Specificity of cardiorespiratory adaptation to bicycle and treadmill training

Test-Retest Reliability of Physiological Variables During Submaximal Seated Upper-Body Poling in Able-Bodied Participants

Purpose: To investigate the test–retest reliability of physiological variables across four different test days and four different submaximal exercise intensities during seated upper-body poling (UBP).

Methods: Thirteen abled-bodied, upper-body trained men (age 29±3years; body mass 84±12kg; height 183±5cm) performed four submaximal 4-min stages of seated UBP on four separate test days. The four submaximal stages were set at individual power outputs corresponding to a rating of perceived exertion of 9, 11, 13, and 15. The absolute reliability for pairwise test-day comparisons of the physiological variables was investigated with the smallest detectable change percentage (%SDC) and the relative reliability with the interclass correlation coefficient (ICC).

Results: Absolute and relative reliability across test-day comparisons and submaximal stages were moderate to excellent for all variables investigated (V̇O₂ – %SDC range: 5–13%, ICC range: 0.93–0.99; HR – %SDC range: 6–9%, ICC range: 0.91–0.97) other than blood lactate, for which absolute reliability was poor and relative reliability highly variable (%SDC range: 26–69%, ICC range: 0.44–0.92). Furthermore, absolute and relative reliability were consistent across the low-to-moderate exercise intensity spectrum and across test days.

Conclusion: Absolute and relative test–retest reliability were acceptable for all investigated physiological variables but blood lactate. The consistent test–retest reliability across the exercise intensity spectrum and across test days indicates that a familiarization period to the specific exercise modality may not be necessary. For generalizability, these findings need to be confirmed in athletes with a disability by future large-scale studies.

Gains in aerobic capacity with whole-body functional electrical stimulation row training and generalization to arms-only exercise after spinal cord injury

STUDY DESIGN

Longitudinal study in adults (n = 27; 19-40 years old) with tetraplegic or paraplegic spinal cord injury (SCI).

OBJECTIVES

Determine physiological adaptations and generalizable fitness effects of 6 months of whole-body exercise training using volitional arm and functional electrical stimulation (FES) leg rowing.

SETTING

Outpatient hospital-based exercise facility and laboratory.

METHODS

Participants enrolled in hybrid FES-row training (FESRT) and performed peak exercise tests with arms-only (AO; baseline and 6 months) and FES rowing (baseline, 3, 6 months).

RESULTS

Participants demonstrated increased aerobic capacity (VO_2peak) after FESRT (p < 0.001, n_p² = 0.56) that tended to be higher when assessed with FES than AO rowing tests (0.15 ± 0.20 vs. 0.04 ± 0.22 L/min; p = 0.10). Changes in FES and AO VO_2peak were significantly correlated (r = 0.55; p < 0.01), and 11 individuals demonstrated improvements (>6%) on both test formats. Younger age was the only difference between those who showed generalization of training effects and those who did not (mean age 26.6 ± 5.6 vs. 32.0 ± 5.7 years; p < 0.05) but changes in FES VO_2peak correlated to time since injury in individuals <2 years post-SCI (r = -0.51, p < 0.01, n = 24). Lastly, VO_2peak improvements were greater during the first 3 months vs. months 4-6 (+7.0% vs. +3.9%; p < 0.01) which suggests early training adaptations during FESRT.

CONCLUSIONS

Gains in aerobic capacity after whole-body FESRT are better reflected during FES-row testing format. They relate to high-intensity exercise and appear early during training, but they may not generalize to equivalent increases in AO exercise in all individuals with SCI.

Comparison of Treadmill and Cycle Ergometer Exercise During Cardiac Rehabilitation: A Meta-analysis

OBJECTIVE

To compare treadmill versus cycling-based exercise in cardiac rehabilitation (CR) on functional capacity (FC) outcomes.

DATA SOURCE

Databases were searched for randomized studies using single modality continuous exercise.

STUDY SELECTION

Studies implemented a continuous cycling or treadmill protocol for patients with either coronary artery disease (CAD) or chronic heart failure (CHF). The effect of single modality exercise on FC (VO₂peak) was analyzed. Differences in the effect of CR on FC was assessed between the mode subgroup (cycling vs treadmill) and disease state subgroup (CAD vs CHF) within both the cycling and treadmill groups.

DATA EXTRACTION

Data were extracted from 23 studies including 600 patients (mean age 60y, 86% men).

DATA SYNTHESIS

There was a significant difference in effect size between studies that used cycling, Hedges' g=0.85 (95% confidence interval [95% CI], 0.52-1.17; k=13) and studies that used treadmill exercise, Hedges' g=0.46 (95% CI, 0.22-0.70; k=8). Within cycling studies (n=14), FC was higher among CAD patients, Hedges' g=1.03 (95% CI, 0.65-1.42; k=9) compared to those with CHF, Hedges' g=0.40 (95% CI, 0.09-0.71; k=4, P<.001). Conversely, among treadmill studies (n=9), FC was higher among CHF patients, Hedges' g=0.94 (95% CI, 0.23-1.65; k=2) compared to CAD, Hedges' g=0.33 (95% CI, 0.19-0.47; k=5; P<.01).

CONCLUSIONS

According to identified studies, when cycling was the primary mode of exercise in CR, there was larger change in FC compared to treadmill exercise. In addition, CAD patients experienced greater gains in FC when cycling was the primary mode of exercise in CR, while CHF patients benefited more from treadmill-based exercise programs.

