Oxygen uptake kinetics

Contributions of the peripheral respiratory chemoreceptors to hyperpnea at intensities below the respiratory compensation point

We evaluated the contribution of the peripheral chemoreflex to the breathing response during steady-state exercise at intensities below the respiratory compensation point (RCP). Eighteen healthy, young participants (nine females) completed a maximal exercise protocol (visit 1) and three step-incremental protocols (visits 2-4) over 4 days. The step-incremental protocol involved two 8-min stages in the lower and upper regions of the moderate-intensity domain (MOD1 and MOD2; below lactate threshold, LT) and two 12-min stages within the heavy-intensity domain (HVY1 and HVY2; between LT and RCP). Six-to-10 breaths of 100% oxygen were administered twice at rest and at three time points during steady-state exercise at each intensity (visits 2 and 3), and arterialized-venous blood samples were obtained for blood gases and metabolites (visit 4). Gas exchange and ventilatory variables were measured breath-by-breath by metabolic cart and pneumotach. Peripheral chemoreflex contribution was determined as the absolute change in minute ventilation (ΔV̇e) between the average of breaths between 10 and ∼20 s after O2 breathing and those in the 30 s before O2 breathing. The average ΔV̇e at rest was -0.3 ± 1.0 L·min-1 and this value decreased to -2.7 ± 1.6 L·min-1 at MOD1, -4.2 ± 1.8 L·min-1 at MOD2, -5.8 ± 2.5 L·min-1 at HVY1, and -7.0 ± 2.7 L·min-1 at HVY2 (one-way ANOVA; P < 0.001). However, the intensity-dependent reduction in ΔV̇e was no longer significant when accounting for [H+] [one-way analysis of covariance (ANCOVA); P = 0.515]. Therefore, the peripheral chemoreflex drive to breathe (in L·min-1) increases with exercise intensity below RCP and may stem from a reflexive response to rising [H+].NEW & NOTEWORTHY We assessed peripheral chemoreflex (PChR) contributions to steady-state breathing at rest and at four exercise intensities below the respiratory compensation point by quantifying the fall in ventilation in response to surreptitious oxygen breathing. The magnitude by which ventilation fell increased progressively from rest to the highest intensity, indicating a rising PChR drive. Proton concentration from arterialized-venous blood also increased with intensity. Intensity-dependent increases in PChR drive may reflect a reflexive response to rising proton concentration.

Exercise training-induced speeding of V ˙ O 2 kinetics is not intensity domain-specific or correlated with indices of exercise performance

PURPOSE

This study examined the effect of 3 and 6 weeks of intensity domain-based exercise training onV ˙ O 2 kinetics changes and their relationship with indices of performance.

METHODS

Eighty-four young healthy participants (42 M, 42 F) were randomly assigned to six groups (14 participants each, age and sex-matched) consisting of: continuous cycling in the (1) moderate (MOD)-, (2) lower heavy (HVY1)-, and (3) upper heavy-intensity (HVY2)- domain; interval cycling in the (4) severe-intensity domain (i.e., high-intensity interval training (HIIT), or (5) extreme-intensity domain (i.e., sprint-interval training (SIT)); or (6) control (CON). Training participants completed two three-week phases of three supervised sessions per week, with physiological evaluations performed at PRE, MID and POST intervention. All training protocols, except SIT, were work-matched.

RESULTS

There was a significant time effect for the time constant ( τ V ˙ O 2 ) between PRE (31.6 ± 10.4 s) and MID (22.6 ± 6.9 s) (p < 0.05) and PRE and POST (21.8 ± 6.3 s) (p < 0.05), but no difference between MID and POST (p > 0.05) and no group or interaction effects (p > 0.05). There were no PRE to POST differences for CON (p < 0.05) in any variables. Despite significant increases in maximalV ˙ O 2 (V ˙ O 2max ), estimated lactate threshold (θLT), maximal metabolic steady state (MMSS), and peak power output (PPO) for the intervention groups (p < 0.05), there were no significant correlations from PRE to MID or MID to POST between Δ τ V ˙ O 2 and Δ V ˙ O 2max (r = - 0.221, r = 0.119), ΔPPO (r = - 0.112, r = - 0.017), ΔθLT (r = 0.083, r = 0.142) and ΔMMSS (r = - 0.213, r = 0.049)(p > 0.05).

CONCLUSION

This study demonstrated that (i) the rapid speeding ofV ˙ O 2 kinetics was not intensity-dependent; and (ii) changes in indices of performance were not significantly correlated with Δ τ V ˙ O 2 .

Mechanistic influence of the torque cadence relationship on power output during exhaustive all-out field tests in professional cyclists

Understanding the torque-cadence-power relationship can be important in assessing a cyclist's performance potential. This study explored these relationships in elite male cyclists (N = 17; age: 24.1 ± 3.8 years; body mass: 66.0 ± 4.8 kg, critical power (CP): 5.5 ± 0.3 W.kg-1) through sprint, torque, and CP tests conducted in fresh and after accumulated work. Testing protocols, performed during a pre-season training camp, included maximal efforts across varied gear ratios and durations (15 s, 3 min, and 12 min), under stable environmental conditions (15-20°C). Results revealed reduced power output, torque, and cadence after accumulated work compared to fresh conditions (p ≤ .001). Sprint-derived maximum torque (Tmax) was strongly correlated with torque intercepts for CP fresh (r = .558, p = .020) and after accumulated work (r = .556, p = .020). The cadence relationships demonstrated a large negative correlation between maximum cadence (Cmax) and optimum cadence (Copt) from the sprint test and the 15 s, 3 min and 12 min cadence recorded during CP after accumulated work (r = -0.541 to -0.634, p = 0.006 to 0.025). These findings highlight that accumulated work-induced reductions in work capacity (W') and CP values were accompanied by lower cadences across all effort durations.

Energy balance analysis suggests that lactate is not a direct cause of the slow component of oxygen uptake kinetics

PURPOSE

The mechanisms of oxygen uptake (V ˙ O 2 ) slow component in the severe exercise intensity domain are still a matter of debate. We tested the hypothesis that the rate of blood lactate ([La]) accumulation above maximal lactate steady state (MLSS) is a major cause ofV ˙ O 2 slow component.

METHODS

On 13 males exercising on a cycle-ergometer, we measured gas exchanges, heart rate, and [La] during maximal incremental exercise test to determine maximal aerobic power ( w . max) and at constant power exercise tests at 60%, 65%, 70%, and 80% of w . max.

RESULTS

MaximalV ˙ O 2 was 3.19 ± 0.37 l·min-1, w . max was 283 ± 28 W. At 60% w . max all variables attained steady state in all subjects. Power at MLSS was 177 ± 21 W. At 80% w . max a clearV ˙ O 2 slow component was observed in all subjects, exercise lasted 11.3 ± 3.1 min and [La] was 7.4 ± 2.2 mmol at 5 min and 11.5 ± 3.6 mmol at 10 min. The energy balance computed at 80% w . max resulted compatible with the principles of the energetics of muscular exercise, if we assume linear [La] increase, and thus constant metabolic power provided by [La] accumulation. Conversely, the metabolic power provided byV ˙ O 2 slow component increases with time. This contrast is incompatible with the tested hypothesis that consequently must be rejected.

CONCLUSION

This study excluded [La] accumulation as a main cause ofV ˙ O 2 slow component.

Effects of acute selective cyclooxygenase-2 inhibition on skeletal muscle microvascular oxygenation and exercise tolerance

The cyclooxygenase (COX) pathway regulates vascular tone and, therefore, local O2 delivery-utilization matching. The two main isoforms, COX-1 and COX-2, may promote opposing effects on contracting muscle O2 transport in health by inducing vasoconstriction and vasodilatation, respectively. Whether COX-2 and its main vasodilatory product (prostacyclin, PGI2) modulate microvascular O2 transport to skeletal muscle and thus exercise tolerance is unknown. We tested the hypothesis that acute selective COX-2 inhibition (SC2I) would impair cardiorespiratory and skeletal muscle microvascular responses from rest to exercise, thereby reducing exercise tolerance in healthy adults. Twelve individuals participated in a randomized, double-blind, crossover study to receive SC2I (200 mg celecoxib) or placebo (control, CON). Moderate and severe intensity cycling were performed with measurements of heart rate, arterial blood pressure, pulmonary oxygen uptake (V ̇ O 2 ${\dot V_{{{\mathrm{O}}_2}}}$ ), leg muscle microvascular oxygenation (S t O 2 ${S_{{\mathrm{t}}{{\mathrm{O}}_2}}}$ ; near-infrared spectroscopy) and time to exhaustion. Leg muscleS t O 2 ${S_{{\mathrm{t}}{{\mathrm{O}}_2}}}$ was also assessed during cuff occlusion protocols. SC2I decreased the plasma concentration of the stable PGI2 metabolite 6-keto prostaglandin F1α (CON: 203 (54) pg/mL; SC2I: 108 (54) pg/mL; P = 0.002). There was no difference in exercise tolerance (CON: 278 (55) s; SC2I: 298 (75) s), arterial blood pressure, heart rate, pulmonaryV ̇ O 2 ${\dot V_{{{\mathrm{O}}_2}}}$ or leg muscleS t O 2 ${S_{{\mathrm{t}}{{\mathrm{O}}_2}}}$ from rest to moderate or severe exercise between conditions (P > 0.05 for all). Moreover, there was no significant difference inS t O 2 ${S_{{\mathrm{t}}{{\mathrm{O}}_2}}}$ during cuff occlusion protocols between conditions. Contrary to our hypothesis, these data indicate that COX-2 is not obligatory for the regulation of skeletal muscle microvascular oxygenation at rest or during moderate or severe intensity exercise, and therefore does not modulate exercise tolerance in healthy adults.

Which Training Intensity Distribution Intervention will Produce the Greatest Improvements in Maximal Oxygen Uptake and Time-Trial Performance in Endurance Athletes? A Systematic Review and Network Meta-analysis of Individual Participant Data

BACKGROUND

Endurance athletes tend to accumulate large training volumes, the majority of which are performed at a low intensity and a smaller portion at moderate and high intensity. However, different training intensity distributions (TID) are employed to maximize physiological and performance adaptations.

