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At a point during the latter third of an incremental exercise protocol, ventilation begins to exceed the rate of clearance of carbon dioxide (CO2) at the lungs ( V Ë CO2). The onset of this hyperventilation, which is confirmed by a fall from a period of stability in end-tidal and arterial CO2 tensions (PCO2), is referred to as the respiratory compensation point (RCP). The mechanisms that contribute to the RCP remain debated as does its surrogacy for the maximal metabolic steady state of constant-power exercise (i.e., the highest work rate associated with maintenance of physiological steady state). The objective of this current opinion is to summarize the original research contributions that support and refute the hypotheses that: (i) the RCP represents a rapid, peripheral chemoreceptor-mediated reflex response engaged when the metabolic rate at which the buffering systems can no longer constrain the rise in hydrogen ions ([H+]) associated with rising lactate concentration and metabolic CO2 production is surpassed; and (ii) the metabolic rate at which this occurs is equivalent to the maximal metabolic steady state of constant power exercise. In doing so, we will shed light on potential mechanisms contributing to the RCP, attempt to reconcile disparate findings, make a case for its adoption for exercise intensity stratification and propose strategies for the use of RCP in aerobic exercise prescription.
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BACKGROUND: Aging is characterized by a physiological decline in physical function, muscle mass, strength, and power. Home-based resistance training interventions have gained increasing attention from scientists and healthcare system operators, but their efficacy is yet to be fully determined. AIMS: to verify the safety, feasibility, and efficacy of a home-based resistance training program delivered by innovative technological solution in healthy older adults. METHODS: 73 participants (36 females) were randomly allocated to either a control (C) or an intervention (I) group consisting of a 6-months home-based resistance training program delivered through an innovative technological solution, which included a wearable inertial sensor and a dedicated tablet. The safety and feasibility of the intervention were assessed by recording training-related adverse events and training adherence. Body composition, standing static balance, 10-meter walking, and loaded 5 sit-to-stand tests were monitored to quantify efficacy. RESULTS: No adverse events were recorded. Adherence to the training program was relatively high (61 % of participants performed the target 3 sessions) in the first trimester, significantly dropping during the second one. The intervention positively affected walking parameters (p < 0.05) and maximal force (p = 0.009) while no effect was recorded on body composition, balance, and muscle power. CONCLUSIONS: The home-based device-supported intervention was safe and feasible, positively affecting walking parameters and lower limbs' maximal force. This approach should be incentivized when barriers to participation in traditional resistance exercise programs are present.
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PURPOSE: Heart rate (HR) is a widespread method to estimate oxygen consumption ( V Ë O2), exercise intensity, volume, and energy expenditure. Still, accuracy depends on lab tests or using indexes like HRnet and HRindex. This study addresses HR indexes' applicability in postmenopausal women (PMW), who constitute over 50% of the aging population and may have unique characteristics (e.g., heart size) affecting HR use. METHODS: Fourteen PMW underwent a cycling ramp incremental test to establish the relationships between V Ë O2 (in MET) and absolute HR, HRnet, and HRindex. In a second group of ten PMW, population-specific and general equations were tested to predict MET and energy expenditure during six constant work exercises at various intensities. Pulmonary gas exchange and HR were continuously measured using a metabolic cart. Correlations, Bland-Altman analysis, and two-way RM-ANOVA were used to compare estimated and measured values. RESULTS: Strong linear relationships between the three HR indexes and MET were found in Group 1. In Group 2, population-specific equations showed medium-to-high correlations, precision, and no significant biases when estimating MET and energy expenditure. HRnet and HRindex outperformed absolute HR in accuracy. General HR equations had similar correlations but exhibited larger biases and imprecision. Statistical differences between measured and estimated values were observed at all intensities with general equations. CONCLUSION: This investigation confirms the suitability of HR for estimating aerobic metabolism in one of the most significant aging populations. However, it emphasizes the importance of considering individual variability and developing population-specific models when utilizing HR to infer metabolism.
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Ejercicio Físico , Frecuencia Cardíaca , Consumo de Oxígeno , Posmenopausia , Humanos , Femenino , Consumo de Oxígeno/fisiología , Posmenopausia/fisiología , Frecuencia Cardíaca/fisiología , Persona de Mediana Edad , Ejercicio Físico/fisiología , Anciano , Prueba de Esfuerzo/métodos , Metabolismo Energético/fisiologíaRESUMEN
BACKGROUND: Schizophrenia spectrum disorders (SSD) compromise psychosocial functioning, including daily time use, emotional expression and physical activity (PA). OBJECTIVE: We performed a cohort study aimed at investigating: (1) the differences in PA, daily activities and emotions between patients with SSD and healthy controls (HC); (2) the strength of the association between these variables and clinical features among patients with SSD. METHODS: Ninety-nine patients with SSD (53 residential patients, 46 outpatients) and 111 matched HC were assessed for several clinical variables, and levels of functioning by means of standardised clinical measures. Self-reported daily activities and emotions were assessed with a smartphone application for ecological momentary assessment (EMA), and PA levels were assessed with a wearable accelerometer for 7 consecutive days.FindingsPatients with SSD, especially those living in residential facilities, spent more time being sedentary, and self-reported more sedentary and self-care activities, experiencing higher levels of negative emotions compared with HC. Moreover, higher functioning levels among patients were associated with more time spent in moderate-to-vigorous activity. CONCLUSIONS: Sedentary behaviour and negative emotions are particularly critical among patients with SSD and are associated with more impaired clinical outcomes. CLINICAL IMPLICATIONS: Mobile-EMA and wearable sensors are useful for monitoring the daily life of patients with SSD and the level of PA. This population needs to be targeted with specific rehabilitative programmes aimed at improving their commitment to structured daily activities.
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Esquizofrenia , Humanos , Estudios de Cohortes , Esquizofrenia/diagnóstico , Emociones , Ejercicio Físico , Pacientes AmbulatoriosRESUMEN
The goal of this study was to investigate to what extent acute heat exposure would affect the parameters of the power-duration relationship, i.e. CP and W', using multiple constant workload tests to task failure, in women and men. Twenty four young physically active participants (12 men, 12 women) performed 3-5 constant load tests to determine CP and W', both in temperate (TEMP; 18°C) and hot (HOT; 36°C) environmental conditions. A repeated-measures ANOVA was executed to find differences between TEMP and HOT, and between women and men. In HOT, CP was reduced by 6.5% (227 ± 50 vs. 212 ± 47 W), while W' increased 12.4% (16.4 ± 4.4 vs. 18.5 ± 5.6 kJ). No significant two-way sex × temperature interactions were observed, indicating that the environmental conditions did not have a different effect in men compared with women. The intersection of the average curvatures in TEMP and HOT occurred at 137 s and 280 W in women, and 153 s and 397 W in men. Acute heat exposure had an impact on the parameters CP and W', i.e. CP decreased whereas W' increased. The increase in W' might be a consequence of the mathematical modelling for the used test methodology, rather than a physiological accurate value of W' in HOT. No differences induced by heat exposure were observed between women and men.
The determination of CP and W' was done using multiple constant workload tests to task failure and acute heat exposure induced changes in CP (decrease) and W' (increase).The increase in W' with acute heat exposure might be a consequence of the mathematical modelling for the used test methodology, rather than a physiological accurate value of W'.Acute heat exposure had a similar effect on performance parameters in women and men.
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Calor , Resistencia Física , Masculino , Humanos , Femenino , Resistencia Física/fisiología , Prueba de Esfuerzo/métodos , Consumo de Oxígeno/fisiologíaRESUMEN
The 5-Sit-to-stand test (5STS) is widely used to estimate lower limb muscle power (MP). An Inertial Measurement Unit (IMU) could be used to obtain objective, accurate and automatic measures of lower limb MP. In 62 older adults (30 F, 66 ± 6 years) we compared (paired t-test, Pearson's correlation coefficient, and Bland-Altman analysis) IMU-based estimates of total trial time (totT), mean concentric time (McT), velocity (McV), force (McF), and MP against laboratory equipment (Lab). While significantly different, Lab vs. IMU measures of totT (8.97 ± 2.44 vs. 8.86 ± 2.45 s, p = 0.003), McV (0.35 ± 0.09 vs. 0.27 ± 0.10 mâs-1, p < 0.001), McF (673.13 ± 146.43 vs. 653.41 ± 144.58 N, p < 0.001) and MP (233.00 ± 70.83 vs. 174.84 ± 71.16 W, p < 0.001) had a very large to extremely large correlation (r = 0.99, r = 0.93, and r = 0.97 r = 0.76 and r = 0.79, respectively, for totT, McT, McF, McV and MP). Bland-Altman analysis showed a small, significant bias and good precision for all the variables, but McT. A sensor-based 5STS evaluation appears to be a promising objective and digitalized measure of MP. This approach could offer a practical alternative to the gold standard methods used to measure MP.