Aerobic Exercise Training and Inducible Inflammation: Results of a Randomized Controlled Trial in Healthy, Young Adults

Background Consensus panels regularly recommend aerobic exercise for its health-promoting properties, due in part to presumed anti-inflammatory effects, but many studies show no such effect, possibly related to study differences in participants, interventions, inflammatory markers, and statistical approaches. This variability makes an unequivocal determination of the anti-inflammatory effects of aerobic training elusive. Methods and Results We conducted a randomized controlled trial of 12 weeks of aerobic exercise training or a wait list control condition followed by 4 weeks of sedentary deconditioning on lipopolysaccharide (0, 0.1, and 1.0 ng/mL)-inducible tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6), and on toll-like receptor 4 in 119 healthy, sedentary young adults. Aerobic capacity by cardiopulmonary exercise testing was measured at study entry (T1) and after training (T2) and deconditioning (T3). Despite a 15% increase in maximal oxygen consumption, there were no changes in inflammatory markers. Additional analyses revealed a differential longitudinal aerobic exercise training effect by lipopolysaccharide level in inducible TNF -α ( P=0.08) and IL-6 ( P=0.011), showing T1 to T2 increases rather than decreases in inducible (lipopolysaccharide 0.1, 1.0 versus 0.0 ng/mL) TNF- α (51% increase, P=0.041) and IL-6 (42% increase, P=0.11), and significant T2 to T3 decreases in inducible TNF- α (54% decrease, P=0.007) and IL-6 (55% decrease, P<0.001). There were no significant changes in either group at the 0.0 ng/mL lipopolysaccharide level for TNF- α or IL-6. Conclusions The failure to support the primary hypotheses and the unexpected post hoc findings of an exercise-training-induced proinflammatory response raise questions about whether and under what conditions exercise training has anti-inflammatory effects. Clinical Trial Registration URL : http://www.clinicaltrials.gov . Unique identifier: NCT 01335737.

Comparison of running and cycling economy in runners, cyclists, and triathletes

PURPOSE

Exercise economy is one of the main physiological factors determining performance in endurance sports. Running economy (RE) can be improved with running-specific training, while the improvement of cycling economy (CE) with cycling-specific training is controversial. We investigated whether exercise economy reflects sport-specific skills/adaptations or is determined by overall physiological factors.

METHODS

We compared RE and CE in 10 runners, 9 cyclists and 9 triathletes for running at 12 km/h and cycling at 200 W. Gross rates of oxygen consumption and carbon dioxide production were collected and used to calculate gross metabolic rate in watts for both running and cycling.

RESULTS

Runners had better RE than cyclists (917 ± 107 W vs. 1111 ± 159 W) (p < 0.01). Triathletes had intermediate RE values (1004 ± 98 W) not different from runners or cyclists. CE was not different (p = 0.20) between the three groups (runners: 945 ± 60 W; cyclists: 982 ± 44 W; triathletes: 979 ± 54 W).

CONCLUSION

RE can be enhanced with running-specific training, but CE is independent of cycling-specific training.

Metabolic and Mechanical Effects of Laddermill Graded Exercise Testing

Allerton, TD, Earnest, CP, and Johannsen, NM. Metabolic and mechanical effects of laddermill graded exercise testing. J Strength Cond Res 32(1): 195-200, 2018-The purpose of this study was to compare the metabolic responses and mechanical impact forces during a maximal graded exercise test (GXT) on a laddermill (LM) vs. a standard treadmill (TM). Twenty college-aged men (n = 10) and women completed a GXT on the TM and LM in random order. During the GXT, expired gases (V[Combining Dot Above]O2 and V[Combining Dot Above]CO2), heart rate, accelerometer data, blood lactate (BLa), and rating of perceived exertion (RPE) were collected in the last minute of each stage. Data were analyzed by paired t-tests and presented herein as mean ± SD. Treadmill exercise resulted in a higher V[Combining Dot Above]O2peak than LM exercise (45.6 ± 7.5 vs. 41.2 ± 5.6 ml·kg·min, p < 0.001). Blood lactate threshold was similar (p = 0.2) between LM (62 ± 17% V[Combining Dot Above]O2peak) and TM (68 ± 1% V[Combining Dot Above]O2peak). The average activity level experienced during LM (0.14 ± 0.04 vector magnitude unit [VMU]) exercise was lower (p < 0.0001) vs. TM (0.67 ± 0.01 VMU). Additionally, impact forces were reduced (p < 0.005) from the vertical plane during LM (-0.46 ± 0.12g) compared with TM (-0.81 ± 0.06g) exercise. Our results suggest that the nature of LM exercise does not elicit the same V[Combining Dot Above]O2peak response observed during TM exercise. However, impact forces were reduced and energy expenditure remained higher during LM testing, whereas RPE was similar between modalities. LM exercise may provide an alternative to individuals seeking to incur a negative energy balance, but to whom higher impact forces are detrimental.

Home-based versus hospital-based high-intensity interval training in cardiac rehabilitation: a randomized study

BACKGROUND

High-intensity interval training (HIT) as exercise therapy is gradually implemented in cardiac rehabilitation as the cardiovascular benefits from exercise is intensity dependent. However, in previous studies, HIT has been performed with strict supervision. The aim of the study was to assess the feasibility and effectiveness of different modes of HIT in cardiac rehabilitation.

DESIGN

a randomized clinical study.

METHODS

Ninety participants with coronary artery disease (80 men/10 women, mean age 57 ± 8 years) were randomly assigned to one of three exercise modes: group exercise (GE), treadmill exercise (TE), or home-based exercise (HE). HIT was performed twice a week for 12 weeks with an exercise intensity of 85-95% of peak heart rate. The primary outcome measure was change in peak oxygen uptake (peak VO2).

RESULTS

Eighty-three participants (92%) completed the intervention without any severe adverse events. Peak VO2 increased from 34.7 ± 7.3 to 39.0 ± 8.0 ml/kg/min, 32.7 ± 6.5 to 36.0 ± 6.2 ml/kg/min, and 34.4 ± 4.8 to 37.2 ± 5.2 ml/kg/min in TE, GE, and HE, respectively. Mean group difference for TE vs. HE was 1.6 ml/kg/min (95% confidence interval, CI, 0.7 to 3.1, p = 0.02), TE vs. GE 1.1 ml/kg/min (95% CI-0.5 to 2.5, p = 0.27), and GE vs. HE 0.6 ml/kg/min (95% CI -1.0 to 2.1, p = 1). However, on-treatment analysis showed no significant difference between groups.

