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Walters G, Dring KJ, Nevill BA, Cooper SB, Nevill AM, Nevill ME, Morris JG. Short-Term High-Intensity Rowing Ergometry Training Improves Rowing Performance Equally in Healthy Weight and Obese Adolescents. Med Sci Sports Exerc 2024; 56:885-892. [PMID: 38181216 DOI: 10.1249/mss.0000000000003366] [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 Childhood obesity is a major health concern and physical activity is commonly proposed as an intervention strategy to combat the increasing prevalence of overweight and obesity in young people. The aim of this study was to examine the effect of high-intensity, supervised, rowing ergometer training on maximal and submaximal rowing performance in healthy weight and centrally obese adolescents (12-13 yr). METHODS Participants were randomized to either 6 wk of supervised rowing ergometry, comprising of 2 sessions per week with each session comprising of 2 × 3-min bouts of high-intensity rowing ergometry ( n = 57), or a control group who continued with their habitual activities ( n = 45). At baseline and follow-up, rowing performance was assessed via a submaximal test and a 3-min maximal test. RESULTS Six weeks of rowing ergometer training significantly improved maximal exercise performance; total distance rowed in a 3-min maximal effort improved by 19.7 m (2.7%) (time × group, P = 0.018) and produced a significant reduction in perceived effort in response to a set submaximal load (60 W) (time × group, P = 0.040). At baseline total distance rowed during the 3-min maximal test was significantly affected by body mass (main effect of body mass, P = 0.002), whereby a higher body mass was associated with enhanced rowing performance. However, the pattern of change over time was not different between healthy weight and centrally obese adolescents (time × group × waist centile, P = 0.577). CONCLUSIONS A 6-wk high-intensity rowing ergometry training intervention improved maximal rowing performance. This improvement was similar in healthy weight versus overweight and obese adolescents; yet overall overweight and obese adolescents had superior rowing performance compared to their healthy weight counterparts, suggesting that rowing may be an attractive exercise modality for interventions in overweight and obese young people.
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Hijleh AA, Wang S, Berton DC, Neder-Serafini I, Vincent S, James M, Domnik N, Phillips D, Nery LE, O'Donnell DE, Neder JA. Reference values for leg effort during incremental cycle ergometry in non-trained healthy men and women, aged 19-85. Scand J Med Sci Sports 2024; 34:e14625. [PMID: 38597357 DOI: 10.1111/sms.14625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Revised: 03/19/2024] [Accepted: 03/24/2024] [Indexed: 04/11/2024]
Abstract
Heightened sensation of leg effort contributes importantly to poor exercise tolerance in patient populations. We aim to provide a sex- and age-adjusted frame of reference to judge symptom's normalcy across progressively higher exercise intensities during incremental exercise. Two-hundred and seventy-five non-trained subjects (130 men) aged 19-85 prospectively underwent incremental cycle ergometry. After establishing centiles-based norms for Borg leg effort scores (0-10 category-ratio scale) versus work rate, exponential loss function identified the centile that best quantified the symptom's severity individually. Peak O2 uptake and work rate (% predicted) were used to threshold gradually higher symptom intensity categories. Leg effort-work rate increased as a function of age; women typically reported higher scores at a given age, particularly in the younger groups (p < 0.05). For instance, "heavy" (5) scores at the 95th centile were reported at ~200 W (<40 years) and ~90 W (≥70 years) in men versus ~130 W and ~70 W in women, respectively. The following categories of leg effort severity were associated with progressively lower exercise capacity: ≤50th ("mild"), >50th to <75th ("moderate"), ≥75th to <95th ("severe"), and ≥ 95th ("very severe") (p < 0.05). Although most subjects reporting peak scores <5 were in "mild" range, higher scores were not predictive of the other categories (p > 0.05). This novel frame of reference for 0-10 Borg leg effort, which considers its cumulative burden across increasingly higher exercise intensities, might prove valuable to judging symptom's normalcy, quantifying its severity, and assessing the effects of interventions in clinical populations.
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Ingvarsdottir TH, Johannsson E, Rognvaldsdottir V, Stefansdottir RS, Arnardottir NY. Longitudinal development and tracking of cardiorespiratory fitness from childhood to adolescence. PLoS One 2024; 19:e0299941. [PMID: 38551951 PMCID: PMC10980206 DOI: 10.1371/journal.pone.0299941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 02/20/2024] [Indexed: 04/01/2024] Open
Abstract
BACKGROUND Cardiorespiratory fitness (CRF) is an important indicator of health in childhood and adolescence but longitudinal studies on the development and tracking of CRF from childhood to adolescence are scarce. OBJECTIVES The objectives of this study were (1) to assess longitudinal development and track CRF over 10 years from childhood to adolescence, and (2) to examine potential sex differences in the development and tracking of CRF during this period. METHODS Participants were Icelandic children born in 1999, measured at the age of 7 (n = 190, 106 girls), 9 (n = 163, 95 girls), 15 (n = 239, 134 girls), and 17 (n = 202, 119 girls). CRF was assessed with a maximal cycle ergometer test and expressed as maximal power output (Max W) and maximal power output relative to lean mass (W/kgLM). Multilevel regression models were used to study the longitudinal development of CRF, and tracking was assessed with Spearman's rank correlation, logistic regression, and the percentage of participants remaining in low, moderate, or high CRF categories between measurements. RESULTS Max W and W/kgLM increased for both boys and girls up to age 15. Max W plateaued for both boys and girls while W/kgLM plateaued for girls but declined for boys from age 15 to 17. Boys had higher Max W than girls from age 15 and higher W/kgLM from age 9. CRF tracked at low to moderate levels from childhood to adolescence and at high levels in adolescence, with higher values observed for boys than girls. CONCLUSIONS Age 15 was a critical time point in the development of CRF, with values starting to plateau for girls and decline for boys. The results support early intervention for improved CRF in later years, with interventions targeting all children, regardless of their CRF level.
