Literature DB >> 9192123

Use of ratings of perceived exertion for predicting maximal work rate and prescribing exercise intensity in patients taking atenolol.

R G Eston1, M Thompson.   

Abstract

OBJECTIVE: The purpose of this study was to assess the efficacy of Borg's rating of perceived exertion (RPE) scale to predict maximal exercise levels to control exercise intensity in patients taking atenolol for the treatment of essential hypertension. Normally, a standard formula (220-age) is used for calculating a percentage of exercise intensity, but beta blockade can cause reductions in maximal heart rate of between 20 and 30%.
METHODS: Patients were split into a control group-10 men and 10 women, aged 50 (SD 12) and 46 (9) respectively, who had risk factors for cardiovascular disease but were not taking any drugs, and a treatment group-11 men and 11 women, aged 53 (13) and 55 (13) respectively, who were established on 25-100 mg of atenolol. All patients performed two submaximal tests on a cycle ergometer. Test 1 was an estimation test, during which the RPE was reported for each increment in work rate. Test 2 was an RPE production test, during which the patient regulated the work rate according to his/her perception of effort at four predetermined points on the RPE scale (RPE 9, 13, 15, 17).
RESULTS: In both tests the individual correlations (r) between RPE, heart rate, and work rate ranged from 0.96 to 0.99. Analysis of variance showed no significant difference in maximal heart rate and maximal power output for the control group when predicted from the regression lines of RPE versus heart rate and RPE versus power output in the estimation test. However, the prediction of maximal power output was lower in the women in the control group and patients in the treatment group when this was predicted from the effort production protocol (P < 0.01). When exercise intensity at each RPE was expressed relative to maximal power output there were no differences between treatment and control groups.
CONCLUSION: The findings from this study confirmed the strong positive relation between RPE, heart rate, and work rate in these patients in both passive effort estimation and active effort production protocols. However, caution in applying these procedures is required because the prediction of maximal exercise levels may be lower when effort production procedures are used.

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Year:  1997        PMID: 9192123      PMCID: PMC1332608          DOI: 10.1136/bjsm.31.2.114

Source DB:  PubMed          Journal:  Br J Sports Med        ISSN: 0306-3674            Impact factor:   13.800


  22 in total

1.  A scoring system to identify men at high risk of a heart attack.

Authors:  A G Shaper; S J Pocock; A N Phillips; M Walker
Journal:  Health Trends       Date:  1987-05

2.  The validity of regulating exercise intensity by ratings of perceived exertion.

Authors:  C C Dunbar; R J Robertson; R Baun; M F Blandin; K Metz; R Burdett; F L Goss
Journal:  Med Sci Sports Exerc       Date:  1992-01       Impact factor: 5.411

3.  The place of perceived exertion ratings in exercise prescription for cardiac transplant patients before and after training.

Authors:  R J Shephard; T Kavanagh; D J Mertens; M Yacoub
Journal:  Br J Sports Med       Date:  1996-06       Impact factor: 13.800

Review 4.  Determination of the intensity dimension in vigorous exercise programmes with particular reference to the use of the rating of perceived exertion.

Authors:  J G Williams; R G Eston
Journal:  Sports Med       Date:  1989-09       Impact factor: 11.136

Review 5.  The use of ratings of perceived exertion for exercise prescription in patients receiving beta-blocker therapy.

Authors:  R Eston; D Connolly
Journal:  Sports Med       Date:  1996-03       Impact factor: 11.136

Review 6.  Perceived exertion. Antecedents and applications.

Authors:  B Watt; R Grove
Journal:  Sports Med       Date:  1993-04       Impact factor: 11.136

7.  The effects of antihypertensive medications on the physiological response to maximal exercise testing.

Authors:  W E Derman; R Sims; T D Noakes
Journal:  J Cardiovasc Pharmacol       Date:  1992       Impact factor: 3.105

8.  Use of perceived effort ratings to control exercise intensity in young healthy adults.

Authors:  R G Eston; B L Davies; J G Williams
Journal:  Eur J Appl Physiol Occup Physiol       Date:  1987

9.  Reliability of ratings of perceived effort regulation of exercise intensity.

Authors:  R G Eston; J G Williams
Journal:  Br J Sports Med       Date:  1988-12       Impact factor: 13.800

10.  Effect of exercise modality on ratings of perceived exertion at various lactate concentrations.

Authors:  R K Hetzler; R L Seip; S H Boutcher; E Pierce; D Snead; A Weltman
Journal:  Med Sci Sports Exerc       Date:  1991-01       Impact factor: 5.411

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  19 in total

1.  A perceptually regulated, graded exercise test predicts peak oxygen uptake during treadmill exercise in active and sedentary participants.

Authors:  Roger Eston; Harrison Evans; James Faulkner; Danielle Lambrick; Harran Al-Rahamneh; Gaynor Parfitt
Journal:  Eur J Appl Physiol       Date:  2012-01-26       Impact factor: 3.078

2.  Self-regulation of exercise intensity by estimated time limit scale.

Authors:  M Garcin; J Coquart; J Salleron; N Voy; R Matran
Journal:  Eur J Appl Physiol       Date:  2011-10-19       Impact factor: 3.078

3.  The validity of predicting maximal oxygen uptake from a perceptually-regulated graded exercise test.

Authors:  Roger G Eston; Kevin L Lamb; Gaynor Parfitt; Nicholas King
Journal:  Eur J Appl Physiol       Date:  2005-04-07       Impact factor: 3.078

4.  The perceptually regulated exercise test is sensitive to increases in maximal oxygen uptake.

Authors:  Harrison J L Evans; Gaynor Parfitt; Roger G Eston
Journal:  Eur J Appl Physiol       Date:  2012-11-16       Impact factor: 3.078

5.  Prescribing exercise for women.

Authors:  Carlin Senter; Nicole Appelle; Sarina K Behera
Journal:  Curr Rev Musculoskelet Med       Date:  2013-06

6.  Ramp-incremented and RPE-clamped test protocols elicit similar VO2max values in trained cyclists.

Authors:  Allison M Straub; Adrian W Midgley; Gerald S Zavorsky; Angela R Hillman
Journal:  Eur J Appl Physiol       Date:  2014-04-29       Impact factor: 3.078

7.  Validity of a perceptually-regulated step test protocol for assessing cardiorespiratory fitness in healthy adults.

Authors:  Hunter Bennett; Kade Davison; Gaynor Parfitt; Roger Eston
Journal:  Eur J Appl Physiol       Date:  2016-10-05       Impact factor: 3.078

8.  Associations between Borg's rating of perceived exertion and physiological measures of exercise intensity.

Authors:  Johannes Scherr; Bernd Wolfarth; Jeffrey W Christle; Axel Pressler; Stefan Wagenpfeil; Martin Halle
Journal:  Eur J Appl Physiol       Date:  2012-05-22       Impact factor: 3.078

9.  Modality determines VO2max achieved in self-paced exercise tests: validation with the Bruce protocol.

Authors:  Nicholas J Hanson; Cory M Scheadler; Taylor L Lee; Noah C Neuenfeldt; Timothy J Michael; Michael G Miller
Journal:  Eur J Appl Physiol       Date:  2016-05-05       Impact factor: 3.078

Review 10.  Prediction of maximal or peak oxygen uptake from ratings of perceived exertion.

Authors:  Jérémy B Coquart; Murielle Garcin; Gaynor Parfitt; Claire Tourny-Chollet; Roger G Eston
Journal:  Sports Med       Date:  2014-05       Impact factor: 11.136

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