scholarly journals Incremental exercise test performance with and without a respiratory gas collection system

2016 ◽  
Vol 20 (2) ◽  
Author(s):  
J Clark
Keyword(s):  
Exercise Testing ◽  
Exercise Test ◽  
Test Performance ◽  
Perceived Exertion ◽  
Lactate Concentration ◽  
Incremental Exercise ◽  
Rating Of Perceived Exertion ◽  
Time To Exhaustion ◽  
Collection System ◽  
Incremental Exercise Test

Objective. Despite their widespread use in exercise testing, few data are available on the effect of wearing respiratory gas collection (RGC) systems on exercise test performance. Industrial-type mask wear is thought to impair exercise performance through increased respiratory dead space, flow resistance and/or discomfort when compared with RGC facemasks, but whether performance decrements exist for RGC facemask wear versus non-wear is unclear. The objective of this study was to evaluate the difference in incremental exercise test performance with and without a RGC system. Incremental exercise test performance with and without a respiratory gas collection system  Design. Twenty moderately active males (age 21.0 ± 1.9 years; VO2peak 55.9 ± 3.0 ml∙kg-1∙min-1) performed two progressive treadmill tests to volitional exhaustion. In random order subjects ran with (MASK) or without (NO-MASK) a RGC facemask and flow sensor connected to a gas analyzer. Descriptive data (mean ± SD) were determined for all parameters. The Wilcoxon signed rank test for paired differences was used to assess mean differences between MASK and NO-MASK conditions. Results. Exercise time to exhaustion, peak treadmill speed, peak blood lactate concentration, peak heart rate and rating of perceived exertion (RPE) were not different (p>0.05) between MASK and NO-MASK conditions. Conclusions. Incremental exercise test performance is not adversely affected by RGC and analysis equipment, at least in short duration progressive treadmill exercise. Respiratory gas analysis during exercise testing for diagnostic, performance assessment or training prescription purposes would appear to be unaffected by RGC systems.

scholarly journals Incremental exercise test performance with and without a respiratory gas collection system

2017 ◽  
Vol 20 (2) ◽  
Author(s):  
J Clark
Keyword(s):  
Exercise Testing ◽  
Exercise Test ◽  
Test Performance ◽  
Perceived Exertion ◽  
Lactate Concentration ◽  
Incremental Exercise ◽  
Rating Of Perceived Exertion ◽  
Time To Exhaustion ◽  
Collection System ◽  
Incremental Exercise Test

Objective. Despite their widespread use in exercise testing, few data are available on the effect of wearing respiratory gas collection (RGC) systems on exercise test performance. Industrial-type mask wear is thought to impair exercise performance through increased respiratory dead space, flow resistance and/or discomfort when compared with RGC facemasks, but whether performance decrements exist for RGC facemask wear versus non-wear is unclear. The objective of this study was to evaluate the difference in incremental exercise test performance with and without a RGC system. Incremental exercise test performance with and without a respiratory gas collection system  Design. Twenty moderately active males (age 21.0 ± 1.9 years; VO2peak 55.9 ± 3.0 ml∙kg-1∙min-1) performed two progressive treadmill tests to volitional exhaustion. In random order subjects ran with (MASK) or without (NO-MASK) a RGC facemask and flow sensor connected to a gas analyzer. Descriptive data (mean ± SD) were determined for all parameters. The Wilcoxon signed rank test for paired differences was used to assess mean differences between MASK and NO-MASK conditions. Results. Exercise time to exhaustion, peak treadmill speed, peak blood lactate concentration, peak heart rate and rating of perceived exertion (RPE) were not different (p>0.05) between MASK and NO-MASK conditions. Conclusions. Incremental exercise test performance is not adversely affected by RGC and analysis equipment, at least in short duration progressive treadmill exercise. Respiratory gas analysis during exercise testing for diagnostic, performance assessment or training prescription purposes would appear to be unaffected by RGC systems.

scholarly journals Physiological responses and cycle characteristics during double-poling versus diagonal-stride roller-skiing in junior cross-country skiers

2021 ◽  
Author(s):  
Erik P. Andersson ◽  
Irina Hämberg ◽  
Paulo Cesar Do Nascimento Salvador ◽  
Kerry McGawley
Keyword(s):  
Oxygen Uptake ◽  
Perceived Exertion ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Peak Oxygen Uptake ◽  
Submaximal Exercise ◽  
Rating Of Perceived Exertion ◽  
Time To Exhaustion ◽  
Double Poling ◽  
Cross Country

