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Marinari G, Iannetta D, Holash RJ, Trama R, Faricier R, Zagatto AM, Keir DA, Murias JM. A Ramp versus Step Transition to Constant Work Rate Exercise Decreases Steady-State Oxygen Uptake. Med Sci Sports Exerc 2024; 56:972-981. [PMID: 38181214 DOI: 10.1249/mss.0000000000003372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2024]
Abstract
PURPOSE This study aimed to investigate whether a ramp-to-constant WR (rCWR) transition compared with a square-wave-to-constant WR (CWR) transition within the heavy-intensity domain can reduce metabolic instability and decrease the oxygen cost of exercise. METHODS Fourteen individuals performed (i) a ramp-incremental test to task failure, (ii) a 21-min CWR within the heavy-intensity domain, and (iii) an rCWR to the same WR. Oxygen uptake (V̇O 2 ), lactate concentration ([La - ]), and muscle oxygen saturation (SmO 2 ) were measured. V̇O 2 and V̇O 2 gain (V̇O 2 -G) during the first 10-min steady-state V̇O 2 were analyzed. [La - ] before, at, and after steady-state V̇O 2 and SmO 2 during the entire 21-min steady-state exercise were also examined. RESULTS V̇O 2 and V̇O 2 -G during rCWR (2.49 ± 0.58 L·min -1 and 10.7 ± 0.2 mL·min -1 ·W -1 , respectively) were lower ( P < 0.001) than CWR (2.57 ± 0.60 L·min -1 and 11.3 ± 0.2 mL·min -1 ·W -1 , respectively). [La - ] before and at steady-state V̇O 2 during the rCWR condition (1.94 ± 0.60 and 3.52 ± 1.19 mM, respectively) was lower than the CWR condition (3.05 ± 0.82 and 4.15 ± 1.25 mM, respectively) ( P < 0.001). [La - ] dynamics after steady-state V̇O 2 were unstable for the rCWR ( P = 0.011). SmO 2 was unstable within the CWR condition from minutes 4 to 13 ( P < 0.05). CONCLUSIONS The metabolic disruption caused by the initial minutes of square-wave exercise transitions is a primary contributor to metabolic instability, leading to an increased V̇O 2 -G compared with the rCWR condition approach. The reduced early reliance on anaerobic energy sources during the rCWR condition may be responsible for the lower V̇O 2 -G.
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Affiliation(s)
| | - Danilo Iannetta
- Faculty of Kinesiology, University of Calgary, Calgary, CANADA
| | | | - Robin Trama
- Faculty of Kinesiology, University of Calgary, Calgary, CANADA
| | | | - Alessandro M Zagatto
- Laboratory of Physiology and Sport Performance (LAFIDE), Department of Physical Education, School of Sciences, São Paulo State University-UNESP, Bauru, BRAZIL
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Faigenbaum AD, Kang J, DiFiore M, Finnerty C, Garcia A, Cipriano L, Bush JA, Ratamess NA. A Comparison of Warm-Up Effects on Maximal Aerobic Exercise Performance in Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14122. [PMID: 36361000 PMCID: PMC9658710 DOI: 10.3390/ijerph192114122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 10/21/2022] [Accepted: 10/27/2022] [Indexed: 06/16/2023]
Abstract
The aim of this study was to compare the warm-up effects of treadmill walking (TW) with a dynamic (DY) bodyweight warm-up on maximal aerobic exercise performance in children. Sixteen children (10.9 ± 1.5 vrs) were tested for peak oxygen uptake (VO2 peak) on 2 nonconsecutive days following different 6 min warm-up protocols. TW consisted of walking on a motor-driven treadmill at 2.2 mph and 0% grade whereas the DY warm-up consisted of 9 body weight movements including dynamic stretches, lunges, and jumps. Maximal heart rate was significantly higher following DY than TW (193.9 ± 6.2 vs. 191.6 ± 6.1 bpm, respectively; p = 0.008). VO2 peak (54.8 ± 9.6 vs. 51.8 ± 8.7 mL/kg/min; p = 0.09), maximal minute ventilation (68.9 ± 14.8 vs. 64.9 ± 9.4 L/min; p = 0.27), maximal respiratory exchange ratio (1.12 ± 0.1 vs. 1.11 ± 0.1; p = 0.85) and total exercise time (614.0 ± 77.1 vs. 605 ± 95.0 s; p = 0.55) did not differ significantly between DY and TM warm-ups, respectively. These findings indicate that the design of the warm-up protocol can influence the heart rate response to maximal aerobic exercise and has a tendency to influence VO2 peak. A DY warm-up could be a viable alternative to a TW warm-up prior to maximal exercise testing in children.
