Perceived Exertion During Incremental Cycling is not Influenced by the Type A Behavior Pattern

Recent publications have perpetuated a concern that the Type A Behavior Pattern (TABP) influences ratings of perceived exertion (RPE) during exercise testing. Previous studies of this topic used the Jenkins Activity Survey (JAS) which lacks validity for predicting the criterion Structured Interview (SI) for TABP and used exercise protocols that were unstandardized or yielded results that were uninterpretable for clinical exercise prescription. We used the SI to classify 44 normotensive men (18 - 35 y) according to TABP and compared their RPE during an incremental cycling test to peak oxygen uptake (V˙O₂peak). Groups did not differ on maximal test performance or RPE at any stage of the test, even after adjusting RPE for small group variations in % V˙O₂peak and ventilatory equivalent for oxygen, which are strong correlates of RPE during incremental exercise. The findings agree with our prior report [14] that no relationship existed between RPE and several self-report measures of TABP. We conclude that there is no empirical basis for the view that the Type A Behavior Pattern affects cycling performance or ratings of perceived exertion during standard exercise testing in young white men.

Key words:

RPE, TABP, Structured Interview, fatigue suppression, maximal exercise tolerance.

References

• 01 American College of Sports Medicine .ACSM's Guidelines for exercise testing and prescription (6th ed.). Philadelphia; Lippincott Williams and Wilkins 2000
• 02 Anshel S L, Anshel M H, Gregory W L. The effect of Type A and Type B and fitness level on ratings of perceived exertion and physical fatigue by females.  Austr J Sci Med Sport. 1991;  23 105-110
• 03 Barefoot J C, Dahlstrom W G, Williams R B. Hostility, CHD incidence, and total mortality: A 25-year follow-up study of 255 physicians.  Psychosom Med. 1983;  45 59-63
• 04 Blair S N. How to assess exercise habits and physical activity. In: Matarazzo JD, Weiss SM, Herd JA, Miller NE, Weiss SM (eds) Behavioral Health. New York; Wiley Interscience 1984: 424-447
• 05 Borg G AV. Interindividual scaling and perception of muscular force.  Kungliga Fysiografiska Sällskapets I Lundförhandlingar. 1961;  12 117-125
• 06 Borg G AV. Perceived exertion as an indicator of somatic stress.  Scand J Rehab Med. 1970;  2 - 3 92-98
• 07 Bortner R W. A short rating scale as a potential measure of pattern A behavior.  J Chronic Dis. 1969;  22 87-91
• 08 Byrne D G, Rosenman R H, Schiller E, Chesney M A. Consistency and variation among instruments purporting to measure the Type A Behavior Pattern.  Psychosom Med. 1985;  47 242-261
• 09 Carver C S, Coleman E, Glass D C. The coronary-prone behavior pattern and the suppression of fatigue on a treadmill test.  J Personality Soc Psychol. 1976;  33 460-466
• 10 Ceci R, Hassmen P. Self-monitored exercise at three different RPE-intensities in treadmill versus field running.  Med Sci Sports Exerc. 1991;  6 732-738
• 11 DeMeersman R E. Personality, effort perception and cardiovascular reactivity.  Neuropsychobiol. 1988;  19 192-194
• 12 DeMeersman R E, Schaefer D C, Miller W W. Personality and self-motivation during biochemical fatigue.  J Human Stress. 1984;  3 146-150
• 13 Dishman R K, Farquhar R, Cureton K J. Responses to preferred intensities of exertion in men differing in activity levels.  Med Sci Sports Exerc. 1994;  26 783-790
• 14 Dishman R K, Graham R E, Holly R G, Tieman J G. Estimates of Type A behavior do not predict preceived exertion during graded exercise.  Med Sci Sports Exerc. 1991;  23 1276-1282
• 15 Hanson P. Clinical exercise testing. In: Strauss R (ed) Sports Medicine. Philadelphia; Saunders 1984: 13-40
• 16 Hardy C J, McMurray R G, Roberts S. A/B types and psychophysiological responses to exercise stress.  J Sport Exerc Psychol. 1989;  11 141-151
