Navigation Links
The heart responds differently to exercise in men vs. women

WASHINGTON (March 27, 2014) The formula for peak exercise heart rate that doctors have used for decades in tests to diagnose heart conditions may be flawed because it does not account for differences between men and women, according to research to be presented at the American College of Cardiology's 63rd Annual Scientific Session.

The simple formula of "220 minus age" has been widely used to calculate the maximum number of heart beats per minute a person can achieve. Many people use it to derive their target heart rate during a workout. Doctors use it to determine how hard a patient should exercise during a common diagnostic test known as the exercise stress test.

After analyzing more than 25,000 stress tests, the researchers found significant differences between men and women and developed an updated formula to reflect those nuances.

"The standard that's currently in use is somewhat outdated," said Thomas Allison, M.D., cardiologist and director of stress testing at Mayo Clinic, and senior author of the study. "We want to make sure that when people do the stress test, they have an accurate expectation of what a normal peak heart rate is. Every so often, you need to recalibrate what's considered normal."

The new formula can help people better optimize their workouts and also improve the accuracy of test results. Stress tests, which are commonly used to help diagnose conditions such as coronary heart disease, heart valve disease and heart failure, require patients to exercise near their top capacity while technicians monitor the patient's cardiac performance.

The researchers drew data from 25,000 patients who took stress tests at Mayo Clinic between 1993 and 2006. The sample included men and women 40 to 89 years of age who had no history of cardiovascular disease.

The study reveals that although everybody's peak heart rate declines with age, the decline is more gradual in women. As a result, the previous formula overestimates the peak heart rate younger women can achieve and underestimates the peak heart rate of older women.

Women in the age range of 40 to 89 years should expect their maximum heart rate to be 200 minus 67 percent of their age. In men, the formula is 216 minus 93 percent of their age. For women younger than 40, the relationship of heart rate to age may be different, as an insufficient number of tests on women younger than 40 were available to provide reliable results.

The study also showed that younger men have a lower resting heart rate and higher peak heart rate than women and that men's heart rates rise more dramatically during exercise and return to normal more quickly after stopping. The study did not investigate the physiological reasons behind the differences, although the researchers suggest hormones, especially testosterone, may play a role.

The previous formula was based on a study researchers now recognize as having serious limitations. For example, it included few women, a weakness common among older studies.

"It's logical that an equation developed 40 years ago based on a group that was predominantly men might not be accurate when applied to women today," Allison said. "But sometimes things just get stuck."

Changes since the 1970s in terms of average body weight, fitness levels and attitudes toward exercise particularly among women justify a re-evaluation of peak heart rate norms, Allison said. Other recent studies have offered updates to the formula, but this study uses a larger sample size and is the first to include data from both men and women.


Contact: Beth Casteel
American College of Cardiology

Related medicine news :

1. Witnessing, Experiencing Traumatic Events May Worsen Heart Disease
2. Risk of suicide and fatal heart attack immediately following a cancer diagnosis
3. Cancer Diagnosis May Raise Odds for Suicide, Heart Attack Death
4. In children born with severe heart defect, surgical management has little effect on neuro outcomes
5. Invasive heart test being dramatically overused, Stanford study shows
6. Heart failure patients with diabetes may benefit from higher glucose levels
7. Omega-3 Supplements No Help Against Repeat Heart Trouble: Review
8. EKG Heart Test May Predict Risk in Older Adults
9. Common Blood Pressure Drug Safe for Heart Failure: Study
10. Spouses of Cancer Patients May Have Raised Risk of Heart Disease, Stroke
11. SMART heart eases heart ache, targets cardiac patients emotional well-being
Post Your Comments:
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience with ... Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a ...
(Date:6/24/2016)... ... ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business for ... $12 an hour by 2020 and then adjusting it yearly to increase at the same ... wage, assure the wage floor does not erode again, and make future increases more predictable. ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... the Clinical Decision Making in Emergency Medicine conference in Ponte Vedra Beach, FL. ... articles published in Emergency Medicine Practice and Pediatric Emergency Medicine Practice. ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... The Grove Investment Group (TGIG), has initiated cultivation and processing operations at its ... Vegas and Pahrump, Nevada. , Puradigm is the manufacturer of a complete system ...
(Date:6/24/2016)... ... , ... National recruitment firm Slone Partners is pleased to announce ... experience, as Vice President of North American Capital Sales at HTG Molecular . ... sales team in the commercialization of the HTG EdgeSeq system and associated reagents in ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Research ... MEMS Devices Medical Market Analysis 2016 - Forecast to 2022" ... The report contains up to date financial data ... analysis. Assessment of major trends with potential impact on the ... analysis of market segmentation which comprises of sub markets, regional ...
(Date:6/23/2016)... 23, 2016 Bracket , a leading clinical ... generation clinical outcomes platform, Bracket eCOA (SM) 6.0, at ... 26 – 30, 2016 in Philadelphia , ... Outcome Assessment product of its kind to fully integrate with ... Bracket eCOA 6.0 is a flexible platform for electronic clinical ...
(Date:6/23/2016)... BOGOTA, Colombia , June 23, 2016  Astellas today announced the establishment of Astellas Farma Colombia ... the company,s second affiliate in Latin America . ... ... Farma Colombia ... ...
Breaking Medicine Technology: