Measurement of the maximum oxygen uptake V̇o2max: V̇o2peak is no longer acceptable

2017 ◽  
Vol 122 (4) ◽  
pp. 997-1002 ◽  
Author(s):  
David C. Poole ◽  
Andrew M. Jones

The maximum rate of O2 uptake (i.e., V̇o2max), as measured during large muscle mass exercise such as cycling or running, is widely considered to be the gold standard measurement of integrated cardiopulmonary-muscle oxidative function. The development of rapid-response gas analyzers, enabling measurement of breath-by-breath pulmonary gas exchange, has facilitated replacement of the discontinuous progressive maximal exercise test (that produced an unambiguous V̇o2-work rate plateau definitive for V̇o2max) with the rapidly incremented or ramp testing protocol. Although this is more suitable for clinical and experimental investigations and enables measurement of the gas exchange threshold, exercise efficiency, and V̇o2 kinetics, a V̇o2-work rate plateau is not an obligatory outcome. This shortcoming has led to investigators resorting to so-called secondary criteria such as respiratory exchange ratio, maximal heart rate, and/or maximal blood lactate concentration, the acceptable values of which may be selected arbitrarily and result in grossly inaccurate V̇o2max estimation. Whereas this may not be an overriding concern in young, healthy subjects with experience of performing exercise to volitional exhaustion, exercise test naïve subjects, patient populations, and less motivated subjects may stop exercising before their V̇o2max is reached. When V̇o2max is a or the criterion outcome of the investigation, this represents a major experimental design issue. This CORP presents the rationale for incorporation of a second, constant work rate test performed at ~110% of the work rate achieved on the initial ramp test to resolve the classic V̇o2-work rate plateau that is the unambiguous validation of V̇o2max. The broad utility of this procedure has been established for children, adults of varying fitness, obese individuals, and patient populations.

2002 ◽  
Vol 27 (6) ◽  
pp. 602-611 ◽  
Author(s):  
Jean Michel Leveque ◽  
Jeanick Brisswalter ◽  
Olivier Bernard ◽  
Claude Goubault

The influence of paddling cadence on the time to exhaustion (t.lim) and [Formula: see text] kinetics at the intensity associated with [Formula: see text] [Formula: see text] was examined in seven highly-trained white water kayakers. All subjects were engaged in national or international competitions. Subjects took part in three constant-load tests at [Formula: see text], each test performed at a different paddling cadence (50, 60 or 70 cycles ∙ min−1). The [Formula: see text] kinetics recorded during these constant-load tests at [Formula: see text] were fitted with a mono-exponential equation. A significant increase in t.lim (P <.05) was observed as the paddling cadence increased from 50 to 70 cycles·min−1. No effect was found either on values of [Formula: see text] post-exercise blood lactate concentration, or on the time at which [Formula: see text] was attained [Formula: see text]. Our results suggest that experienced kayakers may choose a high paddling cadence during physiological assessments at [Formula: see text] Further experiments are needed in order to identify the physiological significance of t.lim at [Formula: see text] Key words: performance, exercise test, pulmonary gas exchange, locomotory pattern, kayaking


2004 ◽  
Vol 97 (4) ◽  
pp. 1227-1236 ◽  
Author(s):  
Daryl P. Wilkerson ◽  
Katrien Koppo ◽  
Thomas J. Barstow ◽  
Andrew M. Jones

We hypothesized that the metabolic acidosis resulting from the performance of multiple-sprint exercise would enhance muscle perfusion and result in a speeding of pulmonary oxygen uptake (V̇o2) kinetics during subsequent perimaximal-intensity constant work rate exercise, if O2 availability represented a limitation to V̇o2 kinetics in the control (i.e., no prior exercise) condition. On two occasions, seven healthy subjects completed two bouts of exhaustive cycle exercise at a work rate corresponding to ∼105% of the predetermined V̇o2 peak, separated by 3 × 30-s maximal sprint cycling and 15-min recovery (MAX1 and MAX2). Blood lactate concentration (means ± SD: MAX1: 1.3 ± 0.4 mM vs. MAX2: 7.7 ± 0.9 mM; P < 0.01) was significantly greater immediately before, and heart rate was significantly greater both before and during, perimaximal exercise when it was preceded by multiple-sprint exercise. Near-infrared spectroscopy also indicated that muscle blood volume and oxygenation were enhanced when perimaximal exercise was preceded by multiple-sprint exercise. However, the time constant describing the primary component (i.e., phase II) increase in V̇o2 was not significantly different between the two conditions (MAX1: 33.8 ± 5.5 s vs. MAX2: 33.2 ± 7.7 s). Rather, the asymptotic “gain” of the primary V̇o2 response was significantly increased by the performance of prior sprint exercise (MAX1: 8.1 ± 0.9 ml·min−1·W−1 vs. MAX2: 9.0 ± 0.7 ml·min−1·W−1; P < 0.05), such that V̇o2 was projecting to a higher “steady-state” amplitude with the same time constant. These data suggest that priming exercise, which apparently increases muscle O2 availability, does not influence the time constant of the primary-component V̇o2 response but does increase the amplitude to which V̇o2 may rise following the onset of perimaximal-intensity cycle exercise.


