obesity

Exercise and obesity

By Dr. Stefano Casali

»General structure of the training program

Exercise type:

Duration / intensity of the exercise.

Frequency of training sessions.

Progressive increase in workloads.

Regularity.

»Evaluation of exercise intensity

Heart rate expressed as a percentage of maximum heart rate.

MET units (multiples of metabolic consumption in basal conditions).

Subjective scale that allows to quantify the sensation of fatigue.

»Definition of a training program

Given that there is a relationship between oxygen consumption and heart rate, in the absence of adequate instrumentation, the latter can be used, which is independent of age and sex.

Measure the maximum aerobic power or calculate the maximum heart rate, then express the intensity of the physical effort as a percentage fraction of the maximum values.

The error in estimating the maximum oxygen consumption starting from heart rate is about 8%.

The relationship between heart rate and oxygen consumption (always expressed in percentage terms) is valid for work carried out with the arms or legs, for healthy subjects, of normal weight or overweight.

The maximum heart rate is lower in the work performed with the arms than in the one performed with the legs.

Correlation between heart rate and oxygen consumption, both expressed as a percentage of the respective maximum values:

HRmax percentageVO2max percentage
50%

60%

70%

80%

90%

100%

28%

40%

58%

70%

83%

100%

Gunnar Borg's Effort Perception Scale (RPE) (from Howley and Franks 1995)
TOB
6
7Very, very light0Anything
80.5Very, very light
9(barely noticeable)
101.0Very light
11Fairly light2Lightweight (weak)
123Moderate
13A little tiring4A little tiring
145Heavy (strong)
15Tiresome6
167Really heavy
17Very tiring8
189
19Very, very tiring10Very, very heavy
20(almost max)
Indications for a physical reconditioning program (from the American College of Sports Medicine - ACSM 1991 and 1995
Type of exerciseLarge muscle groups
Practiced continuously

Rhythmic

Aerobic

Intensity
60-80% HR max
50-85% FC of reserve (FCmax - FC rest)
50-85% VO2 max
Perception of effort ≈ 12-15
Duration
20-60 minutes

Low intensity 45-60 minutes

High intensity 20-30 minutes

Frequency
3-5 days / week