• 17 Hassmen P, Stahl R, Borg G. Psychophysiological responses to exercise in Type A/B men.  Psychosom Med. 1993;  55 178-184
• 18 Hassmen P, Koivula N. Ratings of perceived exertion by a group of women: does Type A Behavior act as a modifier?.  Percept. Motor Skills. 1996;  83 675-686
• 19 Jackson A S, Pollock M L. Generalized equations for predicting body density of men.  Br J Nutr. 1978;  40 497-504
• 20 Jenkins C D, Zyzanski S J, Rosenman R H. Jenkins Activity Survey. Cleveland; Psychological Corporation 1979
• 21 Matthews K A, Haynes S G. Type A behavior pattern and coronary disease risk: Update and critical evaluation.  Am J Epidemiol. 1986;  123 923-960
• 22 Morgan W P, Borg G AV. Perception of effort in the prescription of physical activity. In: Craig T (ed) The Humanistic and Emotional Aspects of Sports, Exercise and Recreation. Chicago; American Medical Association 1976: 126-129
• 23 Morgan W P, Raglin J S. Psychologic aspects of heart disease. In: Pollock ML, Schmidt DH (eds) Heart Disease and Rehabilitation (2nd ed.). New York; John Wiley and Sons 1985: 121-137
• 24 Noble B J, Robertson R J. Perceived Exertion. Chamgaign, IL; Human Kinetics 1996: 182-183
• 25 Pollock M L, Gaesser G A, Butcher J D, Despres J P, Dishman R K, Franklin B A, Garber C E. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults.  Med Sci Sports Exerc. 1998;  30 975-991
• 26 Ragland D R, Brand R J. Type A behavior and mortality from coronary heart disease.  N Eng J Med. 1998;  318 65-69
• 27 Rejeski W J, Morley D, Miller H S. Cardiac rehabilitation: Coronary-prone behavior as a moderator of graded exercise test performance.  J Cardiac Rehab. 1983;  3 339-346
• 28 Robertson R J, Noble B N. Perception of physical exertion: methods, mediators, and applications.  Exerc Sport Sci Rev. 1997;  25 407-452
• 29 Rosenman R H. The interview methods of assessment of the coronary-prone behavior pattern. In: Dembroski TM, Weiss S, Shields J, Haynes S, Feinleib M (eds) Coronary-prone behavior. New York; Springer-Verlag 1978: 55-70
• 30 Schlegel R P, Wellwood J K, Coops B E, Gruchow W H, Sharratt M T. The relationship between perceived challenge and daily symptom reporting in Type A vs. Type B post infarct subjects.  J Behav Med. 1980;  3 191-204
• 31 Schekelle R B, Hulley S B, Neaton J D, Billings J H, Borhani N O, Gerace T A, Jacobs D R, Lasser N L, Mittlemark M B, Stamler J. The MRFIT behavior pattern study: II. Type A behavior and incidence of coronary heart disease.  Am J Epidemiol. 1985;  122 559-570
• 32 Schekelle R B, Gale M, Norusis M. Type A score (Jenkins Activity Survey) and risk of recurrent coronary heart disease in the Aspirin Myocardial Infarction Study.  Am J Cardiol. 1985;  56 221-225
• 33 Shephard R J. Can we identify those for whom exercise is hazardous?.  Sports Med. 1984;  1 75-86
• 34 Siegel W C, Hlatky M A, Mark D B, Barefoot J C, Harrell F E Jr, Pryor D B, Williams R B Jr. Effect of Type A behavior on exercise test outcome in coronary artery disease.  Am J Cardiol. 1990;  66 179-182
• 35 U.S. Department of Health and Human Services .Measuring psychosocial variables in epidemiologic studies of cardiovascular disease. NIH Publication No. 85-2270 1985: 151-226
• 36 Whaley M H, Brubaker P H, Kaminsky L A, Miller C R. Validity of rating of perceived exertion during graded exercise testing in apparently healthy adults and cardiac patients.  J Cardiopulmonary Rehab. 1997;  17 261-267
• 37 Williams R B, Barefoot J C, Haney T L, Harrell F E, Blumenthal J A, Pryor D B, Peterson B. Type A behavior and angiographically documented coronary atherosclerosis in a sample of 2 289 patients.  Psychosom Med. 1988;  50 139-152
• 38 Yorio J, Dishman R K, Forbus W, Cureton K, Graham R. Breathlessness predicts perceived exertion in young women with mild asthma.  Med Sci Sports Exerc. 1992;  24 860-867