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Commentary 1 on "Metabolic equivalents during the 10-m shuttle walking test for post-myocardial infarction patients"
School of Health Science, University of Ulster, Northern Ireland; mh.murphy@ulster.ac.uk
Metabolic equivalents during the 10-m shuttle walking test for post-myocardial infarction patients
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This paper provides a useful comparison of the intensity of the 10-m shuttle walking test among cardiac patients and age-matched controls. The results suggest that in cardiac patients a given walking speed results in greater than expected metabolic equivalents (METs) than the same speed performed by healthy controls. Although several of the factors which might affect METs were not measured in the study, the findings suggest that clinicians should be cautious in using METs values (derived from healthy individuals) to prescribe exercise for cardiac rehabilitation patients. Given the limitation of prescribing exercise in absolute terms (for example, METs), it may be more appropriate to use relative exercise intensity measures (for example, % HRmax or VO2peak) to determine suitable walking speeds for patients with cardiovascular disease and other comorbidities.
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