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Bar‐Yoseph R, Radom‐Aizik S, Coronato N, Moradinasab N, Barstow TJ, Stehli A, Brown D, Cooper DM. Heart rate and gas exchange dynamic responses to multiple brief exercise bouts (MBEB) in early- and late-pubertal boys and girls. Physiol Rep 2022; 10:e15397. [PMID: 35923083 PMCID: PMC9349595 DOI: 10.14814/phy2.15397] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 06/24/2022] [Accepted: 07/02/2022] [Indexed: 04/28/2023] Open
Abstract
Natural patterns of physical activity in youth are characterized by brief periods of exercise of varying intensity interspersed with rest. To better understand systemic physiologic response mechanisms in children and adolescents, we examined five responses [heart rate (HR), respiratory rate (RR), oxygen uptake (V̇O2 ), carbon dioxide production (V̇CO2 ), and minute ventilation (V̇E), measured breath-by-breath] to multiple brief exercise bouts (MBEB). Two groups of healthy participants (early pubertal: 17 female, 20 male; late-pubertal: 23 female, 21 male) performed five consecutive 2-min bouts of constant work rate cycle-ergometer exercise interspersed with 1-min of rest during separate sessions of low- or high-intensity (~40% or 80% peak work, respectively). For each 2-min on-transient and 1-min off-transient we calculated the average value of each cardiopulmonary exercise testing (CPET) variable (Y̅). There were significant MBEB changes in 67 of 80 on- and off-transients. Y̅ increased bout-to-bout for all CPET variables, and the magnitude of increase was greater in the high-intensity exercise. We measured the metabolic cost of MBEB, scaled to work performed, for the entire 15 min and found significantly higher V̇O2 , V̇CO2 , and V̇E costs in the early-pubertal participants for both low- and high-intensity MBEB. To reduce breath-by-breath variability in estimation of CPET variable kinetics, we time-interpolated (second-by-second), superimposed, and averaged responses. Reasonable estimates of τ (<20% coefficient of variation) were found only for on-transients of HR and V̇O2 . There was a remarkable reduction in τHR following the first exercise bout in all groups. Natural patterns of physical activity shape cardiorespiratory responses in healthy children and adolescents. Protocols that measure the effect of a previous bout on the kinetics of subsequent bouts may aid in the clinical utility of CPET.
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Affiliation(s)
- Ronen Bar‐Yoseph
- Pediatric Exercise and Genomics Research CenterUniversity of California at IrvineIrvineCaliforniaUSA
- Pediatric Pulmonary DivisionRuth Children's Hospital, Rambam Health Care CenterHaifaIsrael
| | - Shlomit Radom‐Aizik
- Pediatric Exercise and Genomics Research CenterUniversity of California at IrvineIrvineCaliforniaUSA
| | - Nicholas Coronato
- University of VirginiaCharlottesvilleVirginiaUSA
- United States Military AcademyWest PointNew YorkUSA
| | | | | | - Annamarie Stehli
- Pediatric Exercise and Genomics Research CenterUniversity of California at IrvineIrvineCaliforniaUSA
| | - Don Brown
- University of VirginiaCharlottesvilleVirginiaUSA
| | - Dan M. Cooper
- Pediatric Exercise and Genomics Research CenterUniversity of California at IrvineIrvineCaliforniaUSA
- Department of Pediatrics, Institute for Clinical and Translational Science, and Pediatric Exercise and Genomics Research CenterUniversity of CaliforniaIrvineCaliforniaUSA
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Bremer N, Peoples G, Hasler B, Litzenburg R, Johnson A, Malek MH. Repeated Incremental Workbouts Separated by 1 Hour Increase the Electromyographic Fatigue Threshold. J Strength Cond Res 2021; 35:1397-1402. [PMID: 30664112 DOI: 10.1519/jsc.0000000000002919] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
ABSTRACT Bremer, N, Peoples, G, Hasler, B, Litzenburg, R, Johnson, A, and Malek, MH. Repeated incremental workbouts separated by 1 hour increase the electromyographic fatigue threshold. J Strength Cond Res 35(5): 1397-1402, 2021-Studies examining the influence of priming, for continuous exercise, have mainly focused on improved exercise capacity related to oxygen uptake kinetics rather than on neuromuscular fatigue of the muscle. The purpose of this study, therefore, was to determine whether or not the electromyographic fatigue threshold (EMGFT) could be modulated by having subjects perform 2 incremental tests separated by 1 hour. We hypothesized that the EMGFT determined from the second incremental test would be higher than the EMGFT determined from the first incremental test. Nine healthy college-aged men (mean ± SEM: age: 23.8 ± 0.6 years; body mass: 79.5 ± 3.3 kg; height: 1.78 ± 0.02 m) were recruited from the university population. Each subject visited the laboratory on 1 occasion and performed 2 incremental single-leg knee-extensor ergometry to voluntary fatigue separated by 1 hour. The EMGFT was determined for each trial and statistically compared using paired-samples t-test. The results indicated significant mean differences between the EMGFT for the 2 trials (trial 1: 27 ± 1 W vs. trial 2: 34 ± 2 W; p = 0.001), whereas there were no significant mean differences for maximal power output (trial 1: 53 ± 2 W vs. trial 2: 57 ± 2; p = 0.09). These findings suggest that postactivation potentiation may, in part, explain the differences in EMGFT because the exercise mode used in the current study minimizes the cardiorespiratory responses to exercise.
