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.  Morris,33 Morris M. Basic physical training. London: Heinemann; 1937. [Google Scholar] and Vaughan,47 Youtube [Internet]. Vaughan, K. Childbirth as an athletic feat (1939). 2009 Feb 23 [cited 2015 Aug 30]. Available from: https://www.youtube.com/watch?v=g9wRBWDxReY. [Google Scholar] Pilates emphasized breathing techniques, training in sunshine and fresh air. Pilates also advocated the use of minimal and light-fitting clothing, recommended cold exposure and the importance of bathing and treating the skin.45,46 Pilates J. Your health. Nevada: Presentation Dynamics; 1934.

The bent-over row is performed while leaning over, holding a weight hanging down in one hand or both hands, by pulling it up towards the abdomen. This is a compound exercise that also involves the biceps, forearms, traps, and the rear deltoids. The torso is unsupported in some variants of this exercise, in which case lifting belts are often used to help support the lower back.
Take the stairs. You know, some people pay to use stairs (read: they buy a stair stepper machine), so if you work or live above the first floor, consider using your stairs as a privilege. Using the stairs is great cardiovascular exercise, and also tones your calves, hamstrings, glutes, quadriceps, and abs. Next time you're about to take the elevator or escalator, take the stairs instead. If you have some time to spare, take an extra trip up and down. Or, try a stair-based workout like this one.
Indian yoga gurus started arriving to the West at the turn of the 20th century, however, yoga as it is known today only evolved as a popular method to ‘stay healthy and relaxed’ during the second half of the century.50 Syman S. The subtle body: the story of yoga in America. New York (NY): Farrar, Straus & Giroux; 2010. [Google Scholar] There was no contact found between the sporadic early yoga arrivals to the West and the MMB pioneers discussed within this research. However, Eastern mind–body practices profoundly influenced Randell and Morris, most probably via Vaughan, who had just returned from years of obstetric work and eye-opening behavioral observations in India prior to the inception of the St Thomas project in 1912.
These factors led to the success of Jack LaLanne's television program, The Jack LaLanne Show. His show popularized guided workouts on TV that were aimed towards women and ran from 1953 until 1985. Many of LaLanne's workouts encouraged viewers to use items that could be found in their own homes, like chairs, as exercise props. In the show's first episode, LaLanne spelled out the program's purpose: "“I’m here for one reason and one reason only: to show you how to feel better and look better so you can live longer."
Jump up ^ Blondell SJ, Hammersley-Mather R, Veerman JL (May 2014). "Does physical activity prevent cognitive decline and dementia?: A systematic review and meta-analysis of longitudinal studies". BMC Public Health. 14: 510. doi:10.1186/1471-2458-14-510. PMC 4064273. PMID 24885250. Longitudinal observational studies show an association between higher levels of physical activity and a reduced risk of cognitive decline and dementia. A case can be made for a causal interpretation. Future research should use objective measures of physical activity, adjust for the full range of confounders and have adequate follow-up length. Ideally, randomised controlled trials will be conducted. ... On the whole the results do, however, lend support to the notion of a causal relationship between physical activity, cognitive decline and dementia, according to the established criteria for causal inference.
Olympic soccer medalist and Fit As A Pro star Lauren Sesselmann is a big fan of the “running pyramid” for 30 seconds. “It’s a mix of cardio and balance that works your whole body. You count from one to ten then ten back down to one with high knees until 30 seconds is up,” she says. “Aim to get your knees up to hip height. Raise right knee, pause. Then raise left knee, followed quickly by the right knee and pause with the right knee still up high. Then do three knees fast and pause.” Continue till you’ve done ten high knees and then back it down to the beginning. The pause will allow you to work on your balance because you are landing quickly with one knee in the air and one the leg on the ground.
Tabata training is a form of high-intensity interval training. It consists specifically of eight rounds of high-intensity exercise using a 20 seconds on (at full capacity) and 10 seconds off (rest) format. The goal is to push yourself as hard as you can during the 20 second on period. Tabata only requires one exercise, but you can combine different strength and aerobic exercises to make your own Tabata routine. Here’s a simple example of Tabata for one exercise:
Keep that resistance band handy for this waist-toning move. Sit with your legs a little more than hip-distance apart. Hold the band between your hands and raise your arms overhead. Exhale as you turn to one side, using the muscles in your waist. Inhale as you reach the arms out and back, keeping the hips in place. Exhale and return to starting position. Alternate for a total of four sets on each side.
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 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.
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/.  Pilates swiftly gained prominence with dancers and celebrities, which led to his notoriety as a New York City exercise personality. In 1932, Pilates taught Contrology exercises at the mythological Jacob’s Pillow Dance Festival as he did every summer until 1951.42,43 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/.
I recommend the Swanson Enhanced Pqq with Ubiquinol CoQ10 for a good and yet cost effective quality. Another high quality brand is Life Extension at a higher cost usually. These are the two brands we have used and I do believe Swanson is the best in quality and cost, however, if you are already using Co-Q10 Ubiquinol in another brand, that is great, continue doing what works. 
You probably already spend one to three minutes brushing and flossing your teeth at least once a day. Why not brush your teeth while holding a deep squat, or while doing side leg lifts? These things are perfectly doable and add no additional time to your tooth-brushing activities. Simply tell yourself that you have no excuse for brushing your teeth without holding a deep squat. No matter how tired you are.
Pull-ups have become the quintessential move to any CrossFit workout. HOW TO DO IT: To complete a pull-up, start by hanging from a secured bar with your hands in an overhand grip (palm pointing outward, away from your body) and slightly wider than shoulder-width apart. While squeezing your traps together and engaging your abs, pull yourself up to the bar so that your chin passes over. MUSCLES USED: Back, core, shoulders and chest.
Stand with feet shoulder-width apart. Lift right leg straight back and up; at same time, hinge at waist and bring hands or fingertips to floor in front of left foot. Bend both knees, bringing right knee behind left knee. Press back up through left foot to return to previous position. Do 15 reps, keeping leg raised, then switch sides and repeat. Do 3 sets.
KE MVCs were performed at 60, 100 and 140 deg/s. Testing was performed 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). As pre-exercise values for the EMG RMS RF at 60 deg/s differ between sessions (P = 0.038), its time course was not analyzed. Planned comparisons failed to demonstrate significant difference between means for EMG RMS RF at 140 deg/s. VL, Vastus Lateralis muscle; RF, Rectus Femoris muscle; VM, Vastus Medialis muscle, KE, knee extensor muscles (sum VL, RF and VM). Data are presented as mean (SD).
1. Most studies claiming to debunk Super Slow are nonsense. A new Super Slow trainee, or someone particularly elderly or frail uses as many as 10 repetitions per exercise - over 3 minutes of time. For normal adults, once they are comfortable with Super Slow, repetition numbers go way down, to 2-4 repetitions for most upper body exercises and 3-6 repetitions for most lower body exercises.
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]

