One of the main reasons I don't do Pilates very often is that, for me, it gets too boring after a while. Enter this DVD. Made up of five 10-minute workouts, it kept me engaged because I was able to change up the routine often, or, if I only had a few minutes available, I could still squeeze in a workout with just one of the programs. I just might be a Pilates convert after all.
Active recovery is recommended after participating in physical exercise because it removes lactate from the blood more quickly than inactive recovery. Removing lactate from circulation allows for an easy decline in body temperature, which can also benefit the immune system, as an individual may be vulnerable to minor illnesses if the body temperature drops too abruptly after physical exercise.
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.
Don’t blink or you just might miss this seven-minute, high-energy dance workout with Vixen Dance for Elle.com. Featuring Janet, Shanut, and Carolina, this dance cardio session will have you sweating in no time. The Vixen Workout website describes its style as “a dance fitness format that uses commercial choreography, killer music remixes, and stage lighting so you can experience yourself as a performer.” This fast-paced routine will definitely burn some calories.
Video Abstract for the ESSR 46.3 article “The Microvasculature and Skeletal Muscle Healthin Aging” from authors Rian Q. Landers-Ramos and Steven J. Prior. Aging and aging-related declines in physical activity are associated with physical and metabolic impairments. Skeletal muscle capillarization is reduced in sedentary older adults, may contribute to impairments in skeletal muscle, and is modifiable by exercise training. This article examines the hypothesis that preservation of skeletal muscle capillarization is essential to maintain metabolism, fitness, and function with aging.
15. Make sure you get a good night's sleep, especially on the day you've worked out. This is crucial! Repair takes place during deep sleep. Your body normally gets a few deep sleep cycles during the night. If your alarm clock cuts short or eliminates one of these cycles, it's not a good thing. On your exercise day, you'll need to get a bit more sleep than usual; plan for it! Go to sleep a little earlier. Don't worry, after an intense workout you'll have no trouble falling asleep.
SOURCES: American College of Sports Medicine web site. Michael R. Bracko, EdD, FACSM, chairman, American College of Sports Medicine's Consumer Information Committee. Rita Redberg, MSc, chairwoman, American Heart Association's Scientific Advisory Board for the Choose to Move program. Cedric Bryant, PhD, chief exercise physiologist, American Council on Exercise. Stephanie Siegrist, MD, orthopedic surgeon, Rochester, N.Y. Sal Fichera, exercise physiologist; owner, Forza Fitness, New York.
But too much rest may do more harm than good. Once prescribed almost universally for back pain, illness, and discomfort of all kinds, bed rest has been shown in studies to be associated with loss of strength and endurance, changes in soft tissue, bone loss, joint disease, high blood pressure, and weakening of the cardiovascular system. It’s one reason falls are a danger for people over 80: The resulting injuries may heal, but the health complications from staying in bed for weeks can be irreversible.
Who says you have to jump, grunt, strain and punish your body to get amazing results from your workout? Not with PiYo. PiYo combines the muscle-sculpting, core-firming benefits of Pilates with the strength and flexibility advantages of yoga. And, we crank up the speed to deliver a true fat-burning, low impact workout that leaves your body looking long, lean and incredibly defined.
... The test was conducted at a self-chosen cadence between 55 and 95 revolutions per minute with an initial 5-minute warm up at 40 W followed by increments of 10 W/min (women) or 15 W/min (men) until voluntary exhaustion. Based on the expected maximal power output determined based on age, gender, disability, and body size, individual power output adjustments were made immediately after the 5-minute warm up in order to exhaust the subjects within 8 to 12 min after warm up . Expired gas was collected in a mixing bag. ...
Biomarkers of inflammation such as C-reactive protein, which are associated with chronic diseases, are reduced in active individuals relative to sedentary individuals, and the positive effects of exercise may be due to its anti-inflammatory effects. In individuals with heart disease, exercise interventions lower blood levels of fibrinogen and C-reactive protein, an important cardiovascular risk marker. The depression in the immune system following acute bouts of exercise may be one of the mechanisms for this anti-inflammatory effect.
An evidence-based journal club of 9 faculty members and fellows reviewed the articles and extracted and tabulated the data. Individual outcomes for pain, range of motion (ROM), strength, and function were organized. Intragroup and between-groups outcomes were assessed for the effectiveness of treatment, and statistical outcomes were recorded when available. Clinical importance was determined when statistical value was P < .05 and the effect size or difference between treatments was 20% or more. Sixa major categories were created to organize the components of the physical therapy programs used in each study: ROM, flexibility and stretching, strengthening techniques, therapist-driven manual therapy, modalities, and schedule. Components from these categories were used to create a synthesized physical therapy program.