OBJECTIVE

The objective of this study was to conduct a systematic review and network meta-analysis of individual participant data to compare the effect of different TID models on maximal oxygen uptake (VO2max) and time-trial (TT) performance in endurance-trained athletes.

METHODS

Studies were included if: (1) they were published in peer reviewed academic journals, (2) they were in English, (3) they were experimental or quasi-experimental studies, (4) they included trained endurance athletes, (5) they compared a polarized (POL) TID intervention to a comparator group that utilized a different TID model, (6) the duration in each intensity domain could be quantified, and (7) they reported VO2max or TT performance. Medline and SPORTDiscus were searched from inception until 11 February 2024.

RESULTS

We included 13 studies with 348 (n = 296 male, n = 52 female) recreational (n = 150) and competitive (n = 198) endurance athletes. Mean age ranged from 17.6 to 41.5 years and VO2max ranged from 46.6 to 68.3 mL·kg-1·min-1, across studies respectively. Based on the time in heart rate zone approach, there was no difference in VO2max (SMD = - 0.06, p = 0.68) or TT performance (SMD = - 0.05, p = 0.34) between POL and pyramidal (PYR) interventions. There were no statistically significant differences between POL and any of the other TID interventions. Subgroup analysis showed a statistically significant difference in the response of VO2max between recreational and competitive athletes for POL and PYR (SMD = - 0.63, p < 0.05). Competitive athletes may have greater improvements to VO2max with POL, while recreational athletes may improve more with a PYR TID.

CONCLUSIONS

Our results indicate that the adaptations to VO2max following different TID interventions are dependent on performance level. Athletes at a more competitive level may benefit from a POL TID intervention and recreational athletes from a PYR TID intervention.

Confidence intervals estimator of the kinetic parameters: do its reliability depend on the assembling method of the oxygen uptakes?

Gas exchange data acquired repeatedly under the same exercise conditions are assembled together to improve the kinetic parameters of breath-by-breath oxygen uptake. The latter are provided by the non-linear regression procedure, together with the corresponding estimators of the width of the Confidence Intervals (i.e., the Asymptotic Standard Errors; ASEs). We tested, for two different assembling procedures, whether the range of values identified by the ASE actually correspond to the 95% Confidence Interval. Ten O2 uptake responses were acquired on 10 healthy volunteers performing a square-wave moderate-intensity exercise. Kinetic parameters were estimated running the non-linear regression with a mono-exponential model on an increasingly greater number of responses (Nr, from 1 to 10), assembled together using the "stacking" and the "1-s-bins" procedures. Kinetic values obtained assembling together the 10 repetitions were assumed as "true" values. The time constant was not affected by Nr or by the assembling procedure (ANOVA; p>0.54 and p>0.16, respectively). The corresponding ASE decreased according to Nr (ANOVA; p=0.000), being significantly smaller for the "1-s-bins" procedure compared to the "stacking" one (ANOVA; p<0.001). Excluding 20s at the start of the fitting window, the range of values identified with the ASE provided by the "1-s-bins" and the "stacking" procedures included the "true" value in 85% and in 95% of cases, respectively. The "stacking" procedure should be preferred since it yielded ASEs for the time constant that provided a range of values satisfying the statistical meaning of the width of the Confidence Intervals, at the given degree of probability.

Competing influences of arterial pressure and carbon dioxide on the dynamic cerebrovascular response to step transitions in exercise intensity

Recent investigations of middle cerebral artery blood velocity (MCAv) kinetics at the onset of exercise have not accounted for potential dynamic changes in arterial partial pressure of carbon dioxide ([Formula: see text]) during the transient phase of exercise transitions when modeling MCAv kinetics, despite [Formula: see text] having known effects on cerebrovascular tone. The purpose of our study was to determine the independent effects of mean arterial pressure (MAP) and estimated [Formula: see text] ([Formula: see text]) on mean MCAv during repeated moderate-intensity exercise transitions. We hypothesized that cerebral autoregulation would minimize the effect of sustained exercise-induced changes in MAP on mean MCAv and that dynamic changes in [Formula: see text] would contribute to changes in mean MCAv. Eighteen young healthy adults (7 women, age: 28 ± 5 yr) performed three exercise transitions from 25 W to 90% of the ventilatory threshold in sequence with 5-min stages. Mean MCAv increased (P < 0.001) from 25 W (60.5 ± 14.0 cm·s-1) to 90% of the ventilatory threshold (68.8 ± 15.1 cm·s-1). MAP at the level of the middle cerebral artery (MAPMCA) (Δ = 14 ± 8 mmHg, P < 0.001) and [Formula: see text] (Δ = 2.7 ± 1.8 mmHg, P < 0.001) also increased with exercise intensity. Autoregressive moving average (ARMA) analysis isolated the independent effects of dynamic changes in MAPMCA and [Formula: see text] on MCAv, with low prediction error (mean absolute error = 1.12 ± 0.25 cm·s-1). Calculated steady states of the ARMA step responses were 0.13 ± 0.15 cm·s-1·mmHg-1 for Δmean MCAv/ΔMAPMCA and 1.95 ± 0.83 cm·s-1·mmHg-1 for Δmean MCAv/Δ[Formula: see text]. These data demonstrate that the combination of dynamic changes in MAP and [Formula: see text] largely explains the MCAv response during transitions in exercise intensity.NEW & NOTEWORTHY Time-series analysis of moderate-intensity exercise transitions suggested that cerebral autoregulation buffered the effect of sustained changes in mean arterial pressure on middle cerebral artery blood velocity (MCAv) and that changes in estimated arterial partial pressure of carbon dioxide ([Formula: see text]) contributed to the dynamic changes in MCAv during exercise transitions. Therefore, changes in [Formula: see text] at the onset of exercise are central to modeling dynamic MCAv responses and understanding the benefits of exercise on cerebral blood flow.

Changes in Cardiorespiratory Fitness Following Exercise Training Prescribed Relative to Traditional Intensity Anchors and Physiological Thresholds: A Systematic Review with Meta-analysis of Individual Participant Data

BACKGROUND

It is unknown whether there are differences in maximal oxygen uptake ( V O2max) response when prescribing intensity relative to traditional (TRAD) anchors or to physiological thresholds (THR).

OBJECTIVES

The present meta-analysis sought to compare: (a) mean change in V O2max, (b) proportion of individuals increasing V O2max beyond a minimum important difference (MID) and (c) response variability in V O2max between TRAD and THR.

METHODS

Electronic databases were searched, yielding data for 1544 individuals from 42 studies. Two datasets were created, comprising studies with a control group ('controlled' studies), and without a control group ('non-controlled' studies). A Bayesian approach with multi-level distributional models was used to separately analyse V O2max change scores from the two datasets and inferences were made using Bayes factors (BF). The MID was predefined as one metabolic equivalent (MET; 3.5 mL kg-1 min-1).

RESULTS

In controlled studies, mean V O2max change was greater in the THR group compared with TRAD (4.1 versus 1.8 mL kg-1 min-1, BF > 100), with 64% of individuals in the THR group experiencing an increase in V O2max > MID, compared with 16% of individuals taking part in TRAD. Evidence indicated no difference in standard deviation of change between THR and TRAD (1.5 versus 1.7 mL kg-1 min-1, BF = 0.55), and greater variation in exercise groups relative to non-exercising controls (1.9 versus 1.3 mL kg-1 min-1, BF = 12.4). In non-controlled studies, mean V O2max change was greater in the THR group versus the TRAD group (4.4 versus 3.4 mL kg-1 min-1, BF = 35.1), with no difference in standard deviation of change (3.0 versus 3.2 mL kg-1 min-1, BF = 0.41).

CONCLUSION

Prescribing exercise intensity using THR approaches elicited superior mean changes in V O2max and increased the likelihood of increasing V O2max beyond the MID compared with TRAD. Researchers designing future exercise training studies should thus consider the use of THR approaches to prescribe exercise intensity where possible. Analysis comparing interventions with controls suggested the existence of intervention response heterogeneity; however, evidence was not obtained for a difference in response variability between THR and TRAD. Future primary research should be conducted with adequate power to investigate the scope of inter-individual differences in V O2max trainability, and if meaningful, the causative factors.

Biochemical origin of (near-) linear curvature constant (W')- V ˙ O 2 slow component ( Δ V ˙ O 2 sc ) and critical power (CP)- V ˙ O 2 transition time (t0.63) relationship in skeletal muscle

PURPOSE

The biochemical background of the (near-)linear direct relationship between the curvature constant (W') of the power-duration curve and the magnitude ( Δ V ˙ O 2sc ) of the slow component of theV ˙ O 2 on-kinetics (V ˙ O 2sc ) as well as reverse relationship between critical power (CP) and the characteristic transition time (t0.63, analogous to τp) of the primary phase II of theV ˙ O 2 on-kinetics encountered in experimental studies is studied.

METHODS

A computer model of the bioenergetic system in skeletal muscle, involving the each-step-activation mechanism of work transitions and Pi double-threshold mechanism of muscle fatigue, is used.

RESULTS

The activity (rate constant) (kadd) of the additional ATP usage, underlying the slow component, determines to a large extent the (near-)linear direct W'- Δ V ˙ O 2sc relationship, as an increase in kadd increases markedly both W' and Δ V ˙ O 2sc . t0.63 is a derivative of the changes in metabolite (M = PCr or Cr or Pi) concentrations between rest and the steady-state of the phase II M on-kinetics after the onset of exercise. The oxidative phosphorylation (OXPHOS) activity (kOX) mostly determines the (near)-linear inverse CP-t0.63 relationship, as an increase in kOX markedly decreases ΔM and t0.63, and elevates CP.

CONCLUSIONS

TheV ˙ O 2 on-kinetics (e.g.,V ˙ O 2sc or t0.63) cannot cause anything in the system, as it is an emergent property of the system functioning on the biochemical level. Physiological variables: muscleV ˙ O 2sc and W' as well as t0.63 and CP, and relationships between them, are determined by biochemical parameters, mainly kadd and kOX, respectively.

Hemodynamic responses at anaerobic threshold during exercise in preload insufficiency

BACKGROUND

Preload insufficiency is an underrecognized cause of exercise intolerance identified during invasive cardiopulmonary exercise testing, and defined hemodynamically by decreased biatrial filling pressures, cardiac output, and oxygen consumption (V̇O2) at peak effort. Patients with preload insufficiency, however, typically present with symptoms of dyspnea on exertion, and/or exercise intolerance at submaximal efforts, particularly when performing activities of daily living. The cardiopulmonary hemodynamics and physiology at submaximal work levels of preload insufficiency have not been previously investigated. We hypothesized that preload insufficiency hemodynamics exist along a continuum, with submaximal exercise values reflecting peak exercise cardiopulmonary hemodynamics.

METHODS

We compared submaximal cardiopulmonary hemodynamics, measured at anaerobic threshold, between preload insufficiency patients and age-matched controls referred for dyspnea but with normal exercise responses.

RESULTS

Our study included 66 patients: 41 with preload insufficiency and 25 controls. Preload insufficiency patients exhibit significantly reduced V̇O2, watts, and METS at submaximal levels compared to controls, alongside earlier anaerobic threshold achievement and similar heart rates at anaerobic threshold.

CONCLUSIONS

These findings underscore the profound impact of preload insufficiency on submaximal exercise capacity, emphasizing the importance of its recognition and management. This insight sets the stage for further investigations into interventions targeting preload insufficiency at submaximal exercise levels to enhance both exercise performance and quality of life.

Exhaled Breath Analysis: From Laboratory Test to Wearable Sensing

Breath analysis and monitoring have emerged as pivotal components in both clinical research and daily health management, particularly in addressing the global health challenges posed by respiratory and metabolic disorders. The advancement of breath analysis strategies necessitates a multidisciplinary approach, seamlessly integrating expertise from medicine, biology, engineering, and materials science. Recent innovations in laboratory methodologies and wearable sensing technologies have ushered in an era of precise, real-time, and in situ breath analysis and monitoring. This comprehensive review elucidates the physical and chemical aspects of breath analysis, encompassing respiratory parameters and both volatile and non-volatile constituents. It emphasizes their physiological and clinical significance, while also exploring cutting-edge laboratory testing techniques and state-of-the-art wearable devices. Furthermore, the review delves into the application of sophisticated data processing technologies in the burgeoning field of breathomics and examines the potential of breath control in human-machine interaction paradigms. Additionally, it provides insights into the challenges of translating innovative laboratory and wearable concepts into mainstream clinical and daily practice. Continued innovation and interdisciplinary collaboration will drive progress in breath analysis, potentially revolutionizing personalized medicine through entirely non-invasive breath methodology.

Maximizing phonation: impact of inspiratory muscle strengthening on vocal durations and pitch range

BACKGROUND

This study investigated the acute effects of inspiratory muscle warm-up (IWU) on vocal performance in singers. Proper vocal and respiratory warm-up can enhance vocal range, quality, and endurance. The aim was to determine whether IWU improves maximum phonation time and pitch range, contributing to better voice production efficiency (vocal efficiency) and reduced fatigue.

MATERIALS AND METHODS

Singers were selected from the Samsun State Opera and the Ballet Directorate (n = 16). This cross-sectional study aimed to investigate the acute effects. The singers in the control group (SC = 8) performed only one session of routine voice warm-up, and the experimental group (SE = 8) conducted an inspiratory muscle warm-up (IWU) of 2 sets, 30 times/set at 40% maximal inspiratory pressure (MIP) in addition to routine voice warm-up. Subsequently, All participants were then required to perform pre- and post- pulmonary function tests, maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP), and voice recordings (note high pitch, note low pitch, high pitch durations and low pitch durations sustained with one breath, and maximum phonation duration).

RESULTS

All pulmonary function and muscle strength parameters improved in the SE group, with the highest increases in MIP (22.9%) and MEP (14.7%). No significant improvements were noted in the SC group (p > 0.05). The Borg Rating of Perceived Exertion showed that the SE group experienced less difficulty with their vocal performance after IWU (-11.6%, p = 0.006), while no significant change was observed in the SC group (p = 0.316). Both warm-up methods used in the study significantly affected the frequencies of high-pitch sounds (SE = 17.8%, SC = 10.9%, p = 0.003); however, the frequency of low-pitch sounds was not significantly affected (p = 0.437). IWU significantly affected the high-pitched note duration (p < 0.001; 32.17%), low-pitched note duration (p < 0.001; 27.11%), and maximum phonation time (p < 0.001; 21%), while routine voice warm-up did not significantly affect any parameter (p > 0.05).

CONCLUSIONS

The combination of IWU with the general body and voice warm-up protocol can acutely improve vocal performance in terms of maximum phonation time, phonation times of the highest and lowest pitched sounds in a single breath, and vocal range levels.

Does a priming warm-up influence the incidence of V ˙ ⁢ O 2 ⁢ p ⁢ l during a ramp test and verification phase?

OBJECTIVE

This study compared the effects of two different warm-up protocols (normal vs. priming) on the oxygen plateau (V ˙ ⁢ O 2 ⁢ p ⁢ l ) incidence rate during a ramp test. It also compared the cardiopulmonary responses during the ramp test and subsequent verification phase.

METHODS

Eleven recreational cyclists performed two experimental visits. The first visit required a normal warm-up (cycling at 50 W for 10 min) followed by the ramp test (30 W.min-1) and supramaximal verification phase with 30 min rest between tests. The second visit required a priming warm-up (cycling at 50 W for 4 min increasing to 70% difference between the gas exchange threshold [GET] and maximum work rate [WRmax] for 6 min) followed by the same protocol as in the first visit. Physiological responses were collected during the exercise and compared. Oxygen kinetics (V ˙ ⁢ O 2 Kinetics) andV ˙ ⁢ O 2 ⁢ p ⁢ l incidence rate were determined during the ramp tests for both visits.

RESULTS

As planned, following the warm-up the priming visit experienced greater physiological response. However, the incidence rate ofV ˙ ⁢ O 2 ⁢ p ⁢ l during the ramp test was the same between visits (73%), and maximal oxygen uptake was not different between visits after the ramp test (normal, 4.0 ± 0.8; primed, 4.0 ± 0.7 L·min-1, p = 0.230) and verification phase (normal, 3.8 ± 0.6; primed, 3.8 ± 0.7 L·min-1, p = 0.924) using a Holm-Bonferroni correction for controlling family-wise error rate.V ˙ ⁢ O 2 Kinetics were not different between visits during the ramp test (normal, 10.8 ± 1.1; primed, 10.8 ± 1.2 mL·min-1·W-1, p = 0.407). The verification phase confirmedV ˙ ⁢ O 2 ⁢ m ⁢ a ⁢ x in 100% for both the normal and priming visits.

CONCLUSION

Our hypothesis that a priming warm-up facilitates the incidence rate ofV ˙ ⁢ O 2 ⁢ p ⁢ l during a ramp test is not supported by the results. The verification phase remains a prudent option when determining a 'true'V ˙ ⁢ O 2 ⁢ m ⁢ a ⁢ x is required.

The effects of inspiratory muscle warm-up prior to inspiratory muscle training during pulmonary rehabilitation in subjects with chronic obstructive pulmonary disease: a randomized trial

BACKGROUND

While a whole-body warm-up may not adequately prepare the inspiratory muscles for exercise, inspiratory warm-up is an effective approach in preparing the inspiratory muscles for exertion.

OBJECTIVES

To investigate the effects of inspiratory muscle warm-up performed prior to inspiratory muscle training (IMT) during pulmonary rehabilitation (PR) in patients with moderate-to-severe chronic obstructive pulmonary disease (COPD) and inspiratory muscle weakness.

METHODS

Pulmonary function tests, maximal inspiratory and expiratory pressures (MIP and MEP), 6-minute walk test distance (6MWD), modified Medical Research Council Dyspnea Scale(mMRC), St. George's respiratory questionnaire and the 36-item short-form health survey were evaluated. Both groups performed IMT during PR for 8 weeks. The warm-up group (n = 15), in addition to the standard IMT group (n = 15), performed an inspiratory muscle warm-up protocol before each IMT session.

RESULTS

At the end of the 8-week intervention, improvements in dyspnea (mMRC in score, p =0.033, effect size =0.76); exercise capacity (6MWD in meters, p =0.001, effect size =1.30); pulmonary function [forced expiratory volume in 1 second (FEV1) in %predicted, p =0.006, effect size =1.10]; and inspiratory muscle strength (MIP in cmH2O, p =0.001, effect siz e = 1.35) were significantly greater in the warm-up group. Moreover, there were significant improvements in health-related quality of life (HRQoL) sub-scores after the training in both groups (p <0.05).

CONCLUSIONS

This study demonstrated improvements in both groups, surpassing or closely approaching the established minimal clinically important difference values for the respective outcomes. Performing a warm-up for inspiratory muscles before IMT boosts benefits for pulmonary function, inspiratory muscle strength, exercise capacity, dyspnea, and HRQoL in subjects with moderate-to-severe COPD and inspiratory muscle weakness.

Modelling heart rate dynamics in relation to speed and power output in sprint kayaking as a basis for training evaluation and optimisation

With the development of power output sensors in the field of paddle sports and the ongoing advancements in dynamical analysis of exercise data, this study aims to model the measurements of external training intensity in relation to heart rate (HR) time-series during flat-water kayak sprint. Nine elite athletes performed a total of 47 interval training sessions with incremental intensity (light to (sub-) maximal effort levels). The data of HR, speed and power output were measured continuously and rating of perceived exertion and blood lactate concentration ([BLa]) were sampled at the end of each interval stage. Different autoregressive-exogenous (ARX) modelling configurations are tested, and we report on which combination of input (speed or power), model order (1st or 2nd), parameter estimation method (time-(in)variant) and training conditions (ergometer or on-water) is best suited for linking external to internal measures. Average model R2 values varied between 0.60 and 0.97, with corresponding average root mean square error values of 15.6 and 3.2 bpm. 1st order models with time-varying (TV) parameter estimates yield the best model performance (average R2 = 0.94). At the level of the individual athlete, the TV modelling features (i.e., the model parameters and derivatives such as time constant values) show significant repeated measure correlations in relation to measures of exercise intensity. In conclusion, the study provides a comprehensive description of how the dynamic relationship between external load and HR for sprint kayaking training data can be modelled. Such models can be used as a basis for improving training evaluation and optimisation.