CONCLUSION

HIT was efficiently performed in three settings of cardiac rehabilitation, with respect to target exercise intensity, exercise attendance, and increase in peak VO2. Exercise mode was not essential for exercise capacity.

Does chewing coca leaves influence physiology at high altitude?

Andean Indians have used coca leaves (Erythroxylon coca and related species) for centuries to enhance physical performance. The benefits and disadvantages of using coca leaf have been a subject of many political debates. The aim of this study was to investigate the effects of chewing coca leaves on biochemical and physiological parameters. Cutaneous microdialysis catheters were used to estimate systemic biochemical changes. We subjected 10 healthy adult males (local residents) in Cajamarca (Peru, altitude 2700 m) to a standardised exercise routine on a stationary cycle ergometer. The blood pressure, oxygen saturation (digital), pulse, VO2 max and ECG (Holter monitor) were recorded before the exercise. Cutaneous microdialysis catheters were introduced in the forearm. The subjects were given to chew 8 g of coca leaves with a small amount of lime. They were then placed on the cycle ergometer for 20 min. Blood pressure, oxygen saturation, pulse, ECG and VO2 max were recorded. Pyruvate, glucose, lactate, glycerol and glutamate levels were estimated. Oxygen saturation, blood pressure, and pulse rate did not show any significant changes between the two groups. Glucose levels showed hyperglycaemic response. Glycerol, Lactate and Pyruvate increased. Glutamate remained unchanged. Similar changes were not seen in the controls. These results suggest that coca leaves have blocked the glycolytic pathway of glucose oxidation resulting in accumulation of glucose and pyruvate. The energy requirement for exercise is being met with beta-oxidation of fatty acids. The glycerol released was also getting accumulated since its pathway for oxidation was blocked. These experimental findings suggest that chewing coca leaves is beneficial during exercise and that the effects are felt over a prolonged period of sustained physical activity.

Randomized clinical trial of prehabilitation in colorectal surgery

BACKGROUND

'Prehabilitation' is an intervention to enhance functional capacity in anticipation of a forthcoming physiological stressor. In patients scheduled for colorectal surgery, the extent to which a structured prehabilitation regimen of stationary cycling and strengthening optimized recovery of functional walking capacity after surgery was compared with a simpler regimen of walking and breathing exercises.

METHODS

Some 112 patients (mean(s.d.) age 60(16) years) were randomized to either the structured bike and strengthening regimen (bike/strengthening group, 58 patients) or the simpler walking and breathing regimen (walk/breathing group, 54 patients). Randomization was done at the surgical planning visit; the mean time to surgery available for prehabilitation was 52 days; follow-up was for approximately 10 weeks after surgery.

RESULTS

There were no differences between the groups in mean functional walking capacity over the prehabilitation period or at postoperative follow-up. The proportion showing an improvement in walking capacity was greater in the walk/breathing group than in the bike/strengthening group at the end of the prehabilitation period (47 versus 22 per cent respectively; P = 0.051) and after surgery (41 versus 11 per cent; P = 0.019).

CONCLUSION

There was an unexpected benefit from the recommendation to increase walking and breathing, as designed for the control group. Adherence to recommendations was low. An examination of prehabilitation 'responders' would add valuable information.

Physiological differences between cycling and running: lessons from triathletes

The purpose of this review was to provide a synopsis of the literature concerning the physiological differences between cycling and running. By comparing physiological variables such as maximal oxygen consumption (V O(2max)), anaerobic threshold (AT), heart rate, economy or delta efficiency measured in cycling and running in triathletes, runners or cyclists, this review aims to identify the effects of exercise modality on the underlying mechanisms (ventilatory responses, blood flow, muscle oxidative capacity, peripheral innervation and neuromuscular fatigue) of adaptation. The majority of studies indicate that runners achieve a higher V O(2max) on treadmill whereas cyclists can achieve a V O(2max) value in cycle ergometry similar to that in treadmill running. Hence, V O(2max) is specific to the exercise modality. In addition, the muscles adapt specifically to a given exercise task over a period of time, resulting in an improvement in submaximal physiological variables such as the ventilatory threshold, in some cases without a change in V O(2max). However, this effect is probably larger in cycling than in running. At the same time, skill influencing motor unit recruitment patterns is an important influence on the anaerobic threshold in cycling. Furthermore, it is likely that there is more physiological training transfer from running to cycling than vice versa. In triathletes, there is generally no difference in V O(2max) measured in cycle ergometry and treadmill running. The data concerning the anaerobic threshold in cycling and running in triathletes are conflicting. This is likely to be due to a combination of actual training load and prior training history in each discipline. The mechanisms surrounding the differences in the AT together with V O(2max) in cycling and running are not largely understood but are probably due to the relative adaptation of cardiac output influencing V O(2max) and also the recruitment of muscle mass in combination with the oxidative capacity of this mass influencing the AT. Several other physiological differences between cycling and running are addressed: heart rate is different between the two activities both for maximal and submaximal intensities. The delta efficiency is higher in running. Ventilation is more impaired in cycling than in running. It has also been shown that pedalling cadence affects the metabolic responses during cycling but also during a subsequent running bout. However, the optimal cadence is still debated. Central fatigue and decrease in maximal strength are more important after prolonged exercise in running than in cycling.

