Generalized Approach to Translating Exercise Tests and Prescribing Exercise
Abstract
:1. Introduction
2. Exercise Testing
3. Exercise Advice vs. Prescription
4. Functional Translation
5. Discussion
6. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
- Eaton, S.B.; Konner, M.; Shostak, M. Stone agers in the fast lane: Chronic degenerative diseases in an evolutionary perspective. Am. J. Med. 1988, 84, 739–749. [Google Scholar] [CrossRef]
- Terry, L.L. Surgeon General’s Report on Smoking and Tobacco Use. Available online: https://www.cdc.gov/tobacco/data_statistics/sgr/index.htm (accessed on 25 June 2020).
- Cooper, K.H. Aerobics; Bantam Books: New York, NY, USA, 1968. [Google Scholar]
- Paffenbarger, R.S.J.; Blair, S.N.; Lee, I.M. A history of physical activity, cardiovascular health and longevity: The scientific contributions of Jeremy N Morris, DSc, DPH, FCCP. Int. J. Epidemiol. 2001, 30, 1184–1192. [Google Scholar] [CrossRef] [PubMed]
- Paffenbarger, R.S.J.; Hale, W.E. Work activity and coronary heart mortality. N. Engl. J. Med. 1975, 292, 545–550. [Google Scholar] [CrossRef] [PubMed]
- Paffenbarger, R.S.J.; Hyde, R.T.; Wing, A.L.; Hsieh, C.C. Physical activity, all-cause mortality and longevity of college alumni. N. Engl. J. Med. 1986, 314, 605–613. [Google Scholar] [CrossRef] [PubMed]
- Blair, S.N.; Kungert, J.B.; Kohl, H.W.; Barlow, C.E.; Macera, C.A.; Paffenbarger Jr, R.S.; Gibbons, L.W. Influences of cardiorespiratory fitness and other precursors of cardiovascular disease and all-cause mortality in men and women. JAMA 1996, 276, 205–210. [Google Scholar] [CrossRef]
- Lee, I.M.; Shiroma, E.J.; Lobelo, F.; Puslza, P.; Blair, S.N.; Katzmarek, P.J. Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy. Lancet 2012, 380, 21–27. [Google Scholar] [CrossRef] [Green Version]
- O’Keefe, J.; Lavie, C.J.; Guazzi, M. Potential dangers of extreme endurance exercise: How much is too much? Prog. Cardiovasc. Dis. 2015, 57, 396–405. [Google Scholar] [CrossRef] [Green Version]
- Arem, H.; Moore, S.C.; Patel, A.; Hartge, P.; Berrington de Gonzalez, A.; Visvanathan, K.; Campbell, P.T.; Freedman, M.; Weiderpass, E.; Adami, H.O.; et al. Leisure time physical activity and mortality: A detailed pooled analysis of the dose-response relationship. JAMA Intern. Med. 2015, 175, 959–967. [Google Scholar] [CrossRef]
- Eijsvogels, T.M.; Molossi, S.; Lee, D.C.; Emery, M.S.; Thompson, P.D. Exercise at the extremes: The amount of exercise to reduce cardiovascular events. J. Am. Coll. Cardiol. 2016, 67, 316–329. [Google Scholar] [CrossRef] [Green Version]
- Kraus, W.E.; Janz, K.F.; Powell, K.E.; Campbell, W.W.; Jakicic, J.M.; Troiano, R.P.; Sprow, K.; Torres, A.; Piercy, K.L. Daily step counts for measuring physical activity exposure and its relation to health. Med. Sci. Sports Exerc. 2019, 51, 1206–1212. [Google Scholar] [CrossRef]
- Kraus, W.E.; Powell, K.E.; Haskell, W.L.; Janz, K.F.; Campbell, W.W.; Jakicic, J.M.; Troiano, R.P.; Sprow, K.; Torres, A.; Piercy, K.L. Physical activity and cardiovascular mortality and cardiovascular disease. Med. Sci. Sports Exerc. 2019, 51, 1270–1281. [Google Scholar] [CrossRef]
