Exercise at Menopause: A Critical Difference

Margaret Burghardt, MD

Disclosures

Medscape General Medicine. 1999;1(3) 

In This Article

Tables

Table I - Exercise Prescription for Health and Fitness

Mode Activities involving prolonged, repetitive use of large muscle groups such as running-jogging, walking-hiking, swimming, skating, bicycling, rowing, cross-country skiing, rope skipping, or various endurance game activities
Intensity 40% to 85% VO2 max or 55% to 90% of maximal heart rate
Duration 15 to 60 minutes of aerobic activity
Frequency 3 to 5 times per week
Rate of progression The exercise prescription may be adjusted as conditioning effects occur, and an increase in intensity and/or duration may be implemented.

Adapted from American College of Sports Medicine: Guidelines for Exercise Training and Prescription, ed 4 (1991;8,95-96), Copyright © 1991, Lea & Febiger.[43]

Table II - Guidelines for Exercise Testing and Participation

  Apparently Healthy Higher Risk With Disease
>= 40 years (men)
>= 50 years (women)
Older No Symptoms Symptoms
Medical exam and exercise testing prior to:
   Moderate exercise No No No Yes Yes
   Vigorous exercise No Yes Yes Yes Yes

Higher risk: 2 or more coronary risk factors or symptoms/signs of CAD.
With disease: Known cardiac, pulmonary, or metabolic disease.
Moderate exercise: Intensity of 40% to 60% VO2 max; can be maintained for 60 minutes comfortably.
Vigorous exercise: Intensity >60% VO2 max.
"No" response: "Not necessary."
"Yes" response: "Recommended."

Adapted from American College of Sports Medicine: Guidelines for Exercise Training and Prescription, ed 4 (1991;8,95-96), Copyright © 1991, Lea & Febiger.[43]

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