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.
* Strength building is an expensive metabolic process. Although we see it as building muscle, our body is making global metabolic adaptations. It is upgrading its metabolic efficiency by synthesizing more enzymes to make metabolism more capable. This includes aerobic metabolism, anaerobic metabolism, gluconeogenesis, glycogen breakdown and transport, blood buffering agents, and of course new muscle fiber growth. All of this new synthesis is extremely metabolically expensive; that is why your body will not make these changes unless an intense stimulus is applied, and the organism is left undisturbed afterwards to make these changes.
The St Thomas method, however, did not survive World War II, besides the mentioned indications of use in Australia a decade later, and Randell’s work has since been forgotten. Various factors might attribute to this, including the tragic loss in 1940 when two bombs hit St Thomas hospital killing four physiotherapists including Thomas;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 the promotion of rival London obstetric group, led by Grantly Dick-Read and Physiotherapist Helen Heardman, with the concept of natural childbirth. This movement gained favor with the healthcare establishments, chartered physiotherapists and the general public at the ultimate expense of the St Thomas Project.23 Raphael AJ. Natural childbirth in twentieth century England; PhD thesis. London: Queen Mary University of London; 2010. [Google Scholar] Randell left St Thomas physiotherapy school in 1945, just before the Chartered Society of Physiotherapy imposed a new syllabus.37 The National Archives [Internet]. Saint Thomas’ hospital: physiotherapy school. 2009 Aug 12 [cited 2015 Sep 23]. Available from: http://discovery.nationalarchives.gov.uk/details/rd/bdb0366b-f3e1-45d3-a685-887f9f9bc8ac. [Google Scholar] She received the royal title of OBE and extended her career interest with a focus on gynecological cases; in 1948, she co-founded the Obstetric Association of Chartered Physiotherapists, was awarded an honorary fellowship of the Chartered Society of Physiotherapists and was later remembered as the pioneer of modern women’s health physiotherapy (Figures 1, 5–7).38 Pelvic Obstetric and Gynaecological Physiotherapy [Internet]. A brief history. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://pogp.csp.org.uk/brief-history-acpwh. [Google Scholar]
The popular belief is that two training methods are needed to be physically fit: working with weight for muscle strength, and aerobics for cardiovascular fitness. This is untrue. One of the biggest jobs of the cardiopulmonary system (heart and lungs) is to service the muscles. If the cardiopulmonary system were a retail store, the muscular system would be its biggest customer. When your muscular system works harder, the cardiopulmonary system works harder; it's not the other way around. So, working your muscles hard will force the cardiopulmonary system to work hard. Muscular work of sufficient intensity requires the cardiopulmonary system to work hard to meet muscular demands, so one activity takes care of both muscular and cardiopulmonary fitness. And that activity is strength training. Think about it, you can't exercise the cardiopulmonary system without exercising the muscular system! So, although the fitness industry remains blind to the above facts, strength training will provide you with every exercise-related health benefit you could possibly want. Doing "cardio work" is a waste of time and physiological resources, and can actually be counterproductive.
'Time exposed' to training, in both the intervention and control arms of the study, was defined as the length of time an individual spent in training with his or her original training group free of AKP. Patients were thus censored at the point they were removed from training (various time-points through the 14-week training period). Participants who successfully completed training with their original troop were censored at the point of exit (14 weeks). There was no follow-up after the 14-week point.
One of the beautiful things about yoga is that you can do it anywhere, anytime. (Even in the middle of a desert, as this video proves.) But sometimes you need some instruction to get through an entire sequence. That’s where Tara Stiles comes in. The New York City-based yogi teaches a full flow class in this excellent 50-minute video (one of the best YouTube workouts, in our opinion). Her detailed, easy-to-follow instructions make it seem as though you’re working one-on-one with her, and by the end of it, you’ve had a super solid yoga experience.
Sometimes the terms 'dynamic' and 'static' are used. 'Dynamic' exercises such as steady running, tend to produce a lowering of the diastolic blood pressure during exercise, due to the improved blood flow. Conversely, static exercise (such as weight-lifting) can cause the systolic pressure to rise significantly, albeit transiently, during the performance of the exercise.
