Maximum heart rate prediction equations based on field-tests with adequate clinical applicability for aerobic exercise prescription to individuals after stroke.
cross_sectional · Level IV
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- Record sourced from PubMed, PMID 39444277.
- Also identified by DOI 10.1080/09638288.2024.2417034.
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Abstract
1) to develop two maximum heart rate (HR<sub>max</sub>) prediction equations for individuals after stroke; 2) to investigate its validity. The HR<sub>max</sub> was obtained by a Cardiopulmonary Exercise Test (CPET). Participants also completed the Six-minute Walking Test (6MWT) and the Incremental Shuttle Walking Test (ISWT). 60 individuals (54(12) years; 64(69) months after stroke) were included. Twenty individuals (58(10) years; 67(61) months after stroke) were included in the cross-validation group. For the first model, the following equation was generated (equation-1): HR<sub>max</sub>= 87.655 + 0.726 (HR<sub>peak</sub> in the 6MWT) - 0.386 (age in years), (R<sup>2</sup>=0.53; Standard Error of the Estimate (SEE)= 15.35; <i>p</i> < 0.0001). For the second model, the following equation was generated (equation-2): HR<sub>max</sub>= 96.523 + 0.681 (HR<sub>peak</sub> in the ISWT) - 0.039 (walking distance in meters in the ISWT) - 0.400 (age in years), (R<sup>2</sup>=0.53; SEE = 15.51; <i>p</i> < 0.0001). Significant and high magnitude agreement was found between the HR<sub>max</sub> obtained by the CPET and the predicted HR<sub>max</sub> by equation-1 (ICC= 0.85; 95% CI= 0.63 - 0.94) and equation-2 (ICC= 0.72; 95% CI= 0.29 - 0.89). Two HR<sub>max</sub> prediction equations have been developed and showed adequate validity. Professionals will have the option of choosing one of the two equations to use.
Medical subject headings
- Heart Rate
- Stroke Rehabilitation
- Exercise Test
- Exercise
- Exercise Therapy