scholarly journals Relationship between the face scale for rating of perceived exertion and physiological parameters in older adults and patients with atrial fibrillation

2021 ◽  
Vol 9 (5) ◽  
Author(s):  
Satoshi Nashimoto ◽  
Shinichiro Morishita ◽  
Susumu Iida ◽  
Kazuki Hotta ◽  
Atsuhiro Tsubaki
Keyword(s):  
Atrial Fibrillation ◽  
Older Adults ◽  
Perceived Exertion ◽  
Physiological Parameters ◽  
Rating Of Perceived Exertion ◽  
Face Scale ◽  
The Face

Relationship Between the Face Scale for Rating of Perceived Exertion and Physiological Parameters in Older Adults and Patients with Atrial Fibrillation

2020 ◽  
Author(s):  
Satoshi Nashimoto ◽  
Shinichiro Morishita ◽  
Kazuki Hotta ◽  
Susumu Iida ◽  
Atsuhiro Tsubaki
Keyword(s):  
Atrial Fibrillation ◽  
Older Adults ◽  
Exercise Test ◽  
Perceived Exertion ◽  
Cardiopulmonary Exercise Testing ◽  
Physiological Parameters ◽  
Rating Of Perceived Exertion ◽  
Cardiopulmonary Exercise ◽  
Face Scale ◽  
The Face

Abstract Background: The Borg scale is used to determine exercise intensity in rehabilitation but can be difficult for older adults to understand. By contrast, face scale that are used to evaluate pain are much easier to understand thanks to the inclusion of illustrations. On the other hand, the prevalence of atrial fibrillation (AF) increases with age. We aimed to investigate the correlation between face scale for rating of perceived exertion (RPE) and various physiological parameters during cardiopulmonary exercise testing in older adults and AF patients. We also investigated the relationship between Face Scale and anaerobic threshold (AT).Methods: Patients were asked to perform a ramp cardiopulmonary exercise test with an incremental increase in work rate (WR) of 10 watts/min, using a stationary bicycle until maximum fatigue. We recorded participant responses using a face scale for RPE compared with WR, heart rate (HR), oxygen uptake (VO₂), and minute ventilation (VE) every minute during the exercise test. We determined the AT by the V-slope method.Results: We enrolled 90 sinus rhythm (SR) patients (74 men 16 women) and 22 AF patients. For SR men, SR women and AF, there were significant positive correlations between the face scale RPE and HR, VO₂, WR, and VE. There was no statistically significant differences difference in correlation coefficient between age and SR or AF. The cutoff value for AT of the Face Scale was “4” and it showed high sensitivity and specificity.Conclusions: These results suggest that the face scale can be used to determine the intensity of physical exercise equivalent to AT unaffected by age, gender, SR or AF.

scholarly journals Face scale rating of perceived exertion during cardiopulmonary exercise test

2018 ◽  
Vol 4 (1) ◽  
pp. e000474 ◽  
Author(s):  
Shinichiro Morishita ◽  
Atsuhiro Tsubaki ◽  
Satoshi Nashimoto ◽  
Jack B Fu ◽  
Hideaki Onishi
Keyword(s):  
Exercise Test ◽  
Perceived Exertion ◽  
Significant Positive Correlation ◽  
Cardiopulmonary Exercise Testing ◽  
Cardiopulmonary Exercise Test ◽  
Rating Of Perceived Exertion ◽  
Exercise Load ◽  
Cardiopulmonary Exercise ◽  
Face Scale ◽  
The Face

