The validity of regulating blood lactate concentration during running by ratings of perceived exertion

Tailoring exercise intensity: Acute and chronic effects of constant-speed and heart rate-clamped exercise in healthy, inactive adults

OBJECTIVES

This study tested whether speed-controlled exercise prescriptions result in greater external training load and acute cardiorespiratory responses at the end of exercise compared to heart rate-controlled prescriptions, despite equivalent intensity at the start of exercise. It also investigated whether speed-controlled prescriptions lead to greater improvements in cardiorespiratory fitness after 8 weeks of training.

DESIGN

A two-group, randomized block design with repeated testing sessions.

METHODS

Thirty-four healthy, inactive adults were randomized into two groups. One group trained at a constant speed set midway between the first and second lactate thresholds, whereas the other trained at the corresponding heart rate. Both groups performed 30 min of continuous exercise three times per week for 8 weeks. Speed, heart rate, and oxygen consumption were measured at the end of the first session and later time points for complementary analysis. Peak treadmill speed and maximal oxygen consumption were assessed before and after the intervention.

RESULTS

At the end of the first session, the speed group showed higher values compared to the heart rate group for speed (1.5 km/h), heart rate (22 bpm), and oxygen consumption (6.0 mL/kg/min) (all p < 0.001). Similarly, adaptive changes were greater in the speed group, with a larger increase in peak treadmill speed (0.9 km/h, p < 0.001) and maximal oxygen consumption (1.2 mL/kg/min, p = 0.01).

CONCLUSIONS

These findings indicate that the exercise intensity reference method influences acute responses and chronic adaptations to exercise in healthy, inactive adults.

Exercise responses to perceptually regulated high intensity interval exercise with continuous and intermittent hypoxia in inactive overweight individuals

To investigate the acute effects of hypoxia applied during discrete work and recovery phases of a perceptually regulated, high-intensity interval exercise (HIIE) on external and internal loads in inactive overweight individuals. On separate days, 18 inactive overweight (28.7 ± 3.3 kg m-2; 31 ± 8 years) men and women completed a cycling HIIE protocol (6 × 1 min intervals with 4 min active recovery, maintaining a perceived rating of exertion of 16 and 10 during work and recovery, respectively, on the 6-20 Borg scale) in randomized conditions: normoxia (NN), normobaric hypoxia (inspired O2 fraction ∼0.14) during both work and recovery (HH), hypoxia during recovery (NH) and hypoxia during work only (HN). Markers of external (relative mean power output, MPO) and internal load (blood lactate concentration, heart rate and tissue saturation index (TSI)) were measured. MPO was lower in HH compared to NN, NH and HN (all P < 0.001), with HN also being lower than NN (P < 0.001) and NH (P < 0.023). Heart rate was higher in HN than NN, HH and NH (all P < 0.001). Blood lactate response was higher in NN than HH (P = 0.003) and NH (P = 0.008). Changes in the TSI area above the curve were greater in HN relative to NN, HH and NH (all P < 0.001). Hypoxia applied intermittently during the work or recovery phases may mitigate the declines in mechanical output observed when exercise is performed in continuous hypoxia, although hypoxia implemented during the work phase resulted in elevated heart rate and lactate response. Specifically, exercise performance largely comparable to that in normoxia can be achieved when hypoxia is implemented exclusively during recovery.

Metabolic and Perceptual Responses to Constant Heart Rate Exercise at Vigorous Intensities in Women

PURPOSE

This study quantified the metabolic demands (oxygen uptake (V̇O 2 )), power output adjustments, changes in the V̇O 2 /power output ratio, and perceptual responses (rating of perceived exertion (RPE)) during constant heart rate (HR) exercise performed within the vigorous intensity range (77%-95% HR peak ).

METHODS

Twelve women (mean ± SD age, 22 ± 4 yr) performed a graded exercise test to exhaustion to determine peak parameters, and three randomly ordered, constant HR trials to exhaustion or for 60 min at the lower (HR L = 77% HR peak ), middle (HR M = 86% HR peak ), and higher (HR H = 95% HR peak ) end of the vigorous intensity range. Time course of changes and patterns of responses were examined for V̇O 2 , power output, V̇O 2 /power output, and RPE for the composite and for each subject.

RESULTS

Across the HR L (time to exhaustion ( Tlim ) = 56.3 ± 9.9 min), HR M (51.8 ± 13.5 min), and HR H (27.2 ± 17.7 min) trials, V̇O 2 and power output decreased quadratically ( P < 0.05) relative to the initial value from 10% to 100% of Tlim , whereas the V̇O 2 /power output increased quadratically from 20% to 100% Tlim , and RPE increased linearly from 50% to 100% Tlim . The V̇O 2 and RPE, collapsed across time, for HR L (54.3% ± 3.3% V̇O 2peak , 11 ± 1.5 RPE) were lower than HR M (64.9% ± 4.5% V̇O 2peak , 14 ± 1.7 RPE), and both were lower than HR H (80.1% ± 4.1% V̇O 2peak , 17 ± 1.4 RPE). None of the 12 subjects at HR L , 6 at HR M , and 7 at HR H were within the vigorous V̇O 2 range.

CONCLUSIONS

The HR L was not sufficient to meet the desired metabolic intensity for vigorous exercise, whereas the middle to higher end of the range elicited a V̇O 2 within the prescribed range of only ~50%-60% of the subjects. This study indicated that exercise held constant at a percentage of HR peak cannot consistently be used to prescribe a desired metabolic stimulus.

Guidelines for physical activity in children with heart disease

Justification

In recent years, there has been increasing recognition of children with heart disease in our country. These children belong to different age groups and have untreated, partially treated, or completely treated heart disease. The role of physical activity for optimal physical, emotional, and psychosocial well-being for children is well understood. There is a challenge for the parents and the medical professionals to take a decision regarding the type of physical activity safe for the child as heart disease may affect the hemodynamic demands. Most of the existing international guidelines focus on competitive sports in operated heart disease children. This may be of limited use when we have a mixed population of children with heart disease, different types of sports in our country and where a larger subset is looking for recommendations to leisure time activities.

