Table 3. – Methods for prescription of moderate-intensity aerobic exercise.
Method | Description |
---|---|
Rating of perceived exertion (Borg) | Exercises yielding a rating of perceived exertion of 2–4 on the 0–10 Borg scale or 10–13 on the 6–20 Borg scale |
Speech test | Exercise intensity maintained so that breathing is labored but still controlled, and the patient is still able to speak a complete sentence without pause |
Percent peak HR | Exercise intensity titrated to an HR target of 70–85% of peak HR* Target HR = peak HR x desired percentage |
HR reserve (Karvonen) | Exercise intensity titrated to an HR target of 50–85% of reserve HR (peak HR – resting HR). Target HR = resting HR + (peak HR – resting HR) x desired percentage |
Cardiopulmonary exercise test thresholds | Exercise intensity titrated to remain between ventilatory threshold 1 (anaerobic threshold) and ventilatory threshold 2 (respiratory compensation point) |
*Peak HR preferably measured during a maximal exercise stress test, as interindividual variability can cause errors in the prediction of HR by age, especially in patients who are on medications with negative chronotropic effect. HR: heart rate.