Reliability of heart rate maximizer test using jumping jack in assessing cardiovascular fitness

Abstract

Reliability of heart rate maximizer test using jumping jack in assessing cardiovascular fitness

Objectives: The purpose of this study was to determine the reliability of a heart rate maximizer test using jumping jack to evaluate cardiovascular fitness in young adults.

Materials and methods: Twenty healthy young adults (mean age 21.20±0.95 years) underwent two minutes of the heart rate maximizer test, followed by 10 minutes of seated rest on two occasions separated by seven days. Variables included resting heart rate (HRrest), peak heart rate (HRpeak), heart rate after testing at 1st and 2nd minute, heart rate recovery at 1st and 2nd minute (HRR1 and HRR2), systolic blood pressure (SBP) and rating of perceived
exertion (RPE) were evaluated. Reliability of the test was analyzed by intraclass correlation coefficient (ICC), standard error of measurements (SEMs) and coefficient of variation (CV).

Results: All HR variables were excellent reliable (ICC = 0.90-0.98; SEMs = 1.14%-7.89%) as well as SBP variables (ICC = 0.90-0.91; SEMs = 2.87%-3.70%) with less than 15% of CV except HRR1 (CV = 29.8%). RPE measurements were slightly less reliable (ICC = 0.62-0.75; SEMs = 3.13%-7.42%; CV = 5.1%-14.8%) than HR and SBP measurements. Therefore, both HR and SBP variables can be reliably applied in the heart rate maximizer test.

Conclusion: Heart rate maximizer test using jumping jack showed high reliability and it could be useful for accessing cardiovascular fitness in healthy young adults.

Bull Chiang Mai Assoc Med Sci 2016; 49(2): 344-354. Doi: 10.14456/jams.2016.34

Full text

344


Reliability of heart rate maximizer test using jumping jack
in assessing cardiovascular fitness
กฤษณา บุญทา* อุบล พิรุณสาร เพียรชัย ค�าวงษ์ สายนที ปรารถนาผล
Kritsana Boontha* Ubon Pirunsan Peanchai Khamwong Sainatee Pratanaphon
ภาควิชากายภาพบ�าบัด คณะเทคนิคการแพทย์ มหาวิทยาลัยเชียงใหม่ จังหวัดเชียงใหม่
Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Thailand
* ผู้รับผิดชอบบทความ (Email: kritsana.b@cmu.ac.th)
* Corresponding author (Email: kritsana.b@cmu.ac.th)
Received July 2016
Accepted as revised September 2016
Abstract
Objectives: The purpose of this study was to determine the reliability of a heart rate maximizer test using jumping
jack to evaluate cardiovascular fitness in young adults.
Materials and methods: Twenty healthy young adults (mean age 21.20±0.95 years) underwent two minutes of
the heart rate maximizer test, followed by 10 minutes of seated rest on two occasions separated by seven days.
Variables included resting heart rate (HRrest), peak heart rate (HRpeak), heart rate after testing at 1st and 2nd minute,
heart rate recovery at 1st and 2nd minute (HRR1 and HRR2), systolic blood pressure (SBP) and rating of perceived
exertion (RPE) were evaluated. Reliability of the test was analyzed by intraclass correlation coefficient (ICC), standard
error of measurements (SEMs) and coefficient of variation (CV).
Results: All HR variables were excellent reliable (ICC = 0.90-0.98; SEMs = 1.14%-7.89%) as well as SBP variables
(ICC = 0.90-0.91; SEMs = 2.87%-3.70%) with less than 15% of CV except HRR1 (CV = 29.8%). RPE measurements
were slightly less reliable (ICC = 0.62-0.75; SEMs = 3.13%-7.42%; CV = 5.1%-14.8%) than HR and SBP measurements.
Therefore, both HR and SBP variables can be reliably applied in the heart rate maximizer test.
Conclusion: Heart rate maximizer test using jumping jack showed high reliability and it could be useful for accessing
cardiovascular fitness in healthy young adults.
Bull Chiang Mai Assoc Med Sci 2016; 49(3): 344-354
Keywords: Heart rate maximizer test, heart rate recovery, rating of perceived exertion, systolic blood pressure
. Doi: 10.14456/jams.2016.34

