Evaluating the Prediction of Maximal Heart Rate in Children and Adolescents

Abstract

In this study, we compared measured maximal heart rate (HRmax) to two different HRmax prediction equations [220 — age and 208 — 0.7(age)] in 52 children ages 7-17 years. We determined the relationship of chronological age, maturational age, and resting HR to measured HRmax and assessed seated resting HR and HRmax during a graded exercise test. Maturational age was calculated as the maturity offset in years from the estimated age at peak height velocity. Measured HRmax was 201 ± 10 bpm, whereas predicted HRmax ranged from 199 to 208 bpm. Measured HRmax and the predicted value from the 208 — 0.7(age) prediction were similar but lower (p < .05) than the 220 — age prediction. Absolute differences between measured and predicted HRmax were 8 ± 5 and 10 ± 8 bpm for the 208 — 0.7 (age) and 220 — age equations, respectively, and were greater than zero (p < .05). Regression equations using resting HR and maturity offset or chronological age significantly predicted HRmax, although the R2 < .30 and the standard error of estimation (8.2-8.5) limits the accuracy. The 208 — 0.7(age) equation can closely predict mean HRmax in children, but individual variation is still apparent.

Key words:

• boys
• Cardiovascular
• Exercise testing
• Girls

Additional information

Notes on contributors

Anthony D. Mahon

We thank Mitchell H. Whaley for his helpful comments on the development of this manuscript and James A. Jones for his advice on the statistical analysis. We also extend appreciation to Mary Horn and Lisa Guth for their help with data collection. Please address correspondence concerning this article to Anthony D. Mahon, Human Performance Laboratory, Ball State University, Muncie, IN 47306.