title: Measurement of Functional Capacity Requirements of Farmers: IMPLICATIONS FOR A CARDIAC REHABILITATION TRAINING PROGRAM.
abstract: OBJECTIVE
  Updated cardiac rehabilitation (CR) and return-to-work guidelines from the American College of Sports Medicine (ACSM) now include specificity of training for industrial athletes (exercise training that involves the muscle groups, movements, and energy systems that these patients use during occupational tasks). However, many CR facilities do not apply this principle, relying instead on the traditional protocol that consists primarily of aerobic exercise. This study was conducted to measure the metabolic cost of typical farming tasks and to compare 2 methods of calculating training intensities.
  
  
  METHODS
  Metabolic data were collected from 28 participants (23 men and 5 women, aged 18 to 57 years) while they loaded 10 hay bales, dug a fence posthole, filled 8 seed hoppers, and shoveled grain.
  
  
  RESULTS
  Mean metabolic equivalent levels during these activities were 5.9 to 7.6 and participants reached 60% to 70% of heart rate reserve (HRR). By comparison, their mean resting heart rate + 30 beats per minute (RHR+30, a traditional CR intensity level) represented only 28% of HRR.
  
  
  CONCLUSIONS
  Participants in the current study performed farming tasks within the ACSM's recommended range of 40% to 80% of HRR, and the results suggest that training at RHR+30 would have been inadequate for helping a farmer return to work after a cardiac event. Using the study tasks as a basis, we described exercises that would be appropriate for the supervised resistance training of farmers in a CR setting.
authors.affiliation: Department of Kinesiology, Texas Woman's University, Denton (Dr Jordan); Cardiac Rehabilitation, Dallas Presbyterian Hospital, Dallas, Texas (Mr Karcher); UAB/Lakeshore Research Collaborative, Birmingham, Alabama (Ms Rogers); and Cardiac Rehabilitation, Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas (Mss Kennedy and Lawrence, and Dr Adams).
authors.forename: Shannon
authors.initials: S
authors.lastname: Jordan
authors.forename: Justin
authors.initials: J
authors.lastname: Karcher
authors.forename: Rebecca
authors.initials: R
authors.lastname: Rogers
authors.forename: Kathleen
authors.initials: K
authors.lastname: Kennedy
authors.forename: Anne
authors.initials: A
authors.lastname: Lawrence
authors.forename: Jenny
authors.initials: J
authors.lastname: Adams
mesh_terms: D000293:Adolescent; D000328:Adult; D000072038:Cardiac Rehabilitation / Q000379:methods*; D005081:Exercise Therapy / Q000379:methods*; D000067565:Farmers / Q000706:statistics & numerical data*; D005260:Female; D006331:Heart Diseases / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D062707:Return to Work / Q000706:statistics & numerical data*; D055815:Young Adult