The efficacy of a self-paced VO2max test during motorized treadmill exercise

Assessment of Maximal Aerobic Capacity in Ski Mountaineering: A Laboratory-Based Study

This study aims to evaluate the agreement in maximum oxygen consumption (V˙O₂max) between a running protocol and a ski mountaineering (SKIMO) protocol. Eighteen (eleven males, seven females) ski mountaineers (age: 25 ± 3 years) participated in the study. V˙O₂max, maximum heart rate (HRmax), and maximum blood lactate concentration (BLAmax) were determined in an incremental uphill running test and an incremental SKIMO-equipment-specific test. V˙O₂max did not differ between the SKIMO and uphill running protocols (p = 0.927; mean difference -0.07 ± 3.3 mL/min/kg), nor did HRmax (p = 0.587, mean difference -0.7 ± 5.1 bpm). A significant correlation was found between V˙O₂max SKIMO and V˙O₂max running (p ≤ 0.001; ICC = 0.862 (95% CI: 0.670-0.946)). The coefficient of variation was 4.4% (95% CI: 3.3-6.5). BLAmax was significantly lower for SKIMO compared to running (12.0 ± 14.1%; p = 0.002). This study demonstrates that V˙O₂max determined with a traditional uphill running protocol demonstrates good agreement with an equipment-specific SKIMO protocol.

Is a verification phase useful for confirming maximal oxygen uptake in apparently healthy adults? A systematic review and meta-analysis

BACKGROUND

The 'verification phase' has emerged as a supplementary procedure to traditional maximal oxygen uptake (VO2max) criteria to confirm that the highest possible VO2 has been attained during a cardiopulmonary exercise test (CPET).

OBJECTIVE

To compare the highest VO2 responses observed in different verification phase procedures with their preceding CPET for confirmation that VO2max was likely attained.

METHODS

MEDLINE (accessed through PubMed), Web of Science, SPORTDiscus, and Cochrane (accessed through Wiley) were searched for relevant studies that involved apparently healthy adults, VO2max determination by indirect calorimetry, and a CPET on a cycle ergometer or treadmill that incorporated an appended verification phase. RevMan 5.3 software was used to analyze the pooled effect of the CPET and verification phase on the highest mean VO2. Meta-analysis effect size calculations incorporated random-effects assumptions due to the diversity of experimental protocols employed. I2 was calculated to determine the heterogeneity of VO2 responses, and a funnel plot was used to check the risk of bias, within the mean VO2 responses from the primary studies. Subgroup analyses were used to test the moderator effects of sex, cardiorespiratory fitness, exercise modality, CPET protocol, and verification phase protocol.

RESULTS

Eighty studies were included in the systematic review (total sample of 1,680 participants; 473 women; age 19-68 yr.; VO2max 3.3 ± 1.4 L/min or 46.9 ± 12.1 mL·kg-1·min-1). The highest mean VO2 values attained in the CPET and verification phase were similar in the 54 studies that were meta-analyzed (mean difference = 0.03 [95% CI = -0.01 to 0.06] L/min, P = 0.15). Furthermore, the difference between the CPET and verification phase was not affected by any of the potential moderators such as verification phase intensity (P = 0.11), type of recovery utilized (P = 0.36), VO2max verification criterion adoption (P = 0.29), same or alternate day verification procedure (P = 0.21), verification-phase duration (P = 0.35), or even according to sex, cardiorespiratory fitness level, exercise modality, and CPET protocol (P = 0.18 to P = 0.71). The funnel plot indicated that there was no significant publication bias.

CONCLUSIONS

The verification phase seems a robust procedure to confirm that the highest possible VO2 has been attained during a ramp or continuous step-incremented CPET. However, given the high concordance between the highest mean VO2 achieved in the CPET and verification phase, findings from the current study would question its necessity in all testing circumstances.

PROSPERO REGISTRATION ID

CRD42019123540.

Comparison of a Traditional Graded Exercise Protocol With a Self-Paced 1-km Test to Assess Maximal Oxygen Consumption

PURPOSE

To compare the assessment of the maximal oxygen consumption (VO2max) in a traditional graded exercise test (GXT) with a 1-km self-paced running test on a nonmotorized treadmill in men and women.

