ASTRAND-RYHMING CYCLE EXERCISE TESTING PROTOCOL
- Moran Sciamama-Saghiv
- Sep 2
- 6 min read
Updated: Oct 16
Disclaimer: The content of this blog post, authored by Dr. Moran Sciamama-Saghiv, is provided for informational and educational purposes only and does not constitute medical advice, diagnosis, or treatment. No doctor–patient relationship is created by reading or applying the information. Readers should always consult a licensed healthcare professional before making decisions related to medications or treatment. Neither the author nor any affiliated party assumes any liability for actions taken based on this content.
The Astrand-Ryhming Cycle Exercise Testing Protocol is a widely recognized method for assessing cardiovascular fitness and aerobic capacity. This protocol is particularly useful for exercise physiologists, fitness trainers, and health professionals who aim to evaluate an individual's fitness level in a controlled environment. In this blog post, you will learn about the background of the Astrand-Ryhming test, the step-by-step procedure for conducting the test, and the interpretation of results.
Background of the Astrand-Ryhming Test
The Astrand-Ryhming test was developed in the 1950s by Swedish physiologists Per Astrand and Kaare Ryhming. It is a submaximal exercise test that estimates an individual's maximal oxygen uptake (VO2 max) based on heart rate response to exercise. The test is particularly advantageous because it requires minimal equipment and can be performed in various settings, making it accessible for many individuals. The primary goal of the Astrand-Ryhming test is to determine an individual's aerobic capacity, which is a crucial indicator of overall cardiovascular health. By understanding your VO2 max, you can tailor your fitness program to meet your specific needs and goals.

Equipment Needed
Before you begin the Astrand-Ryhming test, ensure you have the following equipment:
Cycle Ergometer: A stationary bike that allows for controlled resistance and speed.
Heart Rate Monitor: A device to accurately measure heart rate during the test.
Stopwatch: To time the duration of each exercise stage.
Metronome: Optional, but can help maintain a consistent pedaling cadence.
Data Recording Sheet: To document heart rate and workload.
Having the right equipment is essential for conducting the test accurately and safely.
Preparing for the Test
Before conducting the Astrand-Ryhming test, it is crucial to prepare both the environment and the individual being tested. Here are some steps to follow:
Informed Consent: Ensure that the individual understands the purpose of the test and has provided informed consent.
Pre-Test Screening: Conduct a health screening to identify any contraindications to exercise. This may include a review of medical history and current medications.
Warm-Up: Allow the individual to perform a light warm-up for 5-10 minutes to prepare their muscles and cardiovascular system for the test.
Familiarization: If the individual is unfamiliar with the cycle ergometer, allow them to practice pedaling at a comfortable pace for a few minutes.
By taking these preparatory steps, you can help ensure a safe and effective testing experience.
Conducting the Astrand-Ryhming Test
The Astrand-Ryhming test consists of a series of stages, each lasting six minutes. The workload is adjusted based on the individual's fitness level. Here’s a step-by-step guide to conducting the test:
Step 1: Initial Workload
Begin with a workload that is appropriate for the individual's fitness level. For untrained individuals, a starting workload of 300 kgm/min (approximately 50 watts) is recommended. For trained individuals, you may start at a higher workload.
Step 2: Monitor Heart Rate
During the first six minutes, monitor the individual's heart rate continuously. It is essential to ensure that the heart rate stabilizes within the last two minutes of each stage.
Step 3: Increase Workload
After the initial six minutes, increase the workload by 150 kgm/min (approximately 25 watts) for the next stage. Continue to monitor heart rate throughout this stage.
Step 4: Repeat Stages
Repeat the process of increasing the workload every six minutes until the individual reaches a heart rate of approximately 85% of their age-predicted maximum heart rate or until they can no longer maintain the required pedaling cadence.
Step 5: Cool Down
Once the test is complete, allow the individual to cool down for 5-10 minutes at a low intensity to help their heart rate gradually return to baseline levels. By following these steps, you can effectively conduct the Astrand-Ryhming test and gather valuable data on the individual's aerobic capacity.

Interpreting the Results
After completing the test, it is essential to interpret the results accurately. The primary outcome measure is the estimated VO2 max, which can be calculated using the following formula:
\[ \text{VO2 max} = \frac{(Workload \times 1.8) + 7}{Body \, Weight} \]
Where:
Workload is measured in kgm/min
Body weight is measured in kg
Example Calculation
For example, if an individual completed the test at a workload of 600 kgm/min and weighs 70 kg, the calculation would be:
\[ \text{VO2 max} = \frac{(600 \times 1.8) + 7}{70} \]
This calculation will provide you with an estimate of the individual's VO2 max, which can then be compared to normative data to assess their fitness level.
Factors Affecting Results
Several factors can influence the results of the Astrand-Ryhming test, including:
Age: VO2 max typically declines with age, so it is essential to consider age-related norms when interpreting results.
Gender: Males generally have higher VO2 max values than females due to differences in body composition and muscle mass.
Fitness Level: Trained individuals will typically have higher VO2 max values compared to untrained individuals.
Environmental Conditions: Temperature, humidity, and altitude can all affect exercise performance and heart rate response.
By taking these factors into account, you can provide a more accurate assessment of the individual's fitness level.
Benefits of the Astrand-Ryhming Test
The Astrand-Ryhming test offers several benefits, making it a popular choice for fitness assessments:
Simplicity: The test is straightforward to administer and requires minimal equipment.
Accessibility: It can be performed in various settings, including gyms, clinics, and research facilities.
Submaximal Nature: Since the test is submaximal, it is suitable for individuals of varying fitness levels, including those who may be deconditioned or have health concerns.
Predictive Validity: The test provides a reliable estimate of VO2 max, which is a critical indicator of cardiovascular fitness.
By understanding these benefits, you can appreciate why the Astrand-Ryhming test is widely used in fitness assessments.

Limitations of the Astrand-Ryhming Test
While the Astrand-Ryhming test has many advantages, it also has some limitations:
Submaximal Testing: The test estimates VO2 max rather than measuring it directly, which may lead to inaccuracies in some individuals.
Heart Rate Variability: Factors such as hydration status, stress, and medications can affect heart rate response, potentially skewing results.
Not Suitable for All Populations: Individuals with certain medical conditions or those who are severely deconditioned may not be able to complete the test safely.
Equipment Dependency: The accuracy of the test relies on the proper functioning of the cycle ergometer and heart rate monitor.
By being aware of these limitations, you can better interpret the results and make informed decisions regarding fitness programming.
Conclusion
The Astrand-Ryhming Cycle Exercise Testing Protocol is a valuable tool for assessing cardiovascular fitness and estimating VO2 max. By following the outlined procedures and understanding the factors that influence results, you can effectively evaluate an individual's aerobic capacity. Whether you are a fitness professional, exercise physiologist, or simply someone interested in improving your health, the Astrand-Ryhming test can provide you with essential insights into your fitness level. Remember to consider the benefits and limitations of the test, and use the results to inform your fitness journey.
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