Exercise doesn't have to be done at the gym. You can work out in the comfort of your own home. And with calesthenic-type exercises such as squats, lunges, pushups, and sit-ups, you can use the resistance of your own weight to condition your body. To boost your strength and aerobic capacity, you may also want to invest in some home exercise equipment.
You might not be responsible for delivering the certificates of the swapped shares to your employer. Many stock option plans permit you to exercise with shares you already own, through a process called "attestation." You complete an affidavit of ownership and submit it with proof of stock ownership (such as a copy of stock certificates or recent brokerage statements).
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.
Although there is research concluding the effectiveness of the Alfredson protocol, some individuals find the completion of 180 repetitions of exercise daily to be difficult to achieve.  A study in the February 2014 issue of the Journal of Orthopaedic and Sports Physical Therapy indicated that a modified version of the Alfredson protocol with a "do as much as tolerated" approach achieved similar positive results as the full 180 repetition protocol.
Most gyms assault their members with a cacophony of distractions – thumping music, blaring televisions, and grunting patrons. We are careful to maintain a clean and distraction-free facility. There is no music and there are no mirrors or televisions. The temperature is kept at 68 degrees. The sessions are one-on-one with a focus on privacy. Instructors are dressed professionally at all times and closely monitor and record every aspect of their client's performance.
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.

Before buying a workout DVD, take some time to learn about different types of exercise and how they affect the body. By learning about exercise types, you will be able to tailor your body's needs to exercises that work for you and that can help you achieve your fitness goals. There are three broad categories of exercise: aerobic exercise, anaerobic exercise, and flexibility exercise.


Remember, the real trick to getting stronger is to progressively move more and more weight, so keep in mind that these tricks and tips are meant to supplement that goal Fundamentals of resistance training: progression and exercise prescription. Kraemer, W.J., Ratamess, M.A. Human Performance Laboratory, Department of Kinesiology, University of Connecticut, Storrs, CT, USA; MEdicine and Science in Sports and Exercise; 2004 Apr;36(4):674-88.. Try out some new techniques and bulldoze that training plateau like a beast. Have you tried any of these techniques? What techniques help you build strength? Tell us in the comments below!