344


Reliability of heart rate maximizer test using jumping jack
in assessing cardiovascular fitness
กฤษณา บุญทา* อุบล พิรุณสาร เพียรชัย ค�าวงษ์ สายนที ปรารถนาผล
Kritsana Boontha* Ubon Pirunsan Peanchai Khamwong Sainatee Pratanaphon
ภาควิชากายภาพบ�าบัด คณะเทคนิคการแพทย์ มหาวิทยาลัยเชียงใหม่ จังหวัดเชียงใหม่
Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Thailand
* ผู้รับผิดชอบบทความ (Email: kritsana.b@cmu.ac.th)
* Corresponding author (Email: kritsana.b@cmu.ac.th)
Received July 2016
Accepted as revised September 2016
Abstract
Objectives: The purpose of this study was to determine the reliability of a heart rate maximizer test using jumping
jack to evaluate cardiovascular fitness in young adults.
Materials and methods: Twenty healthy young adults (mean age 21.20±0.95 years) underwent two minutes of
the heart rate maximizer test, followed by 10 minutes of seated rest on two occasions separated by seven days.
Variables included resting heart rate (HRrest), peak heart rate (HRpeak), heart rate after testing at 1st and 2nd minute,
heart rate recovery at 1st and 2nd minute (HRR1 and HRR2), systolic blood pressure (SBP) and rating of perceived
exertion (RPE) were evaluated. Reliability of the test was analyzed by intraclass correlation coefficient (ICC), standard
error of measurements (SEMs) and coefficient of variation (CV).
Results: All HR variables were excellent reliable (ICC = 0.90-0.98; SEMs = 1.14%-7.89%) as well as SBP variables
(ICC = 0.90-0.91; SEMs = 2.87%-3.70%) with less than 15% of CV except HRR1 (CV = 29.8%). RPE measurements
were slightly less reliable (ICC = 0.62-0.75; SEMs = 3.13%-7.42%; CV = 5.1%-14.8%) than HR and SBP measurements.
Therefore, both HR and SBP variables can be reliably applied in the heart rate maximizer test.
Conclusion: Heart rate maximizer test using jumping jack showed high reliability and it could be useful for accessing
cardiovascular fitness in healthy young adults.
Bull Chiang Mai Assoc Med Sci 2016; 49(3): 344-354
Keywords: Heart rate maximizer test, heart rate recovery, rating of perceived exertion, systolic blood pressure
Vol. 49 No. 3 September 2016 Bull Chiang Mai Assoc Med Sci 345
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exertion, RPE)7,10,11  
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recovery, HRR)15-17  
218,19
 

บทคัดย่อ
วัตถุประสงค์:

วัสดุและวิธีการศึกษา:       
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

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
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ผลการศึกษา:



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
สรุปผลการศึกษา:

วารสารเทคนิคการแพทย์เชียงใหม่ 2559; 49(3): 344-354
ค�ารหัส:  

. Doi: 10.14456/jams.2016.34

346
   
  20-22  
9
 
   
     

     
19,21,23,24



Power 90 Extreme (P90X, the Beachbody Company)

   

   25,26 
   


  
  26 

 
 
  






 

  
 

  27 

   

70%HRmax 
 


  2 30

 
 31 

 



  




   


  
College of Sports Medicine (ACSM)32 



 


Preparticipation Screening Questionnaire33

90%HRmax

 
 28

29

 

 



4
submaximal exercise 70%HRmax
90%HRmax

maximal exercise test 






1. 
18-25VO2max

Dai 95w)
0.2type I error) 5power) 
0.800.90 18
drop out) 10n = 2
20


The
American College of Sports Medicine (ACSM)


AHA/ACSM Health/Fitness Facility Preparticipation Screening
Questionnaire33“” “” “” 
2“” 
(AMSEC-59FB-001)
2.  (heart rate maximizer test)27
 Boontha
27
2
30
peak heart rate, HRpeak) 70%HRmax10

angina)  


346
   
  20-22  
9
 
   
     

     
19,21,23,24



Power 90 Extreme (P90X, the Beachbody Company)

   

   25,26 
   


  
  26 

 
 
  






 

  
 

  27 

   

70%HRmax 
 


  2 30

 
 31 

 



  




   


  
College of Sports Medicine (ACSM)32 



 


Preparticipation Screening Questionnaire33

90%HRmax

 
 28

29

 

 



4
submaximal exercise 70%HRmax
90%HRmax

maximal exercise test 






1. 
18-25VO2max

Dai 95w)
0.2type I error) 5power) 
0.800.90 18
drop out) 10n = 2
20


The
American College of Sports Medicine (ACSM)


AHA/ACSM Health/Fitness Facility Preparticipation Screening
Questionnaire33“” “” “” 
2“” 
(AMSEC-59FB-001)
2.  (heart rate maximizer test)27
 Boontha
27
2
30
peak heart rate, HRpeak) 70%HRmax10

angina)  

