If you don't have access to weights, then you can perform resistance exercises utilizing just the weight of your own body. These types of exercises include pull ups, push ups, crunches, squats, and lunges. If you'd like to find a well designed workout using body weight resistance, try the Slow Burn Fitness Revolution, which relies on slow movements to really increase intensity as you perform isotonic exercises.
DOMS stands for delayed onset muscle soreness, which is the soreness you feel the day or two after a hard workout. This happens because when you’re working out you’re damaging muscle fibers (that’s a good thing!). The muscle then repairs and rebuilds and that’s how you get stronger. The soreness and pain you feel from DOMS comes from the chemicals that set off pain receptors during the repair process, Robert Hyldahl, Ph.D., an exercise physiologist at Brigham Young University, previously explained to SELF. This soreness may last anywhere from 24 to 72 hours after your workout. (Here’s what to do when DOMS kicks in after a workout.)

Major variants: reverse ~ (curling the pelvis towards the shoulders), twisting ~ or side ~ (lifting one shoulder at a time; emphasis is on the obliques), cable ~ (pulling down on a cable machine while kneeling), sit-up ~ (have [chest] touch your knees), vertical crunch (propping up to dangle legs and pulling knees to the [ chest] or keeping legs straight and pulling up legs to a 90 degree position). Reverse hanging crunch (using gravity boots or slings to hang head down and pulling to a 90 or 180 degree form)
Exercise is any bodily activity that enhances or maintains physical fitness and overall health and wellness.[1] It is performed for various reasons, including increasing growth and development, preventing aging, strengthening muscles and the cardiovascular system, honing athletic skills, weight loss or maintenance, and also for enjoyment. Many individuals choose to exercise outdoors where they can congregate in groups, socialize, and enhance well-being.[2]
What is the Level of Difficulty? – Exercise videos should specify whether they are for beginners, intermediates or advanced exercisers. Be honest with yourself when looking at the choices available and choose one that will be a good starting point. If there is a series of video, look for sets that have a progression level as your fitness level improves and increases.
Physical exercise is important for maintaining physical fitness and can contribute to maintaining a healthy weight, regulating digestive health, building and maintaining healthy bone density, muscle strength, and joint mobility, promoting physiological well-being, reducing surgical risks, and strengthening the immune system. Some studies indicate that exercise may increase life expectancy and the overall quality of life.[10] People who participate in moderate to high levels of physical exercise have a lower mortality rate compared to individuals who by comparison are not physically active.[11] Moderate levels of exercise have been correlated with preventing aging by reducing inflammatory potential.[12] The majority of the benefits from exercise are achieved with around 3500 metabolic equivalent (MET) minutes per week.[13] For example, climbing stairs 10 minutes, vacuuming 15 minutes, gardening 20 minutes, running 20 minutes, and walking or bicycling for transportation 25 minutes on a daily basis would together achieve about 3000 MET minutes a week.[13] A lack of physical activity causes approximately 6% of the burden of disease from coronary heart disease, 7% of type 2 diabetes, 10% of breast cancer and 10% of colon cancer worldwide.[14] Overall, physical inactivity causes 9% of premature mortality worldwide.[14]

How to: Facing down, place your hands slightly wider than shoulder-width apart. Place your toes on the floor. If that's too hard, start with your knees on the floor. Your body should make a straight line from shoulders to knees or feet. Keep your rear-end muscles and abs engaged. Bend your elbows to lower down until you almost touch the floor. Lift back up by pushing through your elbows, Keep your torso in a straight line throughout the move.