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Affiliation(s)
- Nate Bremer
- Department of Health Care Sciences, Physical Therapy Program, College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan; and
- Department of Health Care Sciences, Integrative Physiology of Exercise Laboratory, College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan
| | - Gavin Peoples
- Department of Health Care Sciences, Physical Therapy Program, College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan; and
- Department of Health Care Sciences, Integrative Physiology of Exercise Laboratory, College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan
| | - Brent Hasler
- Department of Health Care Sciences, Physical Therapy Program, College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan; and
- Department of Health Care Sciences, Integrative Physiology of Exercise Laboratory, College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan
| | - Robert Litzenburg
- Department of Health Care Sciences, Physical Therapy Program, College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan; and
- Department of Health Care Sciences, Integrative Physiology of Exercise Laboratory, College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan
| | - Andrew Johnson
- Department of Health Care Sciences, Physical Therapy Program, College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan; and
- Department of Health Care Sciences, Integrative Physiology of Exercise Laboratory, College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan
| | - Moh H Malek
- Department of Health Care Sciences, Physical Therapy Program, College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan; and
- Department of Health Care Sciences, Integrative Physiology of Exercise Laboratory, College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan
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Costa VAB, Midgley AW, Carroll S, Astorino TA, de Paula T, Farinatti P, Cunha FA. Is a verification phase useful for confirming maximal oxygen uptake in apparently healthy adults? A systematic review and meta-analysis. PLoS One 2021; 16:e0247057. [PMID: 33596256 PMCID: PMC7888616 DOI: 10.1371/journal.pone.0247057] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Accepted: 01/30/2021] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND The 'verification phase' has emerged as a supplementary procedure to traditional maximal oxygen uptake (VO2max) criteria to confirm that the highest possible VO2 has been attained during a cardiopulmonary exercise test (CPET). OBJECTIVE To compare the highest VO2 responses observed in different verification phase procedures with their preceding CPET for confirmation that VO2max was likely attained. METHODS MEDLINE (accessed through PubMed), Web of Science, SPORTDiscus, and Cochrane (accessed through Wiley) were searched for relevant studies that involved apparently healthy adults, VO2max determination by indirect calorimetry, and a CPET on a cycle ergometer or treadmill that incorporated an appended verification phase. RevMan 5.3 software was used to analyze the pooled effect of the CPET and verification phase on the highest mean VO2. Meta-analysis effect size calculations incorporated random-effects assumptions due to the diversity of experimental protocols employed. I2 was calculated to determine the heterogeneity of VO2 responses, and a funnel plot was used to check the risk of bias, within the mean VO2 responses from the primary studies. Subgroup analyses were used to test the moderator effects of sex, cardiorespiratory fitness, exercise modality, CPET protocol, and verification phase protocol. RESULTS Eighty studies were included in the systematic review (total sample of 1,680 participants; 473 women; age 19-68 yr.; VO2max 3.3 ± 1.4 L/min or 46.9 ± 12.1 mL·kg-1·min-1). The highest mean VO2 values attained in the CPET and verification phase were similar in the 54 studies that were meta-analyzed (mean difference = 0.03 [95% CI = -0.01 to 0.06] L/min, P = 0.15). Furthermore, the difference between the CPET and verification phase was not affected by any of the potential moderators such as verification phase intensity (P = 0.11), type of recovery utilized (P = 0.36), VO2max verification criterion adoption (P = 0.29), same or alternate day verification procedure (P = 0.21), verification-phase duration (P = 0.35), or even according to sex, cardiorespiratory fitness level, exercise modality, and CPET protocol (P = 0.18 to P = 0.71). The funnel plot indicated that there was no significant publication bias. CONCLUSIONS The verification phase seems a robust procedure to confirm that the highest possible VO2 has been attained during a ramp or continuous step-incremented CPET. However, given the high concordance between the highest mean VO2 achieved in the CPET and verification phase, findings from the current study would question its necessity in all testing circumstances. PROSPERO REGISTRATION ID CRD42019123540.