By the 1930s, the method was flourishing and the St Thomas faculty was reinforced with two of Randell’s distinguished physiotherapy graduates: Australian hockey star and medical student Barbara Mortimer Thomas (1910–1940), who served as main instructor,29 Sydney Morning Herald [Internet]. Thomas BM: Obituary (1940). 2014 Oct 23 [cited 2015 Aug 30]. Available from: http://www.tiveyfamilytree.com/Barbara-Mortimer-Thomas-Death-Article-SMH-11-9-1940.htm. [Google Scholar] and English dancer and choreographer Margaret Morris (1891–1980), who already used remedial exercises in her dance teaching.30 Margaret Morris Movement (MMM) [Internet]. Margaret Morris - Biography. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.margaretmorrismovement.com/MargaretMorris. [Google Scholar] Exercising to the beat of classical music, the dance moves and grace typical of the St Thomas Method exercises are attributed to Morris.
You might not be responsible for delivering the certificates of the swapped shares to your employer. Many stock option plans permit you to exercise with shares you already own, through a process called "attestation." You complete an affidavit of ownership and submit it with proof of stock ownership (such as a copy of stock certificates or recent brokerage statements).

Eight healthy and moderately active (a minimum of 2 h of aerobic activity per week) adults (mean ± SD; age: 22 ± 2 yrs, height: 171 ± 8 cm, weight: 69 ± 8 kg, 5 males and 3 females) volunteered to participate in this study. None of the subjects had any known mental or somatic disorder. Each subject gave written informed consent prior to the study. Experimental protocol and procedures were approved by the local Ethics Committee of the School of Sport and Exercise Sciences, University of Kent at Medway (Ethic clearance Prop97_2013_14). The study conformed to the standards set by the World Medical Association Declaration of Helsinki “Ethical Principles for Medical Research Involving Human Subjects” (2008). All subjects were given written instructions describing all procedures related to the study.


Rotator cuff impingement syndrome (RCIS) is a multifactored disease that can lead to functional limitations and an inability to participate in work, leisure, and sporting activities. This syndrome can be caused by many factors, such as weakness of the rotator cuff and periscapular muscles, decreased pectoral and rotator cuff muscle flexibility, abnormal motion patterns, extrinsic factors (eg, vibration exposure, use of hand tools, work-station height), and trauma. Kuhn provided a valuable synopsis of randomized controlled clinical trials in which the benefit of exercise for individuals with RCIS was examined. Substantial evidence1 exists to support the use of exercise for the management of this patient population. In addition, manual therapy has been shown1 to augment the effectiveness of exercise. However, we believe it is premature to label the proposed rehabilitation protocol as a criterion standard because of the lack of specific exercise descriptions, variability in the exercise programs, and inability to separate the effects of specific exercises on the measured outcomes that Kuhn noted. Furthermore, because RCIS is multifactored, use of the same exercise protocol to treat everyone with RCIS might not be the best standard of care.
Natural movement-harmonizing exercises and stretches have likely been practiced since the beginning of mankind. Forms of non-strenuous rhythmical functional movements were used for three main purposes: To manage and prevent musculoskeletal disorders, to maintain a naturally healthy body and mind, and to enhance athletic performance. Around the turn of the 20th century, at least six independent Western modern mind–body (MMB) methods emerged simultaneously. This phenomenon occurred during the same era in which Einstein, Picasso, Freud, and Stravinsky also broke away from dominating and restrictive establishment controls, subsequently freeing their fields. The cultural changes and personal emancipation that MMB pioneers brought to the exercise world were no less dramatic, yet significantly less documented.
Did you know that there are actually four types of exercise, all of which serve varied purposes? Everyone knows that routine exercise is very important for healthy adults for varied functions, including bone and muscle strength, weight-loss or weight maintenance, heart health and even cognitive health. But there are four different types of exercise: Aerobic (or endurance), strength, flexibility and balance.
HIIT training is a type of interval training but more high-intensity, as the name implies. :) It entails getting your heart rate up close to its max, then briefly resting before doing it again. HIIT is well-known for being a very time efficient way of burning calories. Here’s an example, which you would do on a treadmill. Total workout time is five minutes:
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]