Abstract Purpose This study aimed to compare physiological factors and cycle characteristics during cross-country (XC) roller-skiing at matched inclines and speeds using the double-poling (DP) and diagonal-stride (DS) sub-techniques in junior female and male XC skiers. Methods Twenty-three well-trained junior XC skiers (11 women, 12 men; age 18.2 ± 1.2 yr.) completed two treadmill roller-skiing tests in a randomized order using either DP or DS. The exercise protocols were identical and included a 5 min warm-up, 4 × 5 min submaximal stages, and an incremental test to exhaustion, all performed at a 5° incline. Results No significant three-way interactions were observed between sex, submaximal exercise intensity, and sub-technique. For the pooled sample, higher values were observed for DP versus DS during submaximal exercise for the mean oxygen uptake kinetics response time (33%), energy cost (18%), heart rate (HR) (9%), blood lactate concentration (5.1 versus 2.1 mmol·L−1), rating of perceived exertion (12%), and cycle rate (25%), while cycle length was lower (19%) (all P < 0.001). During the time-to-exhaustion (TTE) test, peak oxygen uptake ($$\dot{V}$$ V ˙ O2peak), peak HR, and peak oxygen pulse were 8%, 2%, and 6% lower, respectively, for DP than DS, with a 29% shorter TTE during DP (pooled data, all P < 0.001). Conclusion In well-trained junior XC skiers, DP was found to exert a greater physiological load than DS during uphill XC roller-skiing at submaximal intensities. During the TTE test, both female and male athletes were able to ski for longer and reached markedly higher $$\dot{V}$$ V ˙ O2peak values when using DS compared to DP.

scholarly journals Ventilatory compensation during the incremental exercise test is inversely correlated with air trapping in COPD

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1661
Author(s):  
Rottem Kuint ◽  
Neville Berkman ◽  
Samir Nusair
Keyword(s):  
Gas Exchange ◽  
Exercise Testing ◽  
Exercise Test ◽  
Cardiopulmonary Exercise Testing ◽  
Incremental Exercise ◽  
Peak Exercise ◽  
Air Trapping ◽  
Incremental Exercise Test ◽  
Cardiopulmonary Exercise ◽  
Copd Patients

Background: Air trapping and gas exchange abnormalities are major causes of exercise limitation in chronic obstructive pulmonary disease (COPD). During incremental cardiopulmonary exercise testing, actual nadir values of ventilatory equivalents for carbon dioxide (V E/VCO 2) and oxygen (V E/VO 2) may be difficult to identify in COPD patients because of limited ventilatory compensation capacity. Therefore, we aimed in this exploratory study to detect a possible correlation between the magnitude of ventilation augmentation, as manifested by increments in ventilatory equivalents from nadir to peak exercise values and air trapping, detected with static testing.    Methods: In this observational study, we studied data obtained previously from 20 COPD patients who, during routine follow-up, underwent a symptom-limited incremental exercise test and in whom a plethysmography was obtained concurrently. Air trapping at rest was assessed by measurement of the residual volume (RV) to total lung capacity (TLC) ratio (RV/TLC). Gas exchange data collected during the symptom-limited incremental cardiopulmonary exercise test allowed determination of the nadir and peak exercise values of V E/VCO 2 and V E/VO 2, thus enabling calculation of the difference between peak exrcise value and nadir values of  V E/VCO 2 and V E/VO 2, designated ΔV E/VCO 2 and ΔV E/VO 2, respectively. Results: We found a statistically significant inverse correlation between both ΔV E/VCO 2 (r = -0. 5058, 95% CI -0.7750 to -0.08149, p = 0.0234) and ΔV E/VO 2 (r = -0.5588, 95% CI -0.8029 to -0.1545, p = 0.0104) and the degree of air trapping (RV/TLC). There was no correlation between ΔV E/VCO 2 and forced expiratory volume in the first second, or body mass index.  Conclusions: The ventilatory equivalents increment to compensate for acidosis during incremental exercise testing was inversely correlated with air trapping (RV/TLC).

scholarly journals Ventilatory compensation during the incremental exercise test is inversely correlated with air trapping in COPD

