Don’t Depend on Maximum Heart Rate Formulae

The standard maximum heart rate formula (MHR=220-age) is supposed to predict the fastest your heart can beat and still pump blood through your body. It is not accurate. This month, researchers at Northwestern Medicine announced that the formula for women should be 206 minus 88 percent of a woman’s age (Circulation, July 2010).  However, this formula is also inaccurate.

In 1970, Dr. Sam Fox, one of the most respected heart specialists in the world, was on a plane with a young researcher named William Haskell.  They put together several studies comparing maximum heart rate and age. Dr. Fox plotted a graph of age verses maximum heart rate and noticed that maximum heart rate appeared to equal to 220 minus a person’s age. Since they reported this formula, it has been taught in physical education courses and used to test heart function and athletic fitness.

The formula is wrong because your legs drive your heart rate; your heart does not drive your legs. Maximum heart rate depends on the strength of your legs, not the strength of your heart. When you contract your leg muscles, they squeeze against the blood vessels near them to pump blood from your leg veins toward your heart. When your leg muscles relax, your leg veins fill with blood. So your leg muscles pump increased amounts of blood toward your heart. This increased blood fills the heart and causes your heart to be faster and with more force. This is called the Bainbridge reflex.  The stronger your legs are, the more blood they can pump, which causes your heart to beat faster.

In 2002, a study of 43 different formulae for MHR concluded that "no acceptable formula currently exists." The formula that fits better than others is: HRmax=205.8-(0.685 × age). It has a standard deviation of 6.4 beats per minute, which is very large (Journal of Exercise Physiology, May 2002).  A study from Liverpool, England showed that the maximum heart rate for athletes is lower than for aged-matched sedentary people. The maximum heart rate of male athletes was calculated to be 202-
0.55 × age, and for female athletes, 216 – 1.09 × age.  Weight lifters and runners had similar maximum heart rates, which were significantly lower than the age-matched sedentary people. The
athletes have hearts that can pump more blood with each beat than the hearts of sedentary people, so they do not beat as often (International Journal of Sports Medicine, January 2008).

All MHR formulae are based on averages. They can be used to help you plan and monitor your exercise program, but should not be interpreted as absolute limits or goals.  If you want to train to become fast, use the following: Three times a week, never on consecutive days, either race or push the pace so that you are at your anaerobic threshold and then use bursts to exceed it to become short of breath.  On the other four days, take it easy and do not put pressure on your muscles.  The standard Maximum Heart Rate formula (MHR = 220 – age) does not apply to highly fit athletes.

 

About dr.gabe.mirkin

A practicing physician for more than 40 years and a radio talk show host for 25, Dr. Mirkin is a graduate of Harvard University and Baylor University College of Medicine. He is one of a very few doctors board-certified in four specialties: Sports Medicine, Allergy and Immunology, Pediatrics and Pediatric Immunology.

Dr. Mirkin's latest book is The Healthy Heart Miracle, published by HarperCollins. He wrote the chapter on sports injuries for the Merck Manual (both lay and physicians' editions), the largest selling book worldwide with over one million copies in print. His daily short features on fitness have been heard on CBS Radio News stations since the 1970's. He has written 16 books including The Sportsmedicine Book, the best-selling book on the subject that has been translated into many languages. More books

Dr. Mirkin did his residency at the Massachusetts General Hospital and over the years he has served as a Teaching Fellow at Johns Hopkins Medical School, Assistant Professor at the University of Maryland, and Associate Clinical Professor in Pediatrics at the Georgetown University School of Medicine.

Dr. Mirkin has run more than forty marathons and is now a serious tandem bike rider with his wife, Diana, often doing 30-60 miles in an outing.

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One Response to Don’t Depend on Maximum Heart Rate Formulae

  1. LordAragorn22 August 7, 2010 at 4:19 am #

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