- Tudor-Locke, C.; Craig, C.L.; Aoyagi, Y.; Bell, R.C.; Croteau, K.A.; De Bourdeaudhuij, I.; Ewald, B.; Gardner, A.W.; Hatano, Y.; Lutes, L.D.; et al. How many steps/day are enough? For older adults and special populations. Int. J. Behav. Nutr. Phys. Act. 2011, 8, 1–19. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Foster, C.; Porcari, J.P.; Battista, R.A.; Udermann, B.; Wright, G.; Lucia, A. The risk in exercise training. Am. J. Lifestyle. Med. 2008, 2, 279–284. [Google Scholar] [CrossRef]
- Sanchis-Gomar, F.; Pérez, L.M.; Joyner, M.J.; Löllgen, H.; Lucia, A. Endurance exercise and the heart. Friend or foe? Sports Med. 2016, 46, 459–466. [Google Scholar] [CrossRef] [PubMed]
- Thompson, P.D.; Franklin, B.A.; Balady, G.J.; Blair, S.N.; Corrado, D.; Estes, N.A.; Fulton, J.E.; Gordon, N.F.; Haskell, W.L.; Link, M.S.; et al. Exercise and acute cardiovascular events placing the risks into perspective: A scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism and the Council on Clinical Cardiology. Circulation 2007, 115, 2358–2368. [Google Scholar] [PubMed] [Green Version]
- ACSM. ACSM’s Guidelines for Exercise Testing and Prescription, 10th ed.; Wolters Kluwer: Philadelphia, PA, USA, 2017. [Google Scholar]
- Foster, C.; Porcari, J.P.; Cress, M. Clinical exercise testing. In ACSM’s Clinical Exercise Physiology; Thompson, W.R., Ed.; Wolters Kluwer: Baltimore, MD, USA, 2019; pp. 349–364. [Google Scholar]
- Meyer, T.; Lucía, A.; Earnest, C.P.; Kindermann, W. A conceptual framework for performance diagnosis and training prescription from submaximal gas exchange parameters-theory and application. Int. J. Sports Med. 2005, 26, S38–S48. [Google Scholar] [CrossRef] [PubMed]
- Myers, J.; Prakash, M.; Froelicher, V.; Do, D.; Partington, S.; Atwood, J.E. Exercise capacity and mortality among men referred for exercise testing. N. Engl. J. Med. 2002, 346, 793–801. [Google Scholar] [CrossRef]
- Mark, D.B.; Shaw, L.; Harrell, F.E.; Hlatky, M.A.; Lee, K.L.; Bengtson, J.R.; McCants, C.B.; Califf, R.M.; Pryor, D.B. Prognostic value of a treadmill exercise score in outpatients with suspected coronary artery disease. N. Engl. J. Med. 1991, 325, 849–853. [Google Scholar] [CrossRef]
- Cumming, G.R. Yield of ischaemic electrocardiograms in relation to exercise intensity in a normal population. Br. Heart J. 1972, 34, 919–923. [Google Scholar] [CrossRef] [Green Version]
- Alajmi, R.A.; Foster, C.; Porcari, J.P.; Radtke, K.; Doberstein, S. Comparison of non-maximal tests for estimating exercise capacity. Kinesiology 2020, 52, 10–18. [Google Scholar] [CrossRef] [Green Version]
- Mezzani, A.; Hamm, L.F.; Jones, A.M.; McBride, P.E.; Moholdt, T.; Stone, J.A.; Urhausen, A.; Williams, M.A. Aerobic exercise intensity assessment and prescription in cardiac rehabilitation: A joint position statement of the European Association for Cardiovascular Prevention and Rehabilitation, the American Association of Cardiovascular and Pulmonary Rehabilitation, and the Canadian Association of Cardiac Rehabilitation. J. Cardiopulm. Rehabil. Prev. 2012, 32, 327–350. [Google Scholar] [PubMed]