METHODS

A total of 24 sport-science students (12 women: age 23.7 [7.7] y, body height 1.68 [0.02] m, body mass 66.6 [4.3] kg; 12 men: 22.1 [3.1] y, body height 1.82 [0.06] m, body mass 75.6 [11.0] kg) performed a traditional GXT on a motorized treadmill and a 1-km self-paced running test on a nonmotorized treadmill. VO2max, blood lactate, heart rate, and rating of perceived exertion, together with running velocity and duration at each test, were measured.

RESULTS

The main findings of the study were that the 1-km test produced significantly higher VO2max values (53.2 [9.9] vs 51.8 [8.8] mL/kg/min ) and blood lactate concentrations (11.9 [1.8] vs 11.1 [2.2] mmol/L) than the GXT (F ≥ 4.8, P ≤ .04, η2 ≥ .18). However, after controlling for sex, these differences were only present in men (60.6 [8.1] vs 58.1 [8.0] mL/kg/min , P = .027). Peak running velocity was higher in the GXT than in the 1-km test (15.7 [2.7] vs 13.0 [2.8] km/h). Men had higher VO2max values and running velocities than women in both tests. However, men and women used approximately similar pacing strategies during the 1-km test.

CONCLUSIONS

Higher VO2max values were observed in a 1-km self-paced test than in the GXT. This indicates that a 1-km running test performed on a nonmotorized treadmill could serve as a simple and sport-specific alternative for the assessment of VO2max.

Brain activity during self-paced vs. fixed protocols in graded exercise testing

Electroencephalography research surrounding maximal exercise testing has been limited to male subjects. Additionally, studies have used open-looped protocols, meaning individuals do not know the exercise endpoint. Closed-loop protocols are often shown to result in optimal performance as self-pacing is permitted. The purpose of this study was to compare brain activity during open- and closed-loop maximal exercise protocols, and to determine if any sex differences are present. Twenty-seven subjects (12 males, ages 22.0 ± 2.5 years) participated in this study. A pre-assembled EEG sensor strip was used to collect brain activity from specific electrodes (F3/F4: dorsolateral prefrontal cortex, or dlPFC; and C3/Cz/C4: motor cortex, or MC). Alpha (8-12 Hz) and beta (12-30 Hz) frequency bands were analyzed. Subjects completed two maximal exercise tests on a cycle ergometer, separated by at least 48 h: a traditional, open-loop graded exercise test (GXT) and a closed-loop self-paced VO_2max (SPV) test. Mixed model ANOVAs were performed to compare power spectral density (PSD) between test protocols and sexes. A significant interaction of time and sex was shown in the dlPFC for males, during the GXT only (p = 001), where a peak was reached and then a decrease was shown. A continuous increase was shown in the SPV. Sex differences in brain activity during exercise could be associated with inhibitory control, which is a function of the dlPFC. Knowledge of an exercise endpoint could be influential towards cessation of exercise and changes in cortical brain activity.

Aerobic Profile During High-intensity Performance in Professional Saudi Athletes

BACKGROUND AND OBJECTIVE

The aerobic power, expressed relative to body mass, of different Saudi elite players is one of the most important area of interest and with great values because of its restrictively that reported in the previously literatures, the present study was conducted to investigate the aerobic characteristics of Saudi elite, Saudi triathlon and soccer players and to compare between measures of aerobic power between both players using graded treadmill protocol to assess maximal cardiorespiratory fitness (VO2max), within a groups of high trained youth Saudi elite players.

MATERIALS AND METHODS

Twenty two professional Saudi athletes, 11 Saudi triathlon athletes, 11 Saudi soccer players were selected. Their Mean±SD for age, height, weight, body mass index (BMI), body fat mass (%), body fat free mass percentage, cardiovascular parameter, including, absolute and relative peak oxygen consumption "VO2max" and maximal heart rate "HR max". Data were analyzed using independent sample t-test and SPSS software.