Process

The Pediatric Cardiac Society of India decided to formulate recommendations for physical activity in children with heart diseases. A committee of experts, who were well-versed with the subject of physical activity in children with heart disease, volunteered to take up the task of writing the guidelines. The recommendations emerged following deliberations of the committee members, on the virtual platform as well as mails. The final version of manuscript was approved by all committee members and all members are co-authors of this manuscript. The different types of physical activities were defined including leisure sports and competitive sports. The exercise was classified based on the mechanical action of muscles involved into dynamic and static components. Each type of exercise was then classified based on the intensity into low, medium, and high. Recommendations for the type of physical activity for individual heart lesions were decided based on the rationale available.

Objectives

The recommendations here are made with an intention to provide general guidelines for physical activity in children with operated and unoperated heart diseases, not excluding a need for individualizing a plan, serial assessment, and comprehensive checkup in special situations.

Recommendations

We hope the recommendations mentioned below would provide basic clarity in planning physical activity in children with heart disease. This is with the hope to encourage physically active life, at the same time ensuring a safety net.

Decrease in work rate in order to keep a constant heart rate: biomarker of exercise intolerance following a 10-day bed rest

Aerobic exercise prescription is often set at specific heart rate (HR) values. Previous studies demonstrated that during exercise carried out at a HR slightly above that corresponding to the gas exchange threshold (GET), work rate (WR) has to decrease in order to maintain HR constant. We hypothesized a greater WR decrease at a fixed HR following simulated microgravity/inactivity (bed rest, BR). Ten male volunteers (23±5 yr) were tested before (PRE) and after (POST) a 10-day horizontal BR, and performed on a cycle ergometer: a) incremental exercise; b) 15-min HR_CLAMPED exercise, in which WR was continuously adjusted to maintain a constant HR, corresponding to that at 120% of GET determined in PRE; c) two moderate-intensity constant WR (MOD) exercises. Breath-by-breath VO₂^, HR and other variables were determined. After BR, VO_2peak and GET significantly decreased, by about 10%. During HR_CLAMPED (145±11 b∙min^-1), the decrease in WR needed to maintain a constant HR was greater in POST vs. PRE (-39±10 vs. -29±14%, p<0.01). In 6 subjects the decreased WR switched from the heavy- to the moderate-intensity domain. The decrease in WR during HR_CLAMPED, in PRE vs. POST, was significantly correlated with the VO_2peak decrease (R²=0.52; p=0.02). A greater amplitude of the slow component of the HR kinetics was observed during MOD following BR. Exercise at a fixed HR is not associated with a specific WR or WR domain; the problem, affecting exercise evaluation and prescription, is greater following BR. The WR decrease during HR_CLAMPED is a biomarker of exercise intolerance following BR.

An Examination and Critique of Subjective Methods to Determine Exercise Intensity: The Talk Test, Feeling Scale, and Rating of Perceived Exertion

Prescribing exercise intensity is crucial in achieving an adequate training stimulus. While numerous objective methods exist and are used in practical settings for exercise intensity prescription, they all require anchor measurements that are derived from a maximal or submaximal graded exercise test or a series of submaximal or supramaximal exercise bouts. Conversely, self-reported subjective methods such as the Talk Test (TT), Feeling Scale (FS) affect rating, and rating of perceived exertion (RPE) do not require exercise testing prior to commencement of the exercise training and therefore appear as more practical tools for exercise intensity prescription. This review is intended to provide basic information on reliability and construct validity of the TT, FS, and RPE measurements to delineate intensity domains. The TT and RPE appear to be valid measures of both the ventilatory threshold and the respiratory compensation threshold. Although not specifically examined, the FS showed tendency to demarcate ventilatory threshold, but its validity to demarcate the respiratory compensation threshold is limited. Equivocal stage of the TT, RPE of 10-11, and FS ratings between fairly good (+ 1) and good (+ 3) are reflective of the ventilatory threshold, while negative stage of the TT, RPE of 13-15, and FS ratings around neutral (0) are reflective of the respiratory compensation threshold. The TT and RPE can effectively be used to elicit homeostatic disturbances consistent with the moderate, heavy, and severe intensity domains, while physiological responses to constant FS ratings show extensive variability around ventilatory threshold to be considered effective in demarcating transition between moderate and heavy intensity domains.

Toward the Personalization of Biceps Fatigue Detection Model for Gym Activity: An Approach to Utilize Wearables' Data from the Crowd

Nowadays, wearables-based Human Activity Recognition (HAR) systems represent a modern, robust, and lightweight solution to monitor athlete performance. However, user data variability is a problem that may hinder the performance of HAR systems, especially the cross-subject HAR models. Such a problem may have a lesser effect on the subject-specific model because it is a tailored model that serves a specific user; hence, data variability is usually low, and performance is often high. However, such a performance comes with a high cost in data collection and processing per user. Therefore, in this work, we present a personalized model that achieves higher performance than the cross-subject model while maintaining a lower data cost than the subject-specific model. Our personalization approach sources data from the crowd based on similarity scores computed between the test subject and the individuals in the crowd. Our dataset consists of 3750 concentration curl repetitions from 25 volunteers with ages and BMI ranging between 20-46 and 24-46, respectively. We compute 11 hand-crafted features and train 2 personalized AdaBoost models, Decision Tree (AdaBoost-DT) and Artificial Neural Networks (AdaBoost-ANN), using data from whom the test subject shares similar physical and single traits. Our findings show that the AdaBoost-DT model outperforms the cross-subject-DT model by 5.89%, while the AdaBoost-ANN model outperforms the cross-subject-ANN model by 3.38%. On the other hand, at 50.0% less of the test subject's data consumption, our AdaBoost-DT model outperforms the subject-specific-DT model by 16%, while the AdaBoost-ANN model outperforms the subject-specific-ANN model by 10.33%. Yet, the subject-specific models achieve the best performances at 100% of the test subjects' data consumption.

Role of nitric oxide in convective and diffusive skeletal microvascular oxygen kinetics

Progress in understanding physiological mechanisms often consists of discrete discoveries made across different models and species. Accordingly, understanding the mechanistic bases for how altering nitric oxide (NO) bioavailability impacts exercise tolerance (or not) depends on integrating information from cellular energetics and contractile regulation through microvascular/vascular control of O₂ transport and pulmonary gas exchange. This review adopts state-of-the-art concepts including the intramyocyte power grid, the Wagner conflation of perfusive and diffusive O₂ conductances, and the Critical Power/Critical Speed model of exercise tolerance to address how altered NO bioavailability may, or may not, affect physical performance. This question is germane from the elite athlete to the recreational exerciser and particularly the burgeoning heart failure (and other clinical) populations for whom elevating O₂ transport and/or exercise capacity translates directly to improved life quality and reduced morbidity and mortality. The dearth of studies in females is also highlighted, and areas of uncertainty and questions for future research are identified.

Is Rating of Perceived Exertion a Valuable Tool for Monitoring Exercise Intensity During Steady-State Conditions in Elite Endurance Athletes?

PURPOSE

Rating of perceived exertion (RPE) is a widely used tool to assess subjective perception of effort during exercise. The authors investigated between-subject variation and effect of exercise mode and sex on Borg RPE (6-20) in relation to heart rate (HR), oxygen uptake (VO2), and capillary blood lactate concentrations.

METHODS

A total of 160 elite endurance athletes performed a submaximal and maximal test protocol either during cycling (n = 84, 37 women) or running (n = 76, 32 women). The submaximal test consisted of 4 to 7 progressive 5-minute steps within ∼50% to 85% of maximal VO2. For each step, steady-state HR, VO2, and capillary blood lactate concentrations were assessed and RPE reported. An incremental protocol to exhaustion was used to determine maximal VO2 and peak HR to provide relative (%) HR and VO2 values at submaximal work rates.

RESULTS

A strong relationship was found between RPE and %HR, %VO2, and capillary blood lactate concentrations (r = .80-.82, all Ps < .05). The between-subject coefficient of variation (SD/mean) for %HR and %VO2 decreased linearly with increased RPE, from ∼10% to 15% at RPE 8 to ∼5% at RPE 17. Compared with cycling, running induced a systematically higher %HR and %VO2 (∼2% and 5%, respectively, P < .05) with these differences being greater at lower intensities (RPE < 13). At the same RPE, women showed a trivial, but significantly higher %HR and %VO2 than men (<1%, P < .05).

CONCLUSIONS

Among elite endurance athletes, exercise mode influenced RPE at a given %HR and %VO2, with greater differences at lower exercise intensities. Athletes should manage different tools to evaluate training based on intensity and duration of workouts.

On the Impact of Biceps Muscle Fatigue in Human Activity Recognition

Nowadays, Human Activity Recognition (HAR) systems, which use wearables and smart systems, are a part of our daily life. Despite the abundance of literature in the area, little is known about the impact of muscle fatigue on these systems’ performance. In this work, we use the biceps concentration curls exercise as an example of a HAR activity to observe the impact of fatigue impact on such systems. Our dataset consists of 3000 biceps concentration curls performed and collected from 20 volunteers aged between 20–35. Our findings indicate that fatigue often occurs in later sets of an exercise and extends the completion time of later sets by up to 31% and decreases muscular endurance by 4.1%. Another finding shows that changes in data patterns are often occurring during fatigue presence, causing seven features to become statistically insignificant. Further findings indicate that fatigue can cause a substantial decrease in performance in both subject-specific and cross-subject models. Finally, we observed that a Feedforward Neural Network (FNN) showed the best performance in both cross-subject and subject-specific models in all our evaluations.

Towards Detecting Biceps Muscle Fatigue in Gym Activity Using Wearables

Fatigue is a naturally occurring phenomenon during human activities, but it poses a bigger risk for injuries during physically demanding activities, such as gym activities and athletics. Several studies show that bicep muscle fatigue can lead to various injuries that may require up to 22 weeks of treatment. In this work, we adopt a wearable approach to detect biceps muscle fatigue during a bicep concentration curl exercise as an example of a gym activity. Our dataset consists of 3000 bicep curls from twenty middle-aged volunteers at ages between 27 to 30 and Body Mass Index (BMI) ranging between 18 to 28. All volunteers have been gym-goers for at least 1 year with no records of chronic diseases, muscle, or bone surgeries. We encountered two main challenges while collecting our dataset. The first challenge was the dumbbell's suitability, where we found that a dumbbell weight (4.5 kg) provides the best tradeoff between longer recording sessions and the occurrence of fatigue on exercises. The second challenge is the subjectivity of RPE, where we average the reported RPE with the measured heart rate converted to RPE. We observed from our data that fatigue reduces the biceps' angular velocity; therefore, it increases the completion time for later sets. We extracted a total of 33 features from our dataset, which have been reduced to 16 features. These features are the most overall representative and correlated with bicep curl movement, yet they are fatigue-specific features. We utilized these features in five machine learning models, which are Generalized Linear Models (GLM), Logistic Regression (LR), Random Forests (RF), Decision Trees (DT), and Feedforward Neural Networks (FNN). We found that using a two-layer FNN achieves an accuracy of 98% and 88% for subject-specific and cross-subject models, respectively. The results presented in this work are useful and represent a solid start for moving into a real-world application for detecting the fatigue level in bicep muscles using wearable sensors as we advise athletes to take fatigue into consideration to avoid fatigue-induced injuries.

Treadmill running using an RPE-clamp model: mediators of perception and implications for exercise prescription

PURPOSE

The mediators of the perception of effort during exercise are still unclear. The aim of the present study was to examine physiological responses during runs using a rating of perceived exertion (RPE)-clamp model at the RPE corresponding to the gas exchange threshold (RPE_GET) and 15% above GET (RPE_GET+15%) to identify potential mediators and performance applications for RPE during treadmill running.

METHODS

Twenty-one runners ([Formula: see text]_max = 51.7 ± 8.3 ml kg^-1 min^-1) performed a graded exercise test to determine maximal oxygen consumption and the RPE associated with GET and GET + 15% followed by randomized 60 min RPE-clamp runs at RPE_GET and RPE_GET+15%. Mean differences for [Formula: see text], heart rate (HR), minute ventilation ([Formula: see text]), respiratory frequency ([Formula: see text], respiratory exchange ratio (RER), and velocity were compared across each run.

RESULTS

After minute 14, [Formula: see text], RER and velocity did not differ across conditions, but decreased across time (p < 0.05). There was a significant (p < 0.05) condition × time interaction for [Formula: see text], where values were significantly higher during RPE-clamp runs at RPE_GET+15% and decreased across time in both conditions. There were no differences across condition or time for HR, and only small difference between conditions for [Formula: see text].