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.
One of the easiest parts of starting an exercise program is deciding to do it. Usually there's something inspiring you to make a change: Maybe you tried on a pair of jeans that were too tight or there's an upcoming event—a reunion, wedding, or party—where you're going to see people you haven't seen in a while. Whatever it is, you're motivated, you're excited, and the fantasy of a new, slimmer you is enough to inspire you.
As you strengthen your abs, it's vital to tone the back of the body as well. Lie on your back with your knees bent and your feet hip-width apart. Keep your arms at your sides and raise your hips without arching your back. Tighten the muscles of your buttocks and hamstrings, and hold for five breaths. Lower down one vertebra at a time to the floor if you're stopping here, or go on to the advanced posture.
Static Hold. Static holds are familiar to some as a great strengthening technique used in yoga. They can be performed with bodyweight movements — get in the top of a plank or a deep squat position and hold — or they can be done by holding weights (in a slightly contracted position or with full lock out). Our tip? Time how long you can hold a plank to see improvement from week to week.
If you’re sick of doing endless repetitions of traditional squats, check out this video to challenge your muscles in new ways and spark some creativity. “We asked certified personal trainer and Women’s Health’s Next Fitness Star, Selena Watkins, to pull together 15 dance-inspired versions of this classic booty toner, and the results are giving us a whole new appreciation for an old-school move,” says the magazine. This routine is just a sampler of some of the squat variations you could complete. Pick three or four and incorporate them into your next leg day to spice things up.
Both groups performed an equal proportion of exercise sessions alone (MCT: 50%, HIIT: 49.6%) and together with others (MCT: 50%, HIIT: 50.4%). In both groups, women had a significantly higher proportion of sessions together with others compared to men (56% vs. 44%, p < 0.01). The HIIT group had a significantly higher proportion of sessions organized by Generation 100 compared to the MCT group (8.1% vs. 5.9%, p < 0.01).
Circuit training tips for beginners: my advice here depends on how physically demanding the circuit is. If you’re just getting into working out and you want to circuit train, start with some less challenging exercises as part of your circuit and consider decreasing the time from a minute for each circuit to 30 seconds (or whatever you’re comfortable and able to finish the circuit with). The same advice applies here as in some of the other sections above: it’s good to build a baseline level of strength and aerobic fitness before circuit training, but it also depends on your level of fitness when you start.
The two 20-minute high-energy kickboxing routines combined with other cardio moves eliminate boredom in this program. When I felt particularly ambitious, I did both together for one calorie-blasting 40-minute workout; I chose one or the other when I only had 20 minutes to spare in the morning. Make sure to do this in a spacious room, because the amount of kicking, punching and movement, as I unfortunately discovered, is not tailored to tiny spaces.
Strength (or “weight”) training exercises build muscle. One’s body naturally grows muscle until the age of 25. As we age, our body progressively loses muscle— unless you make an effort to maintain or build it. Strength is good for everyone, regardless of gender or age and helps in everyday activities. Muscle mass can significantly decrease your chances of obesity, diabetes, cancer, and osteoporosis. Gender does not affect one’s ability to grow muscle, but men can develop more muscle mass than women because men naturally have a higher percentage of lean muscle. Women, you will not turn into the Incredible Hulk by strength training — I say this because many women don’t do strength training out of a fear of getting “big.” I wish it were that easy!
This is what you should be doing before exercise to raise your heart rate and body temperature in preparation for the workout. During this type of warm-up, you moving through stretches and light exercises without stopping (as opposed to a passive stretches, which are held in place, like you do in a cool-down). This helps increase mobility and range of motion so you can get deeper into exercises. Here are five great dynamic warm-up stretches to try.
Developing research has demonstrated that many of the benefits of exercise are mediated through the role of skeletal muscle as an endocrine organ. That is, contracting muscles release multiple substances known as myokines which promote the growth of new tissue, tissue repair, and multiple anti-inflammatory functions, which in turn reduce the risk of developing various inflammatory diseases. Exercise reduces levels of cortisol, which causes many health problems, both physical and mental. Endurance exercise before meals lowers blood glucose more than the same exercise after meals. There is evidence that vigorous exercise (90–95% of VO2 max) induces a greater degree of physiological cardiac hypertrophy than moderate exercise (40 to 70% of VO2 max), but it is unknown whether this has any effects on overall morbidity and/or mortality. Both aerobic and anaerobic exercise work to increase the mechanical efficiency of the heart by increasing cardiac volume (aerobic exercise), or myocardial thickness (strength training). Ventricular hypertrophy, the thickening of the ventricular walls, is generally beneficial and healthy if it occurs in response to exercise.