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Affiliation(s)
- Victor A. B. Costa
- Graduate Program in Exercise Science and Sports, University of Rio de Janeiro State, Rio de Janeiro, Brazil
- Laboratory of Physical Activity and Health Promotion, University of Rio de Janeiro State, Rio de Janeiro, Brazil
| | - Adrian W. Midgley
- Department of Sport and Physical Activity, Edge Hill University, Ormskirk, Lancashire, England
| | - Sean Carroll
- Department of Sport, Health and Exercise Science, University of Hull, Hull, England
| | - Todd A. Astorino
- Department of Kinesiology, California State University, San Marcos, California, United States of America
| | - Tainah de Paula
- Department of Clinical Medicine, Clinics of Hypertension and Associated Metabolic Diseases, University of Rio de Janeiro State, Rio de Janeiro, Brazil
| | - Paulo Farinatti
- Graduate Program in Exercise Science and Sports, University of Rio de Janeiro State, Rio de Janeiro, Brazil
- Laboratory of Physical Activity and Health Promotion, University of Rio de Janeiro State, Rio de Janeiro, Brazil
| | - Felipe A. Cunha
- Graduate Program in Exercise Science and Sports, University of Rio de Janeiro State, Rio de Janeiro, Brazil
- Laboratory of Physical Activity and Health Promotion, University of Rio de Janeiro State, Rio de Janeiro, Brazil
- * E-mail: ,
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Nimmerichter A, Breese BC, Prinz B, Zoeger M, Rumpl C, Williams CA. Test-retest reliability of pulmonary oxygen uptake and muscle deoxygenation during moderate- and heavy-intensity cycling in youth elite-cyclists. J Sports Sci 2020; 38:2462-2470. [PMID: 32654597 DOI: 10.1080/02640414.2020.1792115] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
To establish the test-retest reliability of pulmonary oxygen uptake (V̇O2), muscle deoxygenation (deoxy[haem]) and tissue oxygen saturation (StO2) kinetics in youth elite-cyclists. From baseline pedalling, 15 youth cyclists completed 6-min step transitions to a moderate- and heavy-intensity work rate separated by 8 min of baseline cycling. The protocol was repeated after 1 h of passive rest. V̇O2 was measured breath-by-breath alongside deoxy[haem] and StO2 of the vastus lateralis by near-infrared spectroscopy. Reliability was assessed using 95% limits of agreement (LoA), the typical error (TE) and the intraclass correlation coefficient (ICC). During moderate- and heavy-intensity step cycling, TEs for the amplitude, time delay and time constant ranged between 3.5-21.9% and 3.9-12.1% for V̇O2 and between 6.6-13.7% and 3.5-10.4% for deoxy[haem], respectively. The 95% confidence interval for estimating the kinetic parameters significantly improved for ensemble-averaged transitions of V̇O2 (p < 0.01) but not for deoxy[haem]. For StO2, the TEs for the baseline, end-exercise and the rate of deoxygenation were 1.0-42.5% and 1.1-5.5% during moderate- and heavy-intensity exercise, respectively. The ICC ranged from 0.81 to 0.99 for all measures. Test-retest reliability data provide limits within which changes in V̇O2, deoxy[haem] and StO2 kinetics may be interpreted with confidence in youth athletes.
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Affiliation(s)
- Alfred Nimmerichter
- Training and Sports Sciences, University of Applied Sciences Wiener Neustadt , Wiener Neustadt, Austria
| | - Brynmor C Breese
- School of Biomedical Sciences, Faculty of Medicine and Dentistry, University of Plymouth , Plymouth, UK
| | - Bernhard Prinz
- Training and Sports Sciences, University of Applied Sciences Wiener Neustadt , Wiener Neustadt, Austria
| | - Manfred Zoeger
- Training and Sports Sciences, University of Applied Sciences Wiener Neustadt , Wiener Neustadt, Austria
| | - Clemens Rumpl
- Training and Sports Sciences, University of Applied Sciences Wiener Neustadt , Wiener Neustadt, Austria
| | - Craig A Williams
- Children's Health and Exercise Research Centre, Sport and Health Sciences, College of Life and Environmental Sciences, University of Exeter , Exeter, UK
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Breese BC, Saynor ZL, Barker AR, Armstrong N, Williams CA. Relationship between (non)linear phase II pulmonary oxygen uptake kinetics with skeletal muscle oxygenation and age in 11-15 year olds. Exp Physiol 2019; 104:1929-1941. [PMID: 31512297 DOI: 10.1113/ep087979] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Accepted: 09/09/2019] [Indexed: 12/28/2022]
Abstract
NEW FINDINGS What is the central question of this study? Do the phase II parameters of pulmonary oxygen uptake ( V ̇ O 2 ) kinetics display linear, first-order behaviour in association with alterations in skeletal muscle oxygenation during step cycling of different intensities or when exercise is initiated from an elevated work rate in youths. What is the main finding and its importance? Both linear and non-linear features of phase II V ̇ O 2 kinetics may be determined by alterations in the dynamic balance between microvascular O2 delivery and utilization in 11-15 year olds. The recruitment of higher-order (i.e. type II) muscle fibres during 'work-to-work' cycling might be responsible for modulating V ̇ O 2 kinetics with chronological age. ABSTRACT This study investigated in 19 male youths (mean age: 13.6 ± 1.1 years, range: 11.7-15.7 years) the relationship between pulmonary oxygen uptake ( V ̇ O 2 ) and muscle deoxygenation kinetics during moderate- and very heavy-intensity 'step' cycling initiated from unloaded pedalling (i.e. U → M and U → VH) and moderate to very heavy-intensity step cycling (i.e. M → VH). Pulmonary V ̇ O 2 was measured breath-by-breath along with the tissue oxygenation index (TOI) of the vastus lateralis using near-infrared spectroscopy. There were no significant differences in the phase II time constant ( τ V ̇ O 2 p ) between U → M and U → VH (23 ± 6 vs. 25 ± 7 s; P = 0.36); however, the τ V ̇ O 2 p was slower during M → VH (42 ± 16 s) compared to other conditions (P < 0.001). Quadriceps TOI decreased with a faster (P < 0.01) mean response time (MRT; i.e. time delay + τ) during U → VH (14 ± 2 s) compared to U → M (22 ± 4 s) and M → VH (20 ± 6 s). The difference (Δ) between the τ V ̇ O 2 p and MRT-TOI was greater during U → VH compared to U → M (12 ± 7 vs. 2 ± 7 s, P < 0.001) and during M → VH (23 ± 15 s) compared to other conditions (P < 0.02), suggesting an increased proportional speeding of fractional O2 extraction. The slowing of the τ V ̇ O 2 p during M → VH relative to U → M and U → VH correlated positively with chronological age (r = 0.68 and 0.57, respectively, P < 0.01). In youths, 'work-to-work' transitions slowed microvascular O2 delivery-to-O2 utilization with alterations in phase II V ̇ O 2 dynamics accentuated between the ages of 11 and 15 years.
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Affiliation(s)
- Brynmor C Breese
- School of Biomedical Sciences, Faculty of Medicine and Dentistry, University of Plymouth, Plymouth, UK
| | - Zoe L Saynor
- Department of Sport and Exercise Science, Faculty of Science, University of Portsmouth, Portsmouth, UK
| | - Alan R Barker
- Children's Health and Exercise Research Centre, Sport and Health Sciences, College of Life and Environmental Sciences, University of Exeter, Exeter, UK
| | - Neil Armstrong
- Children's Health and Exercise Research Centre, Sport and Health Sciences, College of Life and Environmental Sciences, University of Exeter, Exeter, UK
| | - Craig A Williams
- Children's Health and Exercise Research Centre, Sport and Health Sciences, College of Life and Environmental Sciences, University of Exeter, Exeter, UK
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Abstract
Children are the most naturally physically active human beings; reduced physical activity is a cardinal sign of childhood disease, and exercise testing provides mechanistic insights into health and disease that are often hidden when the child is at rest. The physical inactivity epidemic is leading to increased disease risk in children and, eventually, in adults in unprecedented ways. Cardiopulmonary exercise testing (CPET) biomarkers are used to assess disease severity, progress, and response to therapy across an expanding range of childhood diseases and conditions. There is mounting data that fitness in children tracks across the life span and may prove to be an early, modifiable indicator of cardiovascular disease risk later in life. Despite these factors, CPET has failed to fulfill its promise in child health research and clinical practice. A major barrier to more accurate and effective clinical use of CPET in children is that data analytics and testing protocols have failed to keep pace with enabling technologies and computing capacity. As a consequence, biomarkers of fitness and physical activity have yet to be widely incorporated into translational research and clinical practice in child health. In this review, the author re-examines some of the long-held assumptions that mold CPET in children. In particular, the author suggests that current testing strategies that rely predominantly on maximal exercise may, inadvertently, obfuscate novel and clinically useful insights that can be gleaned from more comprehensive data analytics. New pathways to discovery may emanate from the simple recognition that the physiological journey that human beings undertake in response to the challenge of exercise may be far more important than the elusive destination of maximal or peak effort.
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Abstract
Pulmonary oxygen uptake ( V˙O2 ) kinetics, which describes the aerobic response to near instantaneous changes in metabolic demand, provides a valuable insight into the control and coordination of oxidative phosphorylation during exercise. Despite their applicability to the highly sporadic habitual physical activity and exercise patterns of children, relatively little is known regarding the influence of internal and external stimuli on the dynamic V˙O2 response. Although insufficient evidence is available during moderate-intensity exercise, an age-related slowing of the phase 2 time constant (τ) and augmentation of the V˙O2 slow component appears to manifest during heavy-intensity exercise, which may be related to changes in the muscle phosphate controllers of oxidative phosphorylation, muscle oxygen delivery and utilization, and/or muscle fiber type recruitment patterns. Similar to findings in adults, aerobic training is associated with a faster phase 2 τ and smaller V˙O2 slow component in youth, independent of age or maturity, indicative of an enhanced oxidative metabolism. However, a lack of longitudinal or intervention-based training studies limits our ability to attribute these changes to training per se. Further, methodologically rigorous studies are required to fully resolve the interaction(s) between age, sex, biological maturity, and external stimuli, such as exercise training and exercise intensity and the dynamic V˙O2 response at the onset and offset of exercise.
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Prieur G, Combret Y, Bonnevie T, Gravier FE, Robledo Quesada A, Quieffin J, Lamia B, Medrinal C. Functional Electrical Stimulation Changes Muscle Oxygenation in Patients with Chronic Obstructive Pulmonary Disease During Moderate-Intensity Exercise: A Secondary Analysis. COPD 2019; 16:30-36. [PMID: 30821515 DOI: 10.1080/15412555.2018.1560402] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
We previously showed that functional electrical stimulation during cycle ergometry (FES-cycling) increased oxygen consumption (VO2), indicating that metabolism during exercise was increased. However, the effects on muscle oxygenation have never been studied. The aim of this secondary analysis was to analyse changes in muscle oxygenation during an FES-cycling session. Eight patients with chronic obstructive pulmonary disease who were participating in a pulmonary rehabilitation programme were enrolled. Each participant carried out 30 minutes of cycle ergometry with a constant load at 50% of peak oxygen uptake, either (i) with FES or (ii) without (Placebo-FES). Oxygenation of the vastus lateralis (VL) muscle over time was measured using near-infrared spectroscopy (NIRS) during both sessions. External power output on the cycle ergometer was the same in both conditions. There were no differences in dyspnoea between the groups, although the concentrations of deoxygenated haemoglobin and myoglobin (deoxy(Hb + Mb)) in the VL were significantly greater during Placebo-FES than FES-Cycling (respectively +212 ± 65% vs. +84 ± 29%; p < 0.001), as was the decrease in muscle oxygen saturation (StO2) (p < 0.001). When adjusted for VO2, there was a greater increase over time in the deoxy(Hb + Mb)/VO2 ratio during Placebo-FES than FES-cycling (p < 0.0001). FES-cycling could be a useful strategy to decrease muscular deoxy(Hb + Mb) and limit decreases in muscle StO2, however this should be confirmed in larger studies.