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Bitel M, Keir DA, Grossman K, Barnes M, Murias JM, Belfry GR. The Effects of a 90-km Outdoor Cycling Ride on Performance Outcomes Derived From Ramp-Incremental and 3-Minute All-Out Tests. J Strength Cond Res 2024; 38:540-548. [PMID: 38039445 DOI: 10.1519/jsc.0000000000004650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2023]
Abstract
ABSTRACT Bitel, M, Keir, DA, Grossman, K, Barnes, M, Murias, JM, and Belfry, GR. The effects of a 90-km outdoor cycling ride on performance outcomes derived from ramp-incremental and 3-minute all-out tests. J Strength Cond Res 38(3): 540-548, 2024-The purpose of this study was to determine whether laboratory-derived exercise intensity and performance demarcations are altered after prolonged outdoor cycling. Male recreational cyclists ( n = 10; RIDE) performed an exhaustive ramp-incremental test (RAMP) and a 3-minute all-out test (3MT) on a cycle ergometer before and after a 90-km cycling ride. RAMP-derived maximal oxygen uptake (V̇O 2max ), gas exchange threshold (GET), respiratory compensation point (RCP), and associated power output (PO), as well as 3MT-derived critical power (CP) and work performed above CP, were compared before and after ∼3 hours of outdoor cycling. Six active men served as "no-exercise" healthy controls (CON), who, instead, rested for 3 hours between repeated RAMP and 3MT tests. During the 90-km ride, the duration within the moderate-intensity, heavy-intensity, and severe-intensity domains was 59 ± 24%, 40 ± 24%, and 1 ± 1%, respectively. Compared with pre-90 km, post-RAMP exhibited reductions in (a) V̇O 2max (4.04 ± 0.48 vs. 3.80 ± 0.38 L·min -1 ; p = 0.026) and associated PO (392 ± 30 W vs. 357 ± 26 W; p = 0.002); (b) the V̇O 2 and PO at RCP (3.49 ± 0.46 vs. 3.34 ± 0.43 L·min -1 ; p = 0.040 and 312 ± 40 W vs. 292 ± 24 W; p = 0.023); and (c) the PO (214 ± 32 W vs. 198 ± 25 W; p = 0.027), but not the V̇O 2 at GET (2.52 ± 0.44 vs. 2.44 ± 0.38 L·min -1 ; p = 0.388). Pre-90 km vs. post-90 km 3MT variables showed reduced W' (9.8 ± 3.4 vs. 6.8 ± 2.6 kJ; p = 0.002) and unchanged CP (304 ± 26 W and 297 ± 34 W; p = 0.275). In the CON group, there were no differences in V̇O 2max , GET, RCP, W', CP, or associated power outputs ( p > 0.05) pre-to-post 3 hours of rest. The preservation of critical power demonstrates that longer-duration maximal efforts may be sustained after long-duration cycle. However, shorter sprints and higher-intensity efforts eliciting V̇O 2max will exhibit decreased PO after 3 hours of a predominantly moderate-intensity cycle.
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Astridge DJ, Peeling P, Goods PSR, Girard O, Watts SP, Dennis MC, Binnie MJ. Shifting the Energy Toward Los Angeles: Comparing the Energetic Contribution and Pacing Approach Between 2000- and 1500-m Maximal Ergometer Rowing. Int J Sports Physiol Perform 2024; 19:133-141. [PMID: 38016454 DOI: 10.1123/ijspp.2023-0216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Revised: 10/19/2023] [Accepted: 10/20/2023] [Indexed: 11/30/2023]
Abstract
PURPOSE To compare the energetic contribution and pacing in 2000- and 1500-m maximal rowing-ergometer performances. METHODS On separate visits (>48 h apart, random order), 18 trained junior (16.7 [0.4] y) male rowers completed 3 trials: a 7 × 4-minute graded exercise test, a 2000-m time trial (TT2000), and a 1500-m TT (TT1500). Respiratory gases were continuously measured throughout each trial. The submaximal power-to-oxygen-consumption relationship from the graded exercise test was used to determine the accumulated oxygen deficit for each TT. Differences in mean power output (MPO), relative anaerobic contribution, percentage of peak oxygen uptake, pacing index, maximum heart rate, rating of perceived exertion, and blood lactate concentration were assessed using linear mixed modeling. RESULTS Compared to TT2000 (324 [24] W), MPO was 5.2% (3.3%) higher in TT1500 (341 [29 W]; P < .001, ηp2=.70). There was a 4.9% (3.3%) increase (P < .001, ηp2=.71) in anaerobic contribution from 17.3% (3.3%) (TT2000) to 22.2% (4.3%) (TT1500). Compared to TT1500, maximum heart rate, rating of perceived exertion, and blood lactate concentration were all greater (P < .05) in TT2000. The pacing index was not different between trials. Percentage increase in MPO from TT2000 to TT1500 was negatively associated with pacing variance in TT1500 (R2 = .269, P = .027). CONCLUSIONS Maximal ergometer performance over 1500 m requires a significantly greater anaerobic contribution compared with 2000 m. Junior male athletes adopt a consistent pacing strategy across both distances. However, those who experienced greater percentage increases in MPO over the shorter test adopted a more even pacing strategy. To prepare for 1500-m performance, greater emphasis should be placed on developing capacity for work in the severe domain and completing race simulations with a more even pacing strategy.
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Ryan J, Hebert EP, Billiot KL, Ort BN, Thomschon K, Kraemer RR. The effects of separate and simultaneous upper and lower body cycling on cardiorespiratory responses in young men. J Sports Med Phys Fitness 2024; 64:129-136. [PMID: 37902804 DOI: 10.23736/s0022-4707.23.15306-0] [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: 10/31/2023]
Abstract
BACKGROUND The aim of the present study was to examine the relative cardiorespiratory and perceptual responses to upper body ergometry, lower body ergometry, and combined upper and lower body ergometry at increasing exercising intensities. METHODS Eight healthy males between 19 and 30 years of age completed three exercise sessions over seven days that included graded leg ergometry, arm ergometry, and combined arm and leg ergometry in counterbalanced fashion. During leg-only and arm-only sessions, participants exercised at workloads of 0, 32, 64, and 95 W. The combined session involved simultaneous arm and leg ergometry at 0, 32, 64, and 95 W, thus eliciting double the total power output of arm-only and leg-only sessions. RESULTS At all workloads, oxygen consumption and minute ventilation responses were greater during combined arm and leg exercise than during leg-only or arm-only exercise. However, the pattern of changes in heart rate, systolic blood pressure, rate pressure product, and rating of perceived exertion (RPE) were similar in response to arm-only and combined upper and lower body exercise, despite combined exercise involving double the workload. These cardiorespiratory and perceptual responses were significantly lower during leg-only only exercise. CONCLUSIONS The results of the study add to limited research comparing physiological and perceptual responses to upper, lower, and combined upper and lower body exercise. The findings highlight heightened cardiorespiratory and perceptual responses to upper body exercise alone or in combination with lower body exercise. Training that combines upper and lower body may create higher power output and elicit greater caloric expenditure while eliciting similar cardiovascular responses as upper body only exercise at moderate and higher intensities.