2021 ◽  
Author(s):  
Chantelle du Plessis ◽  
Mark Andrews ◽  
Lachlan Mitchell ◽  
Jodie Cochrane Wilkie ◽  
Trish King ◽  
...  

Severe-intensity constant work rate (CWR) cycling tests are useful for monitoring training progression and adaptation as they impose significant physiological and psychological strain and thus simulate the high-intensity competition environment. However, fatiguing tests require substantial recovery and may disrupt athlete training or competition preparation. Therefore, the development of a brief, minimally fatiguing test providing comparable information is desirable. Purpose : To determine whether physiological variables measured during, and functional decline in maximal power output immediately after, a 2-min CWR test can act as a proxy for 4-min test outcomes. Methods : Physiological stress was monitored and pre-to-post-CWR changes in 10-s sprint power computed (to estimate performance fatigability) during 2- and 4-min CWR tests in high-level cyclists. Results : The 2-min CWR test evoked a smaller decline in sprint mechanical power (32% vs. 47%, p <0.001), however both the physiological variables and sprint mechanical power were independently and strongly correlated between 2- and 4-min tests. Differences in V?O 2peak and blood lactate concentration in both CWR tests were strongly associated with the decline in sprint mechanical power. Conclusion : Physiological variables measured during, and the loss in sprint mechanical power measured after, a severe-intensity 2-min CWR test were less than in the 4-min test. Yet strong correlations between 2- and 4-min test outcomes indicated that the 2-min test can be used as a proxy for the longer test. Because shorter tests are less strenuous, they should have less impact on training and competition preparation and may therefore be more practically applicable within the elite performance environment.


2020 ◽  
Vol 60 (2) ◽  
pp. 252-262
Author(s):  
Benhammou Saddek ◽  
Jérémy B.J. Coquart ◽  
Laurent Mourot ◽  
Belkadi Adel ◽  
Mokkedes Moulay Idriss ◽  
...  

SummaryThe aims of this study were (a): to compare maximal physiological responses (maximal heart rate: HRmax and blood lactate concentration: [La-]) and maximal aerobic speed (MAS) achieved during a gold standard test (T-VAM) to those during a new test entitled: the 150-50 Intermittent Test (150-50IT), and (b): to test the reliability of the 150-50IT. Eighteen middle-distance runners performed, in a random order, the T-VAM and the 150-50IT. Moreover, the runners performed a second 150-50IT (retest). The results of this study showed that the MAS obtained during 150-50IT were significantly higher than the MAS during the T-VAM (19.1 ± 0.9 vs. 17.9 ± 0.9 km.h−1, p < 0.001). There was also significant higher values in HRmax (193 ± 4 vs. 191 ± 2 bpm, p = 0.011), [La-] (11.4 ± 0.4 vs. 11.0 ± 0.5 mmol.L−1, p = 0.039) during the 150-50IT. Nevertheless, significant correlations were noted for MAS (r = 0.71, p = 0.001) and HRmax (r = 0.63, p = 0.007). MAS obtained during the first 150-50IT and the retest were not significantly different (p = 0.76) and were significantly correlated (r = 0.94, p < 0.001, intraclass correlation coefficient = 0.93 and coefficient of variation = 6.8 %). In conclusion, the 150-50IT is highly reproducible, but the maximal physiological responses derived from both tests cannot be interchangeable in the design of training programs.


