Week 5 - Fitness and Lifestyle

  • Full Appraisal - all or nothing

  • Partial appraisal with regrets

  • Partial appraisal by Choice


  • Appraisal Options and Scenarios

    • Single session

    • Appraisal and reappraisal

    • Appraisal and ongoing contact

  • Decrease in VO2Max about 10% per decade between 20 and 69 for both genders

  • Absolute vs Relative VO2

  • Various Predicted HRmax Equations

    • APMGR = 220 - age

    • Tanaka, Monahan & Seals: HRmax = 208 - (0.7 X age)

    • InBar: HRmax = 205.8 - 0.685 X age

    • Londerdee & Moeschberger: HRmax = 206.3 - (0.711 X age)

    • Whyte et al. Men: 202- (0.55 X age) women: 216: - (1.09 X age)

  • How to monitor Clients

    • During Exercise

      • HR

      • Observations (see termination criteria)

      • RPE (toolkit)

      • Sometimes BP Response

    • Post Exercise

  • mCAFT Stepping Cadence Intensity Levels

  • Significance of Final Heart Rate

  • Significance of O2 Cost

  • Significance of Weight Loss & Aerobic Fitness

  • Graphing mCAFT Results

  • Aerobic Sub-maximal testing assumptions

    • A linear relationship exists between VO2 (workload, O2 uptake) and HR.

    • Maximum HR which must be predicted for submaximal testing, can be estimated or predicted as a function of age (HRmax = 220 - age).

    • The mechanical efficiency for the cycle (50 rpm) and treadmill protocols are constant for all individuals.

    • The HR at two separate work outputs can be plotted as the HR-VO2 relationship and extrapolated to the estimated HRmax linked (to the first assumption).

  • Pros and cons of choosing a bike protocol for your submaximal aerobic test

    • Limitations to choosing the Bike Protocol

      • Requires leg power so if the client has limited leg power, will have to stop the test prematurely.

      • Bike seat may not be comfortable.

      • Biking is not a natural motion, unlike walking/running and requires a learned mechanical motion.

    • Advantages to choosing the bike protocol

      • Obtain palpation HR.

      • Easier to take BP.

      • Easier to conduct ECG.

      • If the client is obese.

      • If I have an injury that can be made worse from impact activity.

  • When does YCMA test end?

    • When participant reaches within 10bpm of their 85% HRmax