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Blanks Z, Brown DE, Cooper DM, Aizik SR, Bar-Yoseph R. Signal Variability Comparative Analysis of Healthy Early- and Late-Pubertal Children during Cardiopulmonary Exercise Testing. Med Sci Sports Exerc 2024; 56:287-296. [PMID: 37703319 DOI: 10.1249/mss.0000000000003296] [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: 09/15/2023]
Abstract
PURPOSE The kinetics of physiological responses to exercise have traditionally been characterized by estimating exponential equation parameters using iterative best-fit techniques of heart rate (HR) and gas exchange (respiratory rate, oxygen uptake (V̇O 2 ), carbon dioxide output, and ventilation). In this study, we present a novel approach to characterizing the maturation of physiological responses to exercise in children by accounting for response uncertainty and variability. METHODS Thirty-seven early-pubertal (17 females, 20 males) and 44 late-pubertal (25 females, 19 males) participants performed three multiple brief exercise bouts (MBEB). MBEB consisted of ten 2-min bouts of cycle ergometry at constant work rate interspersed by 1-min rest. Exercise intensity was categorized as low, moderate, or high, corresponding to 40%, 60%, and 80% of peak work rate, and performed in random order on 3 separate days. We evaluated sample entropy (SampEn), approximate entropy, detrended fluctuation analysis, and average absolute local variability of HR and gas exchange. RESULTS SampEn of HR and gas-exchange responses to MBEB was greater in early- compared with late-pubertal participants (e.g., V̇O 2 early-pubertal vs late-pubertal, 1.70 ± 0.023 vs 1.41 ± 0.027; P = 2.97 × 10 -14 ), and decreased as MBEB intensity increased (e.g., 0.37 ± 0.01 HR for low-intensity compared with 0.21 ± 0.014 for high intensity, P = 3.56 × 10 -17 ). Females tended to have higher SampEn than males (e.g., 1.61 ± 0.025 V̇O 2 for females vs 1.46 ± 0.031 for males, P = 1.28 × 10 -4 ). Average absolute local variability was higher in younger participants for both gas exchange and HR (e.g., early-pubertal vs late-pubertal V̇O 2 , 17.48 % ± 0.56% vs 10.24 % ± 0.34%; P = 1.18 × 10 -21 ). CONCLUSIONS The greater entropy in signal response to a known, quantifiable exercise perturbation in the younger children might represent maturation-dependent, enhanced competition among physiological controlling mechanisms that originate at the autonomic, subconscious, and cognitive levels.
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Quidel-Catrilelbún MEL, Ruiz-Alias SA, García-Pinillos F, Ramirez-Campillo R, Pérez-Castilla A. Acute Effect of Different Velocity-Based Training Protocols on 2000-meter Rowing Ergometer Performance. J Strength Cond Res 2024; 38:e8-e15. [PMID: 38085632 DOI: 10.1519/jsc.0000000000004595] [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: 12/18/2023]
Abstract
ABSTRACT Leandro Quidel-Catrilelbún, ME, Ruiz-Alias, SA, García-Pinillos, F, Ramirez-Campillo, R, and Pérez-Castilla, A. Acute effect of different velocity-based training protocols on 2000-m rowing ergometer performance. J Strength Cond Res 38(1): e8-e15, 2024-This study aimed to explore the acute effect of 4 velocity-based resistance training (VBT) protocols on 2000-m rowing ergometer (RE2000) time trial, as well as the behavior of the maximal neuromuscular capacities when RE2000 is performed alone or preceded by VBT protocols in the same session. Fifteen male competitive rowers (15-22 years) undertook 5 randomized protocols in separate occasions: (a) RE2000 alone (control condition); (b) VBT against 60% of 1 repetition maximum (1RM) with a velocity loss in the set of 10% followed by RE2000 (VBT60-10 + RE2000); (c) VBT against 60% 1RM with a velocity loss in the set of 30% followed by RE2000 (VBT60-30 + RE2000); (d) VBT against 80% 1RM with a velocity loss in the set of 10% followed by RE2000 (VBT80-10 + RE2000); (e) VBT against 80% 1RM with a velocity loss in the set of 30% followed by RE2000 (VBT80-30 + RE2000). The load-velocity relationship (load-axis intercept [L0], velocity-axis intercept [v0], and area under the load-velocity relationship line [Aline]) was used to evaluate the maximal neuromuscular capacities during the prone bench pull exercise before and after each protocol. The time trial was significantly longer for VBT60-30 + RE2000 and VBT80-30 + RE2000 than for RE2000, VBT60-10 + RE2000 and VBT80-10 + RE2000 (all p < 0.001; ES = 0.10-0.15). L0 and Aline were significantly reduced after all protocols (p < 0.001; ES = 0.10-0.13), with Aline reduction more accentuated for VBT60-10 + RE2000, VBT60-30 + RE2000, VBT80-30 + RE2000, and RE2000 (all p = 0.001; ES = 0.11-0.18) than for VBT80-10 + RE2000 (p = 0.065; ES = 0.05). Therefore, VBT protocols with greater velocity loss in the set (30% vs. 10%) negatively affected subsequent rowing ergometer performance, in line with impairment in Aline pulling performance.
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Bigliassi M, Cabral DF, Kotler S, Mannino M, Mavrantza AM, Oparina E, Gomes-Osman J. Electroencephalography spectral coherence analysis during cycle ergometry in low- and high-tolerant individuals. Psychophysiology 2024; 61:e14437. [PMID: 37665009 DOI: 10.1111/psyp.14437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 08/25/2023] [Accepted: 08/25/2023] [Indexed: 09/05/2023]
Abstract
The main objective of this study was to further understanding of the patterns of spectral connectivity during exercise in low- and high-tolerant individuals. Thirty-nine healthy individuals (i.e., 17 low- and 22 high-tolerant participants) took part in the present study. A state-of-the-art portable electroencephalography system was used to measure the brain's electrical activity during an incremental exercise test performed until the point of volitional exhaustion on a cycle ergometer. Spectral coherence was used to explore the patterns of connectivity in the frontal, central, and parietal regions of the brain. Physiological, perceptual, and affective responses were assessed throughout the exercise bout. The spontaneous eyeblink rate was also calculated prior to commencement and upon completion of the exercise trial as an indirect assessment of the dopaminergic system. The present findings indicate that high-tolerant individuals reported lower levels of perceived activation, especially during the preliminary stages of the exercise test. Participants in the high-tolerance group also reported greater levels of remembered pleasure upon completion of the exercise test. The data also revealed that high-tolerant individuals exhibited increased connectivity of theta waves between frontal, central, and parietal electrode sites and increased connectivity of beta waves, primarily within the parietal cortex. Correlational analysis indicated the possibility that low- and high-tolerant individuals make use of different neural networks to process and regulate their psychophysiological state during exercise-related situations. This strategy could potentially represent a conscious decision to downregulate affective arousal and facilitate the neural control of working muscles during situations of physical stress.
