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Updated: Jul 6, 2026

A Real-World High-Intensity Interval Training Protocol for Cardiorespiratory Fitness Improvement
Published on: February 22, 2022
Heart rate and exercise intensity during training: observations from the DREW Study.
C R Mikus1, C P Earnest, S N Blair
1Preventive Medicine Laboratory, Pennington Biomedical Research Center, 6400 Perkins Rd, Baton Rouge, LA 70808, USA.
Cardiovascular drift did not significantly reduce exercise intensity in overweight, sedentary women. This finding suggests that heart rate monitoring may still be a reliable indicator of exercise intensity during moderate aerobic activity.
Area of Science:
- Exercise Physiology
- Cardiovascular Health
- Sports Science
Background:
- Cardiovascular drift (CVdrift) is a rise in heart rate (HR) during sustained moderate-intensity aerobic exercise.
- This phenomenon can complicate exercise intensity monitoring, potentially leading to reduced work rates to maintain target HR.
- Understanding CVdrift's impact is crucial for accurate exercise prescription and research.
Purpose of the Study:
- To investigate if cardiovascular drift leads to clinically significant reductions in exercise work rate.
- To analyze the relationship between HR increases and exercise intensity changes in a large cohort of women.
Main Methods:
- A randomized, prospective study using data from the Dose Response to Exercise in Women (DREW) database.
- Analysis of 12,963 treadmill and cycling exercise sessions in overweight, previously sedentary postmenopausal women.
- Monitoring changes in HR and exercise intensity (METS) during exercise sessions.
Main Results:
- Small increases in HR (1-4 bpm) and intensity (0.01-0.03 METS) were observed across most sessions.
- Intensity reductions potentially due to CVdrift occurred in only 0.78% of all exercise sessions.
- No clinically significant decrease in exercise intensity was linked to cardiovascular drift.
Conclusions:
- Cardiovascular drift does not appear to cause significant reductions in exercise intensity.
- The findings suggest that HR monitoring remains a viable method for assessing exercise intensity in similar populations.
- This study contributes to a better understanding of physiological responses during aerobic exercise.
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