Pi-based biochemical mechanism of endurance-training-induced improvement of running performance in humans

PURPOSE

Endurance training improves running performance in distances where oxidative phosphorylation (OXPHOS) is the main ATP source. Here, a dynamic computer model is used to assess possible biochemical mechanisms underlying this improvement.

METHODS

The dynamic computer model is based on the "Pi double-threshold" mechanism of muscle fatigue, according to which the additional ATP usage appears when (1) inorganic phosphate (Pi) exceeds a critical value (Picrit); (2) exercise is terminated because of fatigue, when Pi reaches a peak value (Pipeak); (3) the Pi increase and additional ATP usage increase mutually stimulate each other.

RESULTS

The endurance-training-induced increase in oxidative phosphorylation (OXPHOS) activity attenuates the reaching of Pipeak by Pi (and thus of V ˙ O2max by V ˙ O2) at increased power output. This in turn allows a greater work intensity, and thus higher speed, to be achieved before exercise is terminated because of fatigue at the end of the 1500 m run. Thus, identical total work is performed in a shorter time. Probably, endurance training also lowers Pipeak, which improves the homeostasis of "bioenergetic" muscle metabolites: ADP, PCr, Pi and H+ ions.

CONCLUSIONS

The present dynamic computer model generates clear predictions of metabolic changes that limit performance during 1500 m running. It contributes to our mechanistic understanding of training-induced improvement in running performance and stimulates further physiological experimental studies.

Effects of acetazolamide on exercise performance in patients with COPD going to high altitude: randomised controlled trial

Background

In patients with COPD, preventive treatment with acetazolamide reduces adverse health effects during altitude travel. We investigated whether preventive acetazolamide treatment modifies exercise performance in COPD patients going to high altitude.

Methods

In this randomised, double-blind trial, lowlanders with COPD, forced expiratory volume in 1 s (FEV1) 40-80% predicted, were assigned to acetazolamide (375 mg per 24 h) or placebo treatment starting 24 h before ascent and while staying at 3100 m. Patients performed progressive cycling exercise to exhaustion at 760 m, before taking the study drug, and within 4 h after arrival at 3100 m. The primary outcome was the maximal power output (Wmax).

Results

103 patients (32 women), mean±sd age 57.2±8.1 years, FEV1 66±11% predicted, were included in per-protocol analyses. In 53 patients receiving acetazolamide, Wmax and oxygen uptake (V'O2 max) at 760 m and 3100 m were 105±27 and 91±25 W, and 18.0±4.8 and 15.5±3.7 mL·min-1·kg-1 (p<0.001, both changes). Corresponding Wmax and V'O2 max in 50 patients receiving placebo were 107±34 and 97±28 W, and 18.9±6.0 and 17.2±5.0 mL·min-1·kg-1 (p<0.001, both changes). Between-group differences (95% CI) in altitude-induced Wmax changes were -3.0 W (-8.7 to +2.7, p=0.305) and in V'O2 max changes were -0.8 mL·min-1·kg-1 (-2.1 to +0.5, p=0.213). Acetazolamide mitigated the altitude-induced reduction of P aO2 by 0.7 kPa (0.1 to 1.3, p=0.016). At 3100 m, maximal work rate with respiratory exchange ratio ≤1 was greater with acetazolamide than with placebo by 10.1 W (4.0 to 16.2, p=0.022).

Conclusions

In lowlanders with COPD, preventive treatment with acetazolamide did not modify the altitude-induced reduction in maximal work rate. However, acetazolamide enhanced arterial oxygenation and submaximal, moderate-intensity work capacity compared with placebo.

Peak V̇O2 during handcycling in spinal cord injured athletes: incremental versus verification testing

The present study aimed to compare peak oxygen uptake (V̇O2peak), peak heart rate (HRpeak), and peak O2pulse during an incremental and a verification test performed on the same day in hand-cyclists with spinal cord injury (SCI). Eight competitive SCI hand-cyclists (age: 23 ± 2.7 years; V̇O2peak: 36.3 ± 14.0 mL.kg-1.min-1) performed a maximal incremental handcycling test and a verification test to exhaustion at 100% of the peak speed on an oversized treadmill. The V̇O2peak, HRpeak, and peak O2pulse (i.e., VO2/HR) were compared between incremental and verification tests. Absolute and relative V̇O2peak obtained in the verification test (2.51 ± 0.96 L.min-1; 36.3 ± 14.0 mL.kg.min-1) were significantly higher than values obtained in the incremental test (2.24 ± 0.79 L.min-1; 33.5 ± 12.9 mL.kg.min-1; P < 0.05). The mean differences (95% CL) of absolute and relative V̇O2peak between tests were 8.2% (3.3%-13.2%) and 10.9% (4.3%-18.1%), respectively. There was no difference in HR peak (incremental: 169 ± 24 bpm; verification 167 ± 25 bpm; P = 0.130). Peak O2pulse from the verification test (14.6 ± 4.7 mL.beat-1) was higher than incremental test (13.0 ± 3.8 mL.beat-1; P = 0.007). In conclusion, the verification test elicited greater V̇O2peak and O2pulse than a two-phase incremental test despite the similar HRpeak. This indicates that for this progressive protocol lasting ≥25 min, the verification phase adds value to determining V̇O2peak in SCI athletes.

The effect of a 4-week, remotely administered, post-exercise passive leg heating intervention on determinants of endurance performance

PURPOSE

Post-exercise passive heating has been reported to augment adaptations associated with endurance training. The current study evaluated the effect of a 4-week remotely administered, post-exercise passive leg heating protocol, using an electrically heated layering ensemble, on determinants of endurance performance.

METHODS

Thirty recreationally trained participants were randomly allocated to either a post-exercise passive leg heating (PAH, n = 16) or unsupervised training only control group (CON, n = 14). The PAH group wore the passive heating ensemble for 90-120 min/day, completing a total of 20 (16 post-exercise and 4 stand-alone leg heating) sessions across 4 weeks. Whole-body (peak oxygen uptake, gas exchange threshold, gross efficiency and pulmonary oxygen uptake kinetics), single-leg exercise (critical torque and NIRS-derived muscle oxygenation), resting vascular characteristics (flow-mediated dilation) and angiogenic blood measures (nitrate, vascular endothelial growth factor and hypoxia inducible factor 1-α) were recorded to characterize the endurance phenotype. All measures were assessed before (PRE), at 2 weeks (MID) and after (POST) the intervention.

RESULTS

There was no effect of the intervention on test of whole-body endurance capacity, vascular function or blood markers (p > 0.05). However, oxygen kinetics were adversely affected by PAH, denoted by a slowing of the phase II time constant; τ (p = 0.02). Furthermore, critical torque-deoxygenation ratio was improved in CON relative to PAH (p = 0.03).

CONCLUSION

We have demonstrated that PAH had no ergogenic benefit but instead elicited some unfavourable effects on sub-maximal exercise characteristics in recreationally trained individuals.

The Respiratory Compensation Point: Mechanisms and Relation to the Maximal Metabolic Steady State

At a point during the latter third of an incremental exercise protocol, ventilation begins to exceed the rate of clearance of carbon dioxide (CO2) at the lungs ( V ˙ CO2). The onset of this hyperventilation, which is confirmed by a fall from a period of stability in end-tidal and arterial CO2 tensions (PCO2), is referred to as the respiratory compensation point (RCP). The mechanisms that contribute to the RCP remain debated as does its surrogacy for the maximal metabolic steady state of constant-power exercise (i.e., the highest work rate associated with maintenance of physiological steady state). The objective of this current opinion is to summarize the original research contributions that support and refute the hypotheses that: (i) the RCP represents a rapid, peripheral chemoreceptor-mediated reflex response engaged when the metabolic rate at which the buffering systems can no longer constrain the rise in hydrogen ions ([H+]) associated with rising lactate concentration and metabolic CO2 production is surpassed; and (ii) the metabolic rate at which this occurs is equivalent to the maximal metabolic steady state of constant power exercise. In doing so, we will shed light on potential mechanisms contributing to the RCP, attempt to reconcile disparate findings, make a case for its adoption for exercise intensity stratification and propose strategies for the use of RCP in aerobic exercise prescription.

The highest work rate associated with a predominantly aerobic contribution coincides with the highest work rate at which VO2max can be attained

PURPOSE

To estimate the highest power output at which predominant energy contribution is derived from the aerobic system (aerobic limit power: ALP) and to compare ALP with the upper boundary of the severe intensity exercise domain.

METHODS

Fifteen male individuals participated in this study. The upper boundary was estimated using i) linear relationship between time to achieve V ˙ O2max and time to task failure (PUPPERBOUND), ii) hyperbolic relationships between time to achieve V ˙ O2max vs. power output, and time to task failure vs. power output (PUPPERBOUND´), and iii) precalculated V ˙ O2max demand (IHIGH). ALP was estimated by aerobic, lactic, and phospholytic energy contributions using V ˙ O2 response, blood [lactate] response, and fast component of recovery V ˙ O2 kinetics, respectively.

RESULTS

ALP was determined as the highest power output providing predominant aerobic contribution; however, anaerobic pathways became the predominant energy source when ALP was exceeded by 5% (ALP + 5%) (from 46 to 52%; p = 0.003; ES:0.69). The V ˙ O2 during exercise at ALP was not statistically different from V ˙ O2max (p > 0.05), but V ˙ O2max could not be attained at ALP + 5% (p < 0.01; ES:0.63). ALP was similar to PUPPERBOUND and PUPPERBOUND´ (383 vs. 379 and 384 W; p > 0.05). There was a close agreement between ALP and PUPPERBOUND (r: 0.99; Bias: - 3 W; SEE: 6 W; TE: 8 W; LoA: - 17 to 10 W) and PUPPERBOUND´ (r: 0.98; Bias: 1 W; SEE: 8 W; TE: 8 W; LoA: - 15 to 17 W). ALP, PUPPERBOUND, and PUPPERBOUND´ were greater than IHIGH (339 ± 53 W; p < 0.001).

