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Responses of people with coronary artery disease to common lawn-care tasks
Authors:Lois M Sheldahl  Nancy A Wilke  Richard D Hanna  Sara M Dougherty  Felix E Tristani
Institution:(1) VA Medical Center, 111R, 5000 W. National Ave., 53295 Milwaukee, WI, USA;(2) Department of Rehabilitation Medicine, VA Medical Center, Milwaukee, WI, USA;(3) Department of Medicine, The Medical College of Wisconsin, Milwaukee, WI, USA
Abstract:The primary purpose of the present study was to determine oxygen uptake ( 
$$\dot VO_2$$
) and heart rate (HR) responses of patients with coronary artery disease (CAD) to common lawn-care activities. The study was conducted in three phases. In phase I, 8 men with CAD performed 30 min of push motorized lawn mowing at a self-paced rate. In phase II, 9 men with CAD performed push (no power) mowing, trimming (power and manual), and raking for 8 min each. In phase III, age-matched men and women with and without CAD (9–11 per group) performed self-propelled motorized mowing and push motorized mowing. In phase I, 
$$\dot VO_2$$
averaged 17.3 (SEM 3.8) ml · kg–1 · min–1 during 30 min of mowing. Relative effort was 68 (SEM 1) and 76 (SEM 4)% of treadmill maximal 
$$\dot VO_2$$
( 
$$\dot VO_{2max}$$
) and HR, respectively. In phase II, mean 
$$\dot VO_2$$
ranged from 8.6 (SEM 0.4) with grass trimming to 22.2 (SEM 1.6) ml · kg–1 · min–1 with push manual mowing. With self-propelled mowing at three speeds in phase III, mean 
$$\dot VO_2$$
of the CAD groups ranged from 9.5 (SEM 0.3) to 13.8 (SEM 1.4) ml · kg–1 · min–1 and represented 37%–62% 
$$\dot VO_{2max}$$
. The results indicated that lawn mowing is often performed at an exercise intensity recommended for aerobic exercise training; patients who achieve a treadmill peak capacity of 4 times resting metabolic rate (4 METs) should be able to perform self-propelled motorized lawn mowing (slow speed) and grass trimming at less than 80% peak 
$$\dot VO_2$$
; and 
$$\dot VO_2$$
demands of lawn mowing can be adjusted by equipment selection and/or pace.
Keywords:Coronary artery disease  Exertion Health  Leisure-time activity
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