ObjectiveThis study aimed to investigate the correlation between the face scale and heart rate (HR), exercise load and oxygen uptake (V̇O2) during cardiopulmonary exercise testing.MethodsThis was a prospective, observational study of face scale rating of perceived exertion (RPE) and HR, exercise load and V̇O2during cardiopulmonary exercise testing. A total of 30 healthy college men and 21 healthy college women were included. Subjects performed a cardiopulmonary exercise test with ramps and an increment increase in workload of 20 W/min. We recorded the responses of subjects using a face scale for RPE, HR, exercise load and V̇O2every minute during the cardiopulmonary exercise test.ResultsIn men, there was a significant positive correlation between the face scale RPE and HR (ρ=0.856, p<0.01), exercise load (ρ=0.888, p<0.01) and V̇O2(ρ=0.878, p<0.01) during the cardiopulmonary exercise test. Similarly, in women, there was a significant positive correlation between the face scale RPE and HR (ρ=0.885, p<0.01), exercise load (ρ=0.908, p<0.01) and V̇O2(ρ=0.895, p<0.01) during the cardiopulmonary exercise tests.ConclusionThe face scale proposed in this study was related to physiological parameters, which suggests that it may be used to determine the intensity of exercise in healthy adults.

scholarly journals Perceived exertion and energy expenditure during physical activities in healthy young people and older adults

Folia Medica ◽  
2021 ◽  
Vol 63 (4) ◽  
pp. 502-510
Author(s):  
Oyéné Kossi ◽  
Justine Lacroix ◽  
Maxence Compagnat ◽  
Jean Christophe Daviet ◽  
Stéphane Mandigout
Keyword(s):  
Older Adults ◽  
Young People ◽  
Energy Expenditure ◽  
Perceived Exertion ◽  
Cross Sectional Study ◽  
Rating Of Perceived Exertion ◽  
Treadmill Running ◽  
Single Session ◽  
Cross Sectional ◽  
Healthy Young People

Aim: To test the validity of Borg&rsquo;s 6&ndash;20 rating of perceived exertion scale in assessing the exertion intensity over a multi-activity session in young and older adults.Materials and methods: This cross-sectional study included 56 healthy participants. All participants underwent a single session of activities including working on a computer, treadmill walking, biking, and treadmill running. Results: Results showed a non-significant correlation between the overall perceived exertion and energy expenditure in young people (Rho=&minus;0.05, p=0.75) and in older adults (Rho=&minus;0.05, p=0.78) for the whole session. However, results showed that older adults perceived significantly higher exertion compared to young people while working on a computer, walking and running, whereas they presented lower energy expenditure while resting and working on a computer. Conclusions: Combining the perceived exertion method with other commonly used methods to estimate exercise intensity would be recommended for older adults.

scholarly journals Exercise prescription to reverse frailty

2016 ◽  
Vol 41 (10) ◽  
pp. 1112-1116 ◽  
Author(s):  
Nick W. Bray ◽  
Rowan R. Smart ◽  
Jennifer M. Jakobi ◽  
Gareth R. Jones
Keyword(s):  
Older Adults ◽  
Perceived Exertion ◽  
Cardiovascular Health ◽  
Balance Training ◽  
Rating Of Perceived Exertion ◽  
Health Study ◽  
Cardiovascular Health Study ◽  
Geriatric Syndrome ◽  
Frailty Phenotype ◽  
Frail Older Adults

Frailty is a clinical geriatric syndrome caused by physiological deficits across multiple systems. These deficits make it challenging to sustain homeostasis required for the demands of everyday life. Exercise is likely the best therapy to reverse frailty status. Literature to date suggests that pre-frail older adults, those with 1–2 deficits on the Cardiovascular Health Study-Frailty Phenotype (CHS-frailty phenotype), should exercise 2–3 times a week, for 45–60 min. Aerobic, resistance, flexibility, and balance training components should be incorporated but resistance and balance activities should be emphasized. On the other hand, frail (CHS-frailty phenotype ≥ 3 physical deficits) older adults should exercise 3 times per week, for 30–45 min for each session with an emphasis on aerobic training. During aerobic, balance, and flexibility training, both frail and pre-frail older adults should work at an intensity equivalent to a rating of perceived exertion of 3–4 (“somewhat hard”) on the Borg CR10 scale. Resistance-training intensity should be based on a percentage of 1-repetition estimated maximum (1RM). Program onset should occur at 55% of 1RM (endurance) and progress to higher intensities of 80% of 1RM (strength) to maximize functional gains. Exercise is the medicine to reverse or mitigate frailty, preserve quality of life, and restore independent functioning in older adults at risk of frailty.