CONCLUSIONS

HR and [Formula: see text] may play a role in mediating the perception of effort, while [Formula: see text], RER, and [Formula: see text] may not. Although HR and [Formula: see text] may mediate the maintenance of a perceptual intensity, they may not be sensitive to differentiate perceptual intensities at GET and GET + 15%. Thus, prescribing exercise using an RPE-clamp model may only reflect a sustainable [Formula: see text] within the moderate intensity domain.

Exercise Testing of Adolescents and Young Adults With Sickle Cell Disease: Perceptual Responses and the Gas Exchange Threshold

For individuals with sickle cell disease (SCD), mild to moderate exercise is advised, but self-regulation of these intensities is difficult. To regulate intensity, one SCD recommendation is to stop exercising at the first perception of fatigue. However, perceived effort and affect (how one feels) are perceptual cues that are commonly used to guide exercise intensity. This study (a) examined perceived effort, affect, and fatigue in relation to metabolic state (gas exchange) in adolescents and young adults (AYAs) with SCD, (b) explored guidelines AYAs use to self-regulate exercise, and (c) compared perceived effort and affect at gas exchange threshold (GET) with healthy counterparts. Twenty-two AYAs with SCD completed an incremental cycle test. Perceived effort, affect, and fatigue were assessed every 2 minutes. A mixed-effects linear model was conducted to model changes in effort, affect, and fatigue across time. Mean scores of effort and affect at GET were compared with published data of healthy counterparts. Participants were queried about self-regulation exercise strategies. Findings indicated that both perceived fatigue and effort at GET was lower than expected. Perceived effort was lower (p < .0001), and perceived affect was significantly higher (p = .0009) than healthy counterparts. Interviews revealed that most participants (95%) do not stop exercising until fatigue is moderate to severe, and many (73%) do not stop until symptoms are severe (chest tightness, blurry vision). Nurses should review guidelines for safe exercise with AYAs with SCD. Exercise training may be beneficial to AYAs with SCD for learning how to interpret bodily responses to exercise to improve self-regulation.

Fatigue and Recovery in Soccer: Evidence and Challenges

Background:

Soccer presents physiological, metabolic, physical and psychological demands which can deteriorate players’ performance due to fatigue. The high variability in physiological, metabolic, physical and psychological responses also influences the magnitude of exercise-induced muscle damage, with symptoms negatively affecting neuromuscular function during recovery or subsequent training sessions or matches. Consequently, more precise and consistent knowledge is required in this area to optimize training and performance.

Objective:

Therefore, the purpose is to sum-up current evidence on fatigue and recovery in soccer players, to shed light on factors that can affect players’ performance, and to suggest applications for coaches and further research.

Method:

A comprehensive review of the scientific literature on the field was conducted.

Results:

Physical performance decrements during matches have traditionally been associated with physiological fatigue, but the magnitude of the symptoms in soccer players is unclear and depends on several factors. Moreover, the decline in physical performance during a soccer match is related to specific demands of each match. These could explain inter-individual variability in acute fatigue or training recovery processes when comparing players from the same team. Recovery counteracts the effects of fatigue, both peripheral and central, but there is a lack of consensus about the usefulness of tests used to monitor fatigue and recovery kinetics.

Conclusion:

Although fatigue and recovery in soccer has been extensively studied, there are still uncertainties about the underlying mechanisms because they are influenced by physiological and match-related demands.

Electromyographic, mechanomyographic, and metabolic responses during cycle ergometry at a constant rating of perceived exertion

Ten subjects performed four 8-min rides (65%-80% peak oxygen consumption) to determine the physical working capacity at the OMNI rating of perceived exertion (RPE) threshold (PWCOMNI). Polynomial regression analyses were used to examine the patterns of responses for surface electromyographic (EMG) amplitude (EMG AMP), EMG mean power frequency (EMG MPF), mechanomyographic (MMG) AMP, and MMG MPF of the vastus lateralis as well as oxygen consumption rate, respiratory exchange ratio (RER), and power output (PO) were examined during a 1-h ride on a cycle ergometer at a constant RPE that corresponded to the PWCOMNI. EMG AMP and MMG MPF tracked the decreases in oxygen consumption rate, RER, and PO, while EMG MPF and MMG AMP tracked RPE. The decreases in EMG AMP and MMG MPF were likely attributable to decreases in motor unit (MU) recruitment and firing rate, while the lack of change in MMG AMP may have resulted from a balance between MU de-recruitment as PO decreased, and an increase in the ability of activated fibers to oscillate. The current findings suggested that during submaximal cycle ergometry at a constant RPE, MU de-recruitment and mechanical changes within the muscle may influence the perception of effort via feedback from group III and IV afferents.

Strength training increases endurance time to exhaustion during high-intensity exercise despite no change in critical power

The purpose of this study was to determine whether improvements in endurance exercise performance elicited by strength training were accurately reflected by changes in parameters of the power-duration hyperbola for high-intensity exercise. Before and after 8 weeks of strength training (N = 14) or no exercise, control (N = 5), 19 males (age: 20.6 ± 2.0 years; weight: 78.2 ± 15.9 kg) performed a maximal incremental exercise test on a cycle ergometer and also cycled to exhaustion during 4 constant-power exercise bouts. Critical power (CP) and anaerobic work capacity (W') were estimated using nonlinear and linear models. Subjects in the strength training group improved significantly more than controls (p < 0.05) for strength (~30%), power at V[Combining Dot Above]O2peak (7.9%), and time to exhaustion (TTE) for all 4 constant-power tests (~39%). Contrary to our hypothesis, CP did not change significantly after strength training (p > 0.05 for all models). Strength training improved W' (mean range of improvement = +5.8 to +10.0 kJ; p < 0.05) for both linear models. Increases in W' were consistently positively correlated with improvements in TTE, whereas changes in CP were not. Our findings indicate that strength training alters the power-duration hyperbola such that W' is enhanced without any improvement in CP. Consequently, CP may not be robust enough to track changes in endurance capacity elicited by strength training, and we do not recommend it to be used for this purpose. Conversely, W' may be the better indicator of improvement in endurance performance elicited by strength training.

