{"id":173,"date":"2018-12-04T16:06:31","date_gmt":"2018-12-04T16:06:31","guid":{"rendered":"https:\/\/exermetrx.com\/?page_id=173"},"modified":"2022-10-19T19:13:20","modified_gmt":"2022-10-19T19:13:20","slug":"physical-activity-guidelines","status":"publish","type":"page","link":"https:\/\/exermetrx.com\/?page_id=173","title":{"rendered":"Physical Activity Guidelines for Americans"},"content":{"rendered":"<h1>The Department of Health and Human Services (HHS) published the <strong>&#8220;Physical Activity Guidelines for Americans&#8221;<\/strong> in 2008 and updated and reissued these Guidelines in 2018.<\/h1>\n<h2 style=\"padding-left: 30px;\"><strong>&#8220;For substantial health benefits, adults should do at least 150 minutes (2 hours and 30 minutes) to 300 minutes (5 hours) a week of moderate-intensity aerobic physical activity&#8230;<\/strong><\/h2>\n<h2 style=\"padding-left: 30px;\"><strong>OR\u00a0 <\/strong><strong>at least 75 minutes (1 hour and 15 minutes) to 150 minutes (2 hours and 30 minutes) a week of vigorous-intensity aerobic physical activity&#8230;<\/strong><\/h2>\n<h2 style=\"padding-left: 30px;\"><strong>OR\u00a0 <\/strong><strong>an equivalent combination of moderate- and vigorous-intensity aerobic physical activity per week.\u00a0 <\/strong><\/h2>\n<h2 style=\"padding-left: 30px;\"><strong>Preferably, aerobic activity should be spread throughout the week.&#8221;<\/strong><\/h2>\n<h2>These <strong>HHS Physical Activity Guidelines<\/strong> provide clear, quantifiable measures of <strong>&#8220;how often&#8221;<\/strong> you exercise, <strong>&#8220;how long&#8221;<\/strong> you exercise and <strong>&#8220;how hard&#8221; you exercise<\/strong>.\u00a0 In other words, the Guidelines define the recommended &#8220;minimum&#8221; <strong>frequency<\/strong> <em>(weekly)<\/em>, <strong>duration<\/strong> <em>(# of minutes)<\/em> and <strong>intensity<\/strong> <em>(&#8220;moderate&#8221; or &#8220;vigorous&#8221; levels of intensity &#8212; based on <span style=\"text-decoration: underline;\">&#8220;measured heart rate exertion&#8221;<\/span> during exercise)<\/em>.<\/h2>\n<h2>The &#8220;frequency&#8221; and &#8220;duration&#8221; measures can be easily calculated (i.e. minutes per week).\u00a0 However, the &#8220;intensity&#8221; measure is determined by the individual&#8217;s pulse rate or heart rate, in terms of heart &#8220;beats per minute&#8221; (bpm).\u00a0 The simplest method for someone to measure their heart rate during exercise is to briefly &#8220;pause&#8221; and take their pulse at their wrist.<\/h2>\n<h2><em><strong>Fortunately, advances in portable wrist-mounted heart rate monitors simplify the measurement of exercise intensity and do not require &#8220;pausing&#8221; exercise to do so.\u00a0 These portable heart rate monitors, which are inexpensive and user-friendly, provide real-time, continuous and uninterrupted heart rate measurement of &#8220;exercise intensity&#8221; during the entire &#8220;duration&#8221; of an exercise session.\u00a0 These monitors also have record-keeping and summarized reporting features for demonstrating compliance with the Physical Activity Standards.<\/strong><\/em><\/h2>\n<h2>Going back to the physical activity intensity guidelines established by HHS and the definition of two different levels of exercise &#8220;intensity,&#8221; differences among individuals regarding their ability to safely exert their heart, needed to be taken into account.\u00a0 These individual differences are based on their age.\u00a0 The maximum heart rate of a young person is higher than the maximum heart rate of an older individual.\u00a0 The established and accepted formula for determining the individual&#8217;s &#8220;age related&#8221; maximum heart rate is to subtract the individual&#8217;s age from 220.\u00a0 (A twenty year old individual would have a maximum heart rate of 220-20 = 200 bpm.\u00a0 A 45 year old individual would have a maximum heart rate of 220 &#8211; 45 = 175 bpm.)<\/h2>\n<h2>In addition, as exercise intensity varies during physical activity, the guidelines were required to define a range of heart rates, with lower and upper limits for determining and differentiating &#8220;moderate&#8221; versus &#8220;vigorous&#8221; levels of exercise intensity<\/h2>\n<h2>The estimated &#8220;age related&#8221; exercise intensity measure is then defined in the form of a <strong>&#8220;lower and upper percentage range&#8221; of the individual&#8217;s maximum heart rate that is reached and maintained during exercise<\/strong>.