CONCLUSION

ALP may provide a new perspective to intensity domain framework.

Warm-Up in Triathlon: Do Triathletes Follow the Scientific Guidelines?

PURPOSE

Warming up before competition is universally recognized as an effective way to enhance performance. However, only a few articles have directly investigated different warm-up strategies adopted by triathletes and suggested by coaches. The Olympic-distance triathlon is an endurance competition characterized, at least for the elite, by a fast start with a strong correlation to the final position in the race. Thus, executing a proper warm-up protocol would be beneficial in optimizing performance. The present study aimed to provide an overview of the warm-up protocol adopted/suggested by national-caliber triathletes/coaches before an Olympic-distance triathlon race.

METHODS

Online surveys were created and shared between national- and international-caliber Italian, French, and Spanish triathletes and coaches. Information about the rationale, structure, and specific exercises adopted/suggested during personal warm-up protocols was collected. Thereafter, triathletes were grouped according to the discipline sequence reported.

RESULTS

Seventy-nine triathletes and nineteen coaches completed the survey. The cycle-run-swim was the most reported discipline sequence adopted, with a total time of 90.0 (25.0) minutes, against the 62.5 (25.0) minutes suggested by coaches. Conditioning exercises were performed by only 31.6% of triathletes 20 to 10 minutes before the race start.

CONCLUSIONS

Triathletes who took part in this survey adopted very long protocols with the specific intention of including all disciplines. These results highlight the need to raise awareness in triathletes and coaches on the correct warm-up procedures and to stimulate researchers to design studies that directly investigate the effects of different warm-up protocols before competitions.

Metabolic demands of a simulated smoke-diving drill

The main goal of this study was to update the Finnish smoke-diving drill (FSDD) and to measure the physical strain of and recovery from the drill. Furthermore, the aim was to compare the physical strain of contract and professional firefighters and effect of floor materials. The associations between aerobic capacity and physical strain were also studied. The updates made included an added hose pull task and updating the equipment used. Heart rate (HR), oxygen consumption (V̇O2), and blood lactate concentration ([La-]) of 32 professional and 5 contract firefighters were measured before, during, and 10 and 30 min after the updated drill. The mean HR during the drill was 78% and V̇O2 59% of maximum. HR and [La-] had not recovered to baseline levels after 30-minute recovery period. Physical strain was higher among contract firefighters and [La-] accumulation on rough floor surfaces. Better aerobic capacity was associated with reduced physical strain.

A novel method for determining ventilatory and gas exchange dynamics during exercise: the "chirp" waveform

Quantitating exercise ventilatory and gas exchange dynamics affords insights into physiological control processes and cardiopulmonary dysfunction. We designed a novel waveform, the chirp waveform, to efficiently extract moderate-intensity exercise response dynamics. In the chirp waveform, work rate fluctuates sinusoidally with constant amplitude as sinusoidal period decreases progressively from ∼8.5 to 1.4 min over 30 min of cycle ergometry. We hypothesized that response dynamics of pulmonary ventilation (V̇e) and gas exchange [oxygen uptake (V̇o2) and carbon dioxide output (V̇co2)] extracted from chirp waveform are similar to those obtained from stepwise transitions. Thirty-one participants [14 young healthy, 7 older healthy, and 10 patients with chronic obstructive pulmonary disease (COPD)] exercised on three occasions. Participants first performed ramp-incremental exercise for gas exchange threshold (GET) determination. In randomized order, the next two visits involved either chirp or stepwise waveforms. Work rate amplitude (20 W to ∼95% GET work rate) and exercise duration (30 min) were the same for both waveforms. A first-order linear transfer function with a single system gain (G) and time constant (τ) characterized response dynamics. Agreement between model parameters extracted from chirp and stepwise waveforms was established using Bland-Altman analysis and Rothery's concordance coefficient (RCC). V̇e, V̇o2, and V̇co2 Gs showed no systematic bias (P > 0.178) and moderate-to-good agreement (RCC > 0.772, P < 0.01) between waveforms. Similarly, no systematic bias (P = 0.815) and good agreement (RCC = 0.837, P < 0.001) was found for τV̇o2. Despite moderate agreement for τV̇co2 (RCC = 0.794, P < 0.001) and τV̇e (RCC = 0.722, P = 0.083), chirp τ was less [-6.9(11.7) s and -12.2(22.5) s, respectively]. We conclude that the chirp waveform is a promising method for measuring exercise response dynamics and investigating physiological control mechanisms.NEW & NOTEWORTHY We investigated the ability of a novel waveform to extract exercise ventilatory and gas exchange dynamics. In the chirp waveform, work rate fluctuates sinusoidally with constant amplitude as sinusoidal period decreases progressively over 30 min of exercise. In a study of 31 healthy individuals and patients with COPD, comparison of exercise dynamics derived from chirp to those from stepwise waveforms suggests that the chirp waveform is a promising method for derivation of exercise response dynamics.

Regulation of Skeletal Muscle Resistance Arteriolar Tone: Temporal Variability in Vascular Responses

INTRODUCTION

A full understanding of the integration of the mechanisms of vascular tone regulation requires an interrogation of the temporal behavior of arterioles across vasoactive challenges. Building on previous work, the purpose of the present study was to start to interrogate the temporal nature of arteriolar tone regulation with physiological stimuli.

METHODS

We determined the response rate of ex vivo proximal and in situ distal resistance arterioles when challenged by one-, two-, and three-parameter combinations of five major physiological stimuli (norepinephrine, intravascular pressure, oxygen, adenosine [metabolism], and intralumenal flow). Predictive machine learning models determined which factors were most influential in controlling the rate of arteriolar responses.

RESULTS

Results indicate that vascular response rate is dependent on the intensity of the stimulus used and can be severely hindered by altered environments, caused by application of secondary or tertiary stimuli. Advanced analytics suggest that adrenergic influences were dominant in predicting proximal arteriolar response rate compared to metabolic influences in distal arterioles.

CONCLUSION

These data suggest that the vascular response rate to physiologic stimuli can be strongly influenced by the local environment. Translating how these effects impact vascular networks is imperative for understanding how the microcirculation appropriately perfuses tissue across conditions.

Move less, spend more: the metabolic demands of short walking bouts

The metabolic cost of steady-state walking is well known; however, across legged animals, most walking bouts are too short to reach steady state. Here, we investigate how bout duration affects the metabolic cost of human walking with varying mechanical power, metabolic intensity and duration. Ten participants walked for 10- to 240-s bouts on a stair climber at 0.20, 0.25 and 0.36 m s-1 and on a treadmill at 1.39 m s-1. Oxygen uptake was time-integrated and divided by bout duration to get bout average uptake (V̇O2(b)). Fitting of oxygen uptake kinetics allowed calculating non-metabolic oxygen exchange during phase-I transient and, hence, non-steady-state metabolic cost (C met(b)) and efficiency. For 240-s bouts, such variables were also calculated at steady state. Across all conditions, shorter bouts had higher V̇O2(b) and C met(b), with proportionally greater non-metabolic oxygen exchange. As the bout duration increased, V̇O2(b), C met(b) and efficiency approached steady-state values. Our findings show that the time-averaged oxygen uptake and metabolic cost are greater for shorter than longer bouts: 30-s bouts consume 20-60% more oxygen than steady-state extrapolations. This is partially explained by the proportionally greater non-metabolic oxygen uptake and leads to lower efficiency for shorter bouts. Inferring metabolic cost from steady state substantially underestimates energy expenditure for short bouts.

Comparison of Physiological Responses between a W´BAL-INT Training Model and a Critical Power Test

This study aimed to compare acute physiological responses during the W prime (W´) balance training model (W´BAL-INT) with performance in the critical power test (CPTest). Additionally, the study sought to determine the extent of neuromuscular and metabolic fatigue associated with severe and extreme intensity domains. Fourteen road master cyclists (13 male, 1 female) completed graded incremental exercise tests to determine their maximum oxygen uptake and 12-, 7- and 3-min maximal efforts to assess CP and W´ (CPTest). Additionally, they participated in a reconstitutive intermittent training session following the W´BAL-INT model. Physiological responses including oxygen uptake (V˙O2), the heart rate (HR), blood lactate (BLa̅) concentration, and perceptual responses (RPE), were measured and compared to CPTest performance data. The W´BAL-INT induced steady-state physiological responses in V˙O2mean (F = 0.76, p = 0.655) and absolute HR, relative HR and HRCP (F = 0.70, p = 0.704; F = 1.11, p = 0.359; F = 1.70, p = 0.095, respectively) comparable to CPTest. During the 3-min work intervals in the training session, V˙O2 was stable and similar to V˙O2peak (54.2 ± 6.7 to 59.3 ± 4.9 ml·kg-1·min-1) in the CPTest. Furthermore, 4-min rest intervals facilitated recovery up to moderate fatigue levels (80-100% of W´ balance). HR responses were sensitive to interval intensity and accumulated time. Meanwhile, BLa̅ responses and the RPE increased fatigue development during W´BAL-INT. The W´BAL-INT training model generates consistent physiological responses in mean oxygen kinetics, the percentage of CP and the HR, similar to those observed during the CPTest. However, different physiological responses were observed in peak oxygen kinetics and W´ energy balance.