Vol. 49 No. 3 September 2016 Bull Chiang Mai Assoc Med Sci 347

 


  

 
27


27  


   
  
  
 peak 
70%HRmax    
 

      

4




33






 

    
 
 
  
 
 
    
 

   



 ®

TM
transporeTM
   







    ®,
     
    
 

    rest 
    peak), HR
1min 2min

  peak-HRr1min 
HRR2 = HRpeak - HRr2min15, 20, 34max 
max35max
max = 100 x (HRpeak x HRmax-1)
    


scale)36
 


rest
peak)

348
ความดันโลหิตสูงสุดขณะหัวใจบีบตัว (systolic blood
pressure, SBP)

(Automatic Blood Pressure Monitor model HEM-7203,
®


1min)
5. การวิเคราะห์ข้อมูล



  

 

correlation coefficient model 3,1 (ICC3,1
   
rest, HRpeak, HRr1min, HRr2min,

 

  




1. ข้อมูลทั ่วไปของอาสาสมัคร
 

  

p

 
(Table 1)
ผลการศึกษา

37 


   


       -1 

Table 1
All participants (n=20)
Age (years) 21.20±0.95
Height (cm.) 164.85±10.16
 60.33±13.53
BMI (kg.m-2) 21.98±3.25
Average HRrestTrials 1 (bpm) 76.25±9.12
Average HRrest Trials 2 (bpm) 76.65±9.49
%HRmaxTrials 1 89.21±4.43
%HRmaxTrials 2 89.21±3.78
Abnormal signs or symptoms no
6
ความดันโลหิตสูงสุดขณะหัวใจบีบตัว (systolic blood pressure, SBP)
Automatic Blood Pressure Monitor model HEM-
7203, OMRON®, Japan) (millimeter of mercury, mmHg) 
(Average SBPrest)1
(SBPr1min)
5. การวิเคราะห์ข้อมูล

Mean±SD) Kolmogorov Smirnov Paired samples t- test

1  2 Intraclass correlation coefficient model 3,1 (ICC3,1)
test-retest reliability) Average HRrest, HRpeak,
HRr1min, HRr2min, HRR1  HRR2RPE SBP
ICC 0.4 ICC 0.4-0.75
ICC 0.75ICC 0.90
37standard error of
measurements, SEMs)  SEMs = S x √1 − ICCS 
ICC        95% 
(coefficient of variation, CV) CV (%) = 100 x (SD x mean-1)
SPSS version 17.0 Windows
Note: bpm: beats per minute; cm: centimeter; kg: kilogram; kg.m-2: kilogram per square meter; BMI: body mass index; HRmax: maximal heart rate;
HRrest: resting heart rate

348
ความดันโลหิตสูงสุดขณะหัวใจบีบตัว (systolic blood
pressure, SBP)

(Automatic Blood Pressure Monitor model HEM-7203,
®


1min)
5. การวิเคราะห์ข้อมูล



  

 

correlation coefficient model 3,1 (ICC3,1
   
rest, HRpeak, HRr1min, HRr2min,

 

  




1. ข้อมูลทั ่วไปของอาสาสมัคร
 

  

p

 
(Table 1)
ผลการศึกษา

37 


   


       -1 

Table 1
All participants (n=20)
Age (years) 21.20±0.95
Height (cm.) 164.85±10.16
 60.33±13.53
BMI (kg.m-2) 21.98±3.25
Average HRrestTrials 1 (bpm) 76.25±9.12
Average HRrest Trials 2 (bpm) 76.65±9.49
%HRmaxTrials 1 89.21±4.43
%HRmaxTrials 2 89.21±3.78
Abnormal signs or symptoms no
6
ความดันโลหิตสูงสุดขณะหัวใจบีบตัว (systolic blood pressure, SBP)
Automatic Blood Pressure Monitor model HEM-
7203, OMRON®, Japan) (millimeter of mercury, mmHg) 
(Average SBPrest)1
(SBPr1min)
5. การวิเคราะห์ข้อมูล