- Seiler, S. What is the best practiced for training intensity and duration distribution in endurance athletes? Int. J. Sports. Physiol. Perform. 2010, 5, 276–291. [Google Scholar] [CrossRef] [PubMed]
- Myers, J.; Voodi, L.; Umann, P.A.; Froelicher, V.F. A survey of exercise testing: Methods, utilization, interpretation and safety in the VAHCS. J. Cardiopulm. Rehabil. 2000, 20, 251–258. [Google Scholar] [CrossRef]
- Foster, C. Is there risk in exercise testing of athletes? Int. J. Sports Physiol. Perform. 2017, 12, 849–850. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Eston, R.; Evans, H.; Faulkner, J.; Lambrick, D.; Al-Rahamneh, G.; Parfitt, G. A perceptually regulated, graded exercise test predicts peak oxygen uptake during treadmill exercise in active and sedentary participants. Eur. J. Appl. Physiol. 2012, 112, 3459–3468. [Google Scholar] [CrossRef] [PubMed]
- Foster, C.; Porcari, J.P.; Doro, K.; Dubiel, J.; Engen, M.; Kolman, D.; Ault, S.; Xiong, S. Exercise prescription when there is no exercise test: The Talk Test. Kinesiology 2018, 50, 333–348. [Google Scholar]
- Pate, R.R.; Pratt, M.; Blair, S.N.; Haskell, W.L.; Macera, C.A.; Bouchard, C.; Buchner, D.; Ettinger, W.; Heath, G.W.; King, A.C. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995, 273, 402–407. [Google Scholar] [CrossRef]
- Haskell, W.L.; Lee, I.M.; Pate, R.R.; Powell, K.E.; Blair, S.N.; Franklin, B.A.; Macera, C.A.; Heath, G.W.; Thompson, P.D.; Bauman, A. Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med. Sci. Sports Exerc. 2007, 39, 1423–1434. [Google Scholar] [CrossRef] [Green Version]
- Robergs, R.A.; Landwehr, R. The surprising history of the “HRmax=220-age” equation. J. Ex. Phys. Online 2002, 5, 1–10. [Google Scholar]
- Katch, V.L.; Weltman, A.; Sady, S.; Freedson, P. Validity of the relative percent concept for equating training intensity. Eur. J. Appl. Physiol. Occup. Physiol. 1978, 39, 219–227. [Google Scholar] [CrossRef]
- Sharhag-Rosenberger, F.; Meyer, T.; Gasler, N.; Faude, O.; Kindermann, W. Exercise at given percentages of VO2max: Heterogenous metabolic responses between individuals. J. Sci. Med. Sport 2010, 13, 74–79. [Google Scholar] [CrossRef] [PubMed]
- Sylta, Ø.; Tønnessen, E.; Hammarström, D.; Danielsen, J.; Skovereng, K.; Ravn, T.; Rønnestad, B.R.; Sandbakk, Ø.; Seiler, S. The effect of different high-intensity periodization models on endurance adaptations. Med. Sci. Sports. Exerc. 2016, 48, 2165–2174. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Parfitt, G.; Evans, H.; Eston, R. Perceptually regulated training at RPE13 is pleasant and improves physical health. Med. Sci. Sports. Exerc. 2012, 44, 1613–1618. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Foster, C.; Lemberger, K.; Thompson, N.N.; Sennett, S.M.; Hare, J.; Pollock, M.L.; Pels, A.E.; Schmidt, D.H. Functional translation of exercise responses from graded exercise testing to exercise training. Am. Heart J. 1986, 112, 1309–1316. [Google Scholar] [CrossRef]
- Foster, C.; Thompson, N.N.; Bales, S. Functional translation of exercise responses using combined arm-leg ergometry. Cardiology 1991, 78, 150–155. [Google Scholar] [CrossRef]