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Succi PJ, Dinyer-McNeely TK, Voskuil CC, Abel MG, Clasey JL, Bergstrom HC. Responses to Exercise at the Critical Heart Rate vs. the Power Output Associated With the Critical Heart Rate. J Strength Cond Res 2023; 37:2362-2372. [PMID: 37369084 DOI: 10.1519/jsc.0000000000004547] [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: 06/29/2023]
Abstract
ABSTRACT Succi, PJ, Dinyer-McNeely, TK, Voskuil, CC, Abel, MG, Clasey, JL, and Bergstrom, HC. Responses to exercise at the critical heart rate vs. the power output associated with the critical heart rate. J Strength Cond Res 37(12): 2362-2372, 2023-This study examined the physiological (volume of oxygen consumption [V̇ o2 ], heart rate [HR], power output [PO], respiration rate [RR], muscle oxygen saturation [%SmO 2 ]), neuromuscular (electromyographic and mechanomyographic amplitude [EMG AMP and MMG AMP] and mean power frequency [EMG MPF and MMG MPF]), and perceptual (rating of perceived exertion [RPE]) responses during exercise anchored at the critical heart rate (CHR) vs. the PO associated with CHR (PCHR). Nine subjects (mean ± SD ; age = 26 ± 3 years) performed a graded exercise test and 4 constant PO trials to exhaustion at 85-100% of peak PO (PP) to derive CHR and PCHR on a cycle ergometer. Responses were recorded during trials at CHR (173 ± 9 b·min -1 , time to exhaustion [T Lim ] = 45.5 ± 20.2 minutes) and PCHR (198 ± 58 W, T Lim = 21.0 ± 17.8 minutes) and normalized to their respective values at PP in 10% intervals. There were significant ( p ≤ 0.05) mode (CHR vs. PCHR) × time (10%-100% T Lim ) interactions for all variables ( p < 0.001-0.036) except MMG AMP ( p > 0.05). Post hoc analyses indicated differences across time for CHR V̇ o2 (%change = -22 ± 16%), PCHR V̇ o2 (19 ± 5%), CHR RR (24 ± 23%), PCHR RR (45 ± 14%), CHR PO (-33 ± 11%), PCHR HR (22 ± 5%), CHR RPE (22 ± 14%), PCHR RPE (39 ± 6%), CHR %SmO 2 (41 ± 33%), PCHR %SmO 2 (-18 ± 40%), CHR EMG AMP (-13 ± 15%), PCHR EMG AMP (13 ± 13%), CHR EMG MPF (9 ± 8%), CHR MMG MPF (7 ± 11%), and PCHR MMG MPF (-3 ± 14%). The critical heart rate was more sustainable than PCHR but required adjustments in PO which traversed intensity domains and caused dissociations of the responses previously observed in exercise anchored to PO. These dissociations indicated the demands to exercise varied with anchoring scheme and provides an important consideration for practitioners prescribing endurance exercise.
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Lidar J, Ainegren M, Sundström D. Development and validation of dynamic bioenergetic model for intermittent ergometer cycling. Eur J Appl Physiol 2023; 123:2755-2770. [PMID: 37369795 PMCID: PMC10638188 DOI: 10.1007/s00421-023-05256-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Accepted: 06/09/2023] [Indexed: 06/29/2023]
Abstract
PURPOSE The aim of this study was to develop and validate a bioenergetic model describing the dynamic behavior of the alactic, lactic, and aerobic metabolic energy supply systems as well as different sources of the total metabolic energy demand. METHODS The bioenergetic supply model consisted of terms for the alactic, lactic, and aerobic system metabolic rates while the demand model consisted of terms for the corresponding metabolic rates of principal cycling work, pulmonary ventilation, and accumulated metabolites. The bioenergetic model was formulated as a system of differential equations and model parameters were estimated by a non-linear grey-box approach, utilizing power output and aerobic metabolic rate (MRae) data from fourteen cyclists performing an experimental trial (P2) on a cycle ergometer. Validity was assessed by comparing model simulation and measurements on a similar follow-up experimental trial (P3). RESULTS The root mean square error between modelled and measured MRae was 61.9 ± 7.9 W and 79.2 ± 30.5 W for P2 and P3, respectively. The corresponding mean absolute percentage error was 8.6 ± 1.5% and 10.6 ± 3.3% for P2 and P3, respectively. CONCLUSION The validation of the model showed excellent overall agreement between measured and modeled MRae during intermittent cycling by well-trained male cyclist. However, the standard deviation was 38.5% of the average root mean square error for P3, indicating not as good reliability.
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Daly LS, Van Hooren B, Jakeman P. Physiological characteristics of a 92-yr-old four-time world champion indoor rower. J Appl Physiol (1985) 2023; 135:1415-1420. [PMID: 37916272 DOI: 10.1152/japplphysiol.00698.2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 10/25/2023] [Indexed: 11/03/2023] Open
Abstract
This study assessed the physiological, performance, nutritional intake, and training characteristics of a 92-yr-old four-time master world champion indoor male rower. Body composition was assessed via bioelectrical impedance. Oxygen uptake, carbon dioxide production, ventilation, and heart rate were measured at rest and during a 2,000-m time trial on a rowing ergometer. Maximal power was assessed to compute anaerobic power reserve. Training included ≈ 30 km/wk on the rowing ergometer. Herein, 70% of distances were covered at light intensities (RPE, 10-12), 20% at hard (RPE, 13-17), and 10% at near maximal or maximal (RPE, 17-20). Resistance training was performed during ≈ 2 sessions/wk, and involved three sets of dumbbell lunges, rows, and curls, respectively, taken close (or to) failure. Dietary intake was high in protein [2.3 ± 0.1 g·kg-1 lean body mass (LBM)], conferring a caloric intake of 33.4 ± 1.7 kcal·kg-1 LBM. The participant demonstrated muscle mass of 47.7 kg, fat mass of 9.1 kg (15.4% body fat), forced vital capacity of 3.36 L, time constant (τ) to steady state of 30.2 s, peak relative oxygen pulse of 0.18 ([mL·O2/beats/min]/kg), peak heart rate of 153 beats/min, and maximum power of 220 W (140 W anaerobic power reserve). This 92-yr-old athlete demonstrated remarkably fast oxygen uptake kinetics, akin to values for a healthy young adult, indicating well-developed and/or maintained cardiopulmonary function. The high values for cardiopulmonary function, muscle mass, metabolic efficiency, and maximum power output may infer the pliability of these systems to maintain high functionality at an advanced age.NEW & NOTEWORTHY To our knowledge, this study is the first to characterize the physiological attributes of a competitive rower (4-time master world champion) at an advanced age (≥ 85 yr). The participant demonstrated a high muscle mass (47.7 kg; 80.6% body mass), maximal power (220 W), and exceptional oxygen uptake kinetics (τ of 30.2 s), similar to values reported for healthy young adults.
