You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT JAMA
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 284 No. 3, July 19, 2000 TABLE OF CONTENTS
  JAMA
  •  Online Features
  Special Communication
 This Article
 •Full text
 •PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Citing articles on ISI (38)
 •Contact me when this article is cited
 Related Content
 •Related letter
 •Related article
 •Similar articles in JAMA
 Topic Collections
 •Aging/ Geriatrics
 •Patient Safety/ Medical Error
 •Randomized Controlled Trial
 •Cardiac Diagnostic Tests
 •Alert me on articles by topic

Role of Exercise Stress Testing and Safety Monitoring for Older Persons Starting an Exercise Program

Thomas M. Gill, MD; Loretta DiPietro, PhD, MPH; Harlan M. Krumholz, MD

JAMA. 2000;284:342-349.

While the benefits of physical activity and exercise among older persons are becoming increasingly clear, the role of exercise stress testing and safety monitoring for older persons who want to start an exercise program is unclear. Current guidelines regarding exercise stress testing likely are not applicable to the majority of persons aged 75 years or older who are interested in restoring or enhancing their physical function through a program of physical activity and exercise. In addition to being expensive and of unproven benefit, the current policy of routine exercise stress testing potentially could deter many older persons from participating in an exercise program. Research is needed to investigate current physician practices, evaluate the risk of adverse cardiac events, determine the role of pharmacological stress testing, and measure and compare absolute and relative exercise intensities. To assist clinicians, we offer a set of recommendations regarding precautions that can be taken to minimize the risk of adverse cardiac events among previously sedentary older persons who do not have symptomatic cardiovascular disease and are interested in starting an exercise program.


Author Affiliations: Departments of Medicine (Drs Gill and Krumholz) and Epidemiology and Public Health (Drs DiPietro and Krumholz), The John B. Pierce Laboratory (Dr DiPietro), Yale University School of Medicine, New Haven, Conn.


RELATED LETTER

Exercise Stress Testing for Older Persons Starting an Exercise Program
Robert J. Petrella, Albert J. Finestone, Thomas M. Gill, Loretta DiPietro, and Harlan M. Krumholz
JAMA. 2000;284(20):2591.
EXTRACT | FULL TEXT  

RELATED ARTICLE

July 19, 2000
JAMA. 2000;284(3):375-376.
EXTRACT | FULL TEXT  


THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Maximal Aerobic Capacity Testing of Older Adults: A Critical Review
Huggett et al.
J. Gerontol. A Biol. Sci. Med. Sci. 2005;60:57-66.
ABSTRACT | FULL TEXT  

Prognostic Value of Stress Testing in Patients Over 75 Years of Age With Chronic Angina
Jeger et al.
Chest 2004;125:1124-1131.
ABSTRACT | FULL TEXT  

Walking Performance and Cardiovascular Response: Associations With Age and Morbidity--The Health, Aging and Body Composition Study
Newman et al.
J. Gerontol. A Biol. Sci. Med. Sci. 2003;58:M715-720.
ABSTRACT | FULL TEXT  

Cognitive and Physical Disabilities and Aging-Related Complications of Diabetes
Gregg and Brown
Clin. Diabetes 2003;21:113-118.
ABSTRACT | FULL TEXT  

Social Engagement and Disability in a Community Population of Older Adults: The New Haven EPESE
Mendes de Leon et al.
Am J Epidemiol 2003;157:633-642.
ABSTRACT | FULL TEXT  

The 6-Minute Walk Test in Mobility-Limited Elders: What Is Being Measured?
Bean et al.
J. Gerontol. A Biol. Sci. Med. Sci. 2002;57:M751-756.
ABSTRACT | FULL TEXT  

Exercise Stress Testing for Older Persons Starting an Exercise Program
Petrella et al.
JAMA 2000;284:2591-2591.
FULL TEXT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 2000 American Medical Association. All Rights Reserved.