- Foster, C.; Thompson, N.N. Functional translation of exercise test responses to recreational activities. J. Cardiopulm. Rehabil. 1991, 11, 373–377. [Google Scholar] [CrossRef]
- Foster, C.; Porcari, J.P.; Gibson, M.; Wright, G.; Greany, J.; Talati, N.; Recalde, P. Translation of submaximal exercise test responses to exercise prescription using the Talk Test. J. Strength Cond. Res. 2009, 23, 2425–2429. [Google Scholar] [CrossRef]
- Jeans, E.A.; Foster, C.; Porcari, J.P.; Gibson, M.; Doberstein, S. Translation of exercise testing to exercise prescription using the Talk Test. J. Strength Cond. Res. 2011, 25, 590–596. [Google Scholar] [CrossRef]
- Woltmann, M.L.; Foster, C.; Porcari, J.P.; Camic, C.L.; Dodge, C.; Haible, S.; Mikat, R.P. Evidence that the Talk Test can be used to regulated exercise intensity. J. Strength Cond. Res. 2015, 29, 1248–1254. [Google Scholar] [CrossRef]
- Lyon, E.; Menke, M.; Foster, C.; Porcari, J.P.; Gibson, M.; Bubbers, T. Translation of incremental Talk Test responses to steady-state exercise training intensity. J. Cardiopulm. Rehabil. 2014, 34, 271–275. [Google Scholar] [CrossRef]
- De Koning, J.J.; Noorhof, D.A.; Uitslag, T.P.; Gilart, R.E.; Dodge, C.; Foster, C. An approach to estimating gross efficiency during high intensity exercise. Int. J. Sports Physiol. Perform. 2013, 8, 682–684. [Google Scholar] [CrossRef] [PubMed]
Congenital Abnormalities |
---|
Hypertrophic cardiomyopathy |
Arrhythmogenic RV dysplasia |
Coronary artery anomalies |
Undiagnosed Coronary Artery Disease |
Pre-exercise screening identifies >50% |
First presentation of cardiovascular disease is often fatal |
33% males, 12% females |
Drug Use |
Anabolic steroids |
Stimulants |
Erythropoietin |
Recreational drugs |
Trauma |
Commotio cordis |
Evaluate Exertional Discomfort |
---|
Reduced exercise tolerance |
Chest pain |
Dyspnea |
Claudication |
Cerebral symptoms |
Reveal Occult Pathology |
Change presentation of cardiovascular disease |
Define Prognosis |
Guide to exercise prescription strategy |
Exercise Prescription |
Relative percentage concept |
Ischemic/arrhythmic threshold |
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Share and Cite
Foster, C.; Anholm, J.D.; Bok, D.; Boullosa, D.; Condello, G.; Cortis, C.; Fusco, A.; Jaime, S.J.; de Koning, J.J.; Lucia, A.; et al. Generalized Approach to Translating Exercise Tests and Prescribing Exercise. J. Funct. Morphol. Kinesiol. 2020, 5, 63. https://doi.org/10.3390/jfmk5030063
Foster C, Anholm JD, Bok D, Boullosa D, Condello G, Cortis C, Fusco A, Jaime SJ, de Koning JJ, Lucia A, et al. Generalized Approach to Translating Exercise Tests and Prescribing Exercise. Journal of Functional Morphology and Kinesiology. 2020; 5(3):63. https://doi.org/10.3390/jfmk5030063
Chicago/Turabian StyleFoster, Carl, James D. Anholm, Daniel Bok, Daniel Boullosa, Giancarlo Condello, Cristina Cortis, Andrea Fusco, Salvador J. Jaime, Jos J. de Koning, Alejandro Lucia, and et al. 2020. "Generalized Approach to Translating Exercise Tests and Prescribing Exercise" Journal of Functional Morphology and Kinesiology 5, no. 3: 63. https://doi.org/10.3390/jfmk5030063