Influence of terminal RPE on session RPE

Session rating of perceived exertion (RPE; SRPE), a convenient model for monitoring the overall perceived exertion of an exercise bout, is not well understood. The SRPE may be linked to final acute RPE before exercise cessation. This study investigated the potential link between terminal acute RPE (TRPE) and the SRPE using cycling trials of equated work. Fifteen subjects (age: 24.3 ± 5.1 years) completed a maximal exertion cycle trial followed by 2 (counterbalanced) 40-minute cycling trials at approximately 75% of individualized V[Combining Dot Above]O2max. By manipulating warm-up and cooldown, the trials were designed to result in a high TRPE (HITRPE) and low TRPE (LOTRPE). The heart rate (HR) and RPE were recorded every 5 minutes during exercise, with the SRPE recorded 20 minutes postexercise. The mean RPE (MeanRPE) during exercise (min 10-40 HITRPE and minutes 5-35 for LOTRPE) was calculated by averaging all RPE responses recorded during exercise at 75% V[Combining Dot Above]O2max. Two-way (trial × time) repeated measures analysis of variance and Bonferroni post hoc tests were used to compare the MeanRPE, SRPE, and TRPE. MeanRPE, HR, and power output (using paired t-test) for exercise at 75% V[Combining Dot Above]O2max did not differ (p > 0.05) between HITRPE and LOTRPE. The TRPE at minute 40 was significantly lower (p < 0.05) for LOTRPE (3.1 ± 2.6) vs. HITRPE (8.2 ± 1.7), no significant difference was found for SRPE (LOTRPE: 7.6 ± 2.0 vs. HITRPE 7.4 ± 1.7). The findings indicate that the SRPE was not linked to TRPE. Further research is warranted using various modalities to extend the understanding of potential mediating factors of SRPE.

High-intensity interval training, solutions to the programming puzzle. Part II: anaerobic energy, neuromuscular load and practical applications

High-intensity interval training (HIT) is a well-known, time-efficient training method for improving cardiorespiratory and metabolic function and, in turn, physical performance in athletes. HIT involves repeated short (<45 s) to long (2-4 min) bouts of rather high-intensity exercise interspersed with recovery periods (refer to the previously published first part of this review). While athletes have used 'classical' HIT formats for nearly a century (e.g. repetitions of 30 s of exercise interspersed with 30 s of rest, or 2-4-min interval repetitions ran at high but still submaximal intensities), there is today a surge of research interest focused on examining the effects of short sprints and all-out efforts, both in the field and in the laboratory. Prescription of HIT consists of the manipulation of at least nine variables (e.g. work interval intensity and duration, relief interval intensity and duration, exercise modality, number of repetitions, number of series, between-series recovery duration and intensity); any of which has a likely effect on the acute physiological response. Manipulating HIT appropriately is important, not only with respect to the expected middle- to long-term physiological and performance adaptations, but also to maximize daily and/or weekly training periodization. Cardiopulmonary responses are typically the first variables to consider when programming HIT (refer to Part I). However, anaerobic glycolytic energy contribution and neuromuscular load should also be considered to maximize the training outcome. Contrasting HIT formats that elicit similar (and maximal) cardiorespiratory responses have been associated with distinctly different anaerobic energy contributions. The high locomotor speed/power requirements of HIT (i.e. ≥95 % of the minimal velocity/power that elicits maximal oxygen uptake [v/p(·)VO(2max)] to 100 % of maximal sprinting speed or power) and the accumulation of high-training volumes at high-exercise intensity (runners can cover up to 6-8 km at v(·)VO(2max) per session) can cause significant strain on the neuromuscular/musculoskeletal system. For athletes training twice a day, and/or in team sport players training a number of metabolic and neuromuscular systems within a weekly microcycle, this added physiological strain should be considered in light of the other physical and technical/tactical sessions, so as to avoid overload and optimize adaptation (i.e. maximize a given training stimulus and minimize musculoskeletal pain and/or injury risk). In this part of the review, the different aspects of HIT programming are discussed, from work/relief interval manipulation to HIT periodization, using different examples of training cycles from different sports, with continued reference to the cardiorespiratory adaptations outlined in Part I, as well as to anaerobic glycolytic contribution and neuromuscular/musculoskeletal load.

Relationships of Borg's RPE 6-20 scale and heart rate in dynamic and static exercises among a sample of young Taiwanese men

The objective of this study was to assess the relationship between the scores collected from Borg's rating of perceived exertion (RPE) scale and the heart rates (HR) of young Taiwanese men. Three exercises types (dynamic, partially dynamic, and static) were performed by 12 participants (six were familiar with Borg's scale and 6 were unfamiliar) under nine test conditions of three load levels for each exercise. The effect of familiarity on the relationship between RPE and HR was also examined. The results showed that the familiarity of the participants regarding the Borg's scale did not affect the scores. The relationship between Borg's RPE 6-20 scale and the HR values during dynamic exercise was described by the regression equation HR = 8.88 x RPE + 38.2 (beats/min). The HR had lower correlations with RPE values when the participants performed both partially dynamic and static exercises. The findings may serve as a reference when using Borg's RPE scale to evaluate the physical exertion of young Taiwanese men.

Field tests for evaluating the aerobic work capacity of firefighters

Working as a firefighter is physically strenuous, and a high level of physical fitness increases a firefighter's ability to cope with the physical stress of their profession. Direct measurements of aerobic capacity, however, are often complicated, time consuming, and expensive. The first aim of the present study was to evaluate the correlations between direct (laboratory) and indirect (field) aerobic capacity tests with common and physically demanding firefighting tasks. The second aim was to give recommendations as to which field tests may be the most useful for evaluating firefighters' aerobic work capacity. A total of 38 subjects (26 men and 12 women) were included. Two aerobic capacity tests, six field tests, and seven firefighting tasks were performed. Lactate threshold and onset of blood lactate accumulation were found to be correlated to the performance of one work task (r(s) = -0.65 and -0.63, p<0.01, respectively). Absolute (mL · min(-1)) and relative (mL · kg(-1) · min(-1)) maximal aerobic capacity was correlated to all but one of the work tasks (r(s) = -0.79 to 0.55 and -0.74 to 0.47, p<0.01, respectively). Aerobic capacity is important for firefighters' work performance, and we have concluded that the time to row 500 m, the time to run 3000 m relative to body weight (s · kg(-1)), and the percent of maximal heart rate achieved during treadmill walking are the most valid field tests for evaluating a firefighter's aerobic work capacity.