RESULTS

Descriptive statistics for anthropometric characteristics were performed to compare between the means, independent sample. T-test showed mean value of absolute "VO2max" (3605.18±515.74), for triathlon athletes, while football players absolute VO2max, (3645.63±897.60) with non-significant different between the groups. Overall mean of peak training values was (3625.40 mL min-1), relative VO2max was appears to be (53.46±7.242) mL-1 min-1 kg-1, for triathlon athletes, while football athletes relative VO2max has a mean value and ±SD of (52.35±6.342) mL-1 min-1 kg-1 with non-significant different between the groups. HR max was (157.90±8.167) beats min-1 for triathlon athletes, while football players HR max, was (139.18±6.646) beats min-1 with non-significant difference between the groups.

CONCLUSION

This clinical approaches that use Cardio Pulmonary Exercise Testing (CPET) in performance testing revealed that aerobic power, expressed relative to body mass, of Saudi soccer players was in the near range of values normally reported in the literatures for soccer players and triathletes during exercise training as well. Degrees of aerobic achievements during both exercise testing seems to be with non-significant different between Saudi soccer player and Saudi triathlon.

Prescribing 6-weeks of running training using parameters from a self-paced maximal oxygen uptake protocol

Purpose

The self-paced maximal oxygen uptake test (SPV) may offer effective training prescription metrics for athletes. This study aimed to examine whether SPV-derived data could be used for training prescription.

Methods

Twenty-four recreationally active male and female runners were randomly assigned between two training groups: (1) Standardised (STND) and (2) Self-Paced (S-P). Participants completed 4 running sessions a week using a global positioning system-enabled (GPS) watch: 2 × interval sessions; 1 × recovery run; and 1 × tempo run. STND had training prescribed via graded exercise test (GXT) data, whereas S-P had training prescribed via SPV data. In STND, intervals were prescribed as 6 × 60% of the time that velocity at \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\dot {V}{{\text{O}}_{{\text{2max}}}}$$\end{document}V˙O2max (\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$_{{\text{v}}}\dot {V}{{\text{O}}_{{\text{2max}}}}$$\end{document}vV˙O2max) could be maintained (T_max). In S-P, intervals were prescribed as 7 × 120 s at the mean velocity of rating of perceived exertion 20 (_vRPE20). Both groups used 1:2 work:recovery ratio. Maximal oxygen uptake (\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\dot {V}{{\text{O}}_{{\text{2max}}}}$$\end{document}V˙O2max), \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$_{{\text{v}}}\dot {V}{{\text{O}}_{{\text{2max}}}}$$\end{document}vV˙O2max, T_{max, v}RPE20, critical speed (CS), and lactate threshold (LT) were determined before and after the 6-week training.

Results

STND and S-P training significantly improved \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\dot {V}{{\text{O}}_{{\text{2max}}}}$$\end{document}V˙O2max by 4 ± 8 and 6 ± 6%, CS by 7 ± 7 and 3 ± 3%; LT by 5 ± 4% and 7 ± 8%, respectively (all P < .05), with no differences observed between groups.

Conclusions

Novel metrics obtained from the SPV can offer similar training prescription and improvement in \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\dot {V}{{\text{O}}_{{\text{2max}}}}$$\end{document}V˙O2max, CS and LT compared to training derived from a traditional GXT.

Hemodynamic and metabolic responses to self-paced and ramp-graded exercise testing protocols

Recent examinations have shown lower maximal oxygen consumption during traditional ramp (RAMP) compared with self-paced (SPV) graded exercise testing (GXT) attributed to differences in cardiac output. The current study examined the differences in hemodynamic and metabolic responses between RAMP and SPV during treadmill exercise. Sixteen recreationally trained men (aged23.7 ± 3.0 years) completed 2 separate treadmill GXT protocols. SPV consisted of five 2-min stages (10 min total) of increasing speed clamped by the Borg RPE6-20 scale. RAMP increased speed by 0.16 km/h every 15 s until volitional exhaustion. All testing was performed at 3% incline. Oxygen consumption was measured via indirect calorimetry; hemodynamic function was measured via thoracic impedance and blood lactate (BLa^-) was measured via portable lactate analyzer. Differences between SPV and RAMP protocols were analyzed as group means by using paired-samples t tests (R Core Team 2017). Maximal values for SPV and RAMP were similar (p > 0.05) for oxygen uptake (47.1 ± 3.4 vs. 47.4 ± 3.4 mL·kg^-1·min^-1), heart rate (198 ± 5 vs. 200 ± 6 beats·min^-1), ventilation (158.8 ± 20.7 vs. 159.3 ± 19.0 L·min^-1), cardiac output (26.9 ± 5.5 vs. 27.9 ± 4.2 L·min^-1), stroke volume (SV) (145.9 ± 29.2 vs. 149.8 ± 25.3 mL·beat^-1), arteriovenous oxygen difference (18.5 ± 3.1 vs. 19.7 ± 3.1 mL·dL^-1), ventilatory threshold (VT) (78.2 ± 7.2 vs. 79.0% ± 7.6%), and peak BLa^- (11.7 ± 2.3 vs. 11.5 ± 2.4 mmol·L^-1), respectively. In conclusion, SPV elicits similar maximal hemodynamic responses in comparison to RAMP; however, SV kinetics exhibited unique characteristics based on protocol. These results support SPV as a feasible GXT protocol to identify useful fitness parameters (maximal oxygen uptake, oxygen uptake kinetics, and VT).

Assessment of peak oxygen uptake during handcycling: Test-retest reliability and comparison of a ramp-incremented and perceptually-regulated exercise test

Purpose

To examine the reliability of a perceptually-regulated maximal exercise test (PRET_max) to measure peak oxygen uptake (V˙O2peak) during handcycle exercise and to compare peak responses to those derived from a ramp-incremented protocol (RAMP).

Methods

Twenty recreationally active individuals (14 male, 6 female) completed four trials across a 2-week period, using a randomised, counterbalanced design. Participants completed two RAMP protocols (20 W·min^-1) in week 1, followed by two PRET_max in week 2, or vice versa. The PRET_max comprised five, 2-min stages clamped at Ratings of Perceived Exertion (RPE) 11, 13, 15, 17 and 20. Participants changed power output (PO) as often as required to maintain target RPE. Gas exchange variables (oxygen uptake, carbon dioxide production, minute ventilation), heart rate (HR) and PO were collected throughout. Differentiated RPE were collected at the end of each stage throughout trials.

Results

For relative V˙O2peak, coefficient of variation (CV) was equal to 4.1% and 4.8%, with ICC_(3,1) of 0.92 and 0.85 for repeated measures from PRET_max and RAMP, respectively. Measurement error was 0.15 L·min^-1 and 2.11 ml·kg^-1·min^-1 in PRET_max and 0.16 L·min^-1 and 2.29 ml·kg^-1·min^-1 during RAMP for determining absolute and relative V˙O2peak, respectively. The difference in V˙O2peak between PRET_max and RAMP was tending towards statistical significance (26.2 ± 5.1 versus 24.3 ± 4.0 ml·kg^-1·min^-1, P = 0.055). The 95% LoA were -1.9 ± 4.1 (-9.9 to 6.2) ml·kg^-1·min^-1.

Conclusion

The PRET_max can be used as a reliable test to measure V˙O2peak during handcycle exercise in recreationally active participants. Whilst PRET_max tended towards significantly greater V˙O2peak values than RAMP, the difference is smaller than measurement error of determining V˙O2peak from PRET_max and RAMP.

Pacing strategy during the final stage of a self-paced V̇O₂max (SPV) test does not affect maximal oxygen uptake

PURPOSE

Self-paced [Formula: see text] tests (SPVs) have shown to produce maximal oxygen consumption values similar to those from traditional protocols. These tests involve perceptually regulated stages in which subjects are asked to maintain rating of perceived exertion values of 11, 13, 15, 17 and 20 for 2 min each. What is not clear is how the last stage should be paced. The purpose of this study was to compare two different pacing strategies during the final stage.

METHODS

Fourteen healthy, recreationally active individuals (11 men, 3 women) participated in a familiarization and two experimental laboratory visits. For both lab visits, a treadmill-based SPV was performed. In one of these SPVs, an aggressive pacing strategy was used; in the other, a conservative strategy was implemented. [Formula: see text], HR, [Formula: see text], [Formula: see text] and RER were recorded and compared between conditions.

RESULTS

There were no differences in [Formula: see text] between the conditions [aggressive 58.8 ± 8.8 ml kg^-1 min^-1 (mean ± SD), conservative 58.3 ± 7.9 ml kg^-1 min^-1; p = 0.548]. There were also no differences in HR, [Formula: see text], or [Formula: see text] between the pacing strategies. There was a significantly higher RER found in the aggressive (1.25 ± 0.09) compared to the conservative (1.18 ± 0.07) strategy (p = 0.040).