Oxygen Consumption, Heart Rate, Rating of Perceived Exertion, and Systolic Blood Pressure with Water Treadmill Walking

2008 ◽  
Vol 16 (1) ◽  
pp. 14-23 ◽  
Author(s):  
David R. Dolbow ◽  
Richard S. Farley ◽  
Jwa K. Kim ◽  
Jennifer L. Caputo
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Heart Rate ◽  
Oxygen Consumption ◽  
Systolic Blood Pressure ◽  
Perceived Exertion ◽  
Cardiovascular Responses ◽  
Treadmill Walking ◽  
Rating Of Perceived Exertion ◽  
Water Treadmill

The purpose of this study was to examine the cardiovascular responses to water treadmill walking at 2.0 mph (3.2 km/hr), 2.5 mph (4.0 km/hr), and 3.0 mph (4.8 km/hr) in older adults. Responses to water treadmill walking in 92 °F (33 °C) water were compared with responses to land treadmill walking at 70 °F (21 °C) ambient temperature. After an accommodation period, participants performed 5-min bouts of walking at each speed on 2 occasions. Oxygen consumption (VO2), heart rate (HR), systolic blood pressure (SBP), and rating of perceived exertion (RPE) were significantly higher during therapeutic water treadmill walking than during land treadmill walking. Furthermore, VO2, HR, and RPE measures significantly increased with each speed increase during both land and water treadmill walking. SBP significantly increased with each speed during water treadmill walking but not land treadmill walking. Thus, it is imperative to monitor HR and blood pressure for safety during this mode of activity for older adults.

scholarly journals Longitudinal Association Between Perceived Fatigability and Brain Volumes in Community-Dwelling Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 209-209
Author(s):  
Fangyu Liu ◽  
Yang An ◽  
Amal Wanigatunga ◽  
Alden Gross ◽  
Eleanor Simonsick ◽  
...  
Keyword(s):  
Older Adults ◽  
Gray Matter ◽  
Brain Atrophy ◽  
Perceived Exertion ◽  
Community Dwelling ◽  
Rating Of Perceived Exertion ◽  
Intracranial Volume ◽  
Brain Volumes ◽  
Potential Marker ◽  
Longitudinal Association

Abstract Perceived fatigability is linked to declining physical and cognitive performance, yet whether fatigability reflects early subclinical change in brain structure is unknown. Using mixed effects models, we assessed the longitudinal association of 3T MRI-derived brain volumes with perceived fatigability after a 5-min treadmill walk (0.67 m/s, 0% grade) using the Borg Rating of Perceived Exertion scale (range 6-20) in 802 BLSA participants (age 68.2+/-12.4 years, 45% men 66% White). In models adjusted for intracranial volume, demographics, chronic conditions, and CESD score, declining gray matter volumes in the frontal (β=-0.01) and temporal (β=-0.02) lobes, as well as the hippocampus (β=-0.25), precuneus (β=-0.10) and thalamus (β=-0.19) were associated with higher fatigability. Larger ventricular volumes were also associated with higher fatigability (β=0.02). Brain atrophy, particularly in gray matter and the hippocampal region, is longitudinally associated with increased fatigability in cognitively normal older adults, making it a potential marker of brain atrophy.

scholarly journals Associations of Actigraphic Sleep Parameters With Fatigability in Older Adults

