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Functional Capacity (METS) Stratification
Dec 21, 2024
•
Mark Morgan
categories:
cardiology
This is a cardiology decision aid.
Functional capacity is often expressed in terms of metabolic equivalents (METS), where 1 MET is the resting or basal oxygen consumption of a 40–year-old, 70-kg man. Functional capacity is classified as excellent (>10 METS), good (7 METs to 10 METS), moderate (4 METs to 6 METS), poor (<4 METS), or unknown. Perioperative cardiac and long-term risks are increased in patients unable to perform 4 METs of work during daily activities.
Which of these can you do?
Bicycling at a pace of 11 mph (6 METS)
Bowling (4 METS)
Dance, Slow Step (4 METS)
Dance, Square Dancing (5 METS)
Dance, Fast Step (Aerobic) (6 METS)
Exercise Equipment - Elliptical trainer, moderate effort (5 METS)
Exercise Equipment - Exercise bike bicycling, moderate to vigorous effort (6.8 METS)
Exercise Equipment - Exercise bike bicycling, spin class (8.5 METS)
Exercise Equipment - Rowing machine, moderate effort (4.8 METS)
Exercise Equipment - Ski machine (6.8 METS)
Fishing from river bank and walking (4 METS)
Golf without a cart, walking (4 METS)
Housework, perform *heavy* work around the house (4.3 METS)
Hunting deer, elk, large game (6 METS)
Jumping rope (12.3 METS)
Playing Sports - Baseball (5 METS)
Playing Sports - Basketball (6.5 METS)
Playing Sports - Football (touch or flag) (4 METS)
Playing Sports - Softball (5 METS)
Playing Sports - Tennis Singles (5 METS)
Playing Sports - Volleyball (4 METS)
Running/Jogging at 5 mph (8.7 METS)
Have sexual relations? (2.8 to 5.25 METS)
Shoveling (5 METS)
Skating at 10 MPH (5 METS)
Skiing, downhill snowskiing (8 METS)
Skiing, waterskiing (6 METS)
Swimming at 0.25 mph (4 METS)
Walk on level ground at 4 mph (4 METS)
Total -->
number of activities
score=(Q1)
activities which require at least moderate (4 to 6 METS) functional capacity.
References (Hide/Show)
Ainsworth BE et al. The Compendium of Physical Activities Tracking Guide. Healthy Lifestyles Research Center, College of Nursing & Health Innovation, Arizona State University. Retrieved 2/25/2017 from the World Wide Web.
Fleisher LA et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.
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