CONCLUSIONS

The pacing strategy that is implemented in the last 2 min of an SPV on a treadmill does not affect the maximal oxygen consumption that is elicited during that test. Either pacing strategy can be used for this protocol without compromising the results, when [Formula: see text] is the variable of interest.

Cardio respiratory response: Validation of new modifications of Bruce protocol for exercise testing and training in elite Saudi triathlon and soccer players

The Bruce protocol is the traditional method used to assess maximal fitness level, although it may have limitations, such as its short duration and large work rate increases, with very high levels of exertion that consist of speed/incline combinations. Modifications have been added to elicit similar maximal fitness achievements. The authors of this experimental trial have proposed a new treadmill protocol that allows optimal test duration in conjunction with peak oxygen consumption 'VO2max', and with appropriate patient comfort and safety during both exercise testing and training.

Subjects

Twenty-two elite Saudi players, comprising eleven Saudi triathlon athletes, and eleven Saudi elite soccer players, BMI, body fat mass percentage, body fat free mass percentage. cardiovascular parameter; including, absolute and relative "VO2max" as well as maximal heart rate "HR max", were assessed during a graded treadmill running modified protocol, using a Quark Cardio Pulmonary Exercise Testing Unit (CPET).

Results

Descriptive statistics were used to obtain the anthropometric characteristics, including comparisons between the means, independent sample T-test and a regression analysis, to test the association of the protocol duration and the corresponding, dependent variables.

Conclusions clinical relevance

It is often difficult to achieve a high cardiorespiratory response, VO2max, without an association to high values of HR max, and peak perceived exertion. This may lead to cardiovascular risk. Our new modifications can provide a practical, valid alternative protocol to be used comfortably both during exercise testing and training, rather than performance testing only, to achieve high VO2max with minimal cardiovascular stress.

Submaximal, Perceptually Regulated Exercise Testing Predicts Maximal Oxygen Uptake: A Meta-Analysis Study

BACKGROUND

Recently, several authors have proposed the use of a submaximal 'perceptually regulated exercise test' (PRET) to predict maximal oxygen uptake ([Formula: see text]). The PRET involves asking the individual to self-regulate a series of short bouts of exercise corresponding to pre-set ratings of perceived exertion (RPE). The individual linear relationship between RPE and oxygen uptake (RPE:[Formula: see text]) is then extrapolated to the [Formula: see text], which corresponds to the theoretical maximal RPE (RPE20). Studies suggest that prediction accuracy from this method may be better improved during a second PRET. Similarly, some authors have recommended an extrapolation to RPE19 rather than RPE20.

OBJECTIVES

The purpose of the meta-analysis was to examine the validity of the method of predicting [Formula: see text] from the RPE:[Formula: see text] during a PRET, and to determine the level of agreement and accuracy of predicting [Formula: see text] from an initial PRET and retest using RPE19 and RPE20.

DATA SOURCES

From a systematic search of the literature, 512 research articles were identified.

STUDY ELIGIBILITY CRITERIA

The eligible manuscripts were those which used the relationship between the RPE≤15 and [Formula: see text], and used only the Borg's RPE scale.

PARTICIPANTS AND INTERVENTIONS

Ten studies (n = 274 individuals) were included.

STUDY APPRAISAL AND SYNTHESIS METHODS

For each study, actual and predicted [Formula: see text] from four subgroup outcomes (RPE19 in the initial test, RPE19 in the retest, RPE20 in the initial test, RPE20 in the retest) were identified, and then compared. The magnitude of the difference regardless of subgroup outcomes was examined to determine if it is better to predict [Formula: see text] from extrapolation to RPE19 or RPE20. The magnitude of differences was examined for the best PRET (test vs retest).

RESULTS

The results revealed that [Formula: see text] may be predicted from RPE:[Formula: see text] during PRET in different populations and in various PRET modalities, regardless of the subgroup outcomes. To obtain greater accuracy of predictions, extrapolation to RPE20 during a retest may be recommended.

LIMITATIONS

The included studies reported poor selection bias and data collection methods.

CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS

The [Formula: see text] may be predicted from RPE:[Formula: see text] during PRET, especially when [Formula: see text] is extrapolated to RPE20 during a second PRET.

Graded Exercise Testing Protocols for the Determination of VO2max: Historical Perspectives, Progress, and Future Considerations

Graded exercise testing (GXT) is the most widely used assessment to examine the dynamic relationship between exercise and integrated physiological systems. The information from GXT can be applied across the spectrum of sport performance, occupational safety screening, research, and clinical diagnostics. The suitability of GXT to determine a valid maximal oxygen consumption (VO₂max) has been under investigation for decades. Although a set of recommended criteria exists to verify attainment of VO₂max, the methods that originally established these criteria have been scrutinized. Many studies do not apply identical criteria or fail to consider individual variability in physiological responses. As an alternative to using traditional criteria, recent research efforts have been directed toward using a supramaximal verification protocol performed after a GXT to confirm attainment of VO₂max. Furthermore, the emergence of self-paced protocols has provided a simple, yet reliable approach to designing and administering GXT. In order to develop a standardized GXT protocol, additional research should further examine the utility of self-paced protocols used in conjunction with verification protocols to elicit and confirm attainment of VO₂max.

Age differences in physiological responses to self-paced and incremental [Formula: see text] testing

Purpose

A self-paced maximal exercise protocol has demonstrated higher \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\dot{V}{\text{O}}_{2\hbox{max} }$$\end{document}V˙O2max values when compared against traditional tests. The aim was to compare physiological responses to this self-paced \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\dot{V}{\text{O}}_{2\hbox{max} }$$\end{document}V˙O2max protocol (SPV) in comparison to a traditional ramp \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\dot{V}{\text{O}}_{2\hbox{max} }$$\end{document}V˙O2max (RAMP) protocol in young (18–30 years) and old (50–75 years) participants.

Methods

Forty-four participants (22 young; 22 old) completed both protocols in a randomised, counter-balanced, crossover design. The SPV included 5 × 2 min stages, participants were able to self-regulate their power output (PO) by using incremental ‘clamps’ in ratings of perceived exertion. The RAMP consisted of either 15 or 20 W min⁻¹.

Results

Expired gases, cardiac output (Q), stroke volume (SV), muscular deoxyhaemoglobin (deoxyHb) and electromyography (EMG) at the vastus lateralis were recorded throughout. Results demonstrated significantly higher \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\dot{V}{\text{O}}_{2\hbox{max} }$$\end{document}V˙O2max in the SPV (49.68 ± 10.26 ml kg⁻¹ min⁻¹) vs. the RAMP (47.70 ± 9.98 ml kg⁻¹ min⁻¹) in the young, but not in the old group (>0.05). Q and SV were significantly higher in the SPV vs. the RAMP in the young (<0.05) but not in the old group (>0.05). No differences seen in deoxyHb and EMG for either age groups (>0.05). Peak PO was significantly higher in the SPV vs. the RAMP in both age groups (<0.05).

Conclusion

Findings demonstrate that the SPV produces higher \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\dot{V}{\text{O}}_{2\hbox{max} }$$\end{document}V˙O2max, peak Q and SV values in the young group. However, older participants achieved similar \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\dot{V}{\text{O}}_{2\hbox{max} }$$\end{document}V˙O2max values in both protocols, mostly likely due to age-related differences in cardiovascular responses to incremental exercise, despite them achieving a higher physiological workload in the SPV.

Validity of a perceptually-regulated step test protocol for assessing cardiorespiratory fitness in healthy adults

PURPOSE

To determine whether maximal oxygen uptake (VO₂max) could be predicted accurately and reliably from a 2-step, perceptually-regulated exercise test (PRET) in healthy adults.

METHODS

Sixteen participants (31.7 ± 11.3 years, 3 females) completed three PRETs (separated by 24-72 h) and one maximal, perceptually-regulated, graded exercise test (PRETmax) on a motorized treadmill. Oxygen uptake (VO₂) and heart rate (HR) were recorded during each test. VO₂ values for RPE range 9-15 were extrapolated to RPE 20 and age-predicted maximal HR (HRmax) using individual linear regression analysis to predict VO₂max values compared to measured VO₂max.