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1661
Author(s):  
Rottem Kuint ◽  
Neville Berkman ◽  
Samir Nusair
Keyword(s):  
Gas Exchange ◽  
Exercise Testing ◽  
Exercise Test ◽  
Cardiopulmonary Exercise Testing ◽  
Incremental Exercise ◽  
Peak Oxygen Consumption ◽  
Air Trapping ◽  
Incremental Exercise Test ◽  
Cardiopulmonary Exercise ◽  
Copd Patients

Background: Air trapping and gas exchange abnormalities are major causes of exercise limitation in chronic obstructive pulmonary disease (COPD). During incremental cardiopulmonary exercise testing, ventilatory equivalents for carbon dioxide (VE/VCO2) and oxygen (VE/VO2) may be difficult to identify in COPD patients because of limited ventilatory compensation capacity. Therefore, we aimed to detect a possible correlation between the magnitude of ventilation augmentation, as manifested by increments in ventilatory equivalents from nadir to peak effort values and air trapping, detected with static testing.    Methods: In this observational study, we studied data obtained previously from 20 COPD patients who, during routine follow-up, underwent a symptom-limited incremental exercise test and in whom a plethysmography was obtained concurrently. Air trapping at rest was assessed by measurement of the residual volume (RV) to total lung capacity (TLC) ratio (RV/TLC). Gas exchange data collected during the symptom-limited incremental cardiopulmonary exercise test allowed determination of the nadir and peak effort values of VE/VCO2 and VE/VO2, thus enabling calculation of the difference between peak effort value and nadir values of  VE/VCO2 and VE/VO2, designated ΔVE/VCO2 and ΔVE/VO2, respectively. Results: We found a statistically significant inverse correlation between both ΔVE/VCO2 (r = -0. 5058, 95% CI -0.7750 to -0.08149, p = 0.0234) and ΔVE/VO2 (r = -0.5588, 95% CI -0.8029 to -0.1545, p = 0.0104) and the degree of air trapping (RV/TLC). There was no correlation between                ΔVE/VCO2 and peak oxygen consumption, forced expiratory volume in the first second, or body mass index.  Conclusions: The ventilatory equivalents increment to compensate for acidosis during incremental exercise testing was inversely correlated with air trapping (RV/TLC) and may be a candidate prognostic biomarker.

Physiological Responses to Short-Duration High-Intensity Intermittent Rowing

1996 ◽  
Vol 21 (3) ◽  
pp. 197-208 ◽  
Author(s):  
Lennart Gullstrand
Keyword(s):  
Heart Rate ◽  
Oxygen Uptake ◽  
Blood Lactate ◽  
Exercise Test ◽  
Intermittent Exercise ◽  
Lactate Concentration ◽  
Incremental Exercise ◽  
Competition Intensity ◽  
Incremental Exercise Test ◽  
Rowing Ergometer

Six highly trained male elite rowers performed five sets of intermittent exercise on a rowing ergometer at competition intensity. Each set consisted of eight cycles of 15 s work and 15 s rest (15/15). Each set was repeated at 30-s intervals. Oxygen uptake and heart rate were continuously measured during each set. During the period between sets, microsamples of arterialized blood were obtained and later analyzed for lactate concentration. On two separate days, each subject also performed a 6-min bout of "all-out " exercise and a continuous incremental exercise test to fatigue on the rowing ergometer. During the intermittent rowing, no significant differences were detected in any of the measured variables between sets. Heart rate, oxygen uptake, and blood lactate averaged 89, 78, and 32%, respectively, of peak values measured during the continuous incremental exercise test. It is concluded that with rowing, the investigated 15/15 intermittent exercise model demands relatively high aerobic loading and low glycolytic activity. This exercise protocol may be considered an alternative model for training which allows rowers to work for prolonged periods of time at or slightly above competition intensity. Key words: Intermittent exercise, blood lactate, heart rate, oxygen uptake

scholarly journals Perceived effort of funtional activities after a period of mechanical ventilation

2002 ◽  
Vol 58 (4) ◽  
Author(s):  
R. Roos ◽  
H. Van Aswegen ◽  
C. J. Eales
Keyword(s):  
Mechanical Ventilation ◽  
Case Report ◽  
Exercise Testing ◽  
Exercise Test ◽  
Perceived Exertion ◽  
Rating Of Perceived Exertion ◽  
Subjective Rating ◽  
Borg Scale ◽  
Perceived Effort ◽  
Functional Exercise