After familiarization, a preliminary OLDE incremental test was performed until exhaustion to measure peak power output. For males, the incremental test started with the isotonic resistance set at 4 N·m (~ 7.4 W) for 1 min, and increased each minute by 3 N·m (~ 4.5 W) to exhaustion. For females, the isotonic resistance was set up at 4 N·m (~ 7.4 W) for 1 min and increased each minute by 2 N·m (~ 3.7 W). Exhaustion was defined as a decrease in cadence below 40 cpm for a duration ≥ 10 s or when the subject voluntarily stopped.
Planks are a quadruple threat, and by holding one for just 30 seconds a day, you will instantly start seeing results on your abdominal muscles, arms, triceps, and core. Riggins suggests doing low and high planks for 30 seconds each. For the low plank, he says to “get up on your elbows and your feet like a push-up position. You can modify by getting on your knees and hold for 30 seconds.” For the high plank do the same but “hold your legs straight” for 30 seconds. If abs are your problem area, don’t miss our helpful article Can’t Get Cut Abs? A Celeb Trainer Explains Why!
If you thought two-day free shipping and all access to “The Marvelous Mrs. Maisel” were the highlights of your Amazon Prime account, you are going to be pleasantly surprised at this other fit feature. Not only can order your yoga pants and earbuds on Amazon Prime, you can actually use it to squeeze in a bit of cardio or stretching anywhere you happen to be.
Figure 1 Squat. Checkley9 Checkley E. A natural method of physical training. New York (NY): William C. Bryant & Co.; 1890. [Google Scholar] and Randell, reproduced with kind permission of Wellcome Library. Demonstrated by Barbara Mortimer Thomas.26 Wellcome Library [Internet]. Rodway H. Training for childbirth - and after (1940). 2015 Sep 24 [cited 2015 Oct 3]. Available from: http://wellcomelibrary.org/player/b16729006#?asi=0&ai=0. [Google Scholar]

In 1904, Danish prize-winning athlete and gymnastics educator JP Müller followed Checkley’s exercise philosophy with the publication of ‘My System’. This book described how the relatively healthy, average person could keep fit, fortify health and stamina, and increase physical and mental efficiency with 15 min of daily exercise. He claimed: ‘If people only knew how much more, how much better and how much longer they can enjoy life, instead of being controlled by a weakly body, they have a strong and healthy one at their command!’15 Müller JP. My system. London: Link House; 1904. [Google Scholar] Müller was born a weak child and developed an exercise routine to re-build his own body, inspired by the harmony of ancient Greek statues. His routine included exercising natural functional movements, self-massage of skin in fascial lines, exposure to the sun, and bathing in cold water in addition to running on the balls of the feet as an aerobic activity.15,16 Müller JP. My system. London: Link House; 1904.
For active types, nagging injuries nag a little louder; hard workouts deplete you a bit more. For serious recreational athletes, performance begins to drop, even if you maintain your training regimen. Whatever your sport of choice — be it distance running, competitive cycling, or pick-up basketball — you can expect your performance to plateau and recovery to take a bit longer.
Aerobic exercise induces short- and long-term effects on mood and emotional states by promoting positive affect, inhibiting negative affect, and decreasing the biological response to acute psychological stress.[45] Over the short-term, aerobic exercise functions as both an antidepressant and euphoriant,[46][47][48][49] whereas consistent exercise produces general improvements in mood and self-esteem.[50][51]
Time course of normalized EMG RMS for all muscles was analyzed with fully repeated measures 3 (session) x 10 (time: from 10 to 100% of time to exhaustion) ANOVA. Fully repeated measures 3 (session) x 11 (time: warm-up and from 10 to 100% of time to exhaustion) ANOVAs were used to analyze the time course of leg RPE, leg muscle pain, heart rate and cadence. Significant effect of time was explored with planned comparison (10% vs other time points, 100% vs other time points) adjusted with Holm-Bonferonni correction.
Video Abstract for the ESSR 46.1 article “Sedentary Behaviors and Adiposity in Young People: Causality and Conceptual Model” from author Stuart Biddle. Research on sedentary behavior and adiposity in youth dates back to the 1980s. Sedentary behaviors, usually screen time, can be associated with adiposity. While the association is usually small but significant, the field is complex, and results are dependent on what sedentary behaviors are assessed, and may be mediated and moderated by other behaviors.

The EMG signals were filtered with a Butterworth band pass filter (cutoff frequencies 20 and 400 Hz). Then, the root mean square (RMS) of the EMG signal was automatically calculated with the software. During the incremental test, the EMG RMS was averaged for the last 5 EMG bursts of each step (at the end of each minute) and at exhaustion. During the time to exhaustion tests, the EMG RMS was averaged for the last 5 EMG bursts prior each time point measurement (10, 20, 30, 40, 50, 60, 70, 80, 90 and 100% of the time to exhaustion). EMG RMS of each muscle during the time to exhaustion tests was normalized by the maximal EMG RMS of the respective muscle obtained during the pre-exercise KE MVC performed at 100 deg/s. During the KE MVCs, maximal EMG RMS was averaged over a range of 20 deg extension (± 10 deg) around the peak torque.
Celebrity fitness instructor Tracy Anderson (clients include Madonna, Gwyneth Paltrow, and Jennifer Lopez) offers six 10-minute, total-body dance workouts in this DVD. The first lesson covers basic steps, while the other workouts have titles like "Cardio Party" and "Sweat Fest." Don't worry if you have two left feet: Even novice dancers can master these moves.
ShapeFit.com is dedicated to providing health and fitness information to people so they can live a healthy lifestyle. ShapeFit has thousands of pages of fitness content with fun and interactive tools to help our visitors lose body fat, build lean muscle and increase their energy levels. We wish you great success in reaching your health and fitness goals!
Get your shoulders looking svelte with hand/arm raises. Riggins says here’s how to do them: Raise your hand over head; hand is at a 90-degree angle to the body as if you’re doing shoulder press with no weights. Put your hands up and raise over head; raise up to sky and bring back down. Keep repeating for 30 seconds. We know it sounds too easy, but you’ll feel it start to burn about 20 seconds in!

