Thank you for your query at doctorspring.com
As you yourself acknowledge this a complicated issue and there cannot be a 100 accurate answer. However I shall give you my opinion. The aim of your exercise is to burn your calories to reduce your weight. Exercising at slightly lower strain levels for slightly longer time will have the same calorie burning effect as doing heavy strenuous exercises for shorter duration. So to loose weight you may do less than maximum limit exercises for slightly greater duration and still achieve weight loss.
As far as cardiac health is concerned you are doing well if you routinely achieve the 85 percent mark without any problems. So you achieve adequate aerobic exercises even at 85 percent. The 220 minus agw formula is a generalisation and people may differ. You may nave a slightly higher heart rate limit. It is not extremely dangerous to cross the limit of 100 percent if you dont have heart diseases either coronary or structural heart disease. However it is still advisable to keep below the 100 percent mark even though it is not extremely dangerous given that you can tolerate it occasionally. This is because it is extremely safe below the 85 percent limit, reasonably safe below the 100 percent limit and a chance of risk above the 100 percent limit. Why take this chance when there is no major extra advantage than the less strenuous exercise done for a longer time.
Since you indulge in such strenuous exercises and you have had a family history of exercise related death you should also get a 2d echo to rule out structural heart diseases
Regards
Dr Vivek Mahajan
DM Cardiology
Patient replied :
Hi, and thanks for your reply!
I understand your point about lower intensity exercise for longer. I do try to work in some lower intensity exercise during the week - for example taking walks around the neighborhood, etc. I also make sure I don't do high intensity exercise every day so I have break days for recovery.
I actually recently had an echo, and all came back normal. =) So I'm covered there - heart looked good! (My dad also had symptoms that I don't; for example, he had a tendency of fainting often, but apparently nobody ever caught he had a problem).
So in your opinion, if I keep going, but use the 100% MHR (186 bpm) as my maximum limit (ie. if I hit it, I'll ease up), that should be reasonably safe? That way I could push myself a little, but still have a limit I don't exceed.
Thanks again!
Hello.
Good to know that your ECHO is normal.
Yes. You could exercise upto a 100 percent limit for slightly longer. Nothing wrong in exercising above 100 percent specially since you tolerate it well, but why test the limits and take that small risk?!
The heart rate values are based on general population estimates and limits maybe different for you than the population but then again it is better not to test the limit when you can gain the same benefits by exercising slower for longer time.
Regards,
Dr Vivek Mahajan.
Patient replied :
Thank you. I'll make sure not to exceed 100% and try to aim for below that, with the majority falling below 85%. Thanks so much for the info!