2017 ◽  
Vol 57 (1) ◽  
pp. 117-128
Author(s):  
Dalton M. Pessôa Filho ◽  
Leandro O.C. Siqueira ◽  
Astor R. Simionato ◽  
Mário A.C. Espada ◽  
Daniel S. Pestana ◽  
...  

AbstractThe purpose of this study was to investigate whether a tethered-swimming incremental test comprising small increases in resistive force applied every 60 seconds could delineate the isocapnic region during rapidly-incremented exercise. Sixteen competitive swimmers (male, n = 11; female, n = 5) performed: (a) a test to determine highest force during 30 seconds of all-out tethered swimming (Favg) and the ΔF, which represented the difference between Favg and the force required to maintain body alignment (Fbase), and (b) an incremental test beginning with 60 seconds of tethered swimming against a load that exceeded Fbase by 30% of ΔF followed by increments of 5% of ΔF every 60 seconds. This incremental test was continued until the limit of tolerance with pulmonary gas exchange (rates of oxygen uptake and carbon dioxide production) and ventilatory (rate of minute ventilation) data collected breath by breath. These data were subsequently analyzed to determine whether two breakpoints defining the isocapnic region (i.e., gas exchange threshold and respiratory compensation point) were present. We also determined the peak rate of O2 uptake and exercise economy during the incremental test. The gas exchange threshold and respiratory compensation point were observed for each test such that the associated metabolic rates, which bound the heavy-intensity domain during constant-work-rate exercise, could be determined. Significant correlations (Spearman’s) were observed for exercise economy along with (a) peak rate of oxygen uptake (ρ = .562; p < 0.025), and (b) metabolic rate at gas exchange threshold (ρ = −.759; p < 0.005). A rapidly-incremented tethered-swimming test allows for determination of the metabolic rates that define zones for domain-specific constant-work-rate training.


1990 ◽  
Vol 68 (3) ◽  
pp. 905-911 ◽  
Author(s):  
S. Oyono-Enguelle ◽  
J. Marbach ◽  
A. Heitz ◽  
C. Ott ◽  
M. Gartner ◽  
...  

Venous lactate concentrations of nine athletes were recorded every 5 s before, during, and after graded exercise beginning at a work rate of 0 W with an increase of 50 W every 4th min. The continuous model proposed by Hughson et al. (J. Appl. Physiol. 62: 1975-1981, 1987) was well fitted with the individual blood lactate concentration vs. work rate curves obtained during exercise. Time courses of lactate concentrations during recovery were accurately described by a sum of two exponential functions. Significant direct linear relationships were found between the velocity constant (gamma 2 nu) of the slowly decreasing exponential term of the recovery curves and the times into the exercise when a lactate concentration of 2.5 mmol/l was reached. There was a significant inverse correlation between gamma 2 nu and the rate of lactate increase during the last step of the exercise. In terms of the functional meaning given to gamma 2 nu, these relationships indicate that the shift to higher work rates of the increase of the blood lactate concentration during graded exercise in fit or trained athletes, when compared with less fit or untrained ones, is associated with a higher ability to remove lactate during the recovery. The results suggest that the lactate removal ability plays an important role in the evolution pattern of blood lactate concentrations during graded exercise.


1980 ◽  
Vol 48 (6) ◽  
pp. 1060-1064 ◽  
Author(s):  
R. M. Glaser ◽  
M. N. Sawka ◽  
M. F. Brune ◽  
S. W. Wilde

The purpose of this investigation was to compare physical work capacity (PWC), peak oxygen uptake (peak VO2), maximal pulmonary ventilation (VEmax), maximal heart rate (HRmax), and maximal blood lactate concentration (LAmax) for wheelchair ergometer (WERG) and arm crank ergometer (ACE) exercise. For this, wheelchair-dependent (n = 6) and able-bodied (n = 10) subjects completed a progressive intensity, discontinuous test for each mode of exercise. Each test was terminated by physical exhaustion and/or an inability to maintain a flywheel velocity of 180 m.min-1. Relatively high correlation coefficients were found between values obtained during the two modes of ergometry for PWC, peak VO2, VEmax, and HRmax. WERG exercise was found to elicit a significantly (P less than 0.05) lower PWC (by 36%), HRmax (by 7%), and LAmax (by 26%) than ACE exercise. Peak VO2 and VEmax, however, were similar for both exercise modes. These data suggest that either exercise mode may be used for fitness testing and training of people who cannot use their legs and that arm cranking may be a superior method to propel wheelchairs.