Whether you are a newbie CrossFitter or a seasoned veteran, there are foundational movements that everyone should master prior to completing a WOD (Workout of the Day). On the next slides, we’ll show 16 essential CrossFit moves that you need to know. These moves are proven to increase your strength, build your lung capacity and make you the best athlete you can be. Proper form is essential to avoid injury.

All data are presented as means ± standard deviation (SD) unless stated. Assumptions of statistical tests such as normal distribution and sphericity of data were checked as appropriate. Greenhouse-Geisser correction to the degrees of freedom was applied when violations to sphericity were present. For reliability statistics, assumptions of homoscedasticity and heteroscedasticity were checked as appropriate. Reliability analysis was conducted following the guidelines provided by Atkinson and Nevill [19]. Our sample size of eight subjects is comparable to previous studies using high-intensity OLDE [8, 11, 17].
The goal in training competitive athletes is to provide training loads that are effective in improving performance. At some stages during the training process, athletes may experience an unexplainable decrease in performance. This might happen when prolonged excessive training takes place concurrent with other stressors and insufficient recovery. This unexplainable performance decrements can result in chronic maladaptations that can lead to the overtraining syndrome (OTS). A keyword in the recognition of OTS might be “prolonged maladaptation” not only of the athletic performance but also of several biological, neurochemical and hormonal regulation mechanisms. When athletes deliberately use a short-term period (eg, training camp) to increase training load, they can experience short-term performance decrement, without severe psychological or lasting other negative symptoms.1 2 This functional over reaching (FO) will eventually lead to an improvement in performance after recovery. However, when athletes do not sufficiently respect the balance between training and recovery, non-functional over-reaching (NFO) can occur.1 2 At this stage, the first signs and symptoms of prolonged maladaptation such as performance decrements, psychological disturbance (decreased vigour, increased fatigue) and hormonal disturbances are present, and the athlete will need weeks or months to recover. The distinction between NFO and OTS is very difficult and will depend on the clinical outcome and exclusion diagnosis.

"Consider this: Dr. Kenneth Cooper (author of Aerobics, The New Aerobics, Aerobics for Women), the U.S. Air Force Cardiologist who coined the term 'aerobics" (meaning a form of exercise) and has promoted their use for over 25 years, now admits that he was wrong! According to Dr. Cooper, further research has shown that there is no correlation between aerobic endurance performance and health, longevity, or protection against heart disease. He will admit, however, that such activities do carry with them a great risk of injury. Further, he admits that gross-overuse activities such as running are damaging to the body." – Ken Hutchins, SuperSlow Exercise Guild
Use our illustrated exercise guide to discover new exercises to try in your workouts, learn which muscle groups different exercises target and how to perform them correctly. The clear images show correct form and the written instructions will guide you through the exercise movement. Want to build your own workouts with these exercises? You can do exactly that and much more with a Fit account. Check it out and start your free trial today!
The link between physical health and exercise (or lack of it) was further established in 1949 and reported in 1953 by a team led by Jerry Morris.[147][148] Dr. Morris noted that men of similar social class and occupation (bus conductors versus bus drivers) had markedly different rates of heart attacks, depending on the level of exercise they got: bus drivers had a sedentary occupation and a higher incidence of heart disease, while bus conductors were forced to move continually and had a lower incidence of heart disease.[148]
Ten patients who consulted a sports physician with complaints of underperformance and fatigue participated in the present study. The eight men and two women had an average height and weight of 181±(8) cm and 68.4±(11.8) kg. All subjects were diagnosed by a sports physician according to the latest guidelines for overtraining diagnosis.1 18 A careful history including training history was taken, completed by a physical examination and a blood draw to rule out other possible causes for the complaints. Patients were diagnosed as NFO or OTS retrospectively according to the severity of symptoms and the total duration of symptoms and underperformance (ie, both before and after testing) when no medical explanation for the condition could be found. It turned out that a cutoff of 1-year total duration gave a good distinction between NFO and OTS patients. Demographic data and reported symptoms can be found in table 1. Data of subject 1 are the same as presented in an earlier publication.10 All subjects signed informed consent before participation.

