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    Aerobic Training ProgramDesign

    Readings:

    NSCA text: Chapter 16pp 389 406

    Course web site:

    Physical ActivityGuidelines For Americans

    2008 - Fact Sheet

    Aerobic Training Program Design 2

    Synonyms for Aerobic Training

    Aerobic training/exercise

    Endurance training/exercise

    Cardiovascular training/exercise

    Cardiorespiratory training/exercise

    Aerobic capacity = VO2 (dot over V omitted)[ml O2/kg/min]

    3Aerobic Training Program Design

    General Training Principles

    Specificity of Exercise

    You must stress the cardiorespiratory system toproduce adaptations in aerobic capacity

    Resistance training is not a effective stimulus to

    produce significant increases in aerobic capacity There is some transfer of capacity from one

    aerobic exercise mode to another, but it is not100%

    Swimming peak aerobic capacity in a trained swimmerwill not be produced if swimmer runs, due to differentmuscle use pattern

    4Aerobic Training Program Design

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    Program Design Variables

    1. Mode

    2. Intensity

    3. Duration

    4. Frequency

    5. Progression

    6. Variation

    5Aerobic Training Program Design

    More commonly known as: F.I.T.T.FrequencyIntensityTypeTime

    Mode of exercise

    Variety of modes discussed in

    Cardiovascular Activity Techniques unit

    Select mode based on:

    Training goal (I want to run a 5KM race vs, Iwant to lose weight)

    Enjoyment preference (I hate to swim, I findmachines boring, I like the social aspect of

    group exercising)

    Equipment available, weather

    Client physical characteristics (e.g., obese, kneeinjuries, etc.)

    6Aerobic Training Program Design

    Program Design Variables

    1. Mode

    2. Intensity

    3. Duration

    4. Frequency5. Progression

    6. Variation

    7Aerobic Training Program Design

    Terms, Abbreviations, BasicFormulae

    Resting Heart Rate = RHR

    Maximum Heart Rate = MHR

    Age-predicted maximal heart rate = APMHR= 220-age (most common formula)

    Heart Rate Reserve = HRR = APMHR-RHR

    8Aerobic Training Program Design

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    Intensity of Exercise

    9Aerobic Training Program Design

    Resting VO2

    VO2 Max

    Resting HR

    Maximum HR

    Increas

    ingaerobicwork

    Aerobicexercise

    intensity

    isbetweenMHR

    &RHR

    We use HeartRate as aneasy tomeasureindicator ofaerobic workthe body isdoing.

    We dont haveto measure VO2while a personexercises

    Intensity of Exercise

    10Aerobic Training Program Design

    MHRTrue maximum method:Graded exercise test(increasing intensity) to point

    where HR no longer increasesHave physician clearance &/or presenceNot typically done outside of training athletes

    Intensity of Exercise

    11Aerobic Training Program Design

    MHRUse Age-predicted maximalheart rate (APMHR) equation:

    APMHR = 220-ageError 10-15 beats/minClient must not be using medication thataffects HR

    Obese clients use: APMRH = 200-(0.5 x age)

    Intensity of Exercise

    12Aerobic Training Program Design

    Training Zone Target HeartRate Range (THRR)determined using:

    1) Percent of APMHROROROROR

    2) Karvonen Formulatakes into account clients resting HR

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    Intensity of Exercise

    Training zone = 70%-85% APMHR

    (55%-65% APMHR for very low capacity clients)

    Target HR upper limit = APMHR(.85)

    Target HR lower limit = APMHR(.70)

    13Aerobic Training Program Design

    Resting HR

    APMHR

    Increas

    ingaerobicwork

    Training Zone by % APMHR

    70% APMHR

    85% APMHR

    Intensity of Exercise

    14Aerobic Training Program Design

    Resting HR

    APMHR

    Increas

    ingaerobicwork

    Training Zone by % APMHRrelationship to %VO2 max

    70% APMHR = 55% VO2 max

    85% APMHR = 75% V02 max

    So, a person training at 70% APMHR, is training

    at approximately 55% of VO2 max

    Intensity of Exercise

    EXAMPLE:

    30 yr-old client

    APMHR = 220-age = 220-30 = 190 beats/min

    Target HR upper limit = APMHR(.85)=190(.85) =162

    Target HR lower limit = APMHR(.70)=190(.70)=133

    THRR (Target Heart Rate Range) = 133 to 162 beats /min

    = 22 to 27 beats / 10 sec

    15Aerobic Training Program Design

    Resting HR

    APMHR

    Increasingaero

    bicwork

    Training Zone by % APMHR

    70% APMHR

    85% APMHR

    65% APMHR

    55% APMHR

    Low CapacityClient

    Intensity of Exercise

    Takes into account clientsresting HR

    HRR (Heart Rate Reserve) = APMHR-RHR

    Training zone = 50%-85% HRR

    Target HR upper limit = HRR(.85)+RHR

    Target HR lower limit = HRR(.50)+RHR

    Measure RHR in bed after waking up in themorning, or after laying quietly for 15 minutes

    16Aerobic Training Program Design

    Resting HR

    APMHR

    Increasingaero

    bicwork

    Training Zone by Karvonen (HRR) formula

    50% HRR

    85% HRR Hear

    tRateReserve

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    Intensity of Exercise

    EXAMPLE:

    30 yr-old client, RHR = 70 beats/min

    APMHR = 220-age = 220-30 = 190 beats/min

    HRR = APMHR-RHR = 190-70 = 120 beats/min

    Target HR upper limit = HRR(.85)+RHR

    = 120(.85)+70 = 172 beats/min

    Target HR lower limit = HRR(.50)+RHR= 120(.50)+70 = 130 beats/min

    THRR (Target Heart Rate Range)=130 to 172 bpm

    = 22 to 29 beats / 10 sec

    17Aerobic Training Program Design

    Resting HR

    APMHR

    Increas

    ingaerobicwork

    Training Zone by Karvonen (HRR) formula

    50% HRR

    85% HRR HeartRateR

    eserve

    Intensity of Exercise

    18Aerobic Training Program Design

    Resting HR

    APMHR

    Increas

    ingaerobicwork

    Training Zone by Karvonen (HRR) formula

    50% HRR

    85% HRR HeartRateR

    eserve

    Trained client

    Beginner client

    Intensity of Exercise

    19Aerobic Training Program Design

    Comparison of Training Zone by %APMHR & Karvonen formula

    0

    20

    40

    60

    80

    100

    120

    140

    160

    180

    200

    30 50 70 90 110

    HeartRate(beats/min)

    For 20 year-old

    FOR VERY FITPERSONno differencebetween formulaetop end

    FOR NOT FIT PERSON% APMHR formula,more conservative, soperhaps better

    Useless range

    of Karvonen

    0

    20

    40

    60

    80

    100

    120

    140

    160

    180

    200

    30 50 70 90 110

    For 30 year-old

    Karvonen lower limit

    Karvonen upper limit

    APMHR upper limit

    APMHR lower limit

    FOR MID RANGE FITNESSLEVEL, No big differenceBetween formulae

    0

    20

    40

    60

    80

    100

    120

    140

    160

    180

    200

    30 50 70 90 110

    Resting HR (beats/min)

    For 40 year-old0

    20

    40

    60

    80

    100

    120

    140

    160

    180

    200

    30 50 70 90 110

    Resting HR (beats/min)

    For 50 year-old

    Intensity of Exercise

    20Aerobic Training Program Design

    Resting HR

    APMHR

    Increasingaero

    bicwork

    Training Target Intensity by Talk Test

    Can not speak comfortably

    Comfortable speech is just barelypossible

    Breathing rate will increase with intensity of aerobic exercise. Youshould exercise at an intensity that is just below the level at whichyou can no longer speak comfortably (i.e. When comfortablespeech is just barely possible you are at the correct exercise

    intensity) (1,2).

    1. Fahey, T. I. (2009). Fit & Well, Core Concepts and Labs in Physical Fitness and Wellness.8th edition. McGraw Hill.

    2. Persinger, R. F. (2004). Consistency of the talk test for exercise prescription. Medicine &Science Sports & Exercise , 36 , 1632-1636.

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    Intensity of Exercise

    21Aerobic Training Program Design

    by Perceived Exertion

    For women For men

    RPE % of VO2 max RPE % of VO2 max

    3.5 58 3 48

    6 82 5 68

    8 92 7 89

    A 10 step OMNI Rating of PerceivedExertion (RPE*) scale has been used togauge exercise intensity, and relate thatperceived intensity to aerobic work intensity(1). The interpretation of the 0-10 scale isaided by illustrations.

