Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:25:p2
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 25 (pt 2/4)
Character Range: 41526–45407

METs level should only be made using exercise tests. The following activities are listed for information only.

    7-8 METs                                        + Chopping hardwood.
+ Very heavy exercise                    + Callisthenics.
+ Jogging (8 km/h).                        + Squash (non
+ Horseback riding (galloping).           - competitive).
+ Carrying heavy objects
(30 kg) on level ground. 10+ METs
+ Sawing hardwood with + Running quickly hand tools.               (10 km/h).
                           + Cycling quickly (25 km/h).
8-9 METs                                            Carrying loads (10 kg)
+ Running (9 km/h).                           up a gradient.
+ Skiing (cross-country).               + Football (any code).

 Alternate procedures for establishing the symptomatic activity level

    1. The symptomatic activity level may be determined by exercise tests. These tests include:
    + use of treadmills; or
+ cycles; or
+ rowing machines.

    Because of their greater objectivity, the results of exercise tests (when available) are to be used in preference to the method of calculating exercise tolerance as described above. Moreover, exercise tests must always be used to make an estimate of exercise tolerance above 6-7 METs.

    2. If certain levels of activity have been prohibited by the treating doctor, because of the adverse effect the prohibited activity is likely to have on the veteran's health as a result of the accepted condition, then the level of exercise that has been prohibited may be regarded as the symptomatic activity level.

SCALE
1.1

CARDIORESPIRATORY IMPAIRMENT: ACTIVITY LEVELS (with energy expenditure in METs)

       1-2 METs Energy expended at rest or minimal activity
                   * Lying down.
                   * Sitting and drinking tea.
                   * Using sewing machine (electric).
                   * Sitting down.
                   * Sitting and talking on telephone.
                   * Travelling in car as passenger.
                   * Standing.
                   * Sitting and knitting.
                   * Playing cards.
                   * Strolling (slowly).
                   * Light sweeping.
                   * Clerical work (desk work only).

                2-3 METs  Energy expended in dressing, washing and performing light house- hold duties
                   * Light household duties.
                   * Walking slowly (3.5 km/h).
                   * Playing piano, violin, or organ.
                   * Typing.
                   * Cooking or preparing meals.
                   * Playing billiards.
                   * Clerical work which involves moving around.
                   * Setting table.
                   * Driving power boat.
                   * Washing dishes.
                   * Playing golf (with power buggy).
                   * Bench assembly work (seated).
                   * Dressing, showering.
                   * Horseback riding at walk.
                   * Using self-propelled mower.
                   * Light tidying, dusting.
                   * Lawn bowls.
                   * Polishing silver.
                   * Driving car.

                3-4 METs Energy expended in walking at an average pace
                   * Walking at average walking pace (5 km/h).
                   * Golf (pulling buggy).
                   * Machine assembly.
                   * Cleaning car (excludes vigorous polishing).
                   * Minor car repairs.
                   * Tidying house.
                   * Welding.
                   * Cleaning windows.
                   * Table tennis.

   Ratings derived from METs are age adjusted

(continued next page)

SCALE
1.1 (cont'd)

CARDIORESPIRATORY IMPAIRMENT: ACTIVITY LEVELS (with energy expenditure in METs) continued

                   * Pushing