Yoga also offers many mental benefits, such as a reduction in stress level. Greater relaxation and reduced stress leads to a host of other positive body changes including an improvement in circulation, sleep and self-confidence. A positive mental outlook also helps to maintain a healthy immune system, which in turn can ward off other serious ailments such as high cholesterol, heart disease and stroke.
There’s a simple way to get your body back in fat-blasting mode: Temporarily ditch your go-to moves. "When you change up your workout, your body works harder because it’s in unfamiliar territory," explains Amy Dixon, a Santa Monica, California–based trainer and exercise physiologist. "That’s what causes it to burn more calories and build more muscle."
Before anyone’s crowned Cap’n Crunch, remember form is key. Lie on your back with the knees bent and feet flat on the floor. With hands behind the head, place the chin down slightly and peel the head and shoulders off the mat while engaging the core. Continue curling up until the upper back is off the mat. Hold briefly, then lower the torso back toward the mat slowly.

After options vest, you may purchase the company stock at the option price any time before the options expire. But exercises, as well as sales, may be prohibited during any "blackout" periods, or allowed only during window periods. Company policies must be carefully followed, as well as federal and state securities laws. Optionholders are responsible for keeping up with current insider trading regulations.
Rep schemes remain in the hypertrophy range this week, but overall volume increases by adding more sets to individual exercises: up to five sets per move for larger bodyparts, and even 10 sets of calf raises on Thursday. This bump in volume will ensure that your muscles are overloaded sufficiently to continue the growth they’ve already begun experiencing in the first three weeks. Completion of this four-week program now entitles you to go to the next stage.

Along with prenatal vitamins and regular doctor’s appointment,The Bloom Method should be an essential part of your prenatal experience. Brooke’s knowledge and passion for pre-and-postnatal health and wellness is unmatched. Thanks to the regular workouts and the prenatal exercises that Brooke taught me, I feel amazing, and my belly is tight (no one can believe that I’m almost 7 months along!) The Bloom Method is a fundamental investment in baby and mommy’s health.
"With CrossFit growing exponentially, you do get boxes that more closely resemble boutique studios -- think Brick or Solace in New York -- with amenities like fancy shower products, towel service, and coffee and/or smoothie bars," Ages says. "But you're just as likely to encounter one that has a single Trainspotting-style bathroom and a crumbling concrete floor."
Degenhardt B [Internet]. Once upon a time: the evolution of Pilates mat work. 2012 Nov 21 [cited 2015 Aug 30]. Available from: http://benjamindegenhardt.com/once-upon-a-time/.  He was later moved to the Isle of Man where he had duties training the injured inmates in their wards. It was there that Pilates started to connect springs to the hospital bed frames modifying them into effective and comfortable exercise devices which later evolved to become modern Pilates equipment.43 Hessel J [Internet]. Joseph H. Pilates biography. 2015 Jul 8 [cited 2015 Aug 30]. Available from: http://www.jillianhessel.com/pilates_biography.html. [Google Scholar]
Neuromuscular function tests were performed pre and post-exercise to quantify muscle fatigue. As previous studies documented the extent of isometric muscle fatigue induced by OLDE [8, 11, 17, 18], we chose to focus only on isokinetic muscle fatigue. Therefore, knee extensors (KE) MVCs were performed at 60 (MVC60), 100 (MVC100) and 140 (MVC140) deg/s pre (after the warm-up) and post-exercise (13 ± 4s after exhaustion). Subjects were asked to perform two maximal isokinetic knee extensions at each angular velocity (starting position corresponded to knee angle at 90 deg; range of motion was the same as the OLDE). The highest peak torque value of the two trials was considered, and a 20 s recovery was set between each set of KE MVCs. The order of contractions was randomized between sessions as follow (60-100-140 deg/s, 100-140-60 deg/s or 140-60-100 deg/s) and identical for testing pre and post-exercise of the same session. This randomization allows obtaining a time course of KE MVC torque recovery following the time to exhaustion test at each angular velocity was obtained at a different time point at each session: either shortly after exhaustion (13 ± 4 s after exhaustion), 20 s following exhaustion test (P20) and 40 s following exhaustion test (P40). An overview of timing can be found in Fig 1. Twenty seconds after completion of the last KE MVC, a maximal isometric MVC of the knee flexors was performed (isometric KF MVC). Visual feedback of the torque and strong verbal encouragement were provided for each MVC [please see reference 9 for more details].
This DVD is focused on strength training — you can choose whether you want to do an upper body workout, a lower body workout, an abs and back routine, or a quickie 10-minute total body workout. But don't think you have to already be super buff to jump in: This workout is designed for people of any fitness level — though you will need some equipment for it, like a stretch band and exercise ball.