The Effects of Cycling on Running Mechanics

This study investigated the mechanical effects that cycling has on running style which may explain the discomfort associated with the transition from cycling to running. The joint angles, angular velocities, reaction forces, and reaction moments of the left and right hip, knee, and ankle joints as well as stance time, flight time, stride length, and maximum vertical displacement of the center of gravity were measured using high-speed video and ground reaction force data. Data were collected from 11 competitive biathletes and triathletes. Each subject's running mechanics were determined from 10 trials for each of three conditions: (a) unfatigued, (b) immediately following 30 min of running, and (c) immediately following 30 min of bicycling. The results indicate that a person's running mechanics, as described by the variables above, are virtually unchanged between each of the three conditions. Therefore, awkwardness of the bicycle-to-run transition may not be related to a change in running mechanics.

Specificity in the relationship between training and performance in triathlons

The present study examines whether swim, cycle, and run performance during a triathlon are predicted best by training in the same sport, as suggested by the theory of specificity for the relationship between sport training and performance. Using behavioral measures of training (pace, mileage, workouts), multiple regression analyses of questionnaire responses from 624 triathletes (443 men, 181 women) showed pace of training in the same sport to be the best predictor of swim and run performance for both sprint and endurance triathlons. No clear patterns were seen for cycle performance. Thus, specificity in the relationship between training and performance appears supported, especially for sports that rely more on the body (swim, run) and less on equipment (cycle).

Ventilatory threshold and work efficiency during exercise on cycle and paddling ergometers in young female kayakists

The aim of this study was to assess the effects of increasing specific (paddling ergometer) and non-specific (cycle ergometer) exercise on parameters relating to the ventilatory threshold (Th(vent)) and work efficiency in 11 young female flat-water kayakists. When these trained subjects were tested using non-specific workloads, their oxygen uptake (VO2) values at Th(vent), as a percentage of VO2max (%VO2max), were close to those of untrained subjects [74.2 (5.6) % VO2max, mean (SD)]. However, when we tested the same subjects using specific exercise, we recorded values typical of highly trained athletes [84.8 (4.7) % VO2max). For the non-specific exercise on the cycle ergometer, we recorded work efficiency values close to those of untrained subjects [22.3 (2.5) %]; however, for the specific exercise on the paddling ergometer, we recorded much lower values [13.4 (3.0) %] both at the level of Th(vent). The work efficiency at two warm-up submaximal exercise loads on the paddling ergometer was non-significantly lower than values at Th(vent) [12.3 (2.8) % and 12.9 (2.9) % respectively]. Significant correlations were found between maximal-performance VO2 (ml.kg-1.min-1) and performance at Th(vent) during paddling and race performance (0.623, 0.630 and 0.648 respectively, all P < 0.05). Because the results of both specific and non-specific submaximal exercise tests are different, we suggest caution in the interpretation of physiological variables that may be sensitive to training status. The evaluation of Th(vent) and work efficiency as supplementary parameters during laboratory studies enables the determination of the effectiveness of the training process and the specific adaptation of the subjects.

Ventilatory threshold and work efficiency during exercise on a cycle and rowing ergometer

The purpose of this investigation was to determine the effects of increasing specific (rowing ergometer) and non-specific (cycle ergometer) workloads on parameters relating to the ventilatory threshold (Tvent) and work efficiency. When highly trained male rowers were tested using non-specific workloads, their %VO2 max values at Tvent were close to those characteristic of untrained subjects (74.6 +/- 6.2% VO2 max). However, when we tested the same subjects using specific workloads, we recorded values typical of highly trained athletes (85.0 +/- 4.4% VO2 max). For the non-specific exercise on the cycle ergometer, we recorded work efficiency values close to those of untrained subjects (22.8 +/- 2.1%); however, for the specific exercise on the rowing ergometer, we recorded much lower values (16.4 +/- 3.1%). Because of the results of the non-specific submaximal exercise tests, we suggest caution in the interpretation of physiological variables that may be sensitive to training status. The evaluation of Tvent and work efficiency as supplementary parameters during laboratory studies will enable researchers to ascertain the effectiveness of the training process used, as well as indicating the specificity of the loading apparatus.

Effect of water running and cycling on maximum oxygen consumption and 2-mile run performance

This study compared water running, cycling, and running for maintaining VO2max and 2-mile run performance over a 6-week training period. Thirty-two trained subjects between the ages of 18 and 26 were evaluated for maximum oxygen uptake (VO2max) and 2-mile run performance. Subjects were stratified by a 2-mile run pretest into high, medium, and low performance levels and then randomly assigned to water running, cycling, or running training. The three groups trained with similar frequency, duration, and intensity overa 6-week period. After 6 weeks of training, all of the groups made a small but statistically significant decrease in fitness (VO2max), but no change in 2-mile run time. However, there were no differences with respect to either training modality or pretraining performance level. It was concluded that over a 6-week period, runners who cannot run because of soft tissue injury can maintain VO2max and 2-mile run performance similar to running training with either cycling or water running.

Catecholamine metabolic pathways and exercise training. Plasma and urine catecholamines, metabolic enzymes, and chromogranin-A

BACKGROUND

Because acute exercise increases systemic catecholamines, we sought to determine whether exercise training would alter daily or exercise-related catecholamine release and inactivation.

METHODS AND RESULTS

In 24-hour urine collections, catecholamines and metabolites provided indexes of overall oxidative deamination, sulfation, and O-methylation. Plasma catecholamines, the sulfoconjugates of each, and chromogranin-A were determined at rest and during exercise in 10 well-trained male subjects and nine minimally trained male subjects (maximal oxygen uptake 55.2 and 42.5 ml/kg/min, respectively), and levels of activities of catechol-O-methyltransferase (COMT), monoamine oxidase B (MAO-B), and thermolabile phenolsulfotransferase (TL-PST) were also determined. Plasma-free catecholamines showed minimal differences between the two groups at submaximal exercise (4 minutes) but large differences at maximal exercise, reflecting the different exercise levels attained. Inactivation of plasma catecholamines by sulfation across rest and exercise tended to be greater in the well-trained group, with small increases in both plasma sulfoconjugated dopamine and sulfoconjugated norepinephrine. In the well-trained group, urinary metabolites demonstrated trends toward increased dopamine release (p less than 0.07) and small increases in the daily release of epinephrine and its sulfoconjugated metabolites. Indexes of deamination, sulfoconjugation, and O-methylation, with the exception of a reduced deamination of dopamine and the activities of COMT, MAO-B, and TL-PST were not different in the two groups.

