{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T23:45:17Z","timestamp":1771371917681,"version":"3.50.1"},"reference-count":38,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2021,5,28]],"date-time":"2021-05-28T00:00:00Z","timestamp":1622160000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JFMK"],"abstract":"<jats:p>Exercise training is an important component of clinical exercise programs. Although there are recognized guidelines for the amount of exercise to be accomplished (\u226570,000 steps per week or \u2265150 min per week at moderate intensity), there is virtually no documentation of how much exercise is actually accomplished in contemporary exercise programs. Having guidelines without evidence of whether they are being met is of limited value. We analyzed both the weekly step count and the session rating of perceived exertion (sRPE) of patients (n = 26) enrolled in a community clinical exercise (e.g., Phase III) program over a 3-week reference period. Step counts averaged 39,818 \u00b1 18,612 per week, with 18% of the steps accomplished in the program and 82% of steps accomplished outside the program. Using the sRPE method, inside the program, the patients averaged 162.4 \u00b1 93.1 min per week, at a sRPE of 12.5 \u00b1 1.9 and a frequency of 1.8 \u00b1 0.7 times per week, for a calculated exercise load of 2042.5 \u00b1 1244.9 AU. Outside the program, the patients averaged 144.9 \u00b1 126.4 min, at a sRPE of 11.8 \u00b1 5.8 and a frequency of 2.4 \u00b1 1.5 times per week, for a calculated exercise load of 1723.9 \u00b1 1526.2 AU. The total exercise load using sRPE was 266.4 \u00b1 170.8 min per week, at a sRPE of 12.6 \u00b1 3.8, and frequency of 4.2 \u00b1 1.1 times per week, for a calculated exercise load of 3359.8 \u00b1 2145.9 AU. There was a non-linear relationship between steps per week and the sRPE derived training load, apparently attributable to the amount of non-walking exercise accomplished in the program. The results suggest that patients in a community clinical exercise program are achieving American College of Sports Medicine guidelines, based on the sRPE method, but are accomplishing less steps than recommended by guidelines.<\/jats:p>","DOI":"10.3390\/jfmk6020047","type":"journal-article","created":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T05:53:38Z","timestamp":1622440418000},"page":"47","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Workload Accomplished in Phase III Cardiac Rehabilitation"],"prefix":"10.3390","volume":"6","author":[{"given":"Katrina L.","family":"Schultz","sequence":"first","affiliation":[{"name":"Department of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI 54601, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl","family":"Foster","sequence":"additional","affiliation":[{"name":"Department of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI 54601, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberley","family":"Radtke","sequence":"additional","affiliation":[{"name":"Department of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI 54601, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Bramwell","sequence":"additional","affiliation":[{"name":"Department of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI 54601, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9643-5532","authenticated-orcid":false,"given":"Cristina","family":"Cortis","sequence":"additional","affiliation":[{"name":"Department of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, 03043 Cassino, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9090-4454","authenticated-orcid":false,"given":"Andrea","family":"Fusco","sequence":"additional","affiliation":[{"name":"Department of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, 03043 Cassino, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P.","family":"Porcari","sequence":"additional","affiliation":[{"name":"Department of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI 54601, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,5,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1161\/01.CIR.80.2.234","article-title":"An overview of randomized trials of rehabilitation with exercise after myocardial infarction","volume":"80","author":"Buring","year":"1989","journal-title":"Circulation"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1001\/jama.1988.03410070073031","article-title":"Cardiac rehabilitation after myocardial infarction: Combined experience of randomized clinical trials","volume":"260","author":"Oldridge","year":"1988","journal-title":"JAMA"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.jacc.2015.11.034","article-title":"Exercise at the extremes","volume":"67","author":"Eijsvogels","year":"2016","journal-title":"JACC"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2534","DOI":"10.1161\/01.CIR.96.8.2534","article-title":"Attenuated progression of coronary artery disease after 6 years of multifactorial risk intervention","volume":"96","author":"Niebauer","year":"1997","journal-title":"Circulation"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/0021-9150(94)93731-1","article-title":"Intensive risk factor management in men and women with coronary artery disease: The Stanford Coronary risk intervention project (SCRIP)","volume":"109","author":"Haskell","year":"1994","journal-title":"Atherosclerosis"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1016\/0735-1097(93)90051-2","article-title":"Various intensities of leisure time physical activity in patients with coronary artery disease: Effects on cardiorespiratory fitness and progression of coronary atherosclerotic lesions","volume":"22","author":"Hambrecht","year":"1993","journal-title":"JACC"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1016\/j.amjmed.2004.01.009","article-title":"Exercise-based rehabilitation for patients with coronary heart disease: Systematic review and meta-analysis of randomized controlled trials","volume":"116","author":"Taylor","year":"2004","journal-title":"Am. 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