A case report to assess exercise testing post-mechanical ventilation, using functional activities while monitoring changes in the physiological parameters and subjective rating of perceived exertion.  The case report subject was able to use the Modified Borg Scale to report  her perception of perceived exertion during functional exercise testing.  An increase in heart rate, respiratory rate and Modified Borg Scale rating was noted on progression through the exercise test.  Difficulty was experienced with subject follow-up due to discharged from hospital as soon as the patient was considered to be medically stable.  The subject was unable to complete the functional exercise test before discharge.

scholarly journals Feasibility and suitability of a graded exercise test in patients with aggressive hemato-oncological disease

2021 ◽  
Author(s):  
Anja Großek ◽  
Thomas Elter ◽  
Max Oberste ◽  
Florian Wolf ◽  
Niklas Joisten ◽  
...  
Keyword(s):  
Exercise Test ◽  
Sports Medicine ◽  
Perceived Exertion ◽  
Lactate Concentration ◽  
High Dose Chemotherapy ◽  
Rating Of Perceived Exertion ◽  
Aggressive Lymphoma ◽  
High Dose ◽  
Graded Exercise Test ◽  
Graded Exercise

Abstract Purpose Physical activity promises to reduce disease-related symptoms and therapy-related side effects in patients suffering from aggressive lymphoma (L) or acute leukemia (AL). For an efficient training program, determination of patients’ physical capacity with a purposive exercise test is crucial. Here, we evaluated the feasibility and suitability of a graded exercise test (GXT) frequently applied in patients suffering from solid tumors by assessing whether patients achieved criteria for maximal exercise testing according to the American College of Sports Medicine (ACSM). Methods The GXT was performed by 51 patients with an aggressive L or AL prior to the start or in the earliest possible phase of high-dose chemotherapy, following a recommended protocol for cancer patients, starting at 20 Watts (W), with an increase of 10 W/min until volitional exhaustion. Subsequently, we investigated whether the following ACSM criteria were fulfilled: (1) failure of heart rate to increase despite increasing workload, (2) post-exercise capillary lactate concentration ≥ 8.0 mmol L−1, (3) rating of perceived exertion at exercise cessation > 17 on the 6–20 Borg Scale. Results Out of 51 patients, two, six, and 35 participants met the first, second, and third criterion, respectively. No relevant relationships between the completion of the criteria and patients’ characteristics (e.g., gender, age) were found. Conclusion Although results of this study suggest a general feasibility of the applied GXT, the ACSM criteria were not met by the majority of the participants. Therefore, this study raises doubts about the suitability of the GXT protocol and the ACSM criteria for this group of patients.

The Effect of Compression Garments on Performance in Elite Winter Biathletes

2021 ◽  
Vol 16 (1) ◽  
pp. 145-148
Author(s):  
Tom Toolis ◽  
Kerry McGawley
Keyword(s):  
Perceived Exertion ◽  
Thermal Sensation ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Time Trial ◽  
Rating Of Perceived Exertion ◽  
Time To Exhaustion ◽  
Compression Garments ◽  
Cross Country Skiing ◽  
Cross Country

Purpose: To evaluate the effects of wearing upper- and lower-body compression garments on cross-country skiing performance in elite winter biathletes. Methods: A total of 7 senior biathletes (4 men and 3 women) from the Swedish national team performed 2 exercise trials in a randomized and counterbalanced order, wearing either commercially available upper- and lower-body compression garments (COMP) or a standard winter-biathlon racing suit (CON). In each trial, the athletes roller-skied on a customized treadmill, completing a time trial simulating the skiing duration of a biathlon sprint race, followed by a time-to-exhaustion test designed to elicit exhaustion within ∼60 to 90 seconds. Heart rate, blood lactate concentration, rating of perceived exertion, thermal sensation, and thermal comfort were monitored throughout each trial, while muscle soreness was measured up to 48 hours after each trial. Results: Pressure exerted by the clothing was significantly higher at all anatomical sites for COMP compared with CON (P ≤ .002). Wearing COMP led to small positive effects on time-trial (d = 0.31) and time-to-exhaustion test (d = 0.31) performances compared with CON, but these differences were not statistically significant (P > .05). No significant differences were found for any physiological (heart rate or blood lactate concentration) or subjective (rating of perceived exertion, thermal sensation, thermal comfort, or muscle soreness) responses between COMP and CON (P > .05). Conclusion: Wearing COMP during maximal cross-country skiing may have small but worthwhile beneficial effects on performance for some individuals. Due to individual variation, athletes are advised to test COMP prior to competition.