    Example: For a male, a 68% of VO2 maxtraining level corresponds to a RPE of 5 (seealso next slide)

    1. Utter AC . Validation of the Adult OMNI Scale of perceived exertion for walking/running exercise. Med Sci Sports Exerc. 2004,36:1776-80

    *A widely used Borg RPE scale also exists, and the Utter 2004 article table 2 also relates that scale to % VO2 max. Dr. Chalmers has

    found that some trainers prefer a 0-10 scale, such as the OMNI scale, to the Borg scale of 6-20.

    For women

    aerobic trainingintensity

    For men aerobic

    training intensity

    RPE 3.5 - 5 RPE 4 5.5

    Intensity of Exercise

    EXAMPLE:

    72 yr-old client exercises at APMHR?

    42 yr-old client unable to exercise at 70% APMHR

    22Aerobic Training Program Design

    Resting HR

    APMHR

    Increas

    ingaerobicwork

    At start of exercise program,check the training intensityHR target calculated usingformula with clientssubjective assessment ofintensity (talk test orperceived exertion)

    WHY?

    70% APMHR

    85% APMHR

    Intensity of Exercise

    23Aerobic Training Program Design

    HR targets can be wrong70-85% APMHR may be:Way too hard for one personToo easy for another personBUT.Exertion does not lie

    RPE technique to set aerobic exercise intensity in:

    Faster, Better, Stronger, Heiden, Testa, Musolf, pg 215-7

    Intensity of Exercise

    24Aerobic Training Program Design

    Increasingaerob

    icwork

    Faster, Better, Stronger, Heiden,Testa, Musolf, pg 215-7

    Rating Description

    0 Nothing at all

    0.5 Very, very weak

    1 Very weak

    2 Weak

    3 Moderate

    4 Somewhat strong5 Strong

    6 Between s trong and v ery st rong

    7 Very strong

    8 Between very strong and very, very strong

    9 Very, very strong

    10 Maximal

    RPE < 2, ZONE 1= easyaerobic, for warming up

    and cooling down

    RPE 2-3, ZONE 2 =Aerobic base, mild stress,good for beginners RPE 3-5, ZONE 3 =

    Aerobic capacity zone,

    Intensive aerobic/Cardio-fitness zone RPE 5-7, ZONE 4 =

    Aerobic-anaerobic

    transition (required zonefor athletes only)

    RPE 8-10, ZONE 5 =

    only for elite athletes

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    Intensity of Exercise

    25Aerobic Training Program Design

    HR targets can be wrong.Pinkstaff et al., Quantifying Exertion Level During Exercise Stress TestingUsing Percentage of Age-Predicted Maximal Heart Rate, Rate PressureProduct, and Perceived Exertion. Mayo Clin Proc. December 201085(12):1095-1100; doi:10.4065/mcp.2010.0357

    An APMHR of 85% or more and peak RPP of25,000 or more were both ineffective inidentifying patients who put forth a maximalexercise effort (ie, peak RER, 1.10).

    Perceived exertion was a significantindicator (P=.04) of patient exertion, with athreshold of 15 (6-20 scale) being anoptimal cut point.Exertion does not lie

    Intensity of Exercise

    26Aerobic Training Program Design

    Heart rate by itself is not a verymeaningful measure. It must be incontext with other measures.Impossible to base training on heartrate, too many variables affect it. 99% ofthe time RPE is a great window intostress and adaptation.

    Vern Gambetta Blog, June 11, 2012http://www.functionalpathtrainingblog.com/archives.html

    Program Design Variables

    1. Mode

    2. Intensity

    3. Duration

    4.

