A Critical Evaluation of Current Methods for Exercise Prescription in Women and Men

Med Sci Sports Exerc. 2020 Feb;52(2):466-473. doi: 10.1249/MSS.0000000000002147.

Abstract

Common methods to prescribe exercise intensity are based on fixed percentages of maximum rate of oxygen uptake (V˙O2max), peak work rate (WRpeak), maximal HR (HRmax). However, it is unknown how these methods compare to the current models to partition the exercise intensity spectrum.

Purpose: Thus, the aim of this study was to compare contemporary gold-standard approaches for exercise prescription based on fixed percentages of maximum values to the well-established, but underutilized, "domain" schema of exercise intensity.

Methods: One hundred individuals participated in the study (women, 46; men, 54). A cardiopulmonary ramp-incremental test was performed to assess V˙O2max, WRpeak, HRmax, and the lactate threshold (LT), and submaximal constant-work rate trials of 30-min duration to determine the maximal lactate steady-state (MLSS). The LT and MLSS were used to partition the intensity spectrum for each individual in three domains of intensity: moderate, heavy, and severe.

Results: V˙O2max in women and men was 3.06 ± 0.41 L·min and 4.10 ± 0.56 L·min, respectively. Lactate threshold and MLSS occurred at a greater %V˙O2max and %HRmax in women compared with men (P < 0.05). The large ranges in both sexes at which LT and MLSS occurred on the basis of %V˙O2max (LT, 45%-74%; MLSS, 69%-96%), %WRpeak (LT, 23%-57%; MLSS, 44%-71%), and %HRmax (LT, 60%-90%; MLSS, 75%-97%) elicited large variability in the number of individuals distributed in each domain at the fixed-percentages examined.

Conclusions: Contemporary gold-standard methods for exercise prescription based on fixed-percentages of maximum values conform poorly to exercise intensity domains and thus do not adequately control the metabolic stimulus.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anaerobic Threshold / physiology
  • Exercise / physiology*
  • Exercise Test / methods
  • Exercise Therapy / methods*
  • Female
  • Heart Rate / physiology
  • Humans
  • Male
  • Oxygen Consumption / physiology
  • Prescriptions
  • Pulmonary Gas Exchange