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Affiliation(s)
- Guillaume Prieur
- a Normandie Univ, UNIROUEN, EA3830-GRHV , Rouen , France.,b Institute for Research and Innovation in Biomedicine (IRIB) , Rouen , France.,c Institut de Recherche Expérimentale et Clinique (IREC), Pôle de Pneumologie, ORL & Dermatologie, Groupe de Recherche en Kinésithérapie Respiratoire, Université Catholique de Louvain , Brussels , Belgium.,d Groupe Hospitalier du Havre, Pulmonology Department and Pulmonary Rehabilitation Department , Montivilliers , France
| | - Yann Combret
- e Institut de Recherche Expérimentale et Clinique (IREC), Pôle de Pneumologie, ORL & Dermatologie, Université Catholique de Louvain , Brussels , Belgium.,f Groupe Hospitalier du Havre, Physiotherapy Department , Montivilliers , France
| | - Tristan Bonnevie
- a Normandie Univ, UNIROUEN, EA3830-GRHV , Rouen , France.,b Institute for Research and Innovation in Biomedicine (IRIB) , Rouen , France.,g ADIR Association, Rouen University Hospital , Rouen , France
| | | | | | - Jean Quieffin
- h Groupe Hospitalier du Havre, Pulmonology Department , Montivilliers , France
| | - Bouchra Lamia
- a Normandie Univ, UNIROUEN, EA3830-GRHV , Rouen , France.,b Institute for Research and Innovation in Biomedicine (IRIB) , Rouen , France.,h Groupe Hospitalier du Havre, Pulmonology Department , Montivilliers , France
| | - Clement Medrinal
- a Normandie Univ, UNIROUEN, EA3830-GRHV , Rouen , France.,b Institute for Research and Innovation in Biomedicine (IRIB) , Rouen , France.,h Groupe Hospitalier du Havre, Pulmonology Department , Montivilliers , France
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McNarry MA, Harrison NK, Withers T, Chinnappa N, Lewis MJ. Pulmonary oxygen uptake and muscle deoxygenation kinetics during heavy intensity cycling exercise in patients with emphysema and idiopathic pulmonary fibrosis. BMC Pulm Med 2017; 17:26. [PMID: 28143453 PMCID: PMC5282850 DOI: 10.1186/s12890-017-0364-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2016] [Accepted: 01/10/2017] [Indexed: 05/29/2023] Open
Abstract
BACKGROUND Little is known about the mechanistic basis for the exercise intolerance characteristic of patients with respiratory disease; a lack of clearly defined, distinct patient groups limits interpretation of many studies. The purpose of this pilot study was to investigate the pulmonary oxygen uptake ([Formula: see text] O2) response, and its potential determinants, in patients with emphysema and idiopathic pulmonary fibrosis (IPF). METHODS Following a ramp incremental test for the determination of peak [Formula: see text] O2 and the gas exchange threshold, six emphysema (66 ± 7 years; FEV1, 36 ± 16%), five IPF (65 ± 12 years; FEV1, 82 ± 11%) and ten healthy control participants (63 ± 6 years) completed three repeat, heavy-intensity exercise transitions on a cycle ergometer. Throughout each transition, pulmonary gas exchange, heart rate and muscle deoxygenation ([HHb], patients only) were assessed continuously and subsequently modelled using a mono-exponential with ([Formula: see text] O2, [HHb]) or without (HR) a time delay. RESULTS The [Formula: see text] O2 phase II time-constant (τ) did not differ between IPF and emphysema, with both groups significantly slower than healthy controls (Emphysema, 65 ± 11; IPF, 69 ± 7; Control, 31 ± 7 s; P < 0.05). The HR τ was slower in emphysema relative to IPF, with both groups significantly slower than controls (Emphysema, 87 ± 19; IPF, 119 ± 20; Control, 58 ± 11 s; P < 0.05). In contrast, neither the [HHb] τ nor [HHb]:O2 ratio differed between patient groups. CONCLUSIONS The slower [Formula: see text] O2 kinetics in emphysema and IPF may reflect poorer matching of O2 delivery-to-utilisation. Our findings extend our understanding of the exercise dysfunction in patients with respiratory disease and may help to inform the development of appropriately targeted rehabilitation strategies.
