Foss M L, Lampman R M, Watt E, Schteingart D E
Arch Phys Med Rehabil. 1975 Feb;56(2):63-7.
Initial work tolerance (walking) of 16 extremely obese (133 to 238 kg) patients entering a multidisciplinary rehabilitation program was low, as previously reported, but also highly variable. Some were capable of walking one mile nonstop while others required as much as eight weeks of progressive exercise training to reach this goal. Treadmill test - indirect calorimetry results indicate that patients required approximately 20 minutes to walk one mile at their fastest pace (3 mph), displayed near steady state aerobic metabolism and expended approximately 150 to 200 net kcal/mile. Patients were screened for abnormal cardiac responses to work using graded exercise test procedures with electrocardiography and there were no apparent hazardous episodes during rehabilitative training.
如先前报道，16名进入多学科康复项目的极度肥胖（体重133至238千克）患者的初始工作耐受性（步行）较低，且差异很大。一些患者能够不间断地行走一英里，而另一些患者则需要长达八周的渐进性运动训练才能达到这一目标。跑步机测试——间接量热法结果表明，患者以最快速度（每小时3英里）行走一英里大约需要20分钟，显示出接近稳定状态的有氧代谢，每英里消耗约150至200千卡净热量。使用心电图分级运动测试程序对患者进行心脏对工作的异常反应筛查，康复训练期间未出现明显的危险情况。