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Extremidad Inferior , Dispositivos Electrónicos Vestibles , Humanos , Fenómenos Biomecánicos , Cinética , Músculos , Masculino , Femenino , Persona de Mediana Edad , AncianoRESUMEN
PURPOSE: The aim of this study was to compare critical power (CP) and work capacity W', and W' reconstitution (W'REC) following repeated maximal exercise between women and men. METHODS: Twelve women ([Formula: see text]O2PEAK: 2.53 ± 0.37 L·min-1) and 12 men ([Formula: see text]O2PEAK: 4.26 ± 0.30 L·min-1) performed a minimum of 3 constant workload tests, to determine CP and W', and 1 maximal exercise repetition test with three work bouts (WB) to failure, to quantify W'REC during 2 recovery periods, i.e., W'REC1 and W'REC2. An independent samples t test was used to compare CP and W' values between women and men, and a repeated-measures ANOVA was used to compare W'REC as fraction of W' expended during the first WB, absolute W'REC, and normalized to lean body mass (LBM). RESULTS: CP normalized to LBM was not different between women and men, respectively, 3.7 ± 0.5 vs. 4.1 ± 0.4 W·kgLBM-1, while W' normalized to LBM was lower in women 256 ± 29 vs. 305 ± 45 J·kgLBM-1. Fractional W'REC1 was higher in women than in men, respectively, 74.0 ± 12.0% vs. 56.8 ± 9.5%. Women reconstituted less W' than men in absolute terms (8.7 ± 1.2 vs. 10.9 ± 2.0 kJ) during W'REC1, while normalized to LBM no difference was observed between women and men (174 ± 23 vs. 167 ± 31 J·kgLBM-1). W'REC2 was lower than W'REC1 both in women and men. CONCLUSION: Sex differences in W'REC (absolute women < men; fractional women > men) are eliminated when LBM is accounted for. Prediction models of W'REC might benefit from including LBM as a biological variable in the equation. This study confirms the occurrence of a slowing of W'REC during repeated maximal exercise.
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Ejercicio Físico , Consumo de Oxígeno , Humanos , Masculino , Femenino , Prueba de Esfuerzo , Carga de Trabajo , Caracteres Sexuales , Resistencia FísicaRESUMEN
Maximal Lactate steady-state (MLSS) demarcates sustainable from unsustainable exercise and is used for evaluation/monitoring of exercise capacity. Still, its determination is physically challenging and time-consuming. This investigation aimed at validating a simple, submaximal approach based on blood lactate accumulation ([Δlactate]) at the third minute of cycling in a large cohort of men and women of different ages. 68 healthy adults (40â, 28â, 43 ± 17 years (range 19-78), VO2max 45 ± 11 ml-1·kg-1·min-1 (25-68)) performed 3-5 constant power output (PO) trials with a target duration of 30 minutes to determine the PO corresponding to MLSS. During each trial, [Δlactate] was calculated as the difference between the third minute and baseline. A multiple linear regression was computed to estimate MLSS based on [Δlactate], subjects` gender, age and the trial PO. The estimated MLSS was compared to the measured value by paired t-test, correlation, and Bland-Altman analysis. The group mean value of estimated MLSS was 180 ± 51 W, not significantly different from (p = 0.98) and highly correlated with (R2 = 0.89) measured MLSS (180 ± 54 watts). The bias between values was 0.17 watts, and imprecision 18.2 watts. This simple, submaximal, time- and cost-efficient test accurately and precisely predicts MLSS across different samples of healthy individuals (adjusted R2 = 0.88) and offers a practical and valid alternative to the traditional MLSS determination.