Rating of Perceived Exertion after 12 Weeks of High-Intensity, Intermittent Sprinting

The effect of a 12-week high-intensity intermittent exercise (HIIE) intervention on the rating of perceived exertion (RPE) response of young males was examined. Participants ( N = 38; M BMI = 28.7 kg · m2, SD = 3.1; M age = 24.9 yr., SD = 4.3) were randomly assigned to either an exercise or control group. The exercise group received HIIE three times per week, 20 min. per session, for 12 weeks. RPE was assessed before and after HIIE training and during pre- and post-maximal oxygen uptake (VO2 max) testing. After HIIE training, RPE was significantly higher in Weeks 11–12 compared to Weeks 1–2. In contrast, heart rate was similar throughout training. Comparing post- to pre-VO2 max test, RPE was significantly lower in the exercise group, whereas for controls, RPE was similar. Aerobic power improved 15% for the exercise group, with no significant change for controls. HIIE resulted in significant increases in RPE, whereas RPE during the VO2 max test was significantly decreased.

A novel approach for lactate threshold assessment based on rating of perceived exertion

This study tested the hypothesis that the DMAX (for maximal distance) method could be applied to ratings of perceived exertion (RPE), to propose a novel method for individual detection of the lactate threshold (LT) using RPE alone during an incremental test to exhaustion. Twenty-one participants performed an incremental test on a cycle ergometer. At the end of each stage, lactate concentration was measured and the participants estimated RPE using the Borg CR100 scale. The intensity corresponding to the fixed lactate values of 2 or 4 mmol · L-1 (2mM and 4mM), the ventilatory threshold (VT), the respiratory-compensation point (RCP), and the instant of equality of pulmonary gas exchange (RER=1.00) were determined. Lactate (DMAX La) and RPE (DMAX RPE) thresholds were determined using the DMAX method. Oxygen uptake (VO2), heart rate, and power output measured at DMAX RPE and at DMAX La were not statistically different. Bland-Altman plots showed small bias and good agreements when DMAX RPE was compared with the DMAX La and RER=1.00 methods (bias = -0.05% and -2% of VO2max, respectively). Conversely, VO2 from the DMAX RPE method was lower than VO2 at 4 mM and at RCP and was higher than VO2 at 2 mM and at VT. VO2 at DMAX RPE was strongly correlated with VO2 at DMAX La (r = .97), at RER=1.00 (r = .97), at 2 mM (r = .85), at 4 mM (r = .93), at VT (r = .95), and at RCP (r = .95). The combination of the DMAX method with the RPE responses permitted precise and individualized estimates of LT using the DMAX method.

The release of immunosuppressive factor(s) in young males following exercise

It has been shown that a suppressive protein, acting as an immune suppressor, is generated in animals and humans under particular stresses. However, studies related to immunosuppressive factors in response to the stress resulting from acute exercise are limited. This study compares the effects of pre- and post-exercise human serum on concanavalin A stimulated lymphocyte proliferation of mice. In the present study, blood samples in eight male undergraduates (age 21 ± 0.7 years) were taken before and immediately after ten sets of exercise consisting of 15 free and 30 10-kg loaded squat jumps in each set. The suppression of lymphocyte proliferation was analysed with high pressure liquid chromatography. It was noted from the result of gel chromatography columns that the post-exercise values of the suppression of lymphocyte proliferation, in comparison to corresponding pre-exercise values, were generally greater with significant differences observed in 7.5th-9th min post-exercise eluates (P < 0.05). Such findings suggest that intense eccentric type exercise may lead to generation of immunosuppressive factor(s) in young males.

Slow component of VO2 kinetics: mechanistic bases and practical applications

The V·O₂ slow component, a slowly developing increase in V·O₂ during constant-work-rate exercise performed above the lactate threshold, represents a progressive loss of skeletal muscle contractile efficiency and is associated with the fatigue process. This brief review outlines the current state of knowledge concerning the mechanistic bases of the V·O₂ slow component and describes practical interventions that can attenuate the slow component and thus enhance exercise tolerance. There is strong evidence that, during constant-work-rate exercise, the development of the V·O₂ slow component is associated with the progressive recruitment of additional (type II) muscle fibers that are presumed to have lower efficiency. Recent studies, however, indicate that muscle efficiency is also lowered (resulting in a "mirror-image" V·O₂ slow component) during fatiguing, high-intensity exercise in which additional fiber recruitment is unlikely or impossible. Therefore, it seems that muscle fatigue underpins the V·O₂ slow component, although the greater fatigue sensitivity of recruited type II fibers might still play a crucial role in the loss of muscle efficiency in both situations. Several interventions can reduce the magnitude of the V·O₂ slow component, and these are typically associated with an enhanced exercise tolerance. These include endurance training, inspiratory muscle training, priming exercise, dietary nitrate supplementation, and the inspiration of hyperoxic gas. All of these interventions reduce muscle fatigue development either by improving muscle oxidative capacity and thus metabolic stability or by enhancing bulk muscle O2 delivery or local Q·O₂-to-V·O₂ matching. Future honing of these interventions to maximize their impact on the V·O₂ slow component might improve sports performance in athletes and exercise tolerance in the elderly or in patient populations.

Usefulness of the 6-minute walk test and the 200-metre fast walk test to individualize high intensity interval and continuous exercise training in coronary artery disease patients after acute coronary syndrome: a pilot controlled clinical study

Objective: To study the effects of three individualized exercise training prescriptions using either a percentage of maximal heart rate (HR), maximal 6-minute walk test (6MWT) HR, or maximal 200-metre fast walk test (200-mFWT) HR, on walking performance and exercise capacity in coronary artery disease (CAD) patients.

Design: Controlled clinical study.

Participants: Twenty-seven outpatients enrolled in a rehabilitation programme after an acute coronary syndrome.

Setting: Cardiac rehabilitation unit.