There are TONS of exercise videos on the market today and trying to decide which ones are good and which ones will just end up on the shelf unused. The three exercise video sets featured here are all on the top ten lists on review sites and customers love them. While they may not be good for every fitness level, they are challenging, they bring results and users love them.
Not near our studio? That’s okay, The Bloom Method can be implemented into the fitness method or gym workout of your choice. While we offer our studio concept + cutting-edge classes through our online platform, Studio Bloom, we can also help customize our methodology into any way you choose to move your body. Reach out to use and we’ll connect you directly to one of our Bloom coaches for an optimal learning experience.
One new exercise is added to each bodypart routine to provide even more angles from which to train your target muscles to promote complete development. You’ll hit each muscle group with two exercises of 3­–4 sets each: four sets for large bodyparts (chest, back, shoulders, quads, hamstrings) and three sets for smaller bodyparts (biceps, triceps, abs, calves). The result is 16 total sets for the week for large bodyparts and 12 sets total for smaller ones—again, working in the 8–15-rep range—which is a substantial increase in volume from Week 1.

Go online for more information, recommends certified personal trainer Paula Zurowski. Web sites like collagevideo.com or Zurowski's exercisevideosreviews.com offer detailed descriptions and ratings of fitness videos. Collage even offers a one-minute clip of most videos, so you can get a feel for the level of the workout and whether you're going to like the instructor.


