Document Detail

Is brisk walking an adequate aerobic training stimulus for cardiac patients?
MedLine Citation:
PMID:  12426293     Owner:  NLM     Status:  MEDLINE    
Walking is the most common aerobic training modality utilized in cardiac rehabilitation programs. However, it remains unclear whether or not brisk walking is of a sufficient intensity to improve aerobic fitness in this population. In this study, we investigated whether men and women with coronary artery disease can achieve an exercise intensity that is sufficient to induce a training effect, ie, a training heart rate (THR), defined as >/= 70% of measured maximal heart rate (HRmax), via brisk walking on a flat surface. One hundred forty-two outpatient volunteers from the William Beaumont Hospital Cardiac Rehabilitation Program (Royal Oak, MI) and the University of Wisconsin-La Crosse Exercise and Health Program (La Crosse, WI) were asked to walk one mile as briskly as possible on measured tracks. Heart rate was monitored throughout the walk via radiotelemetry. The percentage of patients within each gender and phase of rehabilitation who attained a THR were assessed using peak or symptom-limited exercise testing to determine the HRmax. All of the women and 90% of the men achieved a THR, averaging 85 +/- 8% and 79 +/- 10% of HRmax, respectively (mean +/- SD). There was no difference in the percentage of phase II or phase III cardiac rehabilitation program patients who achieved a THR. These findings suggest that brisk walking is of a sufficient intensity to elicit a THR in all but the most highly fit patients with coronary disease. Thus, physicians and allied health professionals can prescribe brisk walking on a flat surface to their cardiac patients with confidence that this intensity will achieve cardiorespiratory and health benefits.
Kristen J Quell; John P Porcari; Barry A Franklin; Carl Foster; Richard A Andreuzzi; Ryan M Anthony
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chest     Volume:  122     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-11     Completed Date:  2002-12-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1852-6     Citation Subset:  AIM; IM    
Department of Medicine, Division of Cardiology (Cardiac Rehabilitation), William Beaumont Hospital, Royal Oak, MI 48009, USA.
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MeSH Terms
Exercise Therapy*
Heart Diseases / physiopathology,  rehabilitation*
Heart Rate
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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