When monitoring exercise for participants with CVD, which method should be used instead of heart rate monitoring?

Rate of Perceived Exertion (RPE) is an effective alternative to heart rate monitoring when working with participants who have cardiovascular disease (CVD). This approach allows individuals to self-assess their exertion levels based on how hard they feel they are working during exercise.

Using RPE is advantageous because it takes into account the varying responses individuals may have to exercise, particularly those with health concerns like CVD. These individuals may not respond as predictably to heart rate changes due to medications, age, or their specific health conditions, which can lead to inaccurate heart rate readings. RPE provides a subjective yet useful measurement that helps ensure participants are exercising within safe and effective intensity levels, particularly important for those with health issues.

Additionally, RPE fosters a greater sense of autonomy and self-awareness in participants, empowering them to listen to their bodies and adjust their effort as needed.

The other methods, such as calculating maximum heart rate, focusing on step count, or monitoring caloric expenditure, do not offer the same level of personal insight and adaptability that RPE provides for those managing their fitness in the context of CVD.