\u00a0 For &#8220;moderate intensity&#8221; exercise, the range is from 64% to 76% of the individual&#8217;s age determined maximum heart rate.\u00a0 For &#8220;vigorous intensity&#8221; exercise, the range is from 77% to 93% of the individual&#8217;s age determined maximum heart rate.<\/h2>\n<h2><strong>The exercise intensity measure for the individual is calculated as a percentage of the individual&#8217;s age related maximum heart rate.<\/strong><\/h2>\n<p>Fortunately, The Center for Disease Control and Prevention (CDC) has defined and published the &#8220;target heart rate range&#8221; for both moderate physical activity and vigorous physical activity, in terms of the percentage of a person&#8217;s maximum heart rate.<\/p>\n<h4>Heart Rate Monitored Measurement of Exercise Intensity<\/h4>\n<h4>For moderate-intensity physical activity, the target heart rate range should be between 64% and 76% of the individual&#8217;s age-related maximum heart rate.<\/h4>\n<p style=\"padding-left: 40px;\"><em>The above identified 45 year old person with <strong>estimated maximum heart rate of 175 bpm<\/strong> would be required to maintain a heart rate range of <strong>112 beats per minute<\/strong> (0.64 x 175) <strong>to<\/strong> <strong>133 beats per minute<\/strong> (0.76 x 175)<\/em><\/p>\n<h4>For vigorous-intensity physical activity, the target heart rate range should be between 77% and 93% of the individual&#8217;s age-related maximum heart rate.<strong><br \/>\n<\/strong><\/h4>\n<p style=\"padding-left: 40px;\"><em>The above identified 45 year old person with <strong>estimated maximum heart rate of 175 bpm<\/strong> would be required to maintain a heart rate range of <strong>135 beats per minute<\/strong> (0.77 x 175) <strong>to 163 beats per minute<\/strong> (0.93 x 175)<\/em><\/p>\n<h3>As physicians begin to introduce and adopt a <strong>Cardio-respiratory Fitness (CRF) Vital Sign<\/strong> for patient visits, the HHS Physical Activity Guidelines provide a frame of reference for their adoption and use of standardized and structured Exercise Prescriptions (Rx) for patients who have low measures of <strong>Cardio-respiratory Fitness (CRF)<\/strong>.<\/h3>\n<h3>A <strong>highlighted summary<\/strong> of the current HHS Physical Activity Guidelines can be found here: <a href=\"https:\/\/exermetrx.com\/wp-content\/uploads\/2018\/12\/Phys-Activity-Guidelines-2nd-Edition-Summ-Extract.pdf\"><span style=\"color: #0000ff;\">Physical Activity Guidelines Summary<\/span><\/a><\/h3>\n<h3>A link to the full HHS Physical Activity Guidelines publication on their website can be found here:<\/h3>\n<p><a href=\"https:\/\/health.gov\/our-work\/nutrition-physical-activity\/physical-activity-guidelines\/current-guidelines\"><span style=\"text-decoration: underline;\"><span style=\"color: #0000ff; text-decoration: underline;\">https:\/\/health.gov\/our-work\/nutrition-physical-activity\/physical-activity-guidelines\/current-guidelines<\/span><\/span><\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Department of Health and Human Services (HHS) published the &#8220;Physical Activity Guidelines for Americans&#8221; in 2008 and updated and reissued these Guidelines in 2018. &#8220;For substantial health benefits, adults should do at least 150 minutes (2 hours and 30 minutes) to 300 minutes (5 hours) a week of moderate-intensity aerobic physical activity&#8230; OR\u00a0 at &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/exermetrx.com\/?page_id=173\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Physical Activity Guidelines for Americans&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/exermetrx.com\/index.php?rest_route=\/wp\/v2\/pages\/173"}],"collection":[{"href":"https:\/\/exermetrx.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/exermetrx.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/exermetrx.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/exermetrx.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=173"}],"version-history":[{"count":58,"href":"https:\/\/exermetrx.com\/index.php?rest_route=\/wp\/v2\/pages\/173\/revisions"}],"predecessor-version":[{"id":779,"href":"https:\/\/exermetrx.com\/index.php?rest_route=\/wp\/v2\/pages\/173\/revisions\/779"}],"wp:attachment":[{"href":"https:\/\/exermetrx.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=173"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}