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Tian Y, Chen X, Liu Y, Sun G, Zhou Z, Liu C, Huo B. Effects of poling camber angle on the biomechanics of cross-country sit-skiing. Sci Rep 2023; 13:20893. [PMID: 38017144 PMCID: PMC10684654 DOI: 10.1038/s41598-023-48359-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 11/25/2023] [Indexed: 11/30/2023] Open
Abstract
Cross-country sit-skiers use double poling (DP) technique to drive the slide. The aim of this study is to analyze how poling camber angle affect the capacity of power output and biomechanical parameters of the DP process. Twenty-four non-disabled college students (24.67 ± 1.46 years old) were recruited to perform three successive 30-s maximal effort tests with different poling camber angles of 0°, 15°, 24° and 30° using a sit-skiing ergometer. The biomechanical parameters, output power and muscle activation of the subjects were analyzed. The results showed that DP output power increased with the increase of poling camber angle at 15° (597.78 ± 150.31 J), 24° (610.94 ± 158.96 J, P = 0.011) and 30° (629.10 ± 168.78 J, P < 0.001) compared with 0° (590.65 ± 148.95 J). However, effective output power decreased with the increase of camber angle. Poling with camber angle of 24° had the shortest cycle time 1.53 ± 0.17 s, compared with other abduction angle (0°, 1.57 ± 0.19 s, 15°, 1.55 ± 0.16 s, and 30°, 1.56 ± 0.19 s). Compared with 0° (1.02 ± 0.14 m), the cycle distance significantly increased at poling camber angles of 24° (1.07 ± 0.12 m, P = 0.029) and 30° (1.11 ± 0.13 m, P < 0.001). With the increase of poling camber angle, the shoulder and elbow joint range of motions and joint moments were significantly increased. This study found that poling with shoulder abducted increased the output power but decreased the efficiency. By analyzing the poling angle and poling force, we find that the optimal poling camber angle may depend on the terrain or the skiing speed. These results may guide the competition techniques and tactics in the matches, and may further influence the strength-training programs of cross-country sit-skiing athletes.
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Watts SP, Binnie MJ, Goods PSR, Hewlett J, Fahey-Gilmour J, Peeling P. Demarcation of Intensity From 3 to 5 Zones Aids in Understanding Physiological Performance Progression in Highly Trained Under-23 Rowing Athletes. J Strength Cond Res 2023; 37:e593-e600. [PMID: 37463357 DOI: 10.1519/jsc.0000000000004534] [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: 07/20/2023]
Abstract
ABSTRACT Watts, SP, Binnie, MJ, Goods, PSR, Hewlett, J, Fahey-Gilmour, J, and Peeling, P. Demarcation of intensity from 3 to 5 zones aids in understanding physiological performance progression in highly trained under-23 rowing athletes. J Strength Cond Res 37(11): e593-e600, 2023-The purpose of this investigation was to compare 2 training intensity distribution models (3 and 5 zone) in 15 highly trained rowing athletes ( n = 8 male; n = 7 female; 19.4 ± 1.1 years) to determine the impact on primary (2,000-m single-scull race) and secondary (2,000-m ergometer time trial, peak oxygen consumption [V̇O 2 peak], lactate threshold 2 [LT2 power]) performance variables. Performance was assessed before and after 4 months training, which was monitored through a smart watch (Garmin Ltd, Olathe, KS) and chest-strap heart rate (HR) monitor (Wahoo Fitness, Atlanta, GA). Two training intensity distribution models were quantified and compared: a 3-zone model (Z1: between 50% V̇O 2 peak and lactate threshold 1 (LT1); Z2: between LT1 and 95% LT2; Z3: >95% LT2) and a 5-zone model (T1-T5), where Z1 and Z3 were split into 2 additional zones. There was significant improvement in LT2 power for both male (4.08% ± 1.83, p < 0.01) and female (3.52% ± 3.38, p = 0.02) athletes, with male athletes also demonstrating significant improvement in 2,000-m ergometer time trial (2.3% ± 1.92, p = 0.01). Changes in V̇O 2 peak significantly correlated with high-quality aerobic training (percent time in T2 zone; r = 0.602, p = 0.02), whereas changes in LT2 power significantly correlated with "threshold" training (percent time in T4 zone; r = 0.529, p = 0.04). These correlations were not evident when examining intensity distribution through the 3-zone model. Accordingly, a 5-zone intensity model may aid in understanding the progression of secondary performance metrics in rowing athletes; however, primary (on-water) performance remains complex to quantify.
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Astorino TA, Robson T, McMillan DW. Classifying Intensity Domains From Arm Cycle Ergometry Differs Versus Leg Cycling Ergometry. J Strength Cond Res 2023; 37:2192-2199. [PMID: 37883398 DOI: 10.1519/jsc.0000000000004549] [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: 10/28/2023]
Abstract
ABSTRACT Astorino, TA, Robson, T, and McMillan, DW. Classifying intensity domains from arm cycle ergometry differs versus leg cycling ergometry. J Strength Cond Res 37(11): 2192-2199, 2023-This study compared the distribution of exercise intensity domains in response to progressive leg cycle ergometry (LCE) and arm cycle ergometry (ACE). Seventeen active men and women (age and body fat = 26 ± 7 years and 18 ± 3%) initially performed graded exercise on each modality to assess maximal oxygen uptake (V̇o2max) and peak power output (PPO). Using a randomized crossover design, they subsequently performed moderate intensity continuous exercise consisting of three 15-minute bouts at 20, 40, and 60% PPO on each modality. Gas exchange data (V̇o2, V̇co2, and VE), respiratory exchange ratio, heart rate (HR), blood lactate concentration (BLa), and perceptual responses were acquired. Only 2 subjects were classified in the same intensity domains across modalities, with LCE eliciting more subjects exercising at "vigorous" and "near-maximal" intensities than ACE. Time spent above 70 (22 ± 7 vs. 15 ± 8 minutes, d = 1.03) and 80 %HRmax (15 ± 6 vs. 9 ± 6 minutes, d = 1.04) was significantly greater with LCE vs. ACE. Compared with ACE, LCE revealed significantly higher (p < 0.05) peak (94 ± 6 vs. 88 ± 9 %HRmax, d = 0.81) and mean HR (73 ± 6 vs. 66 ± 6 %HRmax, d = 1.20), V̇o2 (54 ± 5 vs. 50 ± 7 %V̇o2max, d = 0.68), and BLa (5.5 ± 2.0 vs. 4.7 ± 1.5 mM, d = 0.48). The results exhibit that progressive leg cycling at identical intensities elicits a greater cardiometabolic stimulus than ACE.
