Aerobic exercise intensity assessment and prescription in cardiac rehabilitation: a joint position statement of the European Association for Cardiovascular Prevention and Rehabilitation, the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation

Mezzani, Alessandro; Hamm, Larry F; Jones, Andrew M; McBride, Patrick E; Moholdt, Trine; Stone, James A; Urhausen, Axel; Williams, Mark A

doi:10.1177/2047487312460484

Cited by 550Cardiovascular and exercise physiologyCardiac Health and Mental HealthPhysical Activity and Health

Aerobic exercise intensity assessment and prescription in cardiac rehabilitation: a joint position statement of the European Association for Cardiovascular Prevention and Rehabilitation, the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation

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Mezzani, Alessandro, Hamm, Larry F, Jones, Andrew M, McBride, Patrick E, Moholdt, Trine, Stone, James A, Urhausen, Axel, Williams, Mark A·2013·European Journal of Preventive Cardiology

DOI 10.1177/2047487312460484

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Abstract

Aerobic exercise intensity prescription is a key issue in cardiac rehabilitation, being directly linked to both the amount of improvement in exercise capacity and the risk of adverse events during exercise. This joint position statement aims to provide professionals with up-to-date information regarding the identification of different exercise intensity domains, the methods of direct and indirect determination of exercise intensity for both continuous and interval aerobic training, the effects of the use of different exercise protocols on exercise intensity prescription and the indications for recommended exercise training prescription in specific cardiac patients’ groups. The importance of functional evaluation through exercise testing prior to starting an aerobic training program is strongly emphasized, and ramp incremental cardiopulmonary exercise test, when available, is proposed as the gold standard for a physiologically comprehensive exercise intensity assessment and prescription. This may allow a shift from a ‘range-based’ to a ‘threshold-based’ aerobic exercise intensity prescription, which, combined with thorough clinical evaluation and exercise-related risk assessment, could maximize the benefits obtainable by the use of aerobic exercise training in cardiac rehabilitation.

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VT may be a more sensitive measure of the high end of moderate exercise intensity than RPE.
“it also suggests that VT may be a more sensitive measure of the high end of moderate exercise intensity than RPE (3,5,6,8,27).”
From Ventilatory Threshold Related to VO2reserve, Heart Rate Reserve, and Rating of Perceived Exertion in a Large Varied Sample (2023) · cites this paper as [27]

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Authors: Mezzani, A., Hamm, L. F., Jones, A. M., McBride, P. E., Moholdt, T., Stone, J. A., Urhausen, A., & Williams, M. A.
Affiliations: Istituti Clinici Scientifici Maugeri (IT)
George Washington University (US)
University of Exeter (GB)
University of Wisconsin–Madison (US)
Norwegian University of Science and Technology (NO)
University of Calgary (CA)
Centre Hospitalier de Luxembourg (LU)
Creighton University (US)
Corresponding author: Mezzani, Alessandro
ORCID: Mezzani, Alessandro
Jones, Andrew M
McBride, Patrick E
Moholdt, Trine
Urhausen, Axel
Williams, Mark A
Venue: European Journal of Preventive Cardiology
Publisher: Oxford University Press (OUP)
Published: 2013-06-01
Volume: 20
Issue: 3
Pages: 442-467
ISSN: 2047-4873 (ISSN-L)
2047-4881
DOI: 10.1177/2047487312460484
OpenAlex: W2095431385
Cited by: 550
References: 215
Citations by year: 2026: 35 · 2025: 57 · 2024: 52 · 2023: 39 · 2022: 57 · 2021: 55 · 2020: 50 · 2019: 43 · 2018: 40 · 2017: 41 · 2016: 36 · 2015: 20 · 2014: 15 · 2013: 9
FWCI: 34.28
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: European Journal of Preventive Cardiology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords: aerobic exercise intensity, exercise prescription, cardiac rehabilitation, exercise testing, interval training, continuous training, exercise capacity, exercise protocols
MeSH terms: Canada, Europe, Exercise Test, Exercise Therapy, Heart Diseases, Humans, Predictive Value of Tests, Societies, Medical, Time Factors, United States, Treatment Outcome, Exercise Tolerance, Recovery of Function

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