scholarly journals Step Test: a method for evaluating maximum oxygen consumption to determine the ability kind of work among students of medical emergencies

10.19082/4020 ◽  
2017 ◽  
Vol 9 (03) ◽  
pp. 4020-4026 ◽  
Author(s):  
Payam Heydari ◽  
Sakineh Varmazyar ◽  
Ahmad Nikpey ◽  
Ali Safari Variani ◽  
Mojtaba Jafarvand
Author(s):  
Natalya V. Bobkina ◽  
Maxim V. Lyadov ◽  
Marina Y. Gerasimenko ◽  
Irina V. Zhitareva

BACKGROUND: In recent years, along with the development of new pharmacological approaches and treatment COLD (chronic obstructive lung disease), a significant attention is paid to the study of non-medical methods of treatment and correction of the system inflammation occurring. AIMS: To assess the effectiveness of the use of heated oxygen-helium mixture (OHM) in the rehabilitation of patients with chronic obstructive bronchitis on an outpatient polyclinic stage. MATERIALS AND METHODS: The supervision was 102 patients aged from 32 to 56 (43.74.1) years. All patients entered into research signed voluntary informed consent. Patients were divided into three groups: the first group (n=32) is the control; the second group (n=35) is the main one. Patients of these groups had a verified diagnosis: chronic obstructive bronchitis, moderate and moderate degree of obstruction, the duration of the disease amounted to 2 years to 16 (5.41.4) years. The third group (n=35) is practically healthy patients. The patients of the second and third group passed the respiratory course of heated OHM (the temperature of the mixture in the mask 50). Breathing was carried out in cyclical-fractionated mode: the breath of the mixture 5 minutes then breathing with atmospheric air 5 minutes (one cycle), 3 cycles for the procedure. The course of treatment consisted of 1 procedure per day for 10 days from the first day of the study. The clinical efficacy of reducing treatment was assessed before the start of therapy, after the 10th procedure in the following indicators: Harvard step test index, systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (heart rate), blood pressure recovery time, maximum oxygen consumption (MOC); diagnosis of psycho-emotional state using WBAM Questionnaire (well-beingactivitymood). RESULTS: In the group of practically healthy patients, a positive dynamics was noted in the speed of adaptive processes for the restoration of the cardiovascular system after physical exertion of the form of a decrease in blood pressure reduction time, a decrease in systolic blood pressure, the indicators of the Harvard step test index and maximum oxygen consumption increased. Patients with chronic obstructive bronchitis, who passed the breathing rate of heated oxygen-helium mixture, had an increase in points on WBAM Questionnaire, which indicates the improvement of the psycho-emotional state of patients. CONCLUSION: The use of the course of breathing heated oxygen-helium mixture in patients with chronic obstructive bronchitis does not affect the increase in physical performance. The use of heated oxygen-helium mixture has a positive effect on the functional state of practically healthy patients, which is manifested in the form of slowing the connection of the anaerobic mechanisms of energy supply in the process of performing physical exertion, leading to an increase in oxygen consumption, improving physical performance.


Author(s):  
Juliane Heydenreich ◽  
Yves Schutz ◽  
Katarina Melzer ◽  
Bengt Kayser

Submaximal step tests are often used for estimation of maximum oxygen consumption (VO2max) in humans. The validity of the Actiheart step test for VO2max estimation was not fully studied yet. Therefore, purpose of the study was to estimate VO2max using the Actiheart step test and to compare the data with measured VO2max in endurance trained athletes (ATH) and healthy non-athletes (CON).68 ATH (54% men, 28.0±5.4 yrs, 20.9±1.7 kg∙m-2) and 63 CON (46% men, 27.6±5.1 yrs, 22.1±1.7 kg∙m-2) performed the Actiheart step test and a spiroergometry for assessment of VO2max. In addition, resting metabolic rate (RMR; indirect calorimetry), maximum heart rate (HRmax; heart rate monitoring system during spiroergometry), and sleeping heart rate (SHR; Actiheart 6-day long term measurement) were determined. Validity of two different Actiheart software entry modes was assessed: (1) AHraw (estimated RMR [Schofield] and HRmax [Tanaka], SHR = 70 bpm) and (2) AHcomplete (measured RMR, HRmax, and SHR). Validity was investigated using linear regression (R2 and standard error of the estimate (SEE)) and repeated-measures ANOVA with a Bonferroni post-hoc correction. The level of significance was set to α=0.05.VO2max estimated by AHraw was significant related to measured VO2max in women CON (R2=0.22; p<0.05), whereas when VO2max was estimated by AHcomplete the relation was significant in women ATH and CON, and in men CON (R2=0.17-0.24; p<0.05). AHraw significantly underestimated VO2max in the total sample by 8% (51.4±10.2 vs. 55.9±7.6 ml∙kg-1∙min-1; p<0.0001), whereas no significant difference between AHcomplete and the criterion method was found (57.0±11.1 vs. 55.9±7.6 ml∙kg-1∙min-1; p=0.26).The Actiheart step test is an acceptable tool for the estimation of VO2max if an error within 8% can be tolerated. However, accuracy of the VO2max prediction is much improved when entering measured variables, such as RMR, SHR, and HRmax, into the software.