    Frequency5. Progression

    6. Variation

    27Aerobic Training Program Design

    Duration of exercise2008 Physical Activity Guidelines for Americans. US Dept ofHealth & Human Services. www.health.gov. Adults 18-64 yrs

    Minimum 2 hr 30 min/wk (150 min/wk) moderate

    intensity orororor 1 hr 15 min/wk (75 min/wk) vigorousintensity (or combination), at least 10 min episodes,

    spread throughout week (intensity defn next slide) E.g. 5x/wk @ 30 min moderate exercise

    Aim for additional benefits with 5 hr/wk (300 min/wk)moderate intensity or 2 hr 30 min/wk vigorousintensity exercise (or combination)

    Durations over 10 min, spread throughweek, adding up to target time

    28Aerobic Training Program Design

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    Duration of exercise2008 Physical Activity Guidelines for Americans. US Dept

    of Health & Human Services. www.health.gov

    Note the use of a talk test to judge intensity of exercise29Aerobic Training Program Design

    Duration of exerciseHaskell et al., (2007) Physical Activity & Public Health. ACSM

    Recommendation Statement. Med Sci Sports Ex. 39:1423-34

    Minimum of:

    30 min moderate intensity, at least 10 min

    episodes, 5 days/week (= 150 min/wk) i.e. 5x/wk @ 30 min moderate exercise

    orororor

    20 min vigorous intensity, 3 days/week (= 60min/wk)

    30Aerobic Training Program Design

    Duration of exerciseHaskell et al., (2007) Physical Activity & Public Health. ACSM

    Recommendation Statement. Med Sci Sports Ex. 39:1423-34

    31Aerobic Training Program Design

    moderate intensity vigorous intensity

    Noticeablyaccelerates the heart

    ratee.g., Walking briskly

    Rapid breathing andsubstantial increase

    in heart ratee.g. Jogging

    Program Design Variables

    1. Mode

    2. Intensity

    3. Duration

    4. Frequency

    5. Progression

    6. Variation

    32Aerobic Training Program Design

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    Frequency of exercise

    # training sessions / week2008 Physical Activity Guidelines for Americans. US Dept of Health &Human Services. www.health.gov. Adults 18-64 yrs

    Exercise spread through week,adding up to target time

    Haskell et al., (2007) Physical Activity & Public Health. ACSM

    Recommendation Statement. Med Sci Sports Ex. 39:1423-34

    Moderate intensity, 5 days/week Vigorous intensity, 3 days/week

    33Aerobic Training Program Design

    Frequency of exercise

    Note that with aerobic training (unlike resistance) it is common thatonce a client is beyond the beginner stage, there is often no rest daybetween 2 training days of the same tissues, to allow 4+ workouts/wk

    Rest days most likely placed after higher volume (intensity &/orduration) day

    34Aerobic Training Program Design

    Program Design Variables

    1. Mode

    2. Intensity

    3. Duration

    4. Frequency

    5. Progression

    6. Variation

    35Aerobic Training Program Design

    Progression

    By increase in exercise intensity, frequency,&/or duration Typically, frequency, &/or duration are increased first

    Later, intensity must also be increased to continue tostimulate aerobic capacity

    General Rule: Limit increases to 10% per week

    E.g. 20 min run increased to 22 min next week

    36Aerobic Training Program Design

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    Maintenance of aerobic fitness

    Maintain exercise intensity & duration

    Frequency can be decreased (no less than2x/wk)

    37Aerobic Training Program Design

    Program Design Variables

    1. Mode

    2. Intensity

    3. Duration

    4. Frequency

    5. Progression

    6. Variation

    38Aerobic Training Program Design

    Variation

    Cross training: Variety in exercise mode(across or within sessions)

    Modifications in exercise intensity & durationonce base aerobic capacity is developed

    LSD (Long Slow Distance) see next slide Lower intensity and greater duration

    Pace/Tempo Training

    Exercise at lactate threshold, continuously or with briefrests (e.g., 3-5 min work, 30-90 sec rest cycles)

    Interval Training -more after next slide

    Brief (3-5 min) high intensity (lactate threshold) andlonger lower intensity exercise (1:1 1:3 work:rest)

    39Aerobic Training Program Design

    LSD (Long Slow Distance)Vern Gambetta Blog: Feb 7, 2012

    Long slow distance was a term coined to describe running at asteady pace to develop the aerobic base. Unfortunately as itevolved the emphasis was on SLOW. This is a huge mistake.The result was proficiency at running slow for a prolongedperiod. This has little carryover to racing, remember the goal of

    training is to prepare to race. The emphasis in this methodshould be on long steadydistance. Select a degree of effort thatallows the runner to run a steady effort for the duration of thedistance with good running mechanics. This type of trainingneeds to be a means to an end. Unfortunately for many runnersit has become an end to itself.