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Affiliation(s)
| | - Nicholas K Harrison
- College of Medicine, Swansea University, Swansea, UK.,Respiratory Unit, Morriston Hospital, Swansea, UK
| | - Tom Withers
- A-STEM, College of Engineering, Swansea University, Swansea, UK
| | | | - Michael J Lewis
- A-STEM, College of Engineering, Swansea University, Swansea, UK
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12
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Lai N, Martis A, Belfiori A, Tolentino-Silva F, Nasca MM, Strainic J, Cabrera ME. Gender differences in V˙O2 and HR kinetics at the onset of moderate and heavy exercise intensity in adolescents. Physiol Rep 2016; 4:4/18/e12970. [PMID: 27655810 PMCID: PMC5037918 DOI: 10.14814/phy2.12970] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2016] [Accepted: 08/22/2016] [Indexed: 11/24/2022] Open
Abstract
The majority of the studies on V˙O2 kinetics in pediatric populations investigated gender differences in prepubertal children during submaximal intensity exercise, but studies are lacking in adolescents. The purpose of this study was to test the hypothesis that gender differences exist in the V˙O2 and heart rate (HR) kinetic responses to moderate (M) and heavy (H) intensity exercise in adolescents. Twenty-one healthy African-American adolescents (9 males, 15.8 ± 1.1 year; 12 females, 15.7 ± 1 year) performed constant work load exercise on a cycle ergometer at M and H. The V˙O2 kinetics of the male group was previously analyzed (Lai et al., Appl. Physiol. Nutr. Metab. 33:107-117, 2008b). For both genders, V˙O2 and HR kinetics were described with a single exponential at M and a double exponential at H. The fundamental time constant (τ1) of V˙O2 was significantly higher in female than male at M (45 ± 7 vs. 36 ± 11 sec, P < 0.01) and H (41 ± 8 vs. 29 ± 9 sec, P < 0.01), respectively. The functional gain (G1) was not statistically different between gender at M and statistically higher in females than males at H: 9.7 ± 1.2 versus 10.9 ± 1.3 mL min-1 W-1, respectively. The amplitude of the slow component was not significantly different between genders. The HR kinetics were significantly (τ1, P < 0.01) slower in females than males at M (61 ± 16 sec vs. 45 ± 20 sec, P < 0.01) and H (42 ± 10 sec vs. 30 ± 8 sec, P = 0.03). The G1 of HR was higher in females than males at M: 0.53 ± 0.11 versus 0.98 ± 0.2 bpm W-1 and H: 0.40 ± 0.11 versus 0.73 ± 0.23 bpm W-1, respectively. Gender differences in the V˙O2 and HR kinetics suggest that oxygen delivery and utilization kinetics of female adolescents differ from those in male adolescents.
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Affiliation(s)
- Nicola Lai
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio Department of Pediatrics Cardiology, Case Western Reserve University, Cleveland, Ohio Center for Modeling Integrated Metabolic Systems, Cleveland, Ohio Department of Electrical and Computer Engineering, Old Dominion University, Norfolk, Virginia Biomedical Engineering Institute, Old Dominion University, Norfolk, Virginia
| | - Alessandro Martis
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - Alfredo Belfiori
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | | | - Melita M Nasca
- Department of Pediatrics Cardiology, Case Western Reserve University, Cleveland, Ohio Rainbow Babies and Children's Hospital, Cleveland, Ohio
| | - James Strainic
- Department of Pediatrics Cardiology, Case Western Reserve University, Cleveland, Ohio Rainbow Babies and Children's Hospital, Cleveland, Ohio
| | - Marco E Cabrera
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio Department of Pediatrics Cardiology, Case Western Reserve University, Cleveland, Ohio Center for Modeling Integrated Metabolic Systems, Cleveland, Ohio Rainbow Babies and Children's Hospital, Cleveland, Ohio
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13
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Walsh JA, Stamenkovic A, Lepers R, Peoples G, Stapley PJ. Neuromuscular and physiological variables evolve independently when running immediately after cycling. J Electromyogr Kinesiol 2015; 25:887-93. [PMID: 26542485 DOI: 10.1016/j.jelekin.2015.10.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2015] [Revised: 08/05/2015] [Accepted: 10/13/2015] [Indexed: 10/22/2022] Open
Abstract
During the early period of running after cycling, EMG patterns of the leg are modified in only some highly trained triathletes. The majority of studies have analysed muscle EMG patterns at arbitrary, predetermined time points. The purpose of this study was to examine changes to EMG patterns of the lower limb at physiologically determined times during the cycle-run transition period to better investigate neuromuscular adaptations. Six highly trained triathletes completed a 10 m in isolated run (IR), 30 min of rest, then a 20 min cycling procedure, before a 10 min transition run (C-R). Surface EMG activity of eight lower limb muscles was recorded, normalised and quantified at four time points. Oxygen uptake and heart rate values were also collected. Across all muscles, mean (± SD) EMG patterns, demonstrated significant levels of reproducibility for each participant at all four time points (α < 0.05; r = 0.52-0.97). Mean EMG patterns during C-R correlated highly with the IR patterns (α < 0.05). These results show that EMG patterns during subsequent running are not significantly affected by prior cycling. However, variability of muscle recruitment activity does appear to increase during C-R transition when compared to IR.
