Workload Accomplished in Phase III Cardiac Rehabilitation
Exercise training is an important component of clinical exercise programs. Although there are recognized guidelines for the amount of exercise to be accomplished (≥70,000 steps per week or ≥150 min per week at moderate intensity), there is virtually no documentation of how much exercise is actually...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-05-01
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| Series: | Journal of Functional Morphology and Kinesiology |
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| Online Access: | https://www.mdpi.com/2411-5142/6/2/47 |
| _version_ | 1797532176813654016 |
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| author | Katrina L. Schultz Carl Foster Kimberley Radtke Susan Bramwell Cristina Cortis Andrea Fusco John P. Porcari |
| author_facet | Katrina L. Schultz Carl Foster Kimberley Radtke Susan Bramwell Cristina Cortis Andrea Fusco John P. Porcari |
| author_sort | Katrina L. Schultz |
| collection | DOAJ |
| description | Exercise training is an important component of clinical exercise programs. Although there are recognized guidelines for the amount of exercise to be accomplished (≥70,000 steps per week or ≥150 min per week at moderate intensity), there is virtually no documentation of how much exercise is actually accomplished in contemporary exercise programs. Having guidelines without evidence of whether they are being met is of limited value. We analyzed both the weekly step count and the session rating of perceived exertion (sRPE) of patients (<i>n</i> = 26) enrolled in a community clinical exercise (e.g., Phase III) program over a 3-week reference period. Step counts averaged 39,818 ± 18,612 per week, with 18% of the steps accomplished in the program and 82% of steps accomplished outside the program. Using the sRPE method, inside the program, the patients averaged 162.4 ± 93.1 min per week, at a sRPE of 12.5 ± 1.9 and a frequency of 1.8 ± 0.7 times per week, for a calculated exercise load of 2042.5 ± 1244.9 AU. Outside the program, the patients averaged 144.9 ± 126.4 min, at a sRPE of 11.8 ± 5.8 and a frequency of 2.4 ± 1.5 times per week, for a calculated exercise load of 1723.9 ± 1526.2 AU. The total exercise load using sRPE was 266.4 ± 170.8 min per week, at a sRPE of 12.6 ± 3.8, and frequency of 4.2 ± 1.1 times per week, for a calculated exercise load of 3359.8 ± 2145.9 AU. There was a non-linear relationship between steps per week and the sRPE derived training load, apparently attributable to the amount of non-walking exercise accomplished in the program. The results suggest that patients in a community clinical exercise program are achieving American College of Sports Medicine guidelines, based on the sRPE method, but are accomplishing less steps than recommended by guidelines. |
| first_indexed | 2024-03-10T10:55:24Z |
| format | Article |
| id | doaj.art-39fed35f87864c1b8b1d3a5f8e15476c |
| institution | Directory Open Access Journal |
| issn | 2411-5142 |
| language | English |
| last_indexed | 2024-03-10T10:55:24Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Functional Morphology and Kinesiology |
| spelling | doaj.art-39fed35f87864c1b8b1d3a5f8e15476c2023-11-21T21:52:21ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422021-05-01624710.3390/jfmk6020047Workload Accomplished in Phase III Cardiac RehabilitationKatrina L. Schultz0Carl Foster1Kimberley Radtke2Susan Bramwell3Cristina Cortis4Andrea Fusco5John P. Porcari6Department of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI 54601, USADepartment of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI 54601, USADepartment of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI 54601, USADepartment of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI 54601, USADepartment of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, 03043 Cassino, ItalyDepartment of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, 03043 Cassino, ItalyDepartment of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI 54601, USAExercise training is an important component of clinical exercise programs. Although there are recognized guidelines for the amount of exercise to be accomplished (≥70,000 steps per week or ≥150 min per week at moderate intensity), there is virtually no documentation of how much exercise is actually accomplished in contemporary exercise programs. Having guidelines without evidence of whether they are being met is of limited value. We analyzed both the weekly step count and the session rating of perceived exertion (sRPE) of patients (<i>n</i> = 26) enrolled in a community clinical exercise (e.g., Phase III) program over a 3-week reference period. Step counts averaged 39,818 ± 18,612 per week, with 18% of the steps accomplished in the program and 82% of steps accomplished outside the program. Using the sRPE method, inside the program, the patients averaged 162.4 ± 93.1 min per week, at a sRPE of 12.5 ± 1.9 and a frequency of 1.8 ± 0.7 times per week, for a calculated exercise load of 2042.5 ± 1244.9 AU. Outside the program, the patients averaged 144.9 ± 126.4 min, at a sRPE of 11.8 ± 5.8 and a frequency of 2.4 ± 1.5 times per week, for a calculated exercise load of 1723.9 ± 1526.2 AU. The total exercise load using sRPE was 266.4 ± 170.8 min per week, at a sRPE of 12.6 ± 3.8, and frequency of 4.2 ± 1.1 times per week, for a calculated exercise load of 3359.8 ± 2145.9 AU. There was a non-linear relationship between steps per week and the sRPE derived training load, apparently attributable to the amount of non-walking exercise accomplished in the program. The results suggest that patients in a community clinical exercise program are achieving American College of Sports Medicine guidelines, based on the sRPE method, but are accomplishing less steps than recommended by guidelines.https://www.mdpi.com/2411-5142/6/2/47cardiac rehabilitationstep countsRPE |
| spellingShingle | Katrina L. Schultz Carl Foster Kimberley Radtke Susan Bramwell Cristina Cortis Andrea Fusco John P. Porcari Workload Accomplished in Phase III Cardiac Rehabilitation Journal of Functional Morphology and Kinesiology cardiac rehabilitation step count sRPE |
| title | Workload Accomplished in Phase III Cardiac Rehabilitation |
| title_full | Workload Accomplished in Phase III Cardiac Rehabilitation |
| title_fullStr | Workload Accomplished in Phase III Cardiac Rehabilitation |
| title_full_unstemmed | Workload Accomplished in Phase III Cardiac Rehabilitation |
| title_short | Workload Accomplished in Phase III Cardiac Rehabilitation |
| title_sort | workload accomplished in phase iii cardiac rehabilitation |
| topic | cardiac rehabilitation step count sRPE |
| url | https://www.mdpi.com/2411-5142/6/2/47 |
| work_keys_str_mv | AT katrinalschultz workloadaccomplishedinphaseiiicardiacrehabilitation AT carlfoster workloadaccomplishedinphaseiiicardiacrehabilitation AT kimberleyradtke workloadaccomplishedinphaseiiicardiacrehabilitation AT susanbramwell workloadaccomplishedinphaseiiicardiacrehabilitation AT cristinacortis workloadaccomplishedinphaseiiicardiacrehabilitation AT andreafusco workloadaccomplishedinphaseiiicardiacrehabilitation AT johnpporcari workloadaccomplishedinphaseiiicardiacrehabilitation |