CONCLUSIONS

Despite considerable differences in the exercise activities per week between well-trained and minimally trained individuals, there were minimal differences in the release and metabolism of catecholamines at rest or during exercise.

Exercise-induced increases in atrial natriuretic factor are attenuated by endurance training

Short-term exercise has been associated with increased plasma levels of atrial natriuretic factor, a potent dilating and natriuretic hormone. In this study, the effect of exercise training on atrial natriuretic factor release during short-term exercise was investigated in men without a history of cardiovascular or other major disease. A well trained group of 10 men who exercised an average of 6,618 kcal/week was compared with a minimally trained group of 9 men who exercised 1,479 kcal/week. Maximal oxygen uptake was 55.2 ml/kg per min in the well trained group and 42.5 ml/kg per min in the minimally trained group (p less than 0.05). Plasma for atrial natriuretic factor, norepinephrine and epinephrine was obtained at rest, at 4 min of exercise and at maximal exercise. Atrial natriuretic factor was lower at rest in the minimally trained than in the well trained men (23 vs. 35.9 pg/ml, p less than 0.05). At maximal exercise, atrial natriuretic factor increased 2.6 times the value at rest in minimally trained men (59.8 pg/ml, p less than 0.05 vs. rest), but did not change in well trained men (34 pg/ml). In minimally trained men at rest, at 4 min of exercise and at maximal exercise, plasma levels of atrial natriuretic factor correlated with heart rate, cardiac output, mean arterial pressure and plasma levels of norepinephrine and epinephrine; these correlations were not found in the well trained group. Thus, short-term exercise results in a significant increase in atrial natriuretic factor in minimally trained but not in well trained men.(ABSTRACT TRUNCATED AT 250 WORDS)

Step ergometry: is it task-specific training?

Maximal exercise responses were measured before and after 10 weeks of training in two groups of men, one trained on a treadmill (n = 12) and the other on a step ergometer (n = 9); the groups were pre- and post-tested on both machines to examine the specificity of the training modes. Training for both groups consisted of 3 days week-1, 30 min day-1, progressing to 50 min day-1, at an intensity of 75%-80% heart rate maximum reserve. Pre-training maximal oxygen uptake (VO2max) was significantly higher on the treadmill for both groups (X = 8.5%). VO2max increased 6.9% on the treadmill (P less than 0.05) and 6.9% (P greater than 0.05) on the step ergometer after treadmill training. The small increases may be attributed to the specificity of the testing protocols used to elicit VO2max. Significant (P less than 0.01) increases in VO2max were found for both modalities after step-ergometry training (treadmill = 11.8%; step ergometer = 23.2%). These increases resulted in equal post-test VO2max values (4.05 l min-1; 51 ml kg-1 min-1) on the step ergometer and treadmill. The significant increases in VO2max found for both modalities after step-ergometry training shows that (1) step ergometry is an effective training modality, and (2) its effects can be measured on the treadmill and therefore it is not task-specific training.

Perceptual and physiological responses to cycling and running in groups of trained and untrained subjects

An interesting aspect, when comparing athletes, is the effect of specialized training upon both physiological performance and perceptual responses. To study this, four groups (with six individuals each) served as subjects. Two of these consisted of highly specialized individuals (racing cyclists and marathon runners) and the other two of non-specialized individuals (sedentary and all-round trained). Cycling on a cycle ergometer and running on a treadmill were chosen as modes of exercise. Variables measured included heart rate, blood lactate and perceived exertion, rated on two different scales. Results show a linear increase of both heart rate and perceived exertion (rated on the RPE scale) in all four groups, although at different absolute levels. Blood lactate accumulation, during cycling and running, differentiates very clearly between the groups. When heart rate and perceived exertion were plotted against each other, the difference at the same subjective rating (RPE 15) between cycling and running amounted to about 15-20 beats.min-1 in the non-specialized groups. The cyclists exhibited almost no difference at all as compared to 40 beats.min-1 for the runners. It can be concluded that specialized training changes both the physiological as well as the psychological response to exercise.

The effects of specificity of training on rating of perceived exertion at the lactate threshold

To determine the effects of cycle and run training on rating of perceived exertion at the lactate threshold (LT), college men completed a 40-session training program in 10 weeks (n = 6 run training, n = 5 cycle training, n = 5 controls). Pre- and post-training variables were measured during graded exercise tests on both the bicycle ergometer and treadmill. ANOVA on the pre- and post-training difference scores resulted in similar improvements in VO2max for both testing protocols, regardless of training mode. The run training group increased VO2 at the LT by 58.5% on the treadmill protocol and by 20.3% on the cycle ergometer. Cycle trainers increased VO2 LT only during cycle ergometry (+38.7%). No changes were observed in the control group. No differences for RPE at the LT were found before or after training, or between testing protocols for any group. Perception of exercise intensity at the LT ranged from "very light" to "light". The relationship between RPE and %VO2max was altered by the specific mode of training, with trained subjects having a lower RPE at a given %VO2max (no change in RPE at max.). It was concluded that RPE at the LT was not affected by training, despite the fact that after training the LT occurs at a higher work rate and was associated with higher absolute and relative metabolic and cardiorespiratory demands.

