Heart Rate Reserve: Your Fitness Secret?

By Dr. Priya Sammani ( MBBS, DFM )

You’ve just finished a brisk walk, maybe a little faster than usual, and you’re feeling that thump-thump-thump in your chest. You catch your breath, and you wonder, “Am I getting fitter? How can I even tell?” It’s a common question I hear in the clinic. One interesting way we can get a peek into your fitness level is by looking at something called your Heart Rate Reserve.

So, What Exactly is Heart Rate Reserve?

Alright, let’s break this down. Your Heart Rate Reserve (HRR) is basically the difference between your heart beating at its absolute fastest during intense exercise and when it’s chilling out while you’re resting.

Think of it like this:

  • Your maximum heart rate is the highest number of beats per minute (bpm) your heart can pump when you’re really pushing it.
  • Your resting heart rate is how many times your heart beats per minute when you’re completely relaxed – say, sitting quietly, not having just had a coffee.

The HRR is the “reserve” capacity your heart has to rev up when needed. It’s a pretty neat way to gauge your cardiovascular fitness. Your heart, bless its tireless work, is always adapting, making sure every part of you gets the oxygen and nutrients it needs, whether you’re sleeping or sprinting. Each beat is a contraction, pushing blood out. And that rate changes a lot during the day.

What Makes Your Heart Rate Tick Differently?

Lots of things can nudge your heart rate up or down. It’s not just about exercise.

We see things like:

  • Activity Level: When you move more, your body needs more oxygen, so your heart rate naturally climbs.
  • Tobacco Use: Yep, smoking can make your resting heart rate higher. Not ideal.
  • Alcohol: A drink or two can temporarily speed up your heart rate.
  • Age: As we get older, our maximum heart rate tends to be a bit lower, and it doesn’t jump as high during exercise as it did when we were younger. It’s just part of the journey.
  • Medical Conditions: Things like heart disease, an enlarged heart (cardiomyopathy), or even an overactive thyroid can increase your heart rate. On the flip side, an underactive thyroid (hypothyroidism) or certain infections might slow it down.
  • Emotions: Feeling scared or angry? Your heart will likely race. Feeling calm? It’ll slow down. Makes sense, right?
  • Medications: Some medicines, like beta-blockers (often used for blood pressure or heart conditions), can lower your heart rate. Others, like some asthma or cold remedies, can speed it up.

How Do We Figure Out Your Heart Rate Reserve?

Okay, time for a tiny bit of math, but it’s simple, I promise! The formula for Heart Rate Reserve is:

Maximum Heart Rate – Resting Heart Rate = Heart Rate Reserve

This is sometimes called the Karvonen method.

So, how do we find those two numbers?

  1. Maximum Heart Rate (MHR):
  2. The classic, quick way is: 220 – Your Age.
  3. This is an estimate, though. It can be off by 10-12 beats a minute. So, a more refined formula some researchers use is: 207 – (0.7 x Your Age).
  4. Honestly, the most accurate way is a graded exercise test in a lab, but these formulas give us a good starting point.
    1. Resting Heart Rate (RHR):
    2. This is your heart rate when you’re completely at rest. The best time to check is often first thing in the morning, before you get out of bed, or when you’ve been sitting quietly for a while.
    3. Most folks have an RHR between 60 and 100 bpm.
    4. If you’re quite fit, like an athlete, your RHR might be as low as 40 bpm. That’s because a stronger heart doesn’t have to work as hard.
    5. Checking Your Pulse – The Old-Fashioned Way (and the New!)

      • Wearable Tech: If you’ve got a smartwatch or fitness tracker, it’s likely already telling you your heart rate. Super handy!
      • Manual Check: You can also easily do it yourself.
      • Gently place two fingers (not your thumb, it has its own pulse!) on the inside of your wrist, on the thumb side.
      • Feel for the pulse.
      • Count the beats for a full 60 seconds. Or, count for 30 seconds and multiply by two.

      What Does Your Heart Rate Reserve Tell Us?

      Basically, your HRR is a window into your fitness. The fitter you are, the lower your resting heart rate tends to be. And if your resting heart rate is low, your Heart Rate Reserve will be higher. A higher HRR generally means your heart has more capacity to handle exertion. It’s a good sign!

      When is Knowing Your HRR Useful?

      We often use Heart Rate Reserve in a few scenarios:

      • Cardiac Rehab Programs: After a heart event, these programs use HRR to help set safe and effective exercise intensity levels. For instance, a common target might be exercising at a heart rate that’s 60% to 80% of your HRR, plus your resting heart rate.
      • Personalizing Your Workouts: You can use this same idea to figure out your own target heart rate zones for exercise. You might warm up at 50-60% of your HRR (plus RHR) and then push into higher zones depending on what you’re doing and what your fitness goals are.
      • It can be a bit more accurate than just aiming for a percentage of your maximum heart rate alone (like aiming for 64%-76% of MHR for moderate intensity, or 77%-93% for vigorous).

      Why is Heart Rate Reserve Important for Your Health?

      This is where it gets really interesting. Studies have shown a link between HRR and heart health. For example, one long-term study focusing on men found that those with a low Heart Rate Reserve during exercise (specifically, 17 to 85 beats per minute in that study) had a much higher risk of sudden cardiac death compared to men with an HRR above 85 bpm. It suggests that a good reserve capacity is protective.

      So, What’s a “Good” Heart Rate Reserve Number?

      There isn’t one magic number that’s “good” for everyone, as it depends on your age and fitness. But generally, a higher Heart Rate Reserve is better. The wonderful news is that you can improve your HRR with regular exercise, no matter how old you are. Every little bit helps.

      Take-Home Message: Your Heart’s Potential

      Let’s quickly recap what we’ve chatted about regarding Heart Rate Reserve:

      • HRR is your maximum heart rate minus your resting heart rate. It shows your heart’s capacity to increase its rate.
      • Calculating it involves knowing your age (for MHR estimate) and measuring your RHR.
      • A higher HRR is generally a sign of better cardiovascular fitness.
      • It’s used to guide exercise intensity, especially in cardiac rehab and for personalized fitness plans.
      • Improving your fitness through exercise can increase your Heart Rate Reserve.
      • Lower HRR has been linked to increased cardiac risks in some studies.

      This is just one tool, one piece of the puzzle in understanding your health. But it’s a useful one! If you’re curious about your own HRR or how to safely start an exercise program, please do chat with us. We can figure out what’s best for you.

      You’re taking a great step just by learning about this. Keep moving, keep listening to your body, and we’re here to help you along the way. You’re not alone in this.

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