Mean±SD) Kolmogorov Smirnov Paired samples t- test

1  2 Intraclass correlation coefficient model 3,1 (ICC3,1)
test-retest reliability) Average HRrest, HRpeak,
HRr1min, HRr2min, HRR1  HRR2RPE SBP
ICC 0.4 ICC 0.4-0.75
ICC 0.75ICC 0.90
37standard error of
measurements, SEMs)  SEMs = S x √1 − ICCS 
ICC        95% 
(coefficient of variation, CV) CV (%) = 100 x (SD x mean-1)
SPSS version 17.0 Windows
Note: bpm: beats per minute; cm: centimeter; kg: kilogram; kg.m-2: kilogram per square meter; BMI: body mass index; HRmax: maximal heart rate;
HRrest: resting heart rate
Vol. 49 No. 3 September 2016 Bull Chiang Mai Assoc Med Sci 349
Table 2 Intra-class correlation coefficients (ICC), 95% confidence interval (95% CI), standard error of measurements
(SEMs) and coefficient of variation (CV) of all measurements (n=20).
Note: bpm: beats per minute; min: minute; mmHg: millimeter mercury; HR: heart rate; HRrest: resting heart rate; HRpeak: peak heart rate; HRr1min:
heart rate during recovery period at 1st minute; HRr2min: heart rate during recovery period at 2nd minute; HRR1: heart rate recovery at 1st
minute; HRR2: heart rate recovery at 2nd minute; RPE: rating of perceived exertion; RPErest: resting rating of perceived exertion; RPEpeak:
peak rating of perceived exertion; SBP: systolic blood pressure; SBPrest: resting systolic blood pressure; SBPr1min: systolic blood pressure
during recovery period at 1st minute; SD: standard deviation.












Measurements  ICC 95% CI  
Trial 1 Trial 2


Average HRrest 76.25±9.12 76.65±9.49 0.98 (0.94-0.99) 1.89
(2.67%)
10.9
HRpeak 177.35±8.85 177.35±7.60 0.94 (0.84-0.97) 2.01
(1.14%)
4.6
HRr1min 135.50±11.57 134.35±11.76 0.96 (0.89-0.98) 2.33
(1.73%)
8.6
HRr2min 115.75±11.73 116.35±11.43 0.93 (0.84-0.97) 3.06
(2.64%)
10.0
HRR1 41.85±12.70 43.00±12.60 0.93 (0.82-0.97) 3.35
(7.89%)
29.8
HRR2 61.60±13.20 61.00±13.08 0.90 (0.77-0.96) 2.40
(4.03%)
12.8


Average RPErest 6.10±0.31 6.10±0.31 0.62 (0.28-0.85) 0.19
(3.13%)
5.1
RPEpeak 16.75±2.00 15.65±2.81 0.75 (0.48-0.90) 1.20
(7.42%)
14.8

Average SBPrest 112.70±9.40 112.43±11.01 0.90 (0.75-0.96) 3.23
(2.87%)
9.1
SBPr1min 150.15±19.72 149.25±17.17 0.91 (0.78-0.96) 5.53
(3.70%)
12.3

350


27
 
 3,1 
   
   
rest, HRpeak, HRr1 min, HRr2 min,

≥


max 
37
20,38,39  
rest, HRpeak1 min

 
  











 40 
16

 max 
    18, 38, 41

       38





วิจารณ์ผลการศึกษา 

    


38  

   
 
 

20, 42

 


 



38


43


rest  
1 min

44




 


41

HRpeak




350


27
 
 3,1 
   
   
rest, HRpeak, HRr1 min, HRr2 min,

≥


max 
37
20,38,39  
rest, HRpeak1 min

 
  











 40 
16

 max 
    18, 38, 41

       38





วิจารณ์ผลการศึกษา 

    


38  

   
 
 

20, 42

 


 



38


43
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41
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

Vol. 49 No. 3 September 2016 Bull Chiang Mai Assoc Med Sci 351
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 
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
สรุปผลการศึกษา

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กิตติกรรมประกาศ
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 




352






            
mayocp.2013.02.013



2013. p. 1-38.

from the American Heart Association Council on clinical cardiology, subcommittee on exercise, cardiac








chest.105.5.1365

using heart rate monitors to assess cardiorespiratory fitness and heart rate recovery in an asymptomatic population.



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


10.1097/JSM.0000000000000190
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เอกสารอ้างอิง

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
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
            
mayocp.2013.02.013



2013. p. 1-38.

from the American Heart Association Council on clinical cardiology, subcommittee on exercise, cardiac




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chest.105.5.1365

using heart rate monitors to assess cardiorespiratory fitness and heart rate recovery in an asymptomatic population.

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10.1097/JSM.0000000000000190
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MSS.0000000000000664
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00149619-201307000-00004


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
10.1111/j.1475-097X.2012.01125.x

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