Applied physiology of a triathlon

The triathlon is an endurance contest in which contestants must compete in 3 consecutive events, usually swimming, cycling and running. Success in a triathlon depends upon the ability of the triathlete to perform each of the sequential events at optimal pace without creating fatigue that will hinder performance in the next event. The successful triathlete must, therefore, have highly developed oxygen transport and utilisation systems as well as the ability to efficiently produce a high energy output for prolonged periods without creating metabolic acidosis. Accordingly, mean VO2max values for groups of triathletes during treadmill running have been reported to range from 52.4 to 72 ml/kg/min in men; 58.7 to 65.9 ml/kg/min in women. VO2max values during cycle ergometry were 3 to 6% less than treadmill running values; tethered swimming maximums 13 to 18% less. Predictable and well-known adaptations occur in the cardiovascular systems of triathletes. Structural adaptations of the heart that have been documented in triathletes include increased left ventricular cavity size or wall thickness, or both. Morphological characteristics of the triathlete's heart appear to be unrelated to success in triathlon races. Following the acute stress of triathlon competition, alterations in both systolic and diastolic function have been observed. Heart muscle fatigue is the most likely reason for these changes, since there is a rapid return to normal with rest. Like the cardiovascular system, the musculoskeletal system responds to triathlon training. Peripheral adaptations occur that lead to increased muscle respiratory capacity and to modifications in substrate utilisation. The musculoskeletal system is the site of most injuries to triathletes, and non-traumatic overuse injuries account for 80 to 85% of the musculoskeletal injuries. Maintenance of fluid and electrolyte balance is of primary importance for the triathlete both in day-to-day training and during races. Water may be an adequate replacement fluid for short distance triathlons, but some combination of carbohydrate, electrolyte and fluid replacement is necessary for longer races. Although the physiological bases for success in a triathlon are not well understood at present, the ability to maintain minimal alterations in the homeostasis of cardiovascular, haemodynamic, thermal, metabolic, and musculoskeletal functions are of obvious importance.

Applied physiology of speed skating

Speed skating exercise can be better understood by taking account of physiological and biomechanical considerations. Comparison with other sports shows the unique and peculiar way of skating propulsion. The relatively long lasting isometric muscle contractions during the gliding phase, alternated with high power output push-offs, place unusual demands on the (local) energy delivering systems. The short and explosive push-off needs a specific pattern of motor unit recruitment. Some mixture of slow twitch (to sustain skating posture) and fast twitch fibres (to effect push off) in the hip and knee extensors seems necessary for optimal skating performance.

Physiological and biomechanical comparison of roller skating and speed skating on ice

Eight well trained marathon skaters performed all-out exercise tests during speed skating on ice and roller skating. To compare these skating activities in relation to the concept of training specificity, relevant physiological (VO2, VE, RER and heart rate) and biomechanical variables (derived from film and video analysis) were measured. There were no significant differences between oxygen uptake (50.5 +/- 8.0 and 53.3 +/- 6.7 ml.min-1.kg-1), ventilation (102.4 +/- 11.2 and 116.0 +/- 11.1 1.min-1) or heart rate (174 +/- 12.2 and 176 +/- 14.5 min-1) between speed and roller skating. In roller skating a higher RER (1.16 +/- 0.1 cf. 1.05 +/- 0.1) was found. Power, work per stroke and stroke frequency were equal. Due to a higher coefficient of friction the maximal roller skating speed was lower. The effectiveness of push-off and parameters concerning the skating techniques showed no differences. In roller skating a 7.5% higher angle of the upper leg in the gliding phase occurred. It is speculated that the blood flow through the extensor muscles might be higher in roller skating. It is concluded that roller skating can be considered as a specific training method which may be used by trained speed skaters in the summer period.

Association of decreased myocardial beta-receptors and chronotropic response to isoproterenol and exercise in pigs following chronic dynamic exercise

The effects of chronic dynamic exercise on myocardial beta-adrenergic and muscarinic cholinergic receptors and chronotropic sensitivity to isoproterenol were studied in 5 Yucatan miniswine. Right atrial and left ventricular biopsies, heart rate responses to isoproterenol, and maximal exercise treadmill testing were obtained before and after 10-19 weeks of treadmill running. Radioligand studies using 125I-iodocyanopindolol (ICYP) and 3H-quinuclidinyl benzilate (QNB) were used to determine the number of beta-adrenergic and muscarinic cholinergic receptors. Maximal oxygen consumption increased from 52 +/- 5 to 65 +/- 7 ml/kg/min (mean +/- SD; p less than 0.02), maximal workload from 530 +/- 111 to 1,074 +/- 179 KPM/min (p less than 0.01), resting heart rate decreased from 91 +/- 13 to 62 +/- 4 beats/min (p less than 0.01), heart rate at 75% of pretraining maximal workload decreased from 253 +/- 15 to 196 +/- 12 beats/min (p less than 0.01), and maximal exercise heart rate decreased from 273 +/- 6 to 254 +/- 9 beats/min (p less than 0.01). Decreased heart rate responsiveness to adrenergic stimulation was observed following chronic exercise. Maximal isoproterenol-stimulated heart rate decreased from 225 +/- 13 to 185 +/- 28 beats/min (p less than 0.05) and the slope of the isoproterenol dose-response relation decreased from 63 +/- 16 to 40 +/- 16 (p less than 0.05). Radioligand studies revealed a decrease in beta-receptor number in the right atrium following chronic exercise (61 +/- 9 vs. 34 +/- 8 fmol/mg; p less than 0.02), but receptor number in membranes from the left ventricle did not change (60 +/- 9 vs. 62 +/- 4 fmol/mg).(ABSTRACT TRUNCATED AT 250 WORDS)

Combined effects of exercise and restriction of energy intake on moderately obese women

The current study was designed to assess the contribution of dietary-induced weight reduction on improvements in functional capacity in moderate obesity. Twelve females (means age = 29 yr, means fat percentage = 37%) served as subjects for the study. Subjects trained on a cycle ergometer 30 min.day-1, six day.wk-1 for three or six weeks at 75 to 85 per cent of maximum heart rate (HR max). Improvements in maximal oxygen uptake (delta VO2 max I.min-1) and functional capacity (delta VO2 max ml.kg-1 min-1) were compared in an attempt to separate out training and dietary effects respectively. Measurements were also taken on both the cycle ergometer and treadmill to test for any specificity of training effects. Changes in body composition were assessed by densitometry. Following three weeks of training, there was an average increase in VO2 max ml.kg-1 min-1 on the cycle ergometer and the treadmill of 14 and 19 per cent respectively. By six weeks, this had increased to 18 and 26 per cent respectively. The contribution of weight reduction to the improvements in functional capacity was calculated to range from 20 to 33 per cent. Thus, both energy restriction and exercise training appear to be effective means of improving functional capacity in moderately obese women.