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Janicijevic D, Quidel-Catrilelbún MEL, Baena-Raya A, García-Ramos A. Interference Effects of Different Resistance-Training Protocols on Rowing Ergometer Performance: A Study on Semiprofessional Rowers. Int J Sports Physiol Perform 2023; 18:1345-1351. [PMID: 37666501 DOI: 10.1123/ijspp.2023-0210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 07/31/2023] [Accepted: 08/02/2023] [Indexed: 09/06/2023]
Abstract
PURPOSE To evaluate the interference effects of various resistance-training (RT) protocols on rowing ergometer performance. METHODS Fourteen semiprofessional male rowers randomly completed 5 protocols in separate sessions: (1) control-no RT session was performed, (2) upper-body high-fatigue-4 sets to failure during the bench pull exercise, (3) upper-body low-fatigue-4 sets of 6 repetitions during the bench pull exercise, (4) lower-body high-fatigue-4 sets to failure during the leg-press exercise, and (5) lower-body low-fatigue-4 sets of 6 repetitions during the leg-press exercise. All sets were performed against the 12-repetition-maximum load with 2 minutes of interset rest. Following the completion of the protocols, subjects performed an all-out 1000-m rowing ergometer test. RESULTS Compared with the control condition, rowing ergometer performance was not significantly affected after the low-fatigue RT protocols (upper body: P ≥ .487; Δ = 0.0%-0.2%; lower body: P ≥ .200; Δ = -0.2%-0.5%), while it significantly declined following high-fatigue RT protocols (upper body: P ≤ .001; Δ = 1.0%-2.0%; lower body: P ≤ .002; Δ = 2.1%-2.5%). The average heart rate was significantly lower for the control condition compared with all RT protocols (P ≤ .043; Δ = 1.0%-1.5%). CONCLUSIONS To minimize interference on rowing performance, coaches should prioritize the level of effort in RT protocols over specific exercises, specifically avoiding high-fatigue protocols that lead to failure before rowing practice.
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Ertel GN, Mornieux G, Simon FR, Gauchard GC. Characterizing the effects of an ergonomic handle on upper limbs kinematics and neuromuscular activity, comfort, and performance during ergometer rowing. APPLIED ERGONOMICS 2023; 113:104093. [PMID: 37453289 DOI: 10.1016/j.apergo.2023.104093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 06/23/2023] [Accepted: 07/09/2023] [Indexed: 07/18/2023]
Abstract
Articular stress and discomfort during repetitive movements may impact the risk of injuries of the upper limbs during ergometer rowing, especially when using a regular circular handle. Therefore, the purpose of the study was to propose and evaluate the influence of an ergonomic handle on upper limbs biomechanics, comfort and performance during ergometer rowing. An ergonomic irregular hexagon handle, with a 1:1.25 width/length diameters ratio, has been developed. Left upper limb kinematics and neuromuscular activity, perceived comfort and power production were monitored for 29 expert rowers. The ergonomic handle increased the perceived comfort while maintaining the overall articular stress and performance as the same level compared to the regular handle. We recommend using irregular hexagon handles with 1:1.25 ratio for ergometer rowing. Further improvements of the ergonomic handle such as an individualization based on the user's hand length may further enhance comfort and achieve better performance.
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Wang H, Hunt KJ. Feedback control of heart rate during treadmill exercise based on a two-phase response model. PLoS One 2023; 18:e0292310. [PMID: 37871010 PMCID: PMC10593204 DOI: 10.1371/journal.pone.0292310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 09/18/2023] [Indexed: 10/25/2023] Open
Abstract
This work investigated automatic control of heart rate during treadmill exercise. The aim was to theoretically derive a generic feedback design strategy that achieves a constant input sensitivity function for linear, time-invariant plant models, and to empirically test whether a compensator C2 based on a second-order model is more dynamic and has better tracking accuracy than a compensator C1 based on a first-order model. Twenty-three healthy participants were tested using first and second order compensators, C1 and C2, respectively, during 35-minute bouts of constant heart rate treadmill running. It was found that compensator C2 was significantly more accurate, i.e. it had 7% lower mean root-mean-square tracking error (1.98 vs. 2.13 beats per minute, p = 0.026), and significantly more dynamic, i.e. it had 17% higher mean average control signal power (23.4 × 10-4 m2/s2 vs. 20.0 × 10-4 m2/s2, p = 0.011), than C1. This improvement likely stems from the substantially and significantly better fidelity of second-order models, compared to first order models, in line with classical descriptions of the different phases of the cardiac response to exercise. These outcomes, achieved using a treadmill, are consistent with previous observations for the cycle ergometer exercise modality. In summary, whenever heart rate tracking accuracy is of primary importance and a more dynamic control signal is acceptable, the use of a compensator based on a second-order nominal model is recommended.