Differential impacts of body composition on oxygen kinetics and exercise tolerance of HFrEF and HFpEF patients

This study aims to (1) compare the kinetics of pulmonary oxygen uptake (VO2p), skeletal muscle deoxygenation ([HHb]), and microvascular O2 delivery (QO2mv) between heart failure (HF) patients with reduced ejection fraction (HFrEF) and those with preserved ejection fraction (HFpEF), and (2) explore the correlation between body composition, kinetic parameters, and exercise performance. Twenty-one patients (10 HFpEF and 11 HFrEF) underwent cardiopulmonary exercise testing to assess VO2 kinetics, with near-infrared spectroscopy (NIRS) employed to measure [HHb]. Microvascular O2 delivery (QO2mv) was calculated using the Fick principle. Dual-energy X-ray absorptiometry (DEXA) was performed to evaluate body composition. HFrEF patients exhibited significantly slower VO2 kinetics (time constant [t]: 63 ± 10.8 s vs. 45.4 ± 7.9 s; P < 0.05) and quicker [HHb] response (t: 12.4 ± 9.9 s vs. 25 ± 11.6 s; P < 0.05). Microvascular O2 delivery (QO2mv) was higher in HFrEF patients (3.6 ± 1.2 vs. 1.7 ± 0.8; P < 0.05), who also experienced shorter time to exercise intolerance (281.6 ± 84 s vs. 405.3 ± 96 s; P < 0.05). Correlation analyses revealed a significant negative relationship between time to exercise and both QO2mv (ρ= -0.51; P < 0.05) and VO2 kinetics (ρ= -0.63). Body adiposity was negatively correlated with [HHb] amplitude (ρ= -0.78) and peak VO2 (ρ= -0.54), while a positive correlation was observed between lean muscle percentage, [HHb] amplitude, and tau (ρ= 0.74 and 0.57; P < 0.05), respectively. HFrEF patients demonstrate more severely impaired VO2p kinetics, skeletal muscle deoxygenation, and microvascular O2 delivery compared to HFpEF patients, indicating compromised peripheral function. Additionally, increased adiposity and reduced lean mass are linked to decreased oxygen diffusion capacity and impaired oxygen uptake kinetics in HFrEF patients.

Submaximal Verification Test to Exhaustion Confirms Maximal Oxygen Uptake: Roles of Anaerobic Performance and Respiratory Muscle Strength

Background: The incremental exercise test is commonly used to measure maximal oxygen uptake (VO2max), but an additional verification test is often recommended as the "gold standard" to confirm the true VO2max. Therefore, the aim of this study was to compare the peak oxygen uptake (VO2peak) obtained in the ramp incremental exercise test and that in the verification test performed on different days at submaximal intensity. Additionally, we examined the roles of anaerobic performance and respiratory muscle strength. Methods: Sixteen physically active men participated in the study, with an average age of 22.7 ± 2.4 (years), height of 178.0 ± 7.4 (cm), and weight of 77.4 ± 7.3 (kg). They performed the three following tests on a cycle ergometer: the Wingate Anaerobic Test (WAnT), the ramp incremental exercise test (IETRAMP), and the verification test performed at an intensity of 85% (VER85) maximal power, which was obtained during the IETRAMP. Results: No significant difference was observed in the peak oxygen uptake between the IETRAMP and VER85 (p = 0.51). The coefficient of variation was 3.1% and the Bland-Altman analysis showed a high agreement. We found significant correlations between the total work performed in the IETRAMP, the anaerobic peak power (r = 0.52, p ≤ 0.05), and the total work obtained in the WAnT (r = 0.67, p ≤ 0.01). There were no significant differences in post-exercise changes in the strength of the inspiratory and expiratory muscles after the IETRAMP and the VER85. Conclusions: The submaximal intensity verification test performed on different days provided reliable values that confirmed the real VO2max, which was not limited by respiratory muscle fatigue. This verification test may be suggested for participants with a lower anaerobic mechanical performance.

The Relationship Between the Moderate-Heavy Boundary and Critical Speed in Running

PURPOSE

Training characteristics such as duration, frequency, and intensity can be manipulated to optimize endurance performance, with an enduring interest in the role of training-intensity distribution to enhance training adaptations. Training intensity is typically separated into 3 zones, which align with the moderate-, heavy-, and severe-intensity domains. While estimates of the heavy- and severe-intensity boundary, that is, the critical speed (CS), can be derived from habitual training, determining the moderate-heavy boundary or first threshold (T1) requires testing, which can be costly and time-consuming. Therefore, the aim of this review was to examine the percentage at which T1 occurs relative to CS.

RESULTS

A systematic literature search yielded 26 studies with 527 participants, grouped by mean CS into low (11.5 km·h-1; 95% CI, 11.2-11.8), medium (13.4 km·h-1; 95% CI, 11.2-11.8), and high (16.0 km·h-1; 95% CI, 15.7-16.3) groups. Across all studies, T1 occurred at 82.3% of CS (95% CI, 81.1-83.6). In the medium- and high-CS groups, T1 occurred at a higher fraction of CS (83.2% CS, 95% CI, 81.3-85.1, and 84.2% CS, 95% CI, 82.3-86.1, respectively) relative to the low-CS group (80.6% CS, 95% CI, 78.0-83.2).

CONCLUSIONS

The study highlights some uncertainty in the fraction of T1 relative to CS, influenced by inconsistent approaches in determining both boundaries. However, our findings serve as a foundation for remote analysis and prescription of exercise intensity, although testing is recommended for more precise applications.

Effects of high-intensity interval and moderate-intensity continuous training on the anaerobic threshold of highly trained athletes in endurance sports: a systematic review with meta-analysis

INTRODUCTION

The anaerobic threshold (AT) is an important physiological index used as a parameter for predicting performance and evaluating adaptations induced by training. The aim of this study was to carry out a systematic literature review to survey the randomized studies that compared the effects of high-intensity interval training (HIIT) with the effects of moderate intensity continuous training (MICT) on the anaerobic threshold of highly trained athletes in endurance sports.

EVIDENCE ACQUISITION

The following databases were searched: MEDLINE, Embase, Cochrane Wiley, PubMed, SPORTDiscus, Web of Science, and ProQuest for randomized trials. The search terms covered the areas of HIIT and MICT. This study was registered in the International Prospective Register of Systematic under the number CRD42020155474.

EVIDENCE SYNTHESIS

Three studies were included for the qualitative and quantitative synthesis, totaling 72 participants, of whom 28 belonged to the MICT group and 44 to the HIIT group.

CONCLUSIONS

The summary result showed that HIIT promotes greater adaptation in the AT of highly trained athletes compared to continuous training (ES=0.73; 95% CI: 0.25-1.21); however, the certainty of evidence evaluated by the GRADE method is low and heterogeneity is high (I2=82%; P<0.01).

Heavy-intensity priming exercise extends the V̇o2max plateau and increases peak-power output during ramp-incremental exercise

This study investigated whether a heavy-intensity priming exercise precisely prescribed within the heavy-intensity domain would lead to a greater peak-power output (POpeak) and a longer maximal oxygen uptake (V̇o2max) plateau. Twelve recreationally active adults participated in this study. Two visits were required: 1) a step-ramp-step test [ramp-incremental (RI) control], and 2) an RI test preceded by a priming exercise within the heavy-intensity domain (RI primed). A piecewise equation was used to quantify the V̇o2 plateau duration (V̇o2plateau-time). The mean response time (MRT) was computed during the RI control condition. The delta (Δ) V̇o2 slope (S; mL·min-1·W-1) and V̇o2-Y intercept (Y; mL·min-1) within the moderate-intensity domain between conditions (RI primed minus RI control) were also assessed using a novel graphical analysis. V̇o2plateau-time (P = 0.001; d = 1.27) and POpeak (P = 0.003; d = 1.08) were all greater in the RI primed. MRT (P < 0.001; d = 2.45) was shorter in the RI primed compared with the RI control. A larger ΔV̇o2plateau-time was correlated with a larger ΔMRT between conditions (r = -0.79; P = 0.002). This study demonstrated that heavy-intensity priming exercise lengthened the V̇o2plateau-time and increased POpeak. The overall faster RI-V̇o2 responses seem to be responsible for the longer V̇o2plateau-time. Specifically, a shorter MRT, but not changes in RI-V̇o2-slopes, was associated with a longer V̇o2plateau-time following priming exercise.NEW & NOTEWORTHY It remains unclear whether priming exercise extends the maximal oxygen uptake (V̇o2max) plateau and increases peak-power output (POpeak) during ramp-incremental (RI) tests. This study demonstrates that a priming exercise, precisely prescribed within the heavy-intensity domain, extends the plateau at V̇o2max and leads to a greater POpeak. Specifically, the extended V̇o2max plateau was associated with accelerated RI-V̇o2 responses.

Caffeine ingestion compromises thermoregulation and does not improve cycling time to exhaustion in the heat amongst males

PURPOSE

Caffeine is a commonly used ergogenic aid for endurance events; however, its efficacy and safety have been questioned in hot environmental conditions. The aim of this study was to investigate the effects of acute caffeine supplementation on cycling time to exhaustion and thermoregulation in the heat.

METHODS

In a double-blind, randomised, cross-over trial, 12 healthy caffeine-habituated and unacclimatised males cycled to exhaustion in the heat (35 °C, 40% RH) at an intensity associated with the thermoneutral gas exchange threshold, on two separate occasions, 60 min after ingesting caffeine (5 mg/kg) or placebo (5 mg/kg).

RESULTS

There was no effect of caffeine supplementation on cycling time to exhaustion (TTE) (caffeine; 28.5 ± 8.3 min vs. placebo; 29.9 ± 8.8 min, P = 0.251). Caffeine increased pulmonary oxygen uptake by 7.4% (P = 0.003), heat production by 7.9% (P = 0.004), whole-body sweat rate (WBSR) by 21% (P = 0.008), evaporative heat transfer by 16.5% (P = 0.006) and decreased estimated skin blood flow by 14.1% (P < 0.001) compared to placebo. Core temperature was higher by 0.6% (P = 0.013) but thermal comfort decreased by - 18.3% (P = 0.040), in the caffeine condition, with no changes in rate of perceived exertion (P > 0.05).

CONCLUSION

The greater heat production and storage, as indicated by a sustained increase in core temperature, corroborate previous research showing a thermogenic effect of caffeine ingestion. When exercising at the pre-determined gas exchange threshold in the heat, 5 mg/kg of caffeine did not provide a performance benefit and increased the thermal strain of participants.

Correlation of cervical-inspiratory-muscle electromyography and oxygen uptake during treadmill walking

For measurements of exercise intensity, an individual's oxygen uptake (V̇O2) is measured with an exhaled gas analyzer that involves a mask, but exercise coaching would benefit if an individual's V̇O2 could be estimated with more easily obtained predictors. We investigated the predictability of V̇O2 by electromyography (EMG) of the neck inspiratory muscles. We analyzed the EMG results of the sternocleidomastoid (EMGst) and scalene (EMGsc) muscles of 14 healthy adults who performed a treadmill exercise load test. Their V̇O2, inspiratory flow rate, and heart rate were simultaneously recorded during the exercise. The exercise load test was performed twice at a ≥2-day interval. The first visit was an incremental exercise test, and the second was a repeated two-load exercise test at levels below and above the participant's ventilatory threshold (VT) as determined in the first test. We observed that the integrated EMG values for each exercise load showed partially significant positive correlations with the EMGst and EMGsc. However, the cervical inspiratory muscle EMGs did not show as high a correlation as the minute ventilation. These results indicate that (i) EMG of the cervical inspiratory muscles could be used to estimate V̇O2, but (ii) these EMG parameters alone should be considered insufficient for estimating V̇O2.

