PMID- 20298823 OWN - NLM STAT- MEDLINE DCOM- 20100401 LR - 20191210 IS - 1532-821X (Electronic) IS - 0003-9993 (Linking) VI - 91 IP - 3 DP - 2010 Mar TI - Monitoring training progress during exercise training in cancer survivors: a submaximal exercise test as an alternative for a maximal exercise test? PG - 351-7 LID - 10.1016/j.apmr.2009.11.018 [doi] AB - OBJECTIVE: To examine the use of a submaximal exercise test in detecting change in fitness level after a physical training program, and to investigate the correlation of outcomes as measured submaximally or maximally. DESIGN: A prospective study in which exercise testing was performed before and after training intervention. SETTING: Academic and general hospital and rehabilitation center. PARTICIPANTS: Cancer survivors (N=147) (all cancer types, medical treatment completed > or =3 mo ago) attended a 12-week supervised exercise program. INTERVENTIONS: A 12-week training program including aerobic training, strength training, and group sport. MAIN OUTCOME MEASURES: Outcome measures were changes in peak oxygen uptake (Vo(2)peak) and peak power output (both determined during exhaustive exercise testing) and submaximal heart rate (determined during submaximal testing at a fixed workload). RESULTS: The Vo(2)peak and peak power output increased and the submaximal heart rate decreased significantly from baseline to postintervention (P<.001). Changes in submaximal heart rate were only weakly correlated with changes in Vo(2)peak and peak power output. Comparing the participants performing submaximal testing with a heart rate less than 140 beats per minute (bpm) versus the participants achieving a heart rate of 140 bpm or higher showed that changes in submaximal heart rate in the group cycling with moderate to high intensity (ie, heart rate > or =140 bpm) were clearly related to changes in VO(2)peak and peak power output. CONCLUSIONS: For the monitoring of training progress in daily clinical practice, changes in heart rate at a fixed submaximal workload that requires a heart rate greater than 140 bpm may serve as an alternative to an exhaustive exercise test. CI - Copyright 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. FAU - May, Anne M AU - May AM AD - Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands. a.m.may@umcutrecht.nl FAU - van Weert, Ellen AU - van Weert E FAU - Korstjens, Irene AU - Korstjens I FAU - Hoekstra-Weebers, Josette E AU - Hoekstra-Weebers JE FAU - van der Schans, Cees P AU - van der Schans CP FAU - Zonderland, Maria L AU - Zonderland ML FAU - Mesters, Ilse AU - Mesters I FAU - van den Borne, Bart AU - van den Borne B FAU - Ros, Wynand J AU - Ros WJ LA - eng PT - Evaluation Study PT - Journal Article PL - United States TA - Arch Phys Med Rehabil JT - Archives of physical medicine and rehabilitation JID - 2985158R SB - IM MH - *Exercise Test MH - *Exercise Therapy MH - Female MH - Heart Rate MH - Humans MH - Male MH - Middle Aged MH - Neoplasms/*rehabilitation MH - Oxygen Consumption MH - Physical Fitness MH - Prospective Studies MH - Resistance Training MH - *Survivors MH - Treatment Outcome EDAT- 2010/03/20 06:00 MHDA- 2010/04/02 06:00 CRDT- 2010/03/20 06:00 PHST- 2009/09/22 00:00 [received] PHST- 2009/11/18 00:00 [revised] PHST- 2009/11/20 00:00 [accepted] PHST- 2010/03/20 06:00 [entrez] PHST- 2010/03/20 06:00 [pubmed] PHST- 2010/04/02 06:00 [medline] AID - S0003-9993(09)00985-X [pii] AID - 10.1016/j.apmr.2009.11.018 [doi] PST - ppublish SO - Arch Phys Med Rehabil. 2010 Mar;91(3):351-7. doi: 10.1016/j.apmr.2009.11.018.