1991 ◽  
Vol 42 (4) ◽  
pp. 599 ◽  
Author(s):  
DW Pethick ◽  
CB Miller ◽  
NG Harman

The effect of exercise intensity on (i) the ability of sheep to sustain exercise and (ii) glucose metabolism was investigated in fed non-pregnant adult Merino ewes. Five animals were prepared with cannulae to study the splanchnic tissues using the arteriovenous difference technique either at rest or during 8 levels of exercise: 3, 5, 7 and 9 km h-1 at either 0� or 9� incline. The anaerobic threshold, determined by elevation of blood lactate concentration or lactate/pyruvate ratio, occurred at a work rate of about 6-10 watts/kg body wt (7 km h-1 on 0� incline, 3 km h-1 on 9� incline). Only exercise well in excess of the anaerobic threshold resulted in ewes showing fatigue. Fatigue was not associated with carbohydrate depletion or lacticacidosis. Changes in the partial pressure of CO2 and the pH of blood indicated a marked respiratory alkalosis that was related to the severity of exercise, suggesting that thermoregulation may have been an important component of fatigue. Splanchnic blood flow declined when the intensity of exercise exceeded the anaerobic threshold; however, this did not compromise splanchnic function as assessed by oxygen and metabolite uptake. During exercise below the anaerobic threshold euglycemia was maintained while a pronounced hyperglycemia, that became more severe as the work rate increased, was found for exercise above the anaerobic threshold. The release of glucose by the liver increased significantly at all work rates and markedly so after the anaerobic threshold, such that the resultant hyperglycemia was consistent with an exaggerated hepatic glucose release due to 'feed forward' control. The contribution of lactate and glycerol to gluconeogenesis, assuming complete conversion, remained constant at 18-25% except at the highest work load where the contribution significantly declined to 9%. The decline was due to (i) saturation of hepatic lactate uptake and (ii) a failure for glycerol concentration and so uptake to increase beyond a work rate of 22 W kg-1. The requirement for gluconeogenic end products of digestion for animals grazed under extensive conditions would be 9-30% greater than for animals not exercising, depending upon the speed and inclination of exercise.


1994 ◽  
Vol 76 (4) ◽  
pp. 1462-1467 ◽  
Author(s):  
W. Stringer ◽  
K. Wasserman ◽  
R. Casaburi ◽  
J. Porszasz ◽  
K. Maehara ◽  
...  

The slow rise in O2 uptake (VO2), which has been shown to be linearly correlated with the increase in lactate concentration during heavy constant work rate exercise, led us to investigate the role of H+ from lactic acid in facilitating oxyhemoglobin (O2Hb) dissociation. We measured femoral venous PO2, O2Hb saturation, pH, PCO2, lactate, and standard HCO3- during increasing work rate and two constant work rate cycle ergometer exercise tests [below and above the lactic acidosis threshold (LAT)] in two groups of five healthy subjects. Mean end-exercise femoral vein blood and VO2 values for the below- and above-LAT square waves and the increasing work rate protocol were, respectively, PO2 of 19.8 +/- 2.1 (SD), 18.8 +/- 4.7, and 19.8 +/- 3.3 Torr; O2 saturation of 22.5 +/- 4.1, 13.8 +/- 4.2, and 18.5 +/- 6.3%; pH of 7.26 +/- 0.01, 7.02 +/- 0.11, and 7.09 +/- 0.07; lactate of 1.9 +/- 0.9, 11.0 +/- 3.8, and 8.3 +/- 2.9 mmol/l; and VO2 of 1.77 +/- 0.24, 3.36 +/- 0.4, and 3.91 +/- 0.68 l/min. End-exercise femoral vein PO2 did not differ statistically for the three protocols, whereas O2Hb saturation continued to decrease for work rates above LAT. We conclude that decreasing capillary PO2 accounted for most of the O2Hb dissociation during below-LAT exercise and that acidification of muscle capillary blood due to lactic acidosis accounted for virtually all of the O2Hb dissociation above LAT.


2004 ◽  
Vol 169 (11) ◽  
pp. 1238-1244 ◽  
Author(s):  
Hean-Yee Ong ◽  
Conor S. O'Dochartaigh ◽  
Sharon Lovell ◽  
Victor H. Patterson ◽  
Karlman Wasserman ◽  
...  

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