YouTube [Internet]. Huntly Film Archives. German fitness. (1930's). 2014 Oct 21 [cited 2015 Aug 30]. Available from: http://youtu.be/KjObalYKTHE. The fatal blow to traditional Physical Culture in gymnasium clubs occurred at the turn of the 20th century when the new bodybuilding exercise force emerged and dramatically superseded the entire gymnasium floor space.12 Beckwith KA. Building Strength. Alan Calvert, the Milo bar-bell company, and the modernization of American weight training; PhD thesis. Austin: The University of Texas; 2006. [Google Scholar] This forced both traditional Physical Culture systems to require new professional establishments. Competitive athletes and gymnasts started training under ‘The International Gymnastics Federation’ (established in 1881)13 International Gymnastic Federation (FIG) [Internet]. History of gymnastics. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.fig-gymnastics.com/site/about/federation/history. [Google Scholar] and within the ‘International Olympic Committee’ (established in 1894).14 The Olympic Museum [Internet]. The modern Olympic games. 2014 Dec 16 [cited 2015 Aug 30]. Available from: http://www.olympic.org/Assets/TOM_2013/Visit/Schools/TOM_teaching_list/ENG_The_Modern_Olympic.pdf. [Google Scholar] Concurrently, mind–body enthusiasts migrated to new independent schools, in which pioneers could express their opinions freely and gain popular following. Between 1890 and 1925, at least six new MMB schools emerged, sharing a similar exercise philosophy and practicing similar exercises. These methods, which are the focus of this paper, were led by six charismatic pioneers: Checkley, Müller, Alexander, Randell, Pilates, and Morris.
EMG RMS was measured for the following muscles: Vastus Lateralis (VL), Rectus Femoris (RF), Vastus Medialis (VM) and the overall knee extensors (KE; sum of VL, RF and VM). Data are presented as main effect of time and mean (SE). * significantly different from 10% and $ significantly different from 100%, 1 item for P < 0.05, 2 items for P < 0.01 and 3 items for P < 0.001.
Stand on right foot with left foot elevated and core tight. Hop 3 times then bend down and quickly walk hands out so you are in a high plank position with left foot still off ground. Do 3 push-ups, never putting left foot down. Walk hands back and stand up to return to starting position. Repeat for half the time on one side only, then switch sides.
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.
As a "formerly advanced" climber who is trying to get back into a healthy regimen after a year or two off, this book was excellent review of some obvious components of active practice that I'd forgotten in my rush to get back to my old level of climbing. Horst continues to be the best when it comes to training guides. Cannot recommend this book (or any of the others) enough.
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!
One way repeated ANOVA was used to compare time to exhaustion between sessions (S1, S2 and S3). Relative reliability was calculated with the intraclass correlation (ICC) model (3, 1) . Absolute reliability was calculated with the typical error of measurement (the standard deviation of the change scores divided by [28, 29]). Bland and Altman’s 95% limits of agreement were also used (calculated for S1 vs S2, S1 vs S3 and S2 vs S3) as an additional representation of measurement error and to identify the presence of heteroscedasticity . As data were heteroscedastic, both raw data and log transformed Bland and Altman’s plots are presented. Limit of agreement ratio (LOA) was also calculated from the log transformed data as follow: LOA = (1.96 × SDdiff / grand mean) × 100; where “SDdiff” represents the SD of the differences between tests (S1 vs S2, S1 vs S3, S2 vs S3) and “grand mean” represents (mean S1 + mean S2 + mean S3)/3. As time to exhaustion data were heteroscedastic, we also calculated the coefficient of variation (CV) for each subject as follow: CV = 100×(SD of the three measurements)/(mean of the three measurements). Mean CV for all subjects were also calculated. We also calculated the smallest worthwhile change (0.2 × between subjects SD) .
The Instructor – This is one of the most important factors of your exercise video. If you don’t like the instructor, it will eventually irritate you enough to stop using it. Look for instructors that motivate you to work harder and push harder not work to end the video so you don’t have to listen to them anymore. It’s a plus for the instructor to actually have a fitness background of some kind, which is both for your safety and to give you the knowledge that the video has legitimate foundations in real fitness rather than just being something they did on a whim or for celebrity endorsement.