RESULTS

VO₂ and HR values were consistent between each of four RPE levels of the PRET. ICC values ranged between 0.76 and 0.85. Predicted VO₂max from both methods were lower than measured VO₂max (p < 0.01). Limits of agreement (LoA) for measured (41.4 ± 5.3 ml kg^-1 min^-1) versus predicted VO₂max from each of the three PRETs using RPE20 were -1.2 ± 15.6, -1.0 ± 7.2 and -2.1 ± 5.5 and for HRmax were -1.8 ± 4.2; -2.6 ± 4.2 and -2.4 ± 4.4 ml kg^-1 min^-1 for PRET 1, 2 and 3, respectively.

CONCLUSIONS

The step PRET elicited significant and reliable increases in VO₂ across the four RPE levels, but under-estimated treadmill VO₂max. However, there was better agreement between measured and predicted VO₂max when extrapolated to HRmax. As evidence indicates the underestimation of VO₂max is explained by the difference in the mode of exercise, the step PRET provides a simple and convenient test of cardiorespiratory fitness.

A new method for self-paced peak performance testing on a treadmill

PURPOSE

Self-paced maximal testing methods may be able to exploit central mediation of function-limiting fatigue and therefore have potential to generate more valid estimates of peak oxygen uptake. The aim of this study was to investigate the feasibility of a new method for self-paced peak performance testing on treadmills and to compare peak and submaximal performance outcomes with those obtained using a non-self-paced ('computer-paced') method employing predetermined speed and slope profiles.

METHODS

The proposed self-paced method is based upon automatic subject positioning using feedback control together with an exercise intensity which is driven by a predetermined, individualized work-rate ramp.

RESULTS

Peak oxygen uptake was not significantly different for the computer-paced (CP) versus self-paced (SP) protocols: 4·38 ± 0·48 versus 4·34 ± 0·46 ml min^-1 , P = 0·42. Likewise, there were no significant differences in the other peak and submaximal cardiopulmonary parameters, viz. peak heart rate, peak respiratory exchange ratio and the first and second ventilatory thresholds. Ramp duration for CP was longer than for SP: 494·5 ± 71·1 versus 371·3 ± 86·0 s, P = 0·00072. Concomitantly, the peak rate of work done against gravity was higher for CP: 264·8 ± 40·8 versus 203·8 ± 53·4 W, P = 0·0021.

CONCLUSIONS

The self-paced approach was found to be feasible for estimation of the principal performance outcomes: the method was technically implementable, it was acceptable to the subjects and it showed good responsiveness. Further investigation of the self-paced method, with adjustment of the target ramp-phase duration or modification of the work-rate calculation equations, is warranted.

The effect of trial familiarisation on the validity and reproducibility of a field-based self-paced VO2max test

The self-paced maximal oxygen uptake (VO2max) test (SPV), which is based on the Borg 6-20 Ratings of Perceived Exertion (RPE) scale, allows participants to self-regulate their exercise intensity during a closed-loop incremental maximal exercise test. As previous research has assessed the utility of the SPV test within laboratory conditions, the purpose to this study was to assess the effect of trial familiarisation on the validity and reproducibility of a field-based, SPV test. In a cross-sectional study, fifteen men completed one laboratory-based graded exercise test (GXT) and three field-based SPV tests. The GXT was continuous and incremental until the attainment of VO2max. The SPV, which was completed on an outdoor 400m athletic track, consisted of five x 2 min perceptually-regulated (RPE11, 13, 15, 17 and 20) stages of incremental exercise. There were no differences in the VO2max reported between the GXT (63.5±10.1 ml·kg(-1)·min(-1)) and each SPV test (65.5±8.7, 65.4±7.0 and 66.7±7.7 ml·kg(-1)·min(-1) for SPV1, SPV2 and SPV3, respectively; P>.05). Similar findings were observed when comparing VO2max between SPV tests (P>.05). High intraclass correlation coefficients were reported between the GXT and the SPV, and between each SPV test (≥.80). Although participants ran faster and further during SPV3, a similar pacing strategy was implemented during all tests. This study demonstrated that a field-based SPV is a valid and reliable VO2max test. As trial familiarisation did not moderate VO2max values from the SPV, the application of a single SPV test is an appropriate stand-alone protocol for gauging VO2max.