The study that kicked off this whole seven-minute workout fad four years ago notes that the secret-sauce is to strategically work different major muscles groups (upper body, lower body, core) each time you do the workout. This allows for one major muscle group to rest while you work the next muscle group, resulting in a super-efficient, super-effective routine.
Or should I say Chalene JAMS! This is a really fun program. I admit I felt kind of foolish and uncoordinated at first, but now that I know the moves I get in there and sweat up a storm! I like that there are low impact modifications for those of us with back or knee issues that preclude a whole lotta jumping around. I haven't lost any weight doing the program (probably more hormonal and metabolic roadblocks than lack of trying) but I feel better when I do it, so I am not disappointed one bit.
KE MVCs were performed at 60, 100 and 140 deg/s. Testing was performed 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). As pre-exercise values for the EMG RMS RF at 60 deg/s differ between sessions (P = 0.038), its time course was not analyzed. Planned comparisons failed to demonstrate significant difference between means for EMG RMS RF at 140 deg/s. VL, Vastus Lateralis muscle; RF, Rectus Femoris muscle; VM, Vastus Medialis muscle, KE, knee extensor muscles (sum VL, RF and VM). Data are presented as mean (SD).
Jump up ^ Möhlenkamp S, Lehmann N, Breuckmann F, Bröcker-Preuss M, Nassenstein K, Halle M, Budde T, Mann K, Barkhausen J, Heusch G, Jöckel KH, Erbel R (200). "Running: the risk of coronary events : Prevalence and prognostic relevance of coronary atherosclerosis in marathon runners". Eur. Heart J. 29 (15): 1903–10. doi:10.1093/eurheartj/ehn163. PMID 18426850.
^ Jump up to: a b c Rosenbaum S, Tiedemann A, Sherrington C, Curtis J, Ward PB (2014). "Physical activity interventions for people with mental illness: a systematic review and meta-analysis". J Clin Psychiatry. 75 (9): 964–974. doi:10.4088/JCP.13r08765. PMID 24813261. This systematic review and meta-analysis found that physical activity reduced depressive symptoms among people with a psychiatric illness. The current meta-analysis differs from previous studies, as it included participants with depressive symptoms with a variety of psychiatric diagnoses (except dysthymia and eating disorders). ... This review provides strong evidence for the antidepressant effect of physical activity; however, the optimal exercise modality, volume, and intensity remain to be determined. ...
A systematic review evaluated 45 studies that examined the relationship between physical activity and cancer survivorship. According to the review, "[there] was consistent evidence from 27 observational studies that physical activity is associated with reduced all-cause, breast cancer–specific, and colon cancer–specific mortality. There is currently insufficient evidence regarding the association between physical activity and mortality for survivors of other cancers."[29] Although there is only limited scientific evidence on the subject, people with cancer cachexia are encouraged to engage in physical exercise.[30] Due to various factors, some individuals with cancer cachexia have a limited capacity for physical exercise.[31][32] Compliance with prescribed exercise is low in individuals with cachexia and clinical trials of exercise in this population often suffer from high drop-out rates.[31][32]
Chase Squires is the first to admit that he's no fitness expert. But he is a guy who used to weigh 205 pounds, more than was healthy for his 5'4" frame. "In my vacation pictures in 2002, I looked like the Stay Puft Marshmallow Man at the beach," says the 42-year-old Colorado resident. Squires decided enough was enough, cut out fatty food, and started walking on a treadmill. The pounds came off and soon he was running marathons -- not fast, but in the race. He ran his first 50-mile race in October 2003 and completed his first 100-miler a year later. Since then, he's completed several 100-mile, 50-mile, and 50k races.
Our findings show that older adults are able to perform both MCT and HIIT without strict supervision. Furthermore, older adults randomized to MCT versus HIIT have different patterns of exercise type and location of exercise, while there are no differences in social setting of exercise. The observed sex differences were the same in both training groups. Clinicians and researchers might capitalize on our findings when planning future exercise interventions targeting older adults. Our findings may also provide important information for future public health initiatives in order to provide tailored exercise recommendations.
Lie on your back with the knees bent and feet hip-width apart. Place arms at your side and lift up the spine and hips. Only the head, feet, arms, and shoulders should be on the ground. Then lift one leg upwards, keeping the core tight. Slowly bring the leg back down, then lift back up. Try to do 10 reps per leg, then bring the knee in place and spine back on the floor.
It’s not an exact science, but when you hear the term plyometric, you can go ahead and think jumping and breathlessness. Examples would include squat jumps, box jumps, broad jumps, and burpees. One of the main purposes of these explosive exercises is increasing power, says Laferrera. Having more power means you can recruit muscle fiber faster and more efficiently, which pays off when you’re moving heavy objects or working on sprinting drills in the gym, adds Lefkowith. Plus, because these moves get your heart rate up, they’re big calorie-burners. Here are seven plyometric moves you can do at home.