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Affiliation(s)
- Joel A Walsh
- Neural Control of Movement Laboratory, School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia.
| | - Alexander Stamenkovic
- Neural Control of Movement Laboratory, School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia
| | - Romuald Lepers
- INSERM U1093 Cognition, Action, et Plasticité Sensorimotrice, Université de Bourgogne, UFR STAPS, BP 27877, 21078 Dijon Cedex, France
| | - Gregory Peoples
- Neural Control of Movement Laboratory, School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia
| | - Paul J Stapley
- Neural Control of Movement Laboratory, School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia
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Armstrong N, Barker AR, McManus AM. Muscle metabolism changes with age and maturation: How do they relate to youth sport performance? Br J Sports Med 2015; 49:860-4. [PMID: 25940635 DOI: 10.1136/bjsports-2014-094491] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/30/2015] [Indexed: 11/04/2022]
Abstract
AIM To provide an evidence-based review of muscle metabolism changes with sex-, age- and maturation with reference to the development of youth sport performance. METHODS A narrative review of data from both invasive and non-invasive studies, from 1970 to 2015, founded on personal databases supported with computer searches of PubMed and Google Scholar. RESULTS Youth sport performance is underpinned by sex-, age- and maturation-related changes in muscle metabolism. Investigations of muscle size, structure and metabolism; substrate utilisation; pulmonary oxygen uptake kinetics; muscle phosphocreatine kinetics; peak anaerobic and aerobic performance; and fatigue resistance; determined using a range of conventional and emerging techniques present a consistent picture. Age-related changes have been consistently documented but specific and independent maturation-related effects on muscle metabolism during exercise have proved elusive to establish. Children are better equipped for exercise supported primarily by oxidative metabolism than by anaerobic metabolism. Sexual dimorphism is apparent in several physiological variables underpinning youth sport performance. As young people mature there is a progressive but asynchronous transition into an adult metabolic profile. CONCLUSIONS The application of recent developments in technology to the laboratory study of the exercising child and adolescent has both supplemented existing knowledge and provided novel insights into developmental exercise physiology. A sound foundation of laboratory-based knowledge has been established but the lack of rigorously designed child-specific and sport-specific testing environments has clouded the interpretation of the data in real life situations. The primary challenge remains the translation of laboratory research into the optimisation of youth sports participation and performance.
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Affiliation(s)
- Neil Armstrong
- Children's Health and Exercise Research Centre, University of Exeter, Exeter, Devon, UK
| | - Alan R Barker
- Children's Health and Exercise Research Centre, University of Exeter, Exeter, Devon, UK
| | - Alison M McManus
- Centre for Heart, Lung and Vascular Health, School of Health and Exercise Sciences, University of British Columbia, Kelowna, British Columbia, Canada
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15
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Influence of thigh activation on the VO₂ slow component in boys and men. Eur J Appl Physiol 2014; 114:2309-19. [PMID: 25011494 DOI: 10.1007/s00421-014-2941-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2014] [Accepted: 06/16/2014] [Indexed: 10/25/2022]
Abstract
PURPOSE During constant work rate exercise above the lactate threshold (LT), the initial rapid phase of pulmonary oxygen uptake (VO₂) kinetics is supplemented by an additional VO₂ slow component (VO₂Sc) which reduces the efficiency of muscular work. The VO₂Sc amplitude has been shown to increase with maturation but the mechanisms are poorly understood. We utilized the transverse relaxation time (T₂) of muscle protons from magnetic resonance imaging (MRI) to test the hypothesis that a lower VO₂ slow component (VO₂Sc) amplitude in children would be associated with a reduced muscle recruitment compared to adults. METHODS Eight boys (mean age 11.4 ± 0.4) and eight men (mean age 25.3 ± 3.3 years) completed repeated step transitions of unloaded-to-very heavy-intensity (U → VH) exercise on a cycle ergometer. MRI scans of the thigh region were acquired at rest and after VH exercise up to the VO₂Sc time delay (ScTD) and after 6 min. T₂ for each of eight muscles was adjusted in relation to cross-sectional area and then summed to provide the area-weighted ΣT₂ as an index of thigh recruitment. RESULTS There were no child/adult differences in the relative VO₂Sc amplitude [Boys 14 ± 7 vs. Men 18 ± 3 %, P = 0.15, effect size (ES) = 0.8] during which the change (∆) in area-weighted ΣT₂ between the ScTD and 6 min was not different between groups (Boys 1.6 ± 1.2 vs. Men 2.3 ± 1.1 ms, P = 0.27, ES = 0.6). A positive and strong correlation was found between the relative VO₂Sc amplitude and the magnitude of the area-weighted ∆ΣT₂ in men (r = 0.92, P = 0.001) but not in boys (r = 0.09, P = 0.84). CONCLUSIONS This study provides evidence to show that progressive muscle recruitment (as inferred from T₂ changes) contributes to the development of the VO₂Sc during intense submaximal exercise independent of age.
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