2021 ◽  
Vol 11 (7) ◽  
pp. 37-43
Author(s):  
Namrata Krishnat Patil ◽  
Archana Methe ◽  
Drashti Shah

Background: Obesity is accumulation of excessive fat in adipose tissue due to which endurance is decreased leading to negative impact on cardiovascular endurance. The prevalence of obesity in females is more than in males that is 44.7%. Obesity leads to decrease in endurance and thus negative impact on cardiovascular endurance. VO2max is common measure of cardiopulmonary fitness. Endurance training leads to increased mitochondrial activity which decreases lactic acid accumulation at given VO2 and improving performance by enhancing fat oxidation. Fartlek training is a speed play which leads to improve the endurance capacity. Thus this study was aimed to find the effectiveness of Fartlek training on maximum oxygen consumption in young obese females. Material and Methodology: 30 subjects with obesity class I (n=30) were selected in this study, with age group 18-25 years based on inclusion and exclusion criteria with their consent. Fartlek training was given 4 days per week for 5 weeks. Queens College step test was used to assess the pre and post effects of the training. Results: Fartlek training showed significant effect on maximum oxygen consumption. Mean pre queens college step test of young obese females receiving Fartlek training was 39.2. Mean post queens college step test for the same was 42.2. The mean difference pre and post queens college step up test is zero (p=0.000). Conclusion: The study concluded that there was significant effect of Fartlek training on maximum oxygen consumption in young obese females. Key words: Obesity, young females, Cardiovascular endurance, Fartlek training, Queens College step test.


2008 ◽  
Vol 30 (1) ◽  
pp. 73-81 ◽  
Author(s):  
On Lee ◽  
Sung Soo Kim ◽  
Yeon Soo Kim ◽  
Hyun Jin Son ◽  
Yu Mi Kim ◽  
...  

Author(s):  
Yu.G. Solonin ◽  
T.P. Loginova ◽  
I.O. Garnov ◽  
A.L. Markov ◽  
A.A. Chernykh ◽  
...  

The aim of the study is to examine the impact of training status on ski racers (Komi Republic) at rest and under bicycle ergometry evaluating their cardiorespiratory system parameters. Materials and Methods. The authors examined male ski racers with different training status: 22 first-rank sportsmen, 22 candidates for Master of Sports and 22 Masters of Sports. Athletes underwent bicycle ergometry loads up to refusal. Oxycon Pro system (Germany) was used. Then authors studied the complex of cardiorespiratory parameters, calculating maximum oxygen consumption and unit physiological cost. Results. At rest and under standard physical load (200 W) Masters of Sports demonstrate significantly increased training status among ski racers in such cardiorespiratory system parameters as heart rate, rate pressure product and oxygen pulse. Under standard physical load (200 W) statistically significant differences between first-rank sportsmen and candidates for Master of Sports are detected by heart rate, rate pressure product, respiration rate, respiratory minute volume and oxygen utilization coefficient. Such deviations indicate differences in training status. Under maximum load, the highest training status is found in Masters of Sports: bicycle ergometry load power and duration; unit pulse, pressor and cardiac cost, bulk and unit values of maximum oxygen consumption. Heart rate values, unit pulse and heart-vent cost indicate a high training status in candidates for Master of Sports under load up to refusal, if compared with first-rank sportsmen. Athletes’ organism under load up to refusal works more efficiently than under moderate load (200 W). The training status in ski racers (Komi Republic) is manifested in the saving cardiorespiratory system functions, both at rest and under standard bicycle ergometry, as well as in parameters of unit physiological cost under loads up to refusal and increased values of maximum oxygen consumption. Keywords: ski racers, Komi Republic, training status, bicycle ergometry loads, cardiorespiratory system, maximum oxygen consumption.