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Ciclismo , Ácido Láctico , Adulto , Masculino , Femenino , Humanos , Anciano , Ejercicio Físico , Modelos LinealesRESUMEN
Type 2 diabetes (T2D) is a multisystem disease that is the subject of many studies, but the earliest cause of the disease has yet to be elucidated. Mitochondrial impairment has been associated with diabetes in several tissues. To extend the association between T2D and mitochondrial impairment to blood cells, we investigated T2D-related changes in peripheral mononucleated blood cells' (PBMCs) mitochondrial function in two groups of women (CTRL vs. T2D; mean age: 54.1 ± 3.8 vs. 60.9 ± 4.8; mean BMI 25.6 ± 5.2 vs. 30.0 ± 5), together with a panel of blood biomarkers, anthropometric measurements and physiological parameters (VO2max and strength tests). Dual-energy X-ray absorptiometry (DXA) scan analysis, cardio-pulmonary exercise test and blood biomarkers confirmed hallmarks of diabetes in the T2D group. Mitochondrial function assays performed with high resolution respirometry highlighted a significant reduction of mitochondrial respiration in the ADP-stimulated state (OXPHOS; −30%, p = 0.006) and maximal non-coupled respiration (ET; −30%, p = 0.004) in PBMCs samples from the T2D group. The total glutathione antioxidant pool (GSHt) was significantly reduced (−38%: p = 0.04) in plasma samples from the T2D group. The fraction of glycated hemoglobin (Hb1Ac) was positively associated with markers of inflammation (C-reactive protein-CRP r = 0.618; p = 0.006) and of dyslipidemia (triglycerides-TG r = 0.815; p < 0.0001). The same marker (Hb1Ac) was negatively associated with mitochondrial activity levels (OXPHOS r = −0.502; p = 0.034; ET r = −0.529; p = 0.024). The results obtained in overweight postmenopausal women from analysis of PBMCs mitochondrial respiration and their association with anthropometric and physiological parameters indicate that PBMC could represent a reliable model for studying T2D-related metabolic impairment and could be useful for testing the effectiveness of interventions targeting mitochondria.
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PURPOSE: τ of the primary phase of [Formula: see text] kinetics during square-wave, moderate-intensity exercise mirrors that of PCr splitting (τPCr). Pre-exercise [PCr] and the absolute variations of PCr (∆[PCr]) occurring during transient have been suggested to control τPCr and, in turn, to modulate [Formula: see text] kinetics. In addition, [Formula: see text] kinetics may be slower when exercise initiates from a raised metabolic level, i.e., from a less-favorable energetic state. We verified the hypothesis that: (i) pre-exercise [PCr], (ii) pre-exercise metabolic rate, or (iii) ∆[PCr] may affect the kinetics of muscular oxidative metabolism and, therefore, τ. METHODS: To this aim, seven active males (23.0 yy ± 2.3; 1.76 m ± 0.06, [Formula: see text]: 3.32 L min-1 ± 0.67) performed three repetitions of series consisting of six 6-min step exercise transitions of identical workload interspersed with different times of recovery: 30, 60, 90, 120, 300 s. RESULTS: Mono-exponential fitting was applied to breath-by-breath [Formula: see text], so that τ was determined. τ decays as a first-order exponential function of the time of recovery (τ = 109.5 × e(-t/14.0) + 18.9 r2 = 0.32) and linearly decreased as a function of the estimated pre-exercise [PCr] (τ = - 1.07 [PCr] + 44.9, r2 = 0.513, P < 0.01); it was unaffected by the estimated ∆[PCr]. CONCLUSIONS: Our results in vivo do not confirm the positive linear relationship between τ and pre-exercise [PCr] and ∆[PCr]. Instead, [Formula: see text] kinetics seems to be influenced by the pre-exercise metabolic rate and the altered intramuscular energetic state.
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Prueba de Esfuerzo , Consumo de Oxígeno , Masculino , Humanos , Prueba de Esfuerzo/métodos , Músculo Esquelético/metabolismo , Ejercicio Físico , CinéticaRESUMEN
An acute session of sprint interval training (SIT) is a potent stimulus for the metabolic and cardiovascular systems. However, the feasibility of SIT in older adults and its effectiveness to acutely improve aerobic function by transiently accelerating the rate of adjustment of oxidative phosphorylation quantified by VÌO2 kinetics (τVÌO2) are unknown. This study evaluated the time course of changes of τVÌO2 in response to different doses of SIT in older inactive adults compared to their young counterparts. Eight older (age: 67 ± 3 years) and eight young (age: 30 ± 3 years) adults completed three separate SIT sessions consisting of either one (SIT1), three (SIT3), or five (SIT5) consecutive bouts of SIT. Each SIT intervention was interspersed by a two-week recovery phase. The bike resistance during the sprints was set at 0.065 kg·kg-1 body mass for older and 0.075 kg·kg-1 body mass for young adults. Moderate-intensity step-transitions were performed to assess τVÌO2 before (PRE) and one (1d), two (2d) and three (3d) days post each SIT intervention. Older adults attained lower peak power outputs, average power output, and blood lactate concentrations across all sprints of each SIT intervention compared to young (P < 0.01). Following SIT1, τVÌO2 was faster at 1d (-13.6%; P = 0.008) and 2d (-12.7%; P = 0.017) and returned to values similar to PRE at 3d (+0.4%; P > 0.05) in both older and young. Following SIT3, τVÌO2 was faster at 1d (-20.6%; P < 0.001), 2d (-18.5%; P = 0.011), and 3d (-14.5%; P = 0.045) compared to PRE in both older and young. Following SIT5, τVÌO2 became faster in older (at 1d, 2d, and 3d; ~25%; P < 0.05) but remained unchanged in young with respect to PRE (P > 0.05). These findings indicate that SIT has the potency to acutely improve aerobic function by speeding the rate of adjustment of oxidative phosphorylation. However, only older adults were able to maintain these beneficial effects when the volume of SIT was maximized (SIT5). Future studies are warranted to evaluate the long-term feasibility of SIT in older adults.
