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Heart Rate, Rate-Pressure Product, and Oxygen Uptake During Four Sexual Activities

Heart Rate, Rate-Pressure Product, and Oxygen Uptake During Four Sexual Activities Abstract • Heart rate, rate-pressure product, and Vo2 were measured in ten healthy men during four specified sexual activities: coitus with husband on top, coitus with wife on top, noncoital stimulation of husband by wife, and self-stimulation by husband. Foreplay generated slight, but statistically significant, increases above resting baseline in cardiac and metabolic variables. From stimulation through orgasm, average effort was modest for relatively short spans. Maximum exercise values occurred during the brief spans of orgasm, then returned quickly to near baseline levels. The two noncoital activities required lower expenditures than the two coital positions, with man-on-top coitus rating the highest. Large variations among subjects and among activities discourage use of a general equivalent activity for comparison, such as "two flights of stairs," to represent "sexual activity." (Arch Intern Med 1984;144:1745-1748) References 1. Heart Facts . Dallas, American Heart Association, 1982. 2. Klein RF, Dean A, Willson LM, et al: The physician and postmyocardial infarction invalidism. JAMA 1965;194:123-148.Crossref 3. Wishnie HA, Hackett TP, Cassem NH: Psychological hazards of convalescence following myocardial infarction. JAMA 1971;215:1292-1296.Crossref 4. Adsett CA, Bruhn JG: Short-term group psychotherapy for post-myocardial infarction patients and their wives. Can Med Ass J 1968;99: 577-584. 5. Hellerstein HK, Friedman EH: Sexual activity and the postcoronary patient. Arch Intern Med 1970;125:987-999.Crossref 6. Tuttle WB, Cook WL, Fitch E: Sexual behavior in post-myocardial infarction patients. Am J Cardiol 1964;13:140.Crossref 7. Block A, Maeder JP, Haissly JC: Sexual problems after myocardial infarction. Am Heart J 1975;90:536-537.Crossref 8. Croog SH, Levine S: The Heart Patient Recovers . New York, Human Sciences Press, 1977, p 186. 9. Masur FT: Resumption of sexual activity following myocardial infarction. Sex Dis 1979;2:98-114.Crossref 10. Griffith GC: Sexuality and the cardiac patient. Heart Lung 1973;2: 70-73. 11. Larson JL, McNaughton MW, Kennedy JW, et al: Heart rate and blood pressure responses to sexual activity and a stair-climbing test. Heart Lung 1980;9:1025-1030. 12. Nemec ED, Mansfield L, Kennedy JW: Heart rate and blood pressure responses during sexual activity in normal males. Am Heart J 1976;92: 274-277.Crossref 13. Auchincloss JH, Bilbert R, Bowman RP, et al: Determination of maximal oxygen uptake with unsteady-state measurements. J Appl Physiol 1972;31:191-197. 14. Stein RA: The effect of exercise training on heart rate during coitus in the post myocardial infarction patient. Circulation 1977;55:738-740.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Heart Rate, Rate-Pressure Product, and Oxygen Uptake During Four Sexual Activities

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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1984.00350210057007
Publisher site
See Article on Publisher Site

Abstract

Abstract • Heart rate, rate-pressure product, and Vo2 were measured in ten healthy men during four specified sexual activities: coitus with husband on top, coitus with wife on top, noncoital stimulation of husband by wife, and self-stimulation by husband. Foreplay generated slight, but statistically significant, increases above resting baseline in cardiac and metabolic variables. From stimulation through orgasm, average effort was modest for relatively short spans. Maximum exercise values occurred during the brief spans of orgasm, then returned quickly to near baseline levels. The two noncoital activities required lower expenditures than the two coital positions, with man-on-top coitus rating the highest. Large variations among subjects and among activities discourage use of a general equivalent activity for comparison, such as "two flights of stairs," to represent "sexual activity." (Arch Intern Med 1984;144:1745-1748) References 1. Heart Facts . Dallas, American Heart Association, 1982. 2. Klein RF, Dean A, Willson LM, et al: The physician and postmyocardial infarction invalidism. JAMA 1965;194:123-148.Crossref 3. Wishnie HA, Hackett TP, Cassem NH: Psychological hazards of convalescence following myocardial infarction. JAMA 1971;215:1292-1296.Crossref 4. Adsett CA, Bruhn JG: Short-term group psychotherapy for post-myocardial infarction patients and their wives. Can Med Ass J 1968;99: 577-584. 5. Hellerstein HK, Friedman EH: Sexual activity and the postcoronary patient. Arch Intern Med 1970;125:987-999.Crossref 6. Tuttle WB, Cook WL, Fitch E: Sexual behavior in post-myocardial infarction patients. Am J Cardiol 1964;13:140.Crossref 7. Block A, Maeder JP, Haissly JC: Sexual problems after myocardial infarction. Am Heart J 1975;90:536-537.Crossref 8. Croog SH, Levine S: The Heart Patient Recovers . New York, Human Sciences Press, 1977, p 186. 9. Masur FT: Resumption of sexual activity following myocardial infarction. Sex Dis 1979;2:98-114.Crossref 10. Griffith GC: Sexuality and the cardiac patient. Heart Lung 1973;2: 70-73. 11. Larson JL, McNaughton MW, Kennedy JW, et al: Heart rate and blood pressure responses to sexual activity and a stair-climbing test. Heart Lung 1980;9:1025-1030. 12. Nemec ED, Mansfield L, Kennedy JW: Heart rate and blood pressure responses during sexual activity in normal males. Am Heart J 1976;92: 274-277.Crossref 13. Auchincloss JH, Bilbert R, Bowman RP, et al: Determination of maximal oxygen uptake with unsteady-state measurements. J Appl Physiol 1972;31:191-197. 14. Stein RA: The effect of exercise training on heart rate during coitus in the post myocardial infarction patient. Circulation 1977;55:738-740.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Sep 1, 1984

References