DEAR DR. DONOHUE: I have some questions about heart rate and its relation to weight loss, health and exercise. I am 53 and weigh 158 pounds. My goal is to lose one pound a week. I work out four to five days a week. My routine is challenging. I sweat. I can talk but cannot sing. My heart is beating fast. During strength classes, my heart rate peaks at 166. During a cardio session, it’s between 155 and 165.

My doctor says not to worry about my heart rate as long as I do not feel any pain. My trainer says I should be working out at a less-intense pace. Is my heart rate out of line? Does less-intense exercise burn more fat than high-intensity exercise? — J.H.

ANSWER: Using heart rate as a guide to exercise intensity involves subtracting your age from 220 to find your maximum heart rate. For you, that is: 220 minus 53 equals 167. For training purposes, exercise should raise your heartbeat to a level between 60 percent and 80 percent of your maximum heart rate. For you, that is 100 to 134.

When you’re lifting weights, your heart rate is going to soar beyond those limits, because you are exerting to your maximum for a short time. That’s OK. It’s safe.

For aerobic exercise, you want to exercise within your training zone: 100 to 134. Aerobic exercise is the kind of exercise where large muscles are moving for a prolonged period of time, 30 or more minutes. Running, jogging, brisk walking, swimming and bike riding are examples of aerobic exercise. A beginner should keep the heart rate at the lower level. A more advanced exerciser aims for the higher range. Even exceeding the higher range is safe if you feel fine during the exercise. Don’t become obsessed with heart rate. You can gauge your exercise intensity by how you feel. That’s as reliable as counting your heart rate. You should not be panting for air (being able to carry on a conversation is a good guide), you should break a slight sweat and you shouldn’t feel muscle pain

Your trainer tells you that you burn more fat at less-intense levels of exercise. That’s true. A slightly higher proportion of your energy is supplied by fat during lower-intensity exercise. However, the total number of fat calories burned is much greater at high-intensity exercise

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Go easy with the heart rate guide, or you’ll drive yourself crazy. Use perceived exertion — how you feel — as the way to judge exercise intensity. Your heart rates are not out of line. Your heart is healthy.

DEAR DR. DONOHUE: My 9-year-old granddaughter loves to jump on the pogo stick. She is very adept at it, much better than her older brother and sister. Her record is 3,016 jumps without stopping.

I am concerned that she could be setting herself up for difficulty later in life, such as knee problems. Am I overly concerned? — J.T.

ANSWER: She’s not complaining of knee pain, is she? If not, she can pogo all she wants. I am impressed with her record of 3,016 jumps.

DEAR DR. DONOHUE: Your comment on how golfers stretch before playing was, and I quote: more for show than anything else. How should golfers warm up? — L.P.

ANSWER: Warming up and stretching are not the same. Warming up increases the body temperature to warm muscles, tendons and ligaments. Jogging in place, calisthenics and brisk walking are warming-up exercises. Warm muscles, tendons and ligaments are believed to be less likely injured.

Stretching is different. You stretch by moving an arm or leg to a point where it’s a bit uncomfortable and hold that position for 15 to 20 seconds, relax and repeat the stretch eight to 10 times. Stretching is supposed to make muscles limber and permit greater range of motion.

Holding a golf club behind the neck on the shoulders and twisting around a few times is neither a warm-up nor a stretch.

Dr. Donohue regrets that he is unable to answer individual letters, but he will incorporate them in his column whenever possible. Readers may write him or request an order form of available health newsletters at P.O. Box 536475, Orlando, FL 32853-6475. Readers may also order health newsletters from www .rbmamall.com.


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