^ Jump up to: a b c Cox EP, O'Dwyer N, Cook R, Vetter M, Cheng HL, Rooney K, O'Connor H (August 2016). "Relationship between physical activity and cognitive function in apparently healthy young to middle-aged adults: A systematic review". J. Sci. Med. Sport. 19 (8): 616–628. doi:10.1016/j.jsams.2015.09.003. PMID 26552574. A range of validated platforms assessed CF across three domains: executive function (12 studies), memory (four studies) and processing speed (seven studies). ... In studies of executive function, five found a significant ES in favour of higher PA, ranging from small to large. Although three of four studies in the memory domain reported a significant benefit of higher PA, there was only one significant ES, which favoured low PA. Only one study examining processing speed had a significant ES, favouring higher PA.
Lauren Duhamel, a trainer for modelFIT says doing 30 seconds of sumo squats will transform the glutes and inner thighs. “Take a wide stance with your feet turned out instead of facing straight forward. Keep all your weight on your heels and slowly bend your knees and sit your booty back and down,” she explains. “Then, press back up without locking out your knees. Do ten of these then hold in a low squat for ten seconds.”
Other strength training equipment. This includes weight stacks (plates with cables and pulleys), flexible bands, and flexible rods. Fichera says flexible bands are good for beginners, especially since they come with instructions. But he doesn't recommend them for long-term use; your muscles will likely adapt to the resistance and need more of a challenge.
Jump up ^ Cunha GS, Ribeiro JL, Oliveira AR (June 2008). "[Levels of beta-endorphin in response to exercise and overtraining]". Arq Bras Endocrinol Metabol (in Portuguese). 52 (4): 589–598. PMID 18604371. Interestingly, some symptoms of OT are related to beta-endorphin (beta-end(1-31)) effects. Some of its effects, such as analgesia, increasing lactate tolerance, and exercise-induced euphoria, are important for training.
The wall sit, also known as a static squat, is performed by placing one's back against a wall with feet shoulder width apart, and lowering the hips until the knees and hips are both at right angles. The position is held as long as possible. The exercise is used to strengthen the quadriceps. Contrary to previous advice in this section, this exercise is NOT good for people with knee problems because the knees bear most of the load, especially when they are held at right angles (90 degrees).[citation needed]
The most important thing you need is you. Just grab a yoga mat, water, and towel and find a space wide enough to take a step in each direction. The PiYo 60-Day Calendar comes with the program and strategically lays out your workout schedule to keep you progressing each week as you build your strength, flexibility, and stamina. The Get Lean Eating Plan gives you a simplified approach to clean and lean eating designed to fit your lifestyle.
Isokinetic KE MVCs were performed at 60 (panel, A), 100 (panel B) and 140 (panel C) deg/s. Isokinetic KE MVCs were measured pre-exercise (pre, average of all three sessions pre-exercise values), shortly after exhaustion (13 ± 4 s after exhaustion), 20 s following exhaustion test (P20) and 40 s following exhaustion test (P40). Data are presented as mean (SE). * significantly different from pre, $ significantly different from exhaustion and # significantly different from P20, 1 item for P < 0.05 and 3 items for P < 0.001.
If watching Dancing With the Stars inspired you to get grooving, you should definitely try this DVD for a guided shape-up. Although I suggest shutting your curtains and banishing anyone else from the house while you shake it, learning the routines kept me focused and by the end, I was sweating and laughing (at myself). Skimpy sequined outfits and B-list celebs not required.
At the twilight of his career, despite his personal success and loyal group of followers, Pilates was disappointed his philosophy was not adopted by all. However, a group of his followers became recognized mind–body educators in their own right. His dream was realized by them in the 1980s, when Contrology moved into and has since remained within mainstream acceptance and popularity as ‘Pilates.’39,42 Balanced Body, Inc. [Internet]. Origins of Pilates. 2015 Aug 30 [cited 2015 Aug 30]. Available from: https://www.pilates.com/BBAPP/V/pilates/origins-of-pilates.html.
Alicia Marie, celebrity trainer, says you can change your core with plank twist corkscrews. “Hold in low plank position, keeping your core muscles tight and your forearms flat,” she says. “Slowly rotate your hips to one side, being sure not to drop them to the floor, then rotate your hips back to center. With your core muscles still engaged, rotate to the opposite side. Alternate back and forth slowly, completing five reps on each side for a total of four sets.”
One of the foundational moves of any strength program is the back squat. The back squat is performed with a barbell across the trapezius muscles, feet a little wider than shoulder-width apart, and feet slightly turned out. HOW TO DO IT: Take a big breath to brace the core, then send your buttocks back while keeping your chest big and proud. You should squat below parallel if your mobility allows. As you drive up, think of screwing your feet out and into the ground. This cue will fire the glutes so that you can get the most strength out of the movement. MUSCLES USED: Glutes, quads, hamstrings, calves and core.

Between August 2012 and June 2013, all men and women born between years 1936 to 1942 (aged 70–77 years), with a permanent address in the municipality of Trondheim, Norway, were invited to participate in a randomized controlled trial, the Generation 100 study. The primary aim of Generation 100 is to determine the effect of five years of exercise training on morbidity and mortality. The Generation 100 study protocol and study sample characteristics have been published previously [19].
The severity of angina and the effects of therapeutic interventions in patients with coronary artery disease have been assessed by determining changes in both exercise performance and the triple product (TP) of heart rate, systolic pressure, and ejection time occurring at angina. However, the validity of conclusions based on such changes is uncertain since the effects of different exercise protocols on these variables have not been determined. Twelve patients with angina were studied during upright bicycle exercise; repeated bouts of exercise using a standard protocol of 20-w increments every three minutes produced no consistent changes in TP at angina. When exercise began 20 to 60 w above the work load of the standard protocol that produced angina, exercise capacity was reduced (average 1'40'' vs. 4'40'', P < 0.001), and triple product at angina exceeded control anginal values (average 4,840 vs. 4,150, P < 0.001). In the control studies nitroglycerin (TNG) and carotid sinus nerve stimulation (CSNS) enabled patients to exercise to a higher level, although the triple product at angina was unaltered. However, at the higher work load TNG and CSNS exerted only minimal effects on exercise capacity, indicating that if the work load is excessive, a reduction in myocardial oxygen consumption produced by a therapeutic intervention may be comparatively minor so that a potentially salutary effect would be masked. We conclude that work loads causing angina in less than three minutes cannot reliably be used for studying the effects of therapy. However, if progressive work loads are chosen which cause angina in the control studies in three to six minutes, exercise capacity and triple product at angina provide important information about the efficacy and mechanism of action of a therapeutic intervention.
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