(i) For Patients:

For patients, especially those with cardiac or respiratory disease, a less intend: training regimen must be used, with the training heart rate not exceeding that attained at 5l 60% of maximum O, uptake. In the absence of data regarding the maximum attained head. Rate measurements, it is prudent not to allow the patient to exceed the heart rate of 130 beal per minute (bpm). In elderly patients and patients at risk, the intensity, frequency, and duration of therapeutic exercise should be established for each patient individually through prior medical evaluation.

(ii) For Healthy Individuals:

The minimum duration of endurance training for healthy men anc women recommended by the American College of Sports Medicine (ACSM) is 20-60 minutes 3-5 days a week. Exercises such as walking, running, jogging, dancing, stair climbing, cycling, swimming, rowing, skating, and cross-country skiing are recommended for performance at an intensity of 60-90% of maximum heart rate or to a heart at 50-85% of maximum 02 uptake.

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If the maximum attained heart rate (HR max) has not been estimated, the age adjusted maximum heart rate (AAMHR) can be calculated from the formula, HR max = 220 – Age, which can be inaccurate in the ill or elderly patient. The endurance training should be structured to include 5 minutes of warm-up activity, 30 minutes of training, and a 5-minute period for cool down.