Accuracy of RPE from graded exercise to establish exercise training intensity

Glass, S. C.; Knowlton, R. G.; Becque, M. D.

doi:10.1249/00005768-199211000-00017

Cited by 81 publications

(57 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An alternative method for prescribing exercise intensity in a diabetic population, the RPE scale, is a subjective tool that may be used in place of heart rate, and its use has been the recommendation for patients with DAN (13). In normal populations, use of the RPE scale has been validated for level treadmill running (19) and during incremental exercise on a cycle ergometer (20,21). The current study found a highly linear relationship between RPE and %VO 2 R, providing support for its continued use by diabetic individuals.…”

supporting

confidence: 58%

Use of Heart Rate Reserve and Rating of Perceived Exertion to Prescribe Exercise Intensity in Diabetic Autonomic Neuropathy

2003

View full text Add to dashboard Cite

OBJECTIVE -Individuals with diabetic autonomic neuropathy (DAN) exhibit an increased resting heart rate but depressed maximal heart rate. Thus, the purpose of this study was to examine the validity of using either percent of heart rate reserve (HRR) or a rating of perceived exertion (RPE) scale to prescribe exercise intensity in diabetic individuals both with and without DAN.RESEARCH DESIGN AND METHODS -The subjects consisted of 23 individuals with type 2 diabetes, ages 45-75 years, with (DAN; n ϭ 13) or without (No DAN; n ϭ 10) clinical signs of DAN, as assessed by heart rate variability using the expiration-to-inspiration ratio of the R-R interval. Peak aerobic capacity was determined using a graded protocol on a cycle ergometer, with RPE, heart rate, and VO 2 values recorded at each stage.RESULTS -The subjects were similar with the exception of depressed autonomic function in DAN subjects. Peak respiratory exchange ratio values were significantly higher (P Ͻ 0.05) in the DAN group (1.08 Ϯ 0.02 vs. 1.02 Ϯ 0.01 in No DAN subjects), although DAN subjects exhibited a significantly lower (P Ͻ 0.05) peak exercise heart rate. A similarly highly linear relationship between %HRR and percent VO 2 reserve (VO 2 R) existed for both groups (r ϭ 0.98). A similar slightly weaker relationship (r ϭ 0.94) was found between RPE and %VO 2 R.CONCLUSIONS -In conclusion, in diabetic individuals, %HRR provides an accurate prediction of %VO 2 R and can be used to prescribe and monitor exercise intensity, regardless of the presence of DAN. The RPE scale is also a valid, albeit slightly less accurate, method to monitor exercise intensity in diabetic individuals. Diabetes Care 26:986 -990, 2003U ntil recently, the linear relationship between the percent of heart rate reserve (HRR) and percent of maximal aerobic capacity (VO 2max ) led to the use of %HRR to quantify a given percentage of VO 2max . Recent studies in healthy adults, however, have shown that the two were not equivalent-rather that %HRR is equivalent or more closely related to the percent VO 2 reserve (VO 2 R) (i.e., a percentage of the difference between resting and maximal VO 2 at which an individual is exercising) than to %VO 2max (1,2). These findings led the American College of Sports Medicine to adopt %VO 2 R in place of %VO 2max for the prescription of exercise intensity, which in normal individuals is now generally prescribed as a percentage of maximal heart rate (60 -90%), VO 2 R (50 -85%), or HRR (50 -85%) (3,4). An alternate method of prescribing intensity is with the rating of perceived exertion (RPE) scale (5), which uses a subjective rating from 6 to 20 to quantify an individual's perceived exercise intensity.Individuals with diabetic autonomic neuropathy (DAN) do not have a normal hemodynamic response to exercise. Autonomic neuropathy interferes with normal heart rate regulation during exercise by depressing maximal heart rate and blood pressure and at rest by increasing resting heart rate (6,7). Such individuals exhibit a lower peak heart rate response, lower...

show abstract

supporting

confidence: 58%

Use of Heart Rate Reserve and Rating of Perceived Exertion to Prescribe Exercise Intensity in Diabetic Autonomic Neuropathy

2003

View full text Add to dashboard Cite

show abstract

“…Prediction of maximal heart rate was calculated with the formula 220 Ϫ age. A rating of 4-5 on the RPE (range 0-10) was expected to reflect an effort with enough intensity to improve cardiovascular fitness (18,19).…”

Section: Methodsmentioning

confidence: 99%

Slowing of bone loss in patients with rheumatoid arthritis by long‐term high‐intensity exercise: Results of a randomized, controlled trial

Jong

Munneke

Lems

et al. 2004

Arthritis & Rheumatism

View full text Add to dashboard Cite

Objective. Patients with rheumatoid arthritis (RA) are more at risk for the development of osteoporosis and osteoporotic fractures than are their healthy peers. In this randomized, controlled, multicenter trial, the effectiveness of a 2-year high-intensity weight-bearing exercise program (the RheumatoidArthritis-Patients-In-Training [RAPIT] program) on bone mineral density (BMD) was compared with usual care physical therapy, and the exercise modalities associated with changes in BMD were determined.Methods. Three hundred nine patients with RA were assigned to an intervention group, either the RAPIT program or usual care physical therapy. The primary end points were BMD of the hip and spine. The exercise modalities examined were aerobic fitness, muscle strength, and, as a surrogate for those effects not directly measured by the RAPIT program, attendance rate.Results. The data on the 136 RAPIT participants and 145 usual care participants who completed the study were analyzed. The mean rate of decrease in hip BMD, but not in lumbar spine BMD, was smaller in patients participating in the RAPIT program when compared with that in the usual care group, with a mean decrease of 1.6% (95% confidence interval [95% CI] 0.8-2.5) over the first year and 0.5% (95% CI 1.1-2.0) over the second year. The change in hip BMD was significantly and independently associated with changes in both muscle strength (multivariate odds ratio [OR] 1.75, 95% CI 1.07-2.86) and aerobic fitness (OR 1.79, 95% CI 1.10-2.90), but not with the attendance rate (OR 1.00, 95% CI 0.99-1.00).Conclusion. A long-term high-intensity weightbearing exercise program for RA patients is effective in slowing down the loss of BMD at the hip. The exercise modalities associated with this effect are muscle strength and aerobic fitness.

show abstract

“…The rating of perceived exertion (RPE) also was used to obtain more subjective information (35). A rating of 4 to 5 on the RPE (range 0 -10) was expected to reflect an effort with enough intensity to improve cardiovascular fitness (36,37).…”

Section: Appendix A: Rapit Exercise Programmentioning

confidence: 99%

Adherence and satisfaction of rheumatoid arthritis patients with a long‐term intensive dynamic exercise program (RAPIT program)

Munneke

Jong

Zwinderman

et al. 2003

Arthritis & Rheumatism

View full text Add to dashboard Cite

Accuracy of RPE from graded exercise to establish exercise training intensity

Cited by 81 publications

References 0 publications

Use of Heart Rate Reserve and Rating of Perceived Exertion to Prescribe Exercise Intensity in Diabetic Autonomic Neuropathy

Use of Heart Rate Reserve and Rating of Perceived Exertion to Prescribe Exercise Intensity in Diabetic Autonomic Neuropathy

Slowing of bone loss in patients with rheumatoid arthritis by long‐term high‐intensity exercise: Results of a randomized, controlled trial

Adherence and satisfaction of rheumatoid arthritis patients with a long‐term intensive dynamic exercise program (RAPIT program)

Contact Info

Product

Resources

About