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. 2021 Mar 3;116(3):516–658. [Article in Portuguese] doi: 10.36660/abc.20201238

Chart 8.4. – Physical activity and physical exercise recommendations.

Recommendations
Decrease sedentary behavior – LR: IIb, LE: B
Stand for 5 minutes for every 30 minutes sitting down.
Recommended physical activity at population level – LR: I, LE: A
Perform at least 150 minutes of moderate physical activity per week
Physical training – aerobics supplemented with resistance training – LR: I, LE: A
Prescription of aerobic training – mandatory
Various modalities: walking, running, dancing and swimming, among others.
Frequency: 3 to 5 times per week (more often is better)
Duration: 30 to 60 minutes per session (longer is better)
Moderate intensity defined by:
1) Highest intensity still able to have a conversation (without panting)
2) Feeling “slightly tired” to “tired” (11 to 13 in the Borg scale)
3) Keep heart rate (HR) during training in the following range: HRtraining = (HRmax – HRrest) x % + HRrest Where: HRmax: obtained either on a maximum exercise test, using the regular medications, or by calculating maximum HR estimated for age (220 - age). The formula may not be used with hypertensive patients suffering from heart disease, taking beta-blockers or taking dihydropyridine calcium channel blockers. HRrest: measured after 5-minute rest lying down. % : use 40% as lower threshold and 60% as upper threshold.
Prescription of endurance training – complementary
2 to 3 times a week
8 to 10 exercises for the major muscle groups, prioritizing unilateral execution, when possible
1 to 3 sets
10 to 15 repetitions up to moderate fatigue (repetition with decreased motion speed) – approximately 60% of 1RM
Long passive pauses – 90 to 120 s