Changes in rest and exercise myocardial perfusion and left ventricular function 3 to 26 weeks after clinically uncomplicated acute myocardial infarction: effects of exercise training

The effects of exercise training on exercise myocardial perfusion and left ventricular (LV) function in the first 6 months after clinically uncomplicated acute myocardial infarction (AMI) were assessed in 53 consecutive men aged 55 +/- 9 years. Symptom-limited treadmill exercise with thallium myocardial perfusion scintigraphy and symptom-limited upright bicycle ergometry with equilibrium gated radionuclide ventriculography were performed 3, 11 and 26 weeks after AMI by 23 men randomized to training and 30 randomized to no training. Peak cycle capacity increased in both groups between 3 and 26 weeks (p less than 0.01), but reached higher levels in trained than in untrained patients (803 +/- 149 vs 648 +/- 182 kg-m/min, p less than 0.01). Reversible thallium perfusion defects were significantly more frequent at 3 than at 26 weeks: 59% and 36% of patients, respectively (p less than 0.05), without significant inter-group differences. Values of LV ejection fraction at rest, submaximal and peak exercise did not change significantly in either group. The increase in functional capacity, i.e., peak treadmill or bicycle workload, that occurred 3 to 26 weeks after infarction was significantly correlated with the increase in peak exercise heart rate (p less than 0.001), but not with changes in myocardial perfusion or LV function determined by radionuclide techniques. Changes in myocardial perfusion or LV function do not appear to account for the improvement in peak functional capacity that occurs within the first 6 months after clinically uncomplicated AMI.

Tests of maximum oxygen intake. A critical review

The determinants of endurance effort vary, depending upon the extent of the muscle mass that is activated. Large muscle work, such as treadmill running, is halted by impending circulatory failure; lack of venous return may compound the basic problem of an excessive cardiac work-load. If the task calls for use of a smaller muscle mass, there is ultimately difficulty in perfusing the active muscles, and glycolysis is halted by an accumulation of acid metabolites. Simple field tests of endurance, such as Cooper's 12-minute run and the Canadian Home Fitness Test, have some value in the rapid screening of large populations, but like other submaximal tests of human performance they lack the precision needed to advise the individual. The directly measured maximum oxygen intake (VO2 max) varies with the type of exercise. The highest values are obtained during uphill treadmill running, but well trained athletes often approach these values during performance of sport-specific tasks. Limitations of methodology and wide interindividual variations of constitutional potential limit the interpretation of maximum oxygen intake data in terms of personal fitness, exercise prescription and the monitoring of training responses. The main practical value of VO2 max measurement is in the functional assessment of patients with cardiorespiratory disease, since changes are then large relative to the precision of the test.

Cardiorespiratory response to bicycle and rowing ergometer exercise in oarsmen

Maximal aerobic power and related variables during submaximal work were determined on the bicycle and on the rowing ergometer in 9 oarsmen and in 9 control subjects. During submaximal work, heart rate and pulmonary ventilation were similar with the two exercise procedures in each group, but the oarsmen had lower values than the control subjects. Oxygen uptake at a given workload was higher on the rowing ergometer than on the bicycle ergometer for both the oarsmen and the control subjects. During maximal exercise, the control subjects reached significantly lower values on the rowing ergometer than on the bicycle ergometer for maximal oxygen uptake and maximal oxygen pulse. The oarsmen however attained practically the same values on the two ergometers, with a rank difference correlation coefficient of 0.94. The difference between the results obtained in control subjects and in oarsmen supports the concept of training specificity.

VO2max of cyclists from treadmill, bicycle ergometer and velodrome tests

The purpose of this study was to measure the VO2max of trained cyclists on the treadmill (means +/- SD = 54.7 +/- 6.3 ml kg-1 min-1), while riding a bicycle on a velodrome track at 100 rpm (53.7 +/- 7.8) and on the bicycle ergometer at 60 rpm (62.4 +/- 8.1): VO2max beeing the highest in the latter case (p less than 0.05). The highest maximal HR, 188 +/- 6 beats min-1, was observed during the treadmill test, while estimates of 184 +/- 6 and 179 +/- 7 were obtained for the velodrome and the bicycle ergometer tests, respectively. No significant differences were observed in the blood lactate concentrations (treadmill: 10.35 +/- 4.01 bicycle ergometer: 10.25 +/- 2.29 velodrome: 10.95 +/- 1.51 mmol L-1. In conclusion, bicycle ergometer tests might not be specific enough to evaluate the ability of trained cyclists to perform an endurance or aerobic task on the track. Trained cyclists, as opposed to untrained ones, appear to achieve higher VO2max on the bicycle ergometer as compared to the treadmill.

