forms of cardio—HIIT, steady endurance activities, swimming, interval running—that develop both aerobic and anaerobic capacities. Over time, it is advisable to increase duration, intensity, or both, depending on signs of fatigue and progress (or regression) in results.


Summary

Cardio workouts are one of the most effective ways to nurture physical and mental well-being. A clear understanding of the differences between aerobic (endurance-building) and anaerobic (increased intensity, strength/power development) training allows you to create a purposeful plan—whether you aim to burn fat, accelerate athletic performance, or simply enjoy more energy in daily life.

Variety is very important here. Variable intensity, types of exercises, and training formats help the body continuously adapt, avoid overfatigue, and prevent boredom. At the same time, proper rest is essential because it is during recovery that the body becomes stronger.

Ultimately, the most effective cardio workout is the one you can maintain for a long time. To stay motivated, set clear goals, track your progress, and experiment with different activities that bring you joy (e.g., running, swimming, dancing, group classes). A proper approach to cardiovascular health will reward you with higher energy levels, disease prevention, better emotional well-being, and a stronger heart.

Disclaimer: This article is for informational purposes only and does not replace medical advice. Before starting a new training program, especially if you have health issues or heart problems, be sure to consult a doctor or certified fitness professional.

References and literature

  1. American College of Sports Medicine (ACSM). (2018). ACSM’s Guidelines for Exercise Testing and Prescription. Wolters Kluwer.
  2. World Health Organization (WHO). (2020). Guidelines on Physical Activity and Sedentary Behaviour. Link
  3. Gibala, M. J., & McGee, S. L. (2008). Metabolic Adaptations to Short-term High-Intensity Interval Training: A Little Pain for a Lot of Gain? Exercise and Sport Sciences Reviews, 36(2), 58–63.
  4. Pescatello, L. S., et al. (2004). Exercise and Hypertension. Medicine & Science in Sports & Exercise, 36(3), 533–553.
  5. Thompson, P. D., et al. (2003). Exercise and Physical Activity in the Prevention and Treatment of Atherosclerotic Cardiovascular Disease. Circulation, 107(24), 3109–3116.

 

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