    Also: Long Slow Distance is NOT a recovery day

    40Aerobic Training Program Design

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    Interval Training The science of designinginterval training workouts. Buchheit & Laursen 2013

    45Aerobic Training Program Design

    RESTING LEVEL OF WORK

    9: EXERCISE MODALITY

    1: WORKINTERVALINTENSITY

    2: WORKINTERVALDURATION

    3: RELIEFINTERVALINTENSITY

    4: RELIEFINTERVALDURATION

    5: NUMBEROF REPS INA SERIES

    6: NUMBEROF SERIES

    7: BETWEEN SERIESRECOVERY DURATION

    8: BETWEEN SERIESRECOVERY INTENSITY

    Interval Training Tabata Training

    46Aerobic Training Program Design

    TABATA et al., EffectsEffectsEffectsEffects of moderateof moderateof moderateof moderate----intensity endurance and highintensity endurance and highintensity endurance and highintensity endurance and high----intensityintensityintensityintensity

    intermittent training on anaerobic capacity andintermittent training on anaerobic capacity andintermittent training on anaerobic capacity andintermittent training on anaerobic capacity and VOVOVOVO2max2max2max2max. Medicine & Science in

    Sports & Exercise: 1996, 28: 10, 1327-1330 (in moderately trained young men)

    Tabata intervals: Eight, 20 second all out exercise bouts

    (170% VO2max) + 10 sec rest

    Total workout duration=4 min! Work time = 2 min 40 sec (does not

    meet requirement in Buchheit & Laursen2013 of several min at high work level)

    5 days/week, 6 weeks

    Steady state aerobic training: 60 min at 70% VO2max 5 days/week, 6 weeks

    Tabata results: VO2max increased by 7 ml*kg

    -1*min-1

    Anaerobic capacity increasedsignificantly

    Steady state aerobic training results: VO2max increased by 5 ml*kg

    -1*min-1

    No change in anaerobic capacity

    Interval Training and fat loss

    47Aerobic Training Program Design

    Interval Training and fat lossCHALMERS 5-MINUTEDISCUSSION OF FAT REDUCTION

    48Aerobic Training Program Design

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    Interval Training and fat loss

    49Aerobic Training Program Design

    Stephen H. Boutcher, High-Intensity Intermittent Exercise and FatLoss, Journal of Obesity, Article ID 868305, 2011. doi:10.1155/2011/868305

    The effect of regular aerobicexercise on body fat is negligible;however, other forms of exercisemay have a greater impact onbody composition. For example,emerging research examininghigh-intensity intermittent

    exercise (HIIE) indicates that itmay be more effective atreducing subcutaneous andabdominal body fat than othertypes of exercise.

    Interval Training and fat loss

    50Aerobic Training Program Design

    Wilson, et al., Concurrent Training: A Meta-Analysis ExaminingInterference of Aerobic and Resistance Exercises, Journal of Strength &Conditioning Research: 2012, 26:8, 22932307, doi: 10.1519/JSC.0b013e31823a3e2d

    Interval Training and fat lossCHALMERS 5-MINUTEDISCUSSION OF FAT REDUCTIONCONCLUSION

    51Aerobic Training Program Design

    DO INTERVAL TRAINING TO LOSE FAT(or develop your photo editing skills to make it look like you lost fat)

    Exercise Dose (intensity, duration & freq)

    Is it proven to be effective?

    52Aerobic Training Program Design

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    Exercise Dose (intensity, duration & freq)

    and Health OutcomesDo the standard exercise recommendationsreally work for our sedentary population?

    Similar FINDINGS in another studyStamatakis E, et al., Screen-based entertainment time, all-cause mortality, and cardiovascular events

    population-based study with ongoing mortality and hospital events follow-up. J Am Coll Cardiol. 2011Jan 18;57(3):292-9.

    Spending more than four hours a day sitting more thandoubles your risk of dying from or being hospitalized for heartdisease, even for those who exercise more than two hours (!)per day.

    Perhaps due to other unhealthy lifestyle factors associated with thesitting, or due to elevated inflammation resulting from the sitting (bloodlevels of C- reactive protein were elevated in the prolonged sitters).

    57Aerobic Training Program Design

    Exercise Dose (intensity, duration & freq)

    and Health Outcomes

    58Aerobic Training Program Design


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