Identifying time-varying dynamics of heart rate and oxygen uptake from single ramp incremental running tests

Objective.The fact that ramp incremental exercise yields quasi-linear responses for pulmonary oxygen uptake (V˙O2) and heart rate (HR) seems contradictory to the well-known non-linear behavior of underlying physiological processes. Prior research highlights this issue and demonstrates how a balancing of system gain and response time parameters causes linearV˙O2responses during ramp tests. This study builds upon this knowledge and extracts the time-varying dynamics directly from HR andV˙O2data of single ramp incremental running tests.Approach.A large-scale open access dataset of 735 ramp incremental running tests is analyzed. The dynamics are obtained by means of 1st order autoregressive and exogenous models with time-variant parameters. This allows for the estimates of time constant (τ) and steady state gain (SSG) to vary with work rate.Main results.As the work rate increases,τ-values increase on average from 38 to 132 s for HR, and from 27 to 35 s forV˙O2. Both increases are statistically significant (p< 0.01). Further, SSG-values decrease on average from 14 to 9 bpm (km·h-1)-1for HR, and from 218 to 144 ml·min-1forV˙O2(p< 0.01 for decrease parameters of HR andV˙O2). The results of this modeling approach are line with literature reporting on cardiorespiratory dynamics obtained using standard procedures.Significance.We show that time-variant modeling is able to determine the time-varying dynamics HR andV˙O2responses to ramp incremental running directly from individual tests. The proposed method allows for gaining insights into the cardiorespiratory response characteristics when no repeated measurements are available.

A training goal-oriented categorization model of high-intensity interval training

There are various categorization models of high-intensity interval training (HIIT) in the literature that need to be more consistent in definition, terminology, and concept completeness. In this review, we present a training goal-oriented categorization model of HIIT, aiming to find the best possible consensus among the various defined types of HIIT. This categorization concludes with six different types of HIIT derived from the literature, based on the interaction of interval duration, interval intensity and interval:recovery ratio. We discuss the science behind the defined types of HIIT and shed light on the possible effects of the various types of HIIT on aerobic, anaerobic, and neuromuscular systems and possible transfer effects into competition performance. We highlight various research gaps, discrepancies in findings and not yet proved know-how based on a lack of randomized controlled training studies, especially in well-trained to elite athlete cohorts. Our HIIT "toolbox" approach is designed to guide goal-oriented training. It is intended to lay the groundwork for future systematic reviews and serves as foundation for meta-analyses.

Energetics of sinusoidal exercise below and across critical power and the effects of fatigue

PURPOSE

Previous studies investigating sinusoidal exercise were not devoted to an analysis of its energetics and of the effects of fatigue. We aimed to determine the contribution of aerobic and anaerobic lactic metabolism to the energy balance and investigate the fatigue effects on the cardiorespiratory and metabolic responses to sinusoidal protocols, across and below critical power (CP).

METHODS

Eight males (26.6 ± 6.2 years; 75.6 ± 8.7 kg; maximum oxygen uptake 52.8 ± 7.9 ml·min-1·kg-1; CP 218 ± 13 W) underwent exhausting sinusoidal cycloergometric exercises, with sinusoid midpoint (MP) at CP (CPex) and 50 W below CP (CP-50ex). Sinusoid amplitude (AMP) and period were 50 W and 4 min, respectively. MP, AMP, and time-delay (tD) between mechanical and metabolic signals of expiratory ventilation (V ˙ E ), oxygen uptake (V ˙ O 2 ), and heart rate ( f H ) were assessed sinusoid-by-sinusoid. Blood lactate ([La-]) and rate of perceived exertion (RPE) were determined at each sinusoid.

RESULTS

V ˙ O 2 AMP was 304 ± 11 and 488 ± 36 ml·min-1 in CPex and CP-50ex, respectively. Asymmetries between rising and declining sinusoid phases occurred in CPex (36.1 ± 7.7 vs. 41.4 ± 9.7 s forV ˙ O 2 tD up and tD down, respectively; P < 0.01), with unchanged tDs.V ˙ O 2 MP and RPE increased progressively during CPex. [La-] increased by 2.1 mM in CPex but remained stable during CP-50ex. Anaerobic contribution was larger in CPex than CP-50ex.

CONCLUSION

The lower aerobic component during CPex than CP-50ex associated with lactate accumulation explained lowerV ˙ O 2 AMP in CPex. The asymmetries in CPex suggest progressive decline of muscle phosphocreatine concentration, leading to fatigue, as witnessed by RPE.

Effects of high-intensity interval training and resistance training on physiological parameters and performance of well-trained runners: A randomized controlled trial

This study aimed to verify the effects of 4 weeks of high-intensity interval training (HIIT), heavy (HRT) and explosive (ERT) resistance training on aerobic, anaerobic and neuromuscular parameters and performance of well-trained runners. Twenty-six male athletes were divided into HIIT (n = 10), HRT (n = 7) and ERT (n = 9) groups. Maximal oxygen uptake (V O 2 max ) and the corresponding velocity (vV O 2 max ), anaerobic threshold (AT), running economy (RE), oxygen uptake kinetics, lower-body strength (1RM) and power (CMJ), and the 1500m and 5000m time-trial (TT) were determined. Improvements were observed in vV O 2 max (mean difference (Δ): 2.6%; effect size (ES): 0.63) with HIIT, while AT was incresead in ERT (Δ: 4.3%; ES: 0.73) and HRT (Δ: 6.9%; ES: 0.72) groups. The CMJ performance was increased in ERT (Δ: 13.8%; ES: 1.03), HRT (Δ: 6.9%; ES: 0.55) and HIIT (Δ: 5.4%; ES: 0.34), whereas 1RM increase in HRT (Δ: 38.1%; ES: 1.21) and ERT (Δ: 49.2%; ES: 0.96) groups. HIIT improved the 1500m (Δ: -2.3%; ES: -0.62) and both HRT (Δ: -1.6%; ES: -0.32) and ERT (Δ: -1.7%; ES: -0.31) the 5000m TT. Despite performance adaptations were dependent on the training characteristics, both RT and HIIT model constitute an alternative for training periodization.

Skeletal muscle mitochondrial correlates of critical power and W' in healthy active individuals

The asymptote (critical power; CP) and curvature constant (W') of the hyperbolic power-duration relationship can predict performance within the severe-intensity exercise domain. However, the extent to which these parameters relate to skeletal muscle mitochondrial content and respiratory function is not known. Fifteen males (peak O2 uptake, 52.2 ± 8.7 mL kg-1 min-1; peak work rate, 366 ± 40 W; and gas exchange threshold, 162 ± 41 W) performed three to five constant-load tests to task failure for the determination of CP (246 ± 44 W) and W' (18.6 ± 4.1 kJ). Skeletal muscle biopsies were obtained from the vastus lateralis to determine citrate synthase (CS) activity, as a marker of mitochondrial content, and the ADP-stimulated respiration (P) and maximal electron transfer (E) through mitochondrial complexes (C) I-IV. The CP was positively correlated with CS activity (absolute CP, r = 0.881, P < 0.001; relative CP, r = 0.751, P = 0.001). The W' was not correlated with CS activity (P > 0.05). Relative CP was positively correlated with mass-corrected CI + IIE (r = 0.659, P = 0.038), with absolute CP being inversely correlated with CS activity-corrected CIVE (r = -0.701, P = 0.024). Relative W' was positively correlated with CS activity-corrected CI + IIP (r = 0.713, P = 0.021) and the phosphorylation control ratio (r = 0.661, P = 0.038). There were no further correlations between CP or W' and mitochondrial respiratory variables. These findings support the assertion that skeletal muscle mitochondrial oxidative capacity is positively associated with CP and that this relationship is strongly determined by mitochondrial content.

The mechanisms underpinning the slow component of V ˙ O 2 in humans

PURPOSE

When exercising above the lactic threshold (LT), the slow component of oxygen uptake (V ˙ O 2sc ) appears, mainly ascribed to the progressive recruitment of Type II fibers. However, also the progressive decay of the economy of contraction may contribute to it. We investigated oxygen uptake (V ˙ O 2 ) during isometric contractions clamping torque (T) or muscular activation to quantify the contributions of the two mechanisms.

METHODS

We assessed for 7 min T of the leg extensors, net oxygen uptake (V ˙ O 2net ) and root mean square (RMS) from vastus lateralis (VL) in 11 volunteers (21 ± 2 yy; 1.73 ± 0.11 m; 67 ± 14 kg) during cyclic isometric contractions (contraction/relaxation 5 s/5 s): (i) at 65% of maximal voluntary contraction (MVC) (FB-Torque) and; (ii) keeping the level of RMS equal to that at 65% of MVC (FB-EMG).

RESULTS

V ˙ O 2net after the third minute in FB-Torque increased with time (V ˙ O 2net  = 94 × t + 564; R2 = 0.99; P = 0.001), but not during FB-EMG.V ˙ O 2net /T increased only during FB-Torque (V ˙ O 2net /T = 1.10 × t + 0.57; R2 = 0.99; P = 0.001). RMS was larger in FB-Torque than in FB-EMG and significantly increased in the first three minutes of exercise to stabilize till the end of the trial, indicating that the pool of recruited MUs remained constant despiteV ˙ O 2sc .

CONCLUSION

The analysis of the RMS,V ˙ O 2 and T during FB-Torque suggests that the intrinsic mechanism attributable to the decay of contraction efficiency was responsible for an increase ofV ˙ O 2net equal to 18% of the totalV ˙ O 2sc .