Interventions: Three groups: (A): moderate intensity continuous exercise (MICE) at 70% of the maximal HR of the graded maximal exercise test ( n = 10); (B): MICE at the maximal 6MWT HR ( n = 8); (C): high intensity interval training (HIIT) based on the 6MWT and the 200-mFWT maximal HR ( n = 9). Group B and C performed walk tests every 2 weeks, to readjust training HR (THR) if needed.

Measures: 6MWT and 200-mFWT performances, peak VO2 and peak power (Pmax).

Results: 6MWT and 200-mFWT performances improved significantly and similarly in all groups ( P < 0.05). Peak VO2 improved significantly in all groups ( P < 0.05), this improvement being higher in group C (HIIT) versus A ( P < 0.05). Group B was closer to the recommended THR during exercise sessions compared to group A.

Conclusion: This pilot study showed that using the 6MWT and 200-mFWT HR to individualize MICE or HIIT prescription is feasible in CAD patients, and could lead them closer to THR objective, to similar improvements in walking performance, and greater peak VO2 increase for HIIT. Future randomised studies should investigate long-term effects of programmes prescribed from walk tests HR, especially for HIIT modality.

Oxygen uptake and ratings of perceived exertion at the lactate threshold and maximal fat oxidation rate in untrained adults

The purpose of the study was to examine the relationship between VO(2) and RPE at the lactate threshold (LT) and maximal fat oxidation rate (FAT(MAX)) in untrained adults and determine the stability of the relationship across sex, age, and fitness status. A total of 148 untrained adults (mean age [year] = 30.5 ± 13.9, height [m] = 1.72 ± 0.08 m, body mass [kg] = 82.6 ± 20.5, body fat [%] = 28.7 ± 12.0) completed a continuous incremental VO(2) peak/LT protocol. Fat oxidation rates were determined using indirect calorimetry. The highest recorded fat oxidation rate was chosen as FAT(MAX). The breakpoint in the VO(2)-blood lactate relationship was chosen as LT. RPE was based on the Borg 6-20 scale. Bland-Altman plot analysis demonstrated that VO(2) FAT(MAX) systematically preceded VO(2) LT (mean bias = 1.3 ml kg(-1) min(-1)) with wide limits of agreement (+9.6 to -6.9 ml kg(-1) min(-1)). Multivariate ANOVA revealed a significant difference between VO(2) FAT(MAX) (12.7 ± 7.5 ml kg(-1) min(-1)) and VO(2) LT (14.1 ± 5.9 ml kg(-1) min(-1)) in the total sample (p = 0.04). There were no differences between the intensities when the sample was divided into sex, age, and fitness comparison groups (p values >0.05). RPE FAT(MAX) (9.4 ± 2.5) preceded RPE LT (10.4 ± 2.0) in the total sample (p = 0.008), but was not different across comparison groups (p > 0.05). The present data indicate that the highest rate of fat oxidation slightly precedes the LT in untrained adults. For exercise prescription, a Borg-RPE of 9-12 identifies both FAT(MAX) and LT.

Muscle fiber recruitment and the slow component of O2 uptake: constant work rate vs. all-out sprint exercise

The slow component of pulmonary O(2) uptake (Vo(2)) during constant work rate (CWR) high-intensity exercise has been attributed to the progressive recruitment of (type II) muscle fibers. We tested the following hypotheses: 1) the Vo(2) slow component gain would be greater in a 3-min all-out cycle test than in a work-matched CWR test, and 2) the all-out test would be associated with a progressive decline, and the CWR test with a progressive increase, in muscle activation, as estimated from the electromyogram (EMG) of the vastus lateralis muscle. Eight men (aged 21-39 yr) completed a ramp incremental test, a 3-min all-out test, and a work- and time-matched CWR test to exhaustion. The maximum Vo(2) attained in an initial ramp incremental test (3.97 ± 0.83 l/min) was reached in both experimental tests (3.99 ± 0.84 and 4.03 ± 0.76 l/min for all-out and CWR, respectively). The Vo(2) slow component was greater (P < 0.05) in the all-out test (1.21 ± 0.31 l/min, 4.2 ± 2.2 ml·min(-1)·W(-1)) than in the CWR test (0.59 ± 0.22 l/min, 1.70 ± 0.5 ml·min(-1)·W(-1)). The integrated EMG declined by 26% (P < 0.001) during the all-out test and increased by 60% (P < 0.05) during the CWR test from the first 30 s to the last 30 s of exercise. The considerable reduction in muscle efficiency in the all-out test in the face of a progressively falling integrated EMG indicates that progressive fiber recruitment is not requisite for development of the Vo(2) slow component during voluntary exercise in humans.

Oxygen uptake, heart rate, and ratings of perceived exertion at the PWCVo2

The purpose of the present study was to examine the oxygen uptake (Vo2), heart rate (HR), and ratings of perceived exertion (RPE [OMNI-Leg 0-10]) responses during continuous 1-hour cycle ergometer rides at the PWCVo2 (physical working capacity at the oxygen consumption threshold). Eight subjects (mean age +/- SD = 23 +/- 3.2 years) performed a maximal test to exhaustion for the determination of Vo2peak and ventilatory threshold (VT). The subjects also performed 4 randomly ordered 8-minute workbouts at different power outputs (ranging from 84 to 245 W) to determine the PWCVo2 and a continuous 1-hour cycle ergometer ride at the PWCVo2 during which Vo2, HR, and RPE data were collected every 2 minutes. The PWCVo2 (114 +/- 39 W) and VT (133 +/- 44 W) were not significantly different and occurred at 56 and 63% Vo2peak, respectively. Linear regression showed that the slope coefficients for the Vo2, HR, and RPE vs. time relationships for the continuous 1-hour workbouts were significantly greater than zero. Furthermore, a t-test about a single mean indicated that the mean slope coefficient for the HR vs. time relationship was significantly greater than 0.1 bpm x min(-1) (the rate of increase in HR that can be maintained for an 8-hour day). The results of this study indicated that PWCVo2 could be maintained for an extended period. However, the maximal power output associated with steady state Vo2, HR, and RPE responses was overestimated. The mean increase in Vo2 during the continuous 1-hour ride was 270 mL, which suggested that the PWCVo2 may demarcate the moderate from heavy exercise domains. The mean HR slope coefficient of 0.3 bpm x min(-1) indicated that the power output at the PWCVo2 could likely be maintained for greater than 2 hours.