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Entrenamiento de Intervalos de Alta Intensidad , Anciano , Ciclismo , Ejercicio Físico/fisiología , Entrenamiento de Intervalos de Alta Intensidad/métodos , Humanos , Cinética , Consumo de Oxígeno/fisiología , Conducta SedentariaRESUMEN
This study presents and evaluates a new mathematical model of VÌo2 on-kinetics, with the following properties: 1) a progressively slower primary phase following the size-principle of motor unit recruitment, explaining the delayed VÌo2 steady state seen in the heavy exercise intensity domain, and 2) a severe-domain slow component modeled as a time-dependent decrease in efficiency. Breath-by-breath VÌo2 measurements from eight subjects performing step cycling transitions, in the moderate, heavy, and severe exercise domains, were fitted to the conventional three-phase model and the new model. Model performance was evaluated with a residual analysis and by comparing Bayesian (BIC) and corrected Akaike (AICc) information criteria. The residual analysis showed no systematic deviations, except perhaps for the initial part of the primary phase. BIC favored the new model, being 9.3 (SD 7.1) lower than the conventional model whereas AICc was similar between models. Compared with the conventional three-phase model, the proposed model distinguishes between the kinetic adaptations in the heavy and severe domains by predicting a delayed steady-state VÌo2 in the heavy and no steady-state VÌo2 in the severe domain. This allows to determine when stable oxygen costs of exercise are attainable and it also represents a first step in defining time-dependent oxygen costs when stable energy conversion efficiency is not attainable.NEW & NOTEWORTHY We propose and assess a new minimalistic integrated model for the VÌo2 on-kinetics, inspired by the currently available best evidence of the underlying mechanisms. We show that the model provides a similar fit as the conventionally used three-phase model, even though a stricter data fitting method is used for the proposed model. The proposed model clarifies misconceptions related to the VÌo2 slow component's behavior, by clearly predicting that steady-state VÌo2 is attainable in the moderate and heavy exercise intensity domains. Furthermore, the model opens new possibilities for assessing oxygen cost during severe intensity exercise without the fallible assumption of time-constant energy-conversion efficiency.
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Consumo de Oxígeno , Oxígeno , Teorema de Bayes , Ejercicio Físico , Humanos , CinéticaRESUMEN
PURPOSE: We tested the hypothesis that a slow component of HR (i.e., scHR) occurs in all intensity domains, greater than the slow component of oxygen uptake (scVËO2), and we developed an equation to predict it across exercise intensities. METHOD: Eighteen healthy, postmenopausal women (54 ± 4 yr) performed on a cycle ergometer: i) a ramp incremental test for thresholds and VËO2max detection; ii) 30-min constant work exercise at 40%, 50%, 60%, 70%, and 80% VËO2max for the measurement of scHR, scVËO2, stroke volume, and body temperature (T°). scHR and scVËO2 were compared by two-way repeated-measures ANOVA (intensity and variable). Pearson correlation was calculated between the slow component of all variables, relative intensity, and domain. scHR (in beats per minute) was predicted with a linear model based on exercise intensity relative to the respiratory compensation point (RCP). RESULTS: A positive scHR was present in all domains, twice the size of scVÌO2 (P < 0.001), and significantly correlated with the slow components of VÌO2 (r2 = 0.46), T° (r2 = 0.52), and relative intensity (r2 = 0.66). A linear equation accurately predicts scHR based on %RCP (r2 = 0.66, SEE = 0.15). CONCLUSIONS: A mismatch exists between the slow components of HR and metabolic intensity. Whenever exercise is prescribed based on HR, target values should be adjusted over time to grant that the desired metabolic stimulus is maintained throughout the exercise session.
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Consumo de Oxígeno , Posmenopausia , Ejercicio Físico , Prueba