No sex differences in oxygen uptake or extraction kinetics in the moderate or heavy exercise intensity domains

The integrative response to exercise differs between sexes, with oxidative energy contribution purported as a potential mechanism. The present study investigated whether this difference was evident in the kinetics of oxygen uptake (V̇o2) and extraction (HHb + Mb) during exercise. Sixteen adults (8 males, 8 females, age: 27 ± 5 yr) completed three experimental visits. Incremental exercise testing was performed to obtain lactate threshold and V̇o2peak. Subsequent visits involved three 6-min cycling bouts at 80% of lactate threshold and one 30-min bout at a work rate of 30% between the lactate threshold and power at V̇o2peak. Pulmonary gas exchange and near-infrared spectroscopy of the vastus lateralis were used to continuously sample V̇o2 and HHb + Mb, respectively. The phase II V̇o2 kinetics were quantified using monoexponential curves during moderate and heavy exercise. Slow component amplitudes were also quantified for the heavy-intensity domain. Relative V̇o2peak values were not different between sexes (P = 0.111). Males achieved ∼30% greater power outputs (P = 0.002). In the moderate- and heavy-intensity domains, the relative amplitude of the phase II transition was not different between sexes for V̇o2 (∼24 and ∼40% V̇o2peak, P ≥ 0.179) and HHb + Mb (∼20 and ∼32% ischemia, P ≥ 0.193). Similarly, there were no sex differences in the time constants for V̇o2 (∼28 s, P ≥ 0.385) or HHb + Mb (∼10 s, P ≥ 0.274). In the heavy-intensity domain, neither V̇o2 (P ≥ 0.686) or HHb + Mb (P ≥ 0.432) slow component amplitudes were different between sexes. The oxidative response to moderate- and heavy-intensity exercises did not differ between males and females, suggesting similar dynamic responses of oxidative metabolism during intensity-matched exercise.NEW & NOTEWORTHY This study demonstrated no sex differences in the oxidative response to moderate- and heavy-intensity cycling exercise. The change in oxygen uptake and deoxyhemoglobin were modeled with monoexponential curve fitting, which revealed no differences in the rate of oxidative energy provision between sexes. This provides insight into previously reported sex differences in the integrative response to exercise.

Paraspinal muscle oxygenation and mechanical efficiency are reduced in individuals with chronic low back pain

This study aimed to compare the systemic and local metabolic responses during a 5-min trunk extension exercise in individuals with chronic low back pain (CLBP) and in healthy individuals. Thirteen active participants with CLBP paired with 13 healthy participants performed a standardised 5-min trunk extension exercise on an isokinetic dynamometer set in continuous passive motion mode. During exercise, we used near-infrared spectroscopy to measure tissue oxygenation (TOI) and total haemoglobin-myoglobin (THb). We used a gas exchange analyser to measure breath-by-breath oxygen consumption (V̇O2) and carbon dioxide produced (V̇CO2). We also calculated mechanical efficiency. We assessed the intensity of low back pain sensation before and after exercise by using a visual analogue scale. In participants with CLBP, low back pain increased following exercise (+ 1.5 units; p < 0.001) and THb decreased during exercise (- 4.0 units; p = 0.043). Paraspinal muscle oxygenation (65.0 and 71.0%, respectively; p = 0.009) and mechanical efficiency (4.7 and 5.3%, respectively; p = 0.034) were both lower in participants with CLBP compared with healthy participants. The increase in pain sensation was related to the decrease in tissue oxygenation (R2 = - 0.420; p = 0.036). Decreases in total haemoglobin-myoglobin and mechanical efficiency could involve fatigability in exercise-soliciting paraspinal muscles and, therefore, exacerbate inabilities in daily life. Given the positive correlation between tissue oxygenation and exercise-induced pain exacerbation, muscle oxygenation may be related to persisting and crippling low back pain.

The Additional Effect of Training Above the Maximal Metabolic Steady State on VO2peak, Wpeak and Time-Trial Performance in Endurance-Trained Athletes: A Systematic Review, Meta-analysis, and Reality Check

BACKGROUND

To improve sport performance, athletes use training regimens that include exercise below and above the maximal metabolic steady state (MMSS).

OBJECTIVE

The objective of this review was to determine the additional effect of training above MMSS on VO2peak, Wpeak and time-trial (TT) performance in endurance-trained athletes.

METHODS

Studies were included in the review if they (i) were published in academic journals, (ii) were in English, (iii) were prospective, (iv) included trained participants, (v) had an intervention group that contained training above and below MMSS, (vi) had a comparator group that only performed training below MMSS, and (vii) reported results for VO2peak, Wpeak, or TT performance. Medline and SPORTDiscus were searched from inception until February 23, 2023.

RESULTS

Fourteen studies that ranged from 2 to 12 weeks were included in the review. There were 171 recreational and 128 competitive endurance athletes. The mean age and VO2peak of participants ranged from 15 to 43 years and 38 to 68 mL·kg-1·min-1, respectively. The inclusion of training above MMSS led to a 2.5 mL·kg-1·min-1 (95% CI 1.4-3.6; p < 0.01; I2 = 0%) greater improvement in VO2peak. A minimum of 81 participants per group would be required to obtain sufficient power to determine a significant effect (SMD 0.44) for VO2peak. No intensity-specific effect was observed for Wpeak or TT performance, in part due to a smaller sample size.

CONCLUSION

A single training meso-cycle that includes training above MMSS can improve VO2peak in endurance-trained athletes more than training only below MMSS. However, we do not have sufficient evidence to conclude that concurrent adaptation occurs for Wpeak or TT performance.

Assessment of Cardiorespiratory and Metabolic Contributions in an Extreme Intensity CrossFit® Benchmark Workout

Our purpose was to characterize the oxygen uptake kinetics (VO2), energy systems contributions and total energy expenditure during a CrossFit® benchmark workout performed in the extreme intensity domain. Fourteen highly trained male CrossFitters, aged 28.3 ± 5.4 years, with height 177.8 ± 9.4 cm, body mass 87.9 ± 10.5 kg and 5.6 ± 1.8 years of training experience, performed the Isabel workout at maximal exertion. Cardiorespiratory variables were measured at baseline, during exercise and the recovery period, with blood lactate and glucose concentrations, including the ratings of perceived exertion, measured pre- and post-workout. The Isabel workout was 117 ± 10 s in duration and the VO2 peak was 47.2 ± 4.7 mL·kg-1·min-1, the primary component amplitude was 42.0 ± 6.0 mL·kg-1·min-1, the time delay was 4.3 ± 2.2 s and the time constant was 14.2 ± 6.0 s. The accumulated VO2 (0.6 ± 0.1 vs. 4.8 ± 1.0 L·min-1) value post-workout increased substantially when compared to baseline. Oxidative phosphorylation (40%), glycolytic (45%) and phosphagen (15%) pathways contributed to the 245 ± 25 kJ total energy expenditure. Despite the short ~2 min duration of the Isabel workout, the oxygen-dependent and oxygen-independent metabolism energy contributions to the total metabolic energy release were similar. The CrossFit® Isabel requires maximal effort and the pattern of physiological demands identifies this as a highly intensive and effective workout for developing fitness and conditioning for sports.

Use of subject-specific models to detect fatigue-related changes in running biomechanics: a random forest approach

Running biomechanics are affected by fatiguing or prolonged runs. However, no evidence to date has conclusively linked this effect to running-related injury (RRI) development or performance implications. Previous investigations using subject-specific models in running have demonstrated higher accuracy than group-based models, however, this has been infrequently applied to fatigue. In this study, two experiments were conducted to determine whether subject-specific models outperformed group-based models to classify running biomechanics during non-fatigued and fatigued conditions. In the first experiment, 16 participants performed four treadmill runs at or around the maximal lactate steady state. In the second experiment, nine participants performed five prolonged runs using commercial wearable devices. For each experiment, two segments were extracted from each trial from early and late in the run. For each participant, a random forest model was applied with a leave-one-run-out cross-validation to classify between the early (non-fatigued) and late (fatigued) segments. Additionally, group-based classifiers with a leave-one-subject-out cross validation were constructed. For experiment 1, mean classification accuracies for the single-subject and group-based classifiers were 68.2 ± 8.2% and 57.0 ± 8.9%, respectively. For experiment 2, mean classification accuracies for the single-subject and group-based classifiers were 68.9 ± 17.1% and 61.5 ± 11.7%, respectively. Variable importance rankings were consistent within participants, but these rankings differed from each participant to those of the group. Although the classification accuracies were relatively low, these findings highlight the advantage of subject-specific classifiers to detect changes in running biomechanics with fatigue and indicate the potential of using big data and wearable technology approaches in future research to determine possible connections between biomechanics and RRI.

Muscle specific declines in oxygen saturation during acute ambulation with hands-free and conventional mobility devices

Disuse is associated with reduced muscle oxygen saturation (SmO2). Improving oxygen delivery to tissues is important for healing, preventing muscle atrophy, and reducing the risk of deep vein thrombosis. Mobility devices are used during disuse periods to ambulate and protect the injured limb. This study examined SmO2 in walking and ambulation with various mobility devices. Thirty-eight participants randomly completed four, ten-minute trials which included: (1) walking, (2) medical kneeling scooter (MKS), (3) hands-free crutch (HFC), and (4) axillary crutch (AC). During each trial, near infrared spectroscopy sensors were placed on the vastus lateralis (VL), biceps femoris (BF), and lateral gastrocnemius (LG) of the right limb. Compared to walking, all mobility devices showed a decline in SmO2 in the VL of ∼10% (mean ± SD; 75% ± 12%-65% ± 17%, P < 0.05). In the BF, SmO2 declined ∼9% in AC compared to walking (76% ± 12%-67% ± 17%, P = 0.025). In the LG, SmO2 declined in AC (64% ± 16%) compared to MKS (70% ± 15%, P = 0.005). There were no differences in LG SmO2 compared to walking (69% ± 13%) in MKS (P > 0.05) or HFC (65% ± 15%, P > 0.05). In young, healthy volunteers, the use of mobility devices altered muscle oxygenation in several muscles. AC reduced muscle oxygenation in the VL, BF, and LG; while MKS and HFC maintained BF and LG muscle oxygenation at a level consistent with ambulatory walking.