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Heart Rate Index - A Simple Method for Prediction of Oxygen Uptake.
MedLine Citation:
PMID:  21364476     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE:: Energy expenditure measured in METs (metabolic equivalents) is widely used in cardiovascular medicine, exercise physiology and nutrition assessment. However, measurement of METs requires complex equipment to determine oxygen consumption. A simple method to predict oxygen consumption based on heart rate (HR) measurements without requirement for gas analysis, movement recording devices, or exercise equipment (treadmills, cycle ergometers) would enable simple prediction of energy expenditure. The purpose of this study was to determine whether HR can be used to accurately predict oxygen consumption. METHODS:: Published studies which reported a measured resting HR (HRrest), a measured activity HR (HRabsolute) and measured oxygen consumption (mL O2·kg·min) associated with the HRabsolute were identified. A total of 220 data sets were extracted from 60 published exercise studies (total subject cohort = 11,257) involving a diverse range of age, pathophysiology, and the presence/absence of beta-blocker therapy. Net HR (HRabsolute - HRrest) and HR index (HRabsolute / HRrest) were calculated from the HR data. Regression analysis of oxygen consumption(expressed as METs) was performed against HRabsolute, HRnet and HRindex. RESULTS:: Statistical models for the relationship between METs and different HR parameters (HRabsolute, HRnet and HRindex) were developed. Comparison between regression analyses for the models and the actual data extracted from the published studies demonstrated that the best-fit model was the regression equation describing the relationship between HRindex and METs. Subgroup analysis of clinical state (normal, pathology), testing device (cycle ergometer, treadmill), test protocol (maximal, submaximal), gender and the effect of beta-blockade were all consistent with combined data analysis, demonstrating the robustness of the equation. CONCLUSION:: HRindex can be used to predict energy expenditure with the equation METs = 6 ×HRindex - 5.
Authors:
John R Wicks; Neil B Oldridge; Lars K Nielsen; Claudia E Vickers
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-28
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  -     ISSN:  1530-0315     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-3-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Department of Rehabilitation, Robina Hospital, Robina, Queensland 4217 Australia 2University of Wisconsin School of Medicine & Public HealthandAurora Cardiovascular Services,Aurora Sinai/Aurora St. Luke's Medical Center, Milwaukee, Wisconsin 53233, USA 3Australian Institute for Bioengineering and Nanotechnology, The University of Queensland, St Lucia, Queensland 4072 Australia.
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