^ Jump up to: a b Solheim TS, Laird BJ, Balstad TR, Bye A, Stene G, Baracos V, Strasser F, Griffiths G, Maddocks M, Fallon M, Kaasa S, Fearon K (February 2018). "Cancer cachexia: rationale for the MENAC (Multimodal-Exercise, Nutrition and Anti-inflammatory medication for Cachexia) trial". BMJ Support Palliat Care. doi:10.1136/bmjspcare-2017-001440. PMID 29440149.
Done right, these seven exercises give you results that you can see and feel. You can you do them at a gym or at home. Watch the form shown by the trainer in the pictures. Good technique is a must. If you're not active now, it's a good idea to check in with your doctor first, especially if you have been diagnosed with health concerns. For example, if you have advanced osteoporosis some of these exercises may be too aggressive.
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.
In summary, if you're only interested in a basic understanding of HIT methodology and where much of it originated I would suggest starting with a far less technical book. I suggest starting with the last published edition of Ellington Darden's "The Nautilus Book" and perhaps "Total Fitness: The Nautilus Way". If you like what you read and want to dig a little deeper into the evolution of HIT read Darden's more recent book, "The New High Intensity Training: The Best Muscle-Building System You've Never Tried". If the gears in your head are in high gear after that and you really want to get DEEP into what evolved from the original Nautilus protocol _then_ you go for "Superslow" or preferably "The Renaissance of Exercise: A Vitruvian Adventure Volume 1". When your grasp of all the aforementioned material is truly solid then move on to Doug McGuff's writing. McGuff's ideas do not surpass or supplant Hutchins' but rather sharpen the points with brilliant thoughts and clinical observations from a medical physician's perspective. Doug McGuff, MD published his "Ultimate Exercise: Bulletin #1" in the late 90's and later updated that with "Body by Science: A Research Based Program to Get the Results You Want in 12 Minutes a Week", both of which are hugely valuable contributions to the literature on HIT methodology and philosophy. His article about "Stoicism in Training" is critical reading.
Exercise was defined as planned, structured activities, for instance going for walks, skiing, swimming and doing sports, but also as unplanned activities that the participants experienced as exercise. The participants were asked to fill in exercise logs immediately after each exercise session they performed throughout the year and send them to the research center either in prepaid envelopes monthly, or to use internet-based forms following each exercise session . Exercise frequency was calculated as the mean number of sessions reported per week during the year. To assess intensity of exercise the participants reported their subjective RPE on a Borg scale ranging from 6 to 20 . The participants were asked to report the mean intensity level during the exercise session. Ratings from 6 to 10 were classified as low intensity, 11 to 14 as moderate intensity, and 15 to 20 as high intensity. Duration of exercise was measured with a 4-point scale: less than 15 min, 15–29 min, 30 min to 1 h, and more than 1 h. Less than 15 min and 15–29 min was combined due to a low response rate on these response options (1.1 and 8.7% of the total number of exercise sessions, respectively).
An opposite arm to leg crunch will tone the abs and improves posture by strengthening the back. Duhamel says to “lay down flat on your back raise your right arm above your head and then lift the left leg up. While the leg is lifting, you lift the right arm and reach the hand to meet the outer corner of the left foot.” Be sure to focus on finding that rotation and do not let the foot or hand touch the ground. Do this move on each side for 30 seconds per side.
The exercises listed in Week 1 are a collection of basic moves that, while also used by advanced lifters, we feel are suitable for the beginner as well. Notice we’re not starting you off with only machine exercises; a handful of free-weight movements are present right off the bat. Reason being, these are the exercises you need to master for long-term gains in muscular size and strength, so you may as well start learning them now. Carefully read all exercise descriptions before attempting them yourself.
If the phrase "3 to 4 reps at 10/5 cadence" is meaningless to you, this book may be also. If the phrase is familiar to you, you probably will already know most of what is written here. It is only to those for whom the phrase is both meaningful and interesting and to those who, in addition, are tolerant of an awkward writing style, that I would recommend the book. Even then, you might enjoy Ellington Darden more.
Pilates and his followers stood apart from the other MMB schools for surviving a turbulent century, for making multiple millions of people healthier in mind and body and for being a major force in reintroducing mind–body methods to healthcare establishments today. Furthermore, Pilates deserves credit for inventing his ingenious exercise equipment, which uniquely blends in harmoniously with the universal mind–body philosophy.
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.