Author(s):  
Manuel Chavarrias ◽  
Santos Villafaina ◽  
Ana Myriam Lavín-Pérez ◽  
Jorge Carlos-Vivas ◽  
Eugenio Merellano-Navarro ◽  
...  

Background and objectives: Obesity or overweight is associated with many health risk factors and preventable mortality. Even people with normal weight and without history of obesity or overweight should avoid weight gain to reduce health risks factors. In this regard Latin aerobic dances involved in Zumba® practice make this modality motivating for people. Apart from weight loss and VO2peak benefits, Zumba practice is also interesting by the increase in adherence which can also avoid weight regain. The aim was to systematically review the scientific literature about the effects of any randomized intervention of Zumba® practice on total fat mass (%) and maximum oxygen consumption (VO2peak), besides establishing directions for the clinical practice. Evidence acquisition: Two systematic searches were conducted in two electronic databases following the PRISMA guidelines. The eligibility criteria were (a) outcomes: body mass or VO2peak data including mean and standard deviation (SD) before and after Zumba® intervention, (b) study design: randomized controlled trial (RCT) and (c) language: English. GRADE guidelines were used to assess the quality of evidence. A meta-analysis was performed to determine mean differences. Nine and four studies were selected for fat mass percentage and VO2peak in the systematic review, respectively. However, only eight studies for fat mass percentage and three for VO2peak could be included in the meta-analysis. Evidence synthesis: The overall standardized mean difference for fat mass was −0.25 with a 95% CI from −0.67 to 0.16 with a p-value of 0.69, with large heterogeneity. On the other hand, the overall effect size for VO2peak was 0.53 (95% CI from 0.04 to 1.02 with a p-value of 0.03) with large heterogeneity. Conclusions: Based on the evidence, we cannot conclude that Zumba® is effective at reducing body mass but it may improve VO2peak. However, the limited number of studies that met the inclusion criteria makes it too early to reach a definite conclusion, so more research is needed.


2008 ◽  
Vol 33 (4) ◽  
pp. 735-742 ◽  
Author(s):  
Aldo Sassi ◽  
Franco M. Impellizzeri ◽  
Andrea Morelli ◽  
Paolo Menaspà ◽  
Ermanno Rampinini

The primary purpose of this study was to compare seasonal changes in cycling gross efficiency (GE) and economy (EC) with changes in other aerobic fitness indices. The secondary aim was to assess the relationship between maximum oxygen consumption, GE, and EC among elite cyclists. The relationships of maximum oxygen consumption with GE and EC were studied in 13 cyclists (8 professional road cyclists and 5 mountain bikers). Seasonal changes in GE and EC, predicted time to exhaustion (pTE), maximum oxygen consumption, and respiratory compensation point (RCP) were examined in a subgroup of 8 subjects, before (TREST) and after (TPRECOMP) the pre-competitive winter training, and during the competitive period (TCOMP). GE and EC were assessed during a constant power test at 75% of peak power output (PPO). Significant main effect for time was found for maximum oxygen consumption (4.623 ± 0.675, 4.879 ± 0.727, and 5.010 ± 0.663 L·min–1; p = 0.028), PPO (417.8 ± 46.5, 443.0 ± 48.0, and 455 ± 48 W; p < 0.001), oxygen uptake at RCP (3.866 ± 0.793, 4.041 ± 0.685, and 4.143 ± 0.643 L·min–1; p = 0.049), power output at RCP (330 ± 64, 354 ± 52, and 361 ± 50 W; p < 0.001), and pTE (17 ± 4, 30 ± 8, and 46 ± 17 min; p < 0.001). No significant main effect for time was found in GE (p = 0.097) or EC (p = 0.225), despite within-subject seasonal changes. No significant correlations were found between absolute maximum oxygen consumption and GE (r = –0.276; p = 0.359) or EC (r = –0.328; p = 0.272). However, cyclists with high maximum oxygen consumption values (i.e., over 80 mL·kg–1·min–1), showed low efficiency rates. Despite within-subject seasonal waves in cycling efficiency, changes in GE and EC should not be expected as direct consequence of changes in other maximal and submaximal parameters of aerobic fitness (i.e., maximum oxygen consumption and RCP).


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