Aerobic Training

Aerobic training strengthens the heart and lungs and improves muscle function. One goal of aerobic training is to enhance sports performance and to improve training response. The following is information from the American Academy of Pediatrics about aerobic training exercises.

What are aerobic training exercises?

Aerobic training exercises are any activities that raise heart rate and make breathing somewhat harder. The activity you are doing must be constant and continuous. Examples of aerobic activities are

  • Walking or hiking

  • Jogging or running

  • Biking

  • Swimming

  • Rowing

  • In-line skating

  • Cross-country skiing

  • Exercising on a stair-climber or elliptical machine

Other activities, when done in a constant and continuous way, can be aerobic, such as tennis, racquetball, squash, and the martial arts. Weight training, however, is not aerobic because it is done in short bursts of a few minutes at a time.

How does aerobic training improve endurance?

Aerobic training increases the rate at which inhaled oxygen is passed on from the lungs and heart to the bloodstream to be used by the muscles. Aerobically fit athletes can exercise longer and harder before feeling tired. During exercise they have a slower heart rate, slower breathing rate, less muscle fatigue, and more energy. After exercise, recovery happens more quickly. Aerobic fitness can be measured in a laboratory setting while exercising on a treadmill or bicycle. This is called maximal oxygen uptake or VO 2 max.

How often and how long should athletes train?

To achieve a training response, athletes should exercise 3 to 5 times per week for at least 20 to 60 minutes. Fitness level can be improved with as little as 10 minutes of exercise if done 2 to 3 times per day. If the goal is also to lose body fat, athletes should exercise for at least 30 to 60 minutes. Athletes who are not fit will need to start with lesser amounts of exercise. They can slowly add more time as their endurance improves. Increasing the level of exercise about 10% per week is a good goal to prevent overuse injury.

Cross-training may help reduce the risk of overuse injuries. This is done by alternating different kinds of activities. To avoid putting too much stress on the body and help prevent injuries, it is wise to alternate high-impact activities, like running, with low-impact exercises, like walking, cycling, and swimming.

How hard should athletes train?

Training at low to moderate intensity levels is enough to improve endurance. In general, this level of intensity is more enjoyable and less likely to lead to injuries than high-intensity training.

However, aerobic training programs should be designed to match each athlete's fitness level. There are 3 ways to measure aerobic training intensity.

  • 1. The "talk test." During a workout, athletes should be able to say a few words comfortably, catch their breath, and resume talking. If it is difficult to say a few words, then athletes should probably slow down. If athletes can talk easily without getting out of breath, then they are probably not training hard enough.

  • 2. Heart rate. Aerobic training occurs when heart rate during exercise is between 60% to 90% of maximal heart rate. Athletes can figure out their maximal heart rate by subtracting their age from 220.

How to Calculate Target Heart Rate (HR)

Maximal HR = 220 – your age

60% maximal HR = 0.6 X (220 – your age)

90% maximal HR = 0.9 X (220 – your age)

Example for a 15-year-old

Maximal HR: 220 – 15 = 205

60% maximal HR: 0.6 x 205 = 123

90% maximal HR: 0.9 x 205 = 184.5

Target HR range for aerobic training is 123 to 184 beats per minute.

  • 3. Level of difficulty. Athletes can determine how hard the exercise feels on a scale of 1 to 10 using the Borg Scale of perceived exertion. The ideal range for aerobic training is between 2 and 7.

Borg Scale of Perceived Exertion—How to Tell How Hard You Are Exercising

0 Nothing at all
0.5 Very, very weak
1 Very weak
2 Weak
3 Moderate
4 Somewhat strong
5 Strong
6
7 Very strong
8
9 Very, very strong
10 Maximal

Other factors affecting aerobic training response

  • Baseline fitness level. The more unfit athletes are, the greater the training response. However, as athletes become more fit, it will take higher levels of training to improve further.

  • Genetics. Genetics play a large role in an athlete's natural fitness level as well as how much he will improve as a result of training.

  • Growth. As children grow, they are able to respond more to aerobic training. However, before puberty, the aerobic training response is much less than during and after puberty. This is why aerobic training is of limited value for improving endurance in young children. Activities should focus more on other goals, such as skill development and fun.

Copyright © American Academy of Pediatrics Date Updated: Nov 17 2024 20:38 Version 0.1

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February 12, 2026
There have been cases of measles in NC, with exposures in Chapel Hill, Durham, and Wake County. We can give the MMR dose early to families who want it. This applies to infants 6-12 months who have not gotten a dose yet or kids under 4-5 years who have not gotten their second MMR dose. At this time, the NC DHHS and health departments are not recommending this unless traveling or living in an area with sustained transmission. Two doses of the MMR vaccine are highly effective (97%) at preventing measles infections. At CHCAC, children receive their first dose at 12 months of age and a second dose at 4 years of age, ensuring they are fully protected as soon as possible, in accordance with the most up-to-date AAP recommendations. Some infants aged 6 months to 11 months who travel internationally or in high-prevalence areas may need a dose to protect them; however, they still require the 1-year and 4-year-old doses as well. If you are ever concerned about a possible exposure to measles, please CALL before entering our office. DO NOT ENTER the office. NC DHHS keeps a list of areas with measles exposures here . This is a highly contagious illness, and special precautions must be taken to prevent spread. The virus can be present in the air for 2 hours after an infected person is in the room, and 90% of susceptible patients can be infected. As always, if you have questions, we are here to help make sense of it all!