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Huerta Ojeda Á, Riquelme Guerra M. Six-minute rowing test: a practical tool for training prescription, from ventilatory thresholds and power outputs, in amateur male rowers. PeerJ 2023; 11:e16160. [PMID: 37790629 PMCID: PMC10544309 DOI: 10.7717/peerj.16160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 08/31/2023] [Indexed: 10/05/2023] Open
Abstract
Background The 6-minute rowing ergometer test (6-minRT) is valid and reliable for establishing maximal aerobic power (MAP) in amateur male rowers. However, ventilatory thresholds (VTs) have not yet been established with their mechanical correspondence in this test. Objective The primary objective was to determine the VTs in the 6-minRT achieved by amateur male rowers, while the secondary objective was to determine the correspondence between ventilatory, mechanical, and heart rate (HR) outcomes of the 6-minRT. Methods Sixteen amateur male rowers were part of the study. All participants were instructed to perform an incremental test (IT) and a 6-minRT. Determination of the ventilatory parameters for the first ventilatory threshold (VT1), the second ventilatory threshold (VT2), and 6minRTVO2max were performed by correlating the outcomes of VT1, VT2, and VO2max obtained in the IT, with the outcomes of 6-minRT. For these purposes, Pearson's test was used, with the following criteria: trivial, <0.1; small, 0.1-0.3; moderate, 0.3-0.5; high, 0.5-0.7; very high, 0.7-0.9; or practically perfect, >0.9. The significance level was p < 0.05. Results The IT analysis determined that VT1 and VT2 correspond to 55 and 80% of VO2max, respectively. A high correlation was observed between IT outcomes in VT1, VT2, and VO2max, with the outcomes of 6-minRT (r > 0.6). Conclusion Based on IT ventilatory parameters and concordance analysis, VT1 and VT2 of 6-minRT are determined at 55 and 80%, respectively, of both ventilatory parameters and their corresponding mechanical outcomes and HR.
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Mäestu J, Lelle R, Mäestu E, Pind R, Vahtra E, Purge P, Mikulic P. Long-Term Rowing Performance Development in Male Olympic and World Championship Medal Winners Compared With Nonmedalists. J Strength Cond Res 2023; 37:e521-e526. [PMID: 36728034 DOI: 10.1519/jsc.0000000000004479] [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: 02/03/2023]
Abstract
ABSTRACT Mäestu, J, Lelle, R, Mäestu, E, Pind, R, Vahtra, E, Purge, P, and Mikulic, P. Long-term rowing performance development in male Olympic and World Championship medal winners compared with nonmedalists. J Strength Cond Res 37(9): e521-e526, 2023-The purpose of this study was, first, to investigate individual longitudinal 2,000 m rowing ergometer performance (2,000 erg) development of world class male rowers from the beginning of their career until reaching the elite level and to compare ELITE performance development with those who did not reach podium places and, second, to provide 2,000 erg milestones for talent prediction in rowing. Individual annual 2,000 erg performances of 54 male rowers were analyzed from age 15 and throughout their career. Olympic or World Championships medal winners (ELITE; n = 11) were compared with those who did not reach international podium places. Two thousand erg increased ( p ≤ 0.05) until the age of 24 in ELITE, while plateaued earlier for less successful rowers. No differences in the rate of performance improvement were found between ELITE and lower performers ( p > 0.05). At the age of 20, performance between ELITE and international level nonmedal winners reached significant difference (480.7 ± 20.9 W vs. 435.3 ± 33.9 W, respectively) and remained different onwards ( p ≤ 0.05). However, the average of the 10 best seasons cross-sectional performances of less successful rowers were significantly higher until age 18, compared with ELITE. ELITE rowers were able to improve their 2,000 erg performance to higher age; therefore, it is difficult to predict elite performers in junior rowers. Cross-sectional performances of less successful rowers may indicate temporary high-level performers, who might not be able to advance the elite level.
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Fehr CM, McEwen G, Robinson C. The Effects of "Physical BEMER® Vascular Therapy" on Work Performed During Repeated Wingate Sprints. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2023; 94:732-737. [PMID: 35481952 DOI: 10.1080/02701367.2022.2053040] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 03/05/2022] [Indexed: 06/14/2023]
Abstract
Purpose: The purpose of this study was to investigate the effects of Bio-Electro-Magnetic-Energy-Regulation (BEMER) on recovery and performance parameters in anaerobic exercise compared to active and passive recovery. Method: Fifteen recreationally active participants completed four sessions separated by 2-5 days between each session. The first visit involved one Wingate Anaerobic Test (WAnT; 30-s cycling sprint on a Monark ergometer) to familiarize participants with testing procedures. The three subsequent sessions involved four repeated WAnTs. Each sprint was followed by 4 min of either passive recovery (laying supine), active recovery (pedaling at 50 rpm at 20% of sprint workload), or BEMER recovery (laying supine on the BEMER body pad at intensity level "5-Plus."). The same recovery method was used within each testing session, and recovery method order was randomized across participants. Results: There was no difference in peak power, average power, fatigue index, or average work performed between recovery conditions. Active recovery resulted in a statistically significant decrease in ratings of pain intensity (M = -0.767, SD = 0.928) and pain unpleasantness (M = -0.608, SD = 0.915), from the first minute to the fourth minute of recovery, compared to both BEMER (Intensity: M = 0.675, SD = 0.745, Unpleasantness: M = 1.125, SD = 0.862) and passive (Intensity: M = 0.542, SD = 0.774, Unpleasantness: M = 1.018, SD = 0.872) recoveries, where pain ratings increased. Conclusions: Although no recovery method resulted in increased performance, active recovery led to a more comfortable exercise experience while still allowing comparable exercise performance.
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Bano A, Aftab A, Sahar W, Haider Z, Rashed MI, Shabbir HM. Combined Effects of Continuous Positive Airway Pressure and Cycle Ergometer in Early Rehabilitation of Coronary Artery Bypass Surgery Patients. J Coll Physicians Surg Pak 2023; 33:866-871. [PMID: 37553924 DOI: 10.29271/jcpsp.2023.08.866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 07/21/2023] [Indexed: 08/10/2023]
Abstract
OBJECTIVE To determine the combined effects of continuous positive airway pressure (C-PAP) and physical exercise rehabilitation on a cycle ergometer on postcoronary artery bypass surgery patients. STUDY DESIGN Randomised controlled trial. Place and Duration of the Study: Rawalpindi Institute of Cardiology, from December 2020 to May 2021. METHODOLOGY Patients, who underwent coronary artery bypass graft surgery, were divided into two equal groups of each 51. The control group received standard physiotherapy from the 1st postoperative day which included breathing exercises, passive mobilisation in the sitting position, and ambulation. The interventional group also had standard physiotherapy from 1st postoperative day; but also the 2nd to 4th postoperative day had additional dynamic exercises on cycle ergometry in combination with CPAP (continuous positive airway pressure). RESULTS There was a significant improvement in functional capacity measured by 6-minute walk test in the interventional group (p<0.001). Length of hospital and ICU stay mean rank (68.88 and 58) were also significantly decreased in the interventional group (p<0.001). There was no improvement in maximum inspiratory pressure and maximum expiratory pressure. One-minute sit-to-stand test was increased on 4th postoperative day in the interventional group. There was no significant difference observed in arterial blood gases between these two groups. CONCLUSION Cycle ergometry combined with continuous positive airway pressure (C-PAP) applied earlier on patients undergoing coronary artery bypass grafting improves the functional capacity, decreases the ICU and hospital length of stay and also improves lower limb muscle strength. But no difference in respiratory muscle strength and arterial blood gases was observed between the control and interventional groups. KEY WORDS Aerobic exercise, Coronary artery bypass graft surgery, Continuous positive airway pressure.
