Table 1.
Overview of recommendations for physical activity and public health in healthy adults and patients.
| Recommendation | Intensity | Duration | Frequency |
|---|---|---|---|
| ACSM [18] resource manual for guidelines for exercise testing and prescription healthy individuals | moderate intensity 40%–59% HRR (VO2R) vigorous intensity ≥ 60% HRR (VO2R) | 20–60 min·day−1 continuous or intermittent in bouts of at least 10 min 20–60 min·day−1 continuous or intermittent in bouts of at least 10 min | min. of 5 d·wk−1min. 3 d·wk−1 |
| CAD + MI patients | 40%–85% HRR (VO2R) | ||
| HF patients | 40%–70% HRR (VO2R) | ||
| ACSM [19] guidelines for exercise testing and prescription | 40%–85% HRR (VO2R) | 20–60 min·day−1 | 3–5 d·wk−1 |
| ACSM/AHA [20] healthy adults 18–65 years of age | moderate intensity (between 3.0 and 6.0 METs) vigorous intensity (above 6.0 METs) | at least 30 min·day−1 continuous or intermittent in bouts of at least 10 min each at least 20 min·day−1 continuous activity | min. of 5 d·wk−1min. of 3 d·wk−1 |
| ACSM/AHA [21] older adults aged >65 years | moderate intensity (5-6 on a 10-point scale)vigorous intensity (7-8 on a 10-point scale) | at least 30 min·day−1 continuous or intermittent (in bouts of at least 10 min each) activity at least 20 min·day−1 continuous activity | min. of 5 d·wk−1min. of 3 d·wk−1 |
| AHA [22] coronary artery disease | moderate intensity (40%–60% of HRR) vigorous intensity as tolerated (60%–85 % of HRR) | at least 30 min·day−1 | min. of 3 d·wk−1 |
| ACSM [23] hypertension | moderate intensity (40%–60% of VO2R) vigorous intensity acceptable for selected adults | 30–60 min·day−1 continuous or intermittent (in bouts of at least 10 min each) activity | most, preferably all days per week |
| AHA [24] stroke | 50%–80% of HRmax | 20–60 min/session (or multiple 10 min sessions) | 3–7 d·wk−1 |
| American Diabetes Association [21] type 2 diabetes | moderate intensity (50%–70% of HRmax) vigorous intensity (>70% of HRmax) | at least 150 min·wk−1 moderate and/or at least 90 min·wk−1 vigorous activity | min. of 3 d·wk−1, no more than 2 consecutive days without activity |
HRR: heart rate reserve; VO2R: oxygen consumption reserve.
CAD: coronary artery disease; MI: myocardial infarction; HF: heart failure.