How would you like to get more out of your workouts? If your main goal is to burn fat, many traditional exercises and training styles may not be the best route for you. Typically when I'm at the gym and I look around I see a bunch of people doing exercises that don't really match up with their goals. If you're trying to get some bigger biceps you shouldn't be on the eliptical doing hours of cardio and conversely if you're trying to lose some weight and burn some belly fat you shouldn't be smashing out set after set of bicep curls. Exercises and training styles are like tools and before you just assume that watching one or two rocky movies is all the knowledge you need on exercising let's make sure that you've chosen the right tool for the job or I should for your goal. If your goal is to lose belly fat I hate to break it to you, but there is no exercise that can directly target the fat on your belly, but there are plenty of exercise methods that can indirectly burn the fat from your belly, and in this video I'll be going over ten of these methods....These training methods will help you burn more fat during & after your workout. Let's start with the very first one & that's peripheral heart action training. This is my favorite way to do all my weight training workouts, and I highly suggest that if you're trying to lose some belly fat you incorporate this style of training right away. In general your workouts for the week should be a mixture of some more aerobic & some more anaerobic workouts, meaning some of them will be geared more towards lifting heavy weights & others should be geared towards improving your cardiovascular function. But what you'll notice is that during your heavy weight training days, you wind up taking longer breaks & not breathing quite as heavy. Sometimes after some weight training workouts besides the soreness that you might feel in your muscles you may not feel like you worked out at all. So that's where peripheral heart action training comes into play. It helps incorporate an element of cardio into your weight training workout without you having to sacrifice the amount of weight your lifting. So you won't get weaker, but you'll be able to burn much more calories & accomplish much more in a shorter period of time. The best way to do this is by combining an upper body & a lower body movement into one set. For example you can combine a bench press with a squat. So you would do six to eight reps on the bench press & then right away with no break you would do squats for six to eight reps. You would perform both of these exercises with a heavy weight load & you would only take a break after completing both of them. With peripheral heart action training what you're doing is taking the blood that your heart would normally just have to pump to your chest & arms if you were just doing bench press by itself & what your doing is your forcing your body to pull & pump all that blood back down to your legs right after your set of bench without any break or recovery. This makes your heart work much harder allowing you to get your heart rate & breathing rate higher & this will burn more calories & fat in the process. Now let's say that you don't want to work legs & upper body in the same day you want to focus on each on separate days. Well the good news is that peripheral heart action training doesn't only work only if you combine an upper & a lower body movement. It'll also work if you combine two movements that work opposing muscle groups. For example if you combine chest & back movements together with no break. Or if you do quad & hamstring movements together with no break your heart will still have to work much harder to push the blood from the anterior part of your body to the posterior part of your body. So peripheral heart action training try it out. The second exercise style that can help you burn a lot more belly fat is known as cardio acceleration training. We actually have a whole hour long class at our gyms dedicated to this type of training because it's so effective. Once again it involves super setting two exercises. Except this time instead of doing two weight training exercises back to back we're combining a weight training exercise with a cardio exercise with no break. So an example of this would be to perform a set of barbell squats with heavy weight for let's say six to ten reps & then immediately with no break once you rack the bar you go right into high knees for thirty to forty five seconds. Then take a break & repeat for three to four sets
Many exercise interventions have been conducted under controlled laboratory conditions [9], but we do not know how older adults prefer to exercise when they are not under controlled settings and are free to choose type, location and social setting (e.g. alone vs. together with others) of exercise. Furthermore, it has been shown that high-intensity interval training (HIIT) can induce superior changes in health-related markers compared to continuous moderate-intensity training (MCT) [10–13], also in older adults [14, 15]. The scientific interest in HIIT has greatly increased during recent years [9], but larger and longer studies under free-living conditions are needed to investigate whether HIIT is feasible as a public health strategy among older adults [9, 16]. Therefore, detailed information about older adults exercise patterns with MCT versus HIIT outside laboratory conditions is of particular interest.
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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