Cardio-respiratory physical training in water and on land

Fifteen unconditioned young men, who were similar in maximal aerobic power (VO2 max), were divided into three groups (n = 5 each) and physically trained for one month on a cycle ergometer either on land (I) or immersed to the neck in water of either 32 degrees C (II) or 20 degrees C (III) to determine if physical training (PT) in water and air differ. PT consisted of one-hour daily exercise, 5 times/wk, with exercise intensity readjusted each week to maintain a constant training stimulus of approximately 75% VO2 max (determined on land). Throughout the training period, heart rates (fc) of III averaged 20 and 10 beats . min-1 less than I and II, respectively, despite working at the same VO2 and % VO2 max. Training elicited a 16% increase in VO2 max in I compared to increases of 13 and 15% for II and III, respectively. It was concluded that PT in water produces similar physiological adaptations as does training on land. In cold water, VO2 max is improved despite training with fc significantly lower than that on land.

Physical conditioning of children

Exercise-induced changes in muscular and cardiovascular function in pre- and postpubescent children are explained in terms of a "Trigger Hypothesis." This hypothesis predicts that, prepubertally, there will be only small training-induced biological alterations because of the lack of hormonal control. It is suggested, therefore, that emphasis be placed on skill acquisition rather than physiological conditioning during prepuberty. Postpubertal exercise-induced changes are well documented and follow predictable patterns. The principles that govern physiological adaptations to exercise are discussed in terms of energy transfer and the factors that affect training. Duration, intensity, and frequency of performance are detailed. It is recommended that emphasis be placed on these factors when designing a physiologically sound physical training program.

Specificity of the anaerobic threshold in endurance trained cyclists and runners

This study examined the specificity of maximum aerobic power and the anaerobic threshold (AT) in 10 endurance-trained cyclists and 10 endurance-trained runners who performed continuous progressive work tests on the bicycle ergometer and treadmill. Dependent 't' tests for VO2max l/min-1 indicated that the cyclists scored higher on the bicycle ergometer (X = 4.5 l/min-1) than the treadmill (X = 4.34 l/min-1) but the difference was not statistically significant. By contrast, the runners fared significantly better (p less than 0.05) on the treadmill (X = 68.1 ml/kg . min-1) compared with the bicycle ergometer (X = 61.7 ml/kg . min-1). When the AT was expressed as a percentage of VO2max, there were no significant differences between the cyclists (66.3%) and runners (61.2%) on the bicycle ergometer or the runners (77.3%) and cyclists (74.3%) on the treadmill. However, this tendency for the better score to be registered by the group tested on the activity for which it trained was most pronounced when the AT was expressed in l/min-1 and ml/kg . min-1. Independent 't' tests accordingly indicated that the cyclists (3.0 l/min-1) had significantly (p less than 0.05) greater AT's than the runners (2.56 l/min-1) on the bicycle ergometer whereas the runners (52.7 ml/kg . min-1) had significantly (p less than 0.05) higher AT's than the cyclists (46.8 ml/kg . min-1) on the treadmill. These data suggest that the adaptive responses to exercise are in part a function of the specific movement patterns executed in training. Thus, if VO2max and the AT are to be measured in the laboratory, the tests must allow optimal innervation of the specifically trained muscle fibres.

Cardiorespiratory response to treadmill and bicycle exercise in runners

Maximal aerobic power and related variables during submaximal work were determined on the bicycle ergometer and on the treadmill in nine long-distance runners and in nine control subjects. During submaximal work, heart rate and pulmonary ventilation were similar with the two exercise procedures in each group, but the runners had lower values than the control subjects. During maximal exercise, oxygen uptake and pulmonary ventilation reached higher levels on the treadmill than on the bicycle egometer. The difference in VO2max was not significant in the control subjects (4.4%), but was more pronounced (12.8%) and highly significantly (p < 0.01) in the runners. The intergroup differences for VO2max between runners and controls were more marked during treadmill running (17.3%) than during bicycle exercise (8.5%). It is concluded tht the differences between the VO2max values obtained on the bicycle ergometer and on the treadmill are influenced by the training conditions of the subjects and that bicycle ergometry leads to a marked underestimation of maximal oxygen uptake in runners.

Cardiovascular response to interval and continuous training in women

Three groups of five women (age = 18--25 years) participated in a 12-week training program. Cardiovascular responses up to 85% VO2 max to interval (ITG) and continuous (CTG) training were studied in two groups, before training and after 4, 8, and 12 weeks of training four times per week. A control group was assessed before and after 6 and 12 weeks. Both exercise groups demonstrated significant increases in Cao2--Cvo2 after 8 weeks with only slight further increases after 12 weeks (CTG = 8.9%, ITG = 20.0% at 85% VO2 max). No significant changes were noted in either group in SV (+ 5 ml ITG, + 9 ml CTG) or in their Qc. These results indicated that, in response to high intensity training, women may demonstrate similar cardiovascular adaptations to training as have been observed for men.

Specificity of maximal aerobic power

Several types of work tasks are used to assess maximal aerobic power (MAP) in humans. Although it is well established that these work tasks may yield different absolute MAP values, little is known about the extent of the specificity of each MAP work task. 30 moderately active young men were tested at random for MAP with five commonly used work tasks: cycling supine, cycling sitting, alternate arm cranking standing, walking on a treadmill, and stepping on a bench. Statistical analyses show that these five tests do not give equal MAP means, equal variances or equal covariances. Various correlation techniques indicate, furthermore, that the common variance between the five aerobic power measurements is at best moderate. It was estimated that the overall common variance for Max ml O2 . kg-1 . min-1 reached about 50% of the total variance. The most efficient linear loading of each test in the first principal component could account only for 75% of the observed variance in MAP. It is concluded that these five work tasks do not yield parallel test forms, that the practice of transforming one MAP value into another should be abandoned, and that the practice of generalizing from one MAP value to a theoretical general MAP of the human body is not justified.

Cross-Country Bicycling: Physiological Effects

Although percentages of body fat didn't change significantly, this study shows that transcontinental bicycling promotes higher levels of fitness, indicated by lower body mass, lower heart rates, and higher maximum breathing capacities.