2020 ◽  
Vol 75 (9) ◽  
pp. e95-e102 ◽  
Author(s):  
Alfonso J Alfini ◽  
Jennifer A Schrack ◽  
Jacek K Urbanek ◽  
Amal A Wanigatunga ◽  
Sarah K Wanigatunga ◽  
...  
Keyword(s):  
Older Adults ◽  
Perceived Exertion ◽  
Sleep Onset ◽  
Later Life ◽  
Sleep Time ◽  
Community Dwelling ◽  
Rating Of Perceived Exertion ◽  
Poor Sleep ◽  
Wrist Actigraphy ◽  
Sleep Parameters

Abstract Background Poor sleep may increase the likelihood of fatigue, and both are common in later life. However, prior studies of the sleep–fatigue relationship used subjective measures or were conducted in clinical populations; thus, the nature of this association in healthier community-dwelling older adults remains unclear. We studied the association of actigraphic sleep parameters with perceived fatigability—fatigue in response to a standardized task—and with conventional fatigue symptoms of low energy or tiredness. Methods We studied 382 cognitively normal participants in the Baltimore Longitudinal Study of Aging (aged 73.1 ± 10.3 years, 53.1% women) who completed 6.7 ± 0.9 days of wrist actigraphy and a perceived fatigability assessment, including rating of perceived exertion (RPE) after a 5-minute treadmill walk or the Pittsburgh Fatigability Scale (PFS). Participants also reported non-standardized symptoms of fatigue. Results After adjustment for age, sex, race, height, weight, comorbidity index, and depressive symptoms, shorter total sleep time (TST; &lt;6.3 hours vs intermediate TST ≥6.3 to 7.2 hours) was associated with high RPE fatigability (odds ratio [OR] = 2.56, 95% confidence interval [CI] = 1.29, 5.06, p = .007), high PFS physical (OR = 1.88, 95% CI = 1.04, 3.38, p = .035), and high mental fatigability (OR = 2.15, 95% CI = 1.02, 4.50, p = .044), whereas longer TST was also associated with high mental fatigability (OR = 2.19, 95% CI = 1.02, 4.71, p = .043). Additionally, longer wake bout length was associated with high RPE fatigability (OR = 1.53, 95% CI = 1.14, 2.07, p = .005), and greater wake after sleep onset was associated with high mental fatigability (OR = 1.14, 95% CI = 1.01, 1.28, p = .036). Conclusion Among well-functioning older adults, abnormal sleep duration and sleep fragmentation are associated with greater perceived fatigability.

scholarly journals The Intensity of Chair-Assisted Exercises in Cognitively Healthy Older Adults

2013 ◽  
Vol 21 (3) ◽  
pp. 260-271
Author(s):  
Karin M. Volkers ◽  
Tim C.W. van Dijk ◽  
Laura H. Eggermont ◽  
A. Peter Hollander ◽  
Erik J.A. Scherder
Keyword(s):  
Older Adults ◽  
Sports Medicine ◽  
Healthy Aging ◽  
Perceived Exertion ◽  
The Elderly ◽  
Carbon Dioxide Production ◽  
Cross Sectional Study ◽  
Rating Of Perceived Exertion ◽  
Moderate Intensity ◽  
Cross Sectional

Introduction:The American College of Sports Medicine prescribes regular performance of at least moderate-intensity physical activity for healthy aging. This study examined whether 1 session of 30 min of chair-assisted exercises for the elderly meets this intensity criterion.Method:This cross-sectional study included 47 cognitively healthy volunteers (mean age 84 years). During the performance of 30 min of chair-assisted exercises the authors determined oxygen uptake (VO2), carbon dioxide production, heart rate (HR), and rating of perceived exertion (RPE). These measures were expressed as a percentage of the estimated maximal VO2 (VO2max) and the estimated maximal HR (HRmax) and estimated as metabolic equivalent units (METs).Results:Participants performed chair-assisted exercises at 61.0% ± 14.7% of VO2max, 67.6% ± 11.3% HRmax, 3.9 ± 0.9 METs, and 13.1 ± 2.1 RPE.Conclusions:The intensity of these chair-assisted exercises is at least moderate for older adults, which is necessary for healthy aging.

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