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Harada T, Kagami K, Shina T, Sorimachi H, Yuasa N, Saito Y, Naito A, Yoshida K, Kato T, Wada N, Ishii H, Obokata M. Diagnostic value of reduced left atrial compliance during ergometry exercise in heart failure with preserved ejection fraction. Eur J Heart Fail 2023; 25:1293-1303. [PMID: 37062872 DOI: 10.1002/ejhf.2862] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Revised: 03/19/2023] [Accepted: 04/08/2023] [Indexed: 04/18/2023] Open
Abstract
AIMS Diagnosis of heart failure with preserved ejection fraction (HFpEF) remains challenging in patients presenting with chronic dyspnoea. We sought to determine the diagnostic value of reduced left atrial (LA) compliance during exercise to diagnose HFpEF. METHODS AND RESULTS Ergometry exercise stress echocardiography was performed in 225 patients with HFpEF and 262 non-heart failure controls (non-cardiac dyspnoea [NCD]) in Protocol 1, where the diagnosis of HFpEF was defined by the HFA-PEFF algorithm. In Protocol 2, the diagnosis of HFpEF was ascertained by exercise right heart catheterization in 67 participants (49 HFpEF and 18 NCD). Speckle-tracking echocardiography was performed at rest and during exercise to determine LA compliance (ratio of LA reservoir strain to E/e'). As compared with NCD, patients with HFpEF demonstrated decreased LA reservoir strain and compliance at rest, and these differences further increased during exercise in Protocol 1. Exercise LA compliance discriminated HFpEF from NCD (area under the curve 0.87, p < 0.0001), with a superior diagnostic ability to exercise E/e' ratio (DeLong p = 0.005). Exercise LA compliance demonstrated incremental diagnostic value over clinical factors (age, systemic hypertension, and atrial fibrillation) and resting LA compliance (χ2 212.4 vs. 166.2, p < 0.0001). These findings were confirmed in Protocol 2. CONCLUSION Left atrial compliance during exercise demonstrated superior diagnostic ability to exercise E/e' ratio, with incremental diagnostic value over the resting LA compliance. Exercise LA compliance may enhance the diagnosis of HFpEF among patients with dyspnoea.
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Tiller NB, Porszasz J, Casaburi R, Rossiter HB, Ferguson C. Critical Power and Respiratory Compensation Point Are Not Equivalent in Patients with COPD. Med Sci Sports Exerc 2023; 55:1097-1104. [PMID: 36633582 PMCID: PMC10184810 DOI: 10.1249/mss.0000000000003124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
INTRODUCTION Several studies report that pulmonary oxygen uptake (V̇O 2 ) at the respiratory compensation point (RCP) is equivalent to the V̇O 2 at critical power (CP), suggesting that the variables can be used interchangeably to demarcate the threshold between heavy and severe intensity domains. However, if RCP is a valid surrogate for CP, their values should correspond even when assessed in patients with chronic obstructive pulmonary disease (COPD) in whom the "normal" mechanisms linking CP and RCP are impeded. The aim of this study was to compare V̇O 2 at CP with V̇O 2 at RCP in patients with COPD. METHODS Twenty-two COPD patients (14 male/8 female; forced expiratory volume in 1 s, 46% ± 17% pred) performed ramp-incremental cycle ergometry to intolerance (5-10 W·min -1 ) for the determination of gas exchange threshold (GET) and RCP. CP was calculated from the asymptote of the hyperbolic power-duration relationship from 3-5 constant-power exercise tests to intolerance. CP was validated with a 20-min constant-power ride. RESULTS GET was identified in 20 of 22 patients at a V̇O 2 of 0.93 ± 0.18 L·min -1 (75% ± 13% V̇O 2peak ), whereas RCP was identified in just 3 of 22 patients at a V̇O 2 of 1.40 ± 0.39 L·min -1 (85% ± 2% V̇O 2peak ). All patients completed constant-power trials with no difference in peak physiological responses relative to ramp-incremental exercise ( P > 0.05). CP was 46 ± 22 W, which elicited a V̇O 2 of 1.04 ± 0.29 L·min -1 (90% ± 9% V̇O 2peak ) during the validation ride. The difference in V̇O 2 at 15 and 20 min of the validation ride was 0.00 ± 0.04 L, which was not different from a hypothesized mean of 0 ( P = 0.856), thereby indicating a V̇O 2 steady state. CONCLUSIONS In COPD patients, who present with cardiopulmonary and/or respiratory-mechanical dysfunction, CP can be determined in the absence of RCP. Accordingly, CP and RCP are not equivalent in this group.
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Römer C, Wolfarth B. Prediction of Relevant Training Control Parameters at Individual Anaerobic Threshold without Blood Lactate Measurement. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4641. [PMID: 36901647 PMCID: PMC10001845 DOI: 10.3390/ijerph20054641] [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: 01/30/2023] [Revised: 02/24/2023] [Accepted: 02/28/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Active exercise therapy plays an essential role in tackling the global burden of obesity. Optimizing recommendations in individual training therapy requires that the essential parameters heart rate HR(IAT) and work load (W/kg(IAT) at individual anaerobic threshold (IAT) are known. Performance diagnostics with blood lactate is one of the most established methods for these kinds of diagnostics, yet it is also time consuming and expensive. METHODS To establish a regression model which allows HR(IAT) and (W/kg(IAT) to be predicted without measuring blood lactate, a total of 1234 performance protocols with blood lactate in cycle ergometry were analyzed. Multiple linear regression analyses were performed to predict the essential parameters (HR(IAT)) (W/kg(IAT)) by using routine parameters for ergometry without blood lactate. RESULTS HR(IAT) can be predicted with an RMSE of 8.77 bpm (p < 0.001), R2 = 0.799 (|R| = 0.798) without performing blood lactate diagnostics during cycle ergometry. In addition, it is possible to predict W/kg(IAT) with an RMSE (root mean square error) of 0.241 W/kg (p < 0.001), R2 = 0.897 (|R| = 0.897). CONCLUSIONS It is possible to predict essential parameters for training management without measuring blood lactate. This model can easily be used in preventive medicine and results in an inexpensive yet better training management of the general population, which is essential for public health.
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