scholarly journals The Effects of Sub‐Technique and Pole Length on Classic Roller Skiing Performance and Physiological Responses at Steep Uphill Inclination

2021 ◽  
Vol 77 (1) ◽  
pp. 97-105
Author(s):  
Per-Øyvind Torvik ◽  
Johan Persson ◽  
Roland van den Tillaar
Keyword(s):  
Heart Rate ◽  
Perceived Exertion ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Peak Oxygen Uptake ◽  
Rating Of Perceived Exertion ◽  
Time To Exhaustion ◽  
Double Poling ◽  
Cross Country ◽  
Improved Performance

Abstract The aims of this study were to compare performance with physiological and perceptual responses on steep uphill inclines between double poling and diagonal stride and to investigate the effects of pole length when double poling. Eight male, competitive cross-country skiers (22 ± 1.1 yrs, peak oxygen uptake (VO2peak) in the diagonal stride: 69.4 ± 5.5 ml·kg-1·min-1) performed four identical tests, one in the diagonal stride, and three in double poling with different pole lengths (self-selected, self-selected -5 cm and self-selected +10 cm). Each test was conducted at a fixed speed (10 km/h), with inclination rising by 1%, starting with 7%, each until voluntary exhaustion. VO2peak, the heart rate, blood lactate concentration, and the rating of perceived exertion were determined for each pole length in each test. The peak heart rate (p < 0.001) and VO2peak (p = 0.004) were significantly higher in the diagonal stride test compared with double poling with all pole lengths. Time to exhaustion (TTE) differed significantly between all four conditions (all p < 0.001), with the following order from the shortest to the longest TTE: short poles, normal poles and long poles in double poling, and the diagonal stride. Consequently, a significantly higher slope inclination was reached (p < 0.001) using the diagonal stride (17%) than for double poling with long poles (14%), normal (13%) and short (13%) poles. The current study showed better performance and higher VO2peak in the diagonal stride compared to double poling in steep uphill terrain, demonstrating the superiority of the diagonal stride for uphill skiing. However, in double poling, skiers achieved improved performance due to greater skiing efficiency when using long poles, compared to normal and short poles.

scholarly journals Functional Translation of Exercise Responses from Exercise Testing to Exercise Training: The Test of a Model

2021 ◽  
Vol 6 (3) ◽  
pp. 66
Author(s):  
Tristan Tyrrell ◽  
Jessica Pavlock ◽  
Susan Bramwell ◽  
Cristina Cortis ◽  
Scott T. Doberstein ◽  
...  
Keyword(s):  
Exercise Testing ◽  
Exercise Test ◽  
Perceived Exertion ◽  
Exercise Prescription ◽  
Test Results ◽  
Training Intensity ◽  
Ratings Of Perceived Exertion ◽  
Metabolic Equivalents ◽  
Cardiovascular Drift ◽  
And Training

Exercise prescription based on exercise test results is complicated by the need to downregulate the absolute training intensity to account for cardiovascular drift in order to achieve a desired internal training load. We tested a recently developed generalized model to perform this downregulation using metabolic equivalents (METs) during exercise testing and training. A total of 20 healthy volunteers performed an exercise test to define the METs at 60, 70, and 80% of the heart rate (HR) reserve and then performed randomly ordered 30 min training bouts at absolute intensities predicted by the model to achieve these levels of training intensity. The training HR at 60 and 70% HR reserve, but not 80%, was significantly less than predicted from the exercise test, although the differences were small. None of the ratings of perceived exertion (RPE) values during training were significantly different than predicted. There was a strong overall correlation between predicted and observed HR (r = 0.88) and RPE (r = 0.52), with 92% of HR values within ±10 bpm and 74% of RPE values within ±1 au. We conclude that the generalized functional translation model is generally adequate to allow the generation of early absolute training loads that lead to desired internal training loads.

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