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Related Experiment Videos

A simple walk test to guide exercise programming of the elderly

M Oh-Park1, L R Zohman, C Abrahams

  • 1Department of Rehabilitation Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York 10467, USA.

American Journal of Physical Medicine & Rehabilitation
|May 1, 1997
PubMed
Summary

A new fixed-distance, submaximal walk test offers a feasible alternative to maximal exercise stress tests for older cardiac patients. This simple test provides data for effective exercise prescription, potentially reducing patient anxiety and the need for complex equipment.

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Area of Science:

  • Cardiology
  • Geriatrics
  • Exercise Physiology

Background:

  • Traditional maximal exercise stress tests are often challenging and intimidating for elderly individuals.
  • Accurate exercise prescription is crucial for cardiac rehabilitation and improving health outcomes in older adults.

Purpose of the Study:

  • To evaluate the utility of a fixed-distance, submaximal walk test for exercise prescription in older cardiac patients.
  • To compare the effectiveness of a submaximal walk test against a traditional maximal stress test.

Main Methods:

  • Ten cardiac patients (average age 72) underwent a 600-foot submaximal walk test after completing maximal graded stress tests.
  • Key metrics including heart rate, blood pressure, symptoms, and electrocardiograms were recorded and compared.

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  • Oxygen consumption was calculated from both tests to assess exercise intensity.

    • Main Results:

    • Peak heart rates from the walk test fell within the target exercise zone (70-85%) for 90% of patients.
    • Calculated peak oxygen consumption from the walk test was within the recommended training zone (60-80%) for 90% of patients.
    • The submaximal walk test yielded comparable data to the maximal stress test for exercise programming.

    Conclusions:

    • A 600-foot submaximal walk test is a potentially feasible and less intimidating method for exercise prescription in older cardiac patients.
    • This method can be easily administered by healthcare staff in various settings, including rehabilitation units and nursing homes.
    • Further research with larger cohorts is needed to validate this approach for widespread clinical recommendation.