Construct and Concurrent Validation of OMNI–Kayak Rating of Perceived Exertion Scale

This study tested the concurrent and construct validity of a newly developed OMNI–Kayak Scale, testing 8 male kayakers who performed a flatwater load-incremented “shuttle” test over a 500-m course and 3 estimation-production trials over a 1,000-m course. Velocity, blood lactate concentration, heart rate, and rating of perceived exertion (RPE), using the OMNI–Kayak RPE Scale and the Borg 6–20 Scale were recorded. OMNI–Kayak Scale RPE was highly correlated with velocity, the Borg 6–20 Scale RPE, blood lactate, and heart rate for both load-incremented test ( rs = .87–.96), and estimation trials ( rs = .75–.90). There were no significant differences among velocities, heart rate and blood lactate concentration between estimation and production trials. The OMNI–Kayak RPE Scale showed concurrent and construct validity in assessing perception of effort in flatwater kayaking and is a valid tool for self-regulation of exercise intensity.

Effect of exercise training intensity on abdominal visceral fat and body composition

The metabolic syndrome is a complex clustering of metabolic defects associated with physical inactivity, abdominal adiposity, and aging.

PURPOSE

To examine the effects of exercise training intensity on abdominal visceral fat (AVF) and body composition in obese women with the metabolic syndrome.

METHODS

Twenty-seven middle-aged obese women (mean +/- SD; age = 51 +/- 9 yr and body mass index = 34 +/- 6 kg x m(-2)) with the metabolic syndrome completed one of three 16-wk aerobic exercise interventions: (i) no-exercise training (Control): seven participants maintained their existing levels of physical activity; (ii) low-intensity exercise training (LIET): 11 participants exercised 5 d x wk(-1) at an intensity < or = lactate threshold (LT); and (iii) high-intensity exercise training (HIET): nine participants exercised 3 d x wk(-1) at an intensity > LT and 2 d x wk(-1) < or = LT. Exercise time was adjusted to maintain caloric expenditure (400 kcal per session). Single-slice computed tomography scans obtained at the L4-L5 disc space and midthigh were used to determine abdominal fat and thigh muscle cross-sectional areas. Percent body fat was assessed by air displacement plethysmography.

RESULTS

HIET significantly reduced total abdominal fat (P < 0.001), abdominal subcutaneous fat (P = 0.034), and AVF (P = 0.010). There were no significant changes observed in any of these parameters within the Control or the LIET conditions.

CONCLUSIONS

The present data indicate that body composition changes are affected by the intensity of exercise training with HIET more effectively for reducing total abdominal fat, subcutaneous abdominal fat, and AVF in obese women with the metabolic syndrome.

Progressive recruitment of muscle fibers is not necessary for the slow component of VO2 kinetics

The "slow component" of O2 uptake (VO2) kinetics during constant-load heavy-intensity exercise is traditionally thought to derive from a progressive recruitment of muscle fibers. In this study, which represents a reanalysis of data taken from a previous study by our group (Grassi B, Hogan MC, Greenhaff PL, Hamann JJ, Kelley KM, Aschenbach WG, Constantin-Teodosiu D, Gladden LB. J Physiol 538: 195-207, 2002) we evaluated the presence of a slow component-like response in the isolated dog gastrocnemius in situ (n=6) during 4 min of contractions at approximately 60-70% of peak VO2. In this preparation all muscle fibers are maximally activated by electrical stimulation from the beginning of the contraction period, and no progressive recruitment of fibers is possible. Muscle VO2 was calculated as blood flow multiplied by arteriovenous O2 content difference. The muscle fatigued (force decreased by approximately 20-25%) during contractions. Kinetics of adjustment were evaluated for 1) VO2, uncorrected for force development; 2) VO2 normalized for peak force; 3) VO2 normalized for force-time integral. A slow component-like response, described in only one muscle out of six when uncorrected VO2 was considered, was observed in all muscles when VO2/peak force and VO2/force-time were considered. The amplitude of the slow component-like response, expressed as a fraction of the total response, was higher for VO2/peak force (0.18+/-0.06, means+/-SE) and for VO2/force-time (0.22+/-0.05) compared with uncorrected VO2 (0.04+/-0.04). A progressive recruitment of muscle fibers may not be necessary for the development of the slow component of VO2 kinetics, which may be caused by the metabolic factors that induce muscle fatigue and, as a consequence, reduce the efficiency of muscle contractions.

Session RPE following interval and constant-resistance cycling in hot and cool environments

PURPOSE

This study examined effects of heat gain, circulatory adjustment to temperature regulation (HR), and [La] consequent to interval (INT) and constant-load (CON) cycling on session RPE (S-RPE).

METHODS

Male volunteers (N = 10) completed a cycle ergometer VO2peak test and then, in a randomized, counterbalanced order, four cycling bouts, including constant load (approximately 45% VO2peak) (CON) and interval (8 x 1 min at about 90% VO2peak, 1 min between intervals) (INT), in hot (approximately 32.5 WBGT) (HOT) and cool (approximately 21.0 WBGT) (COOL) environments. Trials included a standardized warm-up and cool-down (10 min each: 0 W, 60 rpm). Total external work was equated among all trials, with blood lactate ([La]), heart rate (HR), rectal temperature (Tre), and acute RPE recorded at 10, 13, 17, 21, 25, and 36 min. S-RPE was recorded 20 min after each session.

RESULTS

HOT (CON and INT) resulted in significantly (P < 0.05) greater heat gain (Tre), HR, and RPE-O, whereas INT had significantly elevated [La] versus CON (HOT and COOL). HOT yielded significantly higher S-RPE versus COOL for CON (HOT = 5.6 +/- 2.1, COOL = 4.3 +/- 1.3) and INT (HOT = 7.0 +/- 1.9, COOL = 5.1 +/- 2.0). S-RPE was significantly higher for INT/HOT than CON/HOT.

CONCLUSIONS

Heat gain and cardiac strain (Tre, HR) and [La]) were manipulated with environment and exercise type while holding total work constant. The added strain of HOT was reflected in elevated S-RPE for both CON and INT. S-RPE linkage with [La] was limited to HOT trials, indicating only a loose association. These data indicate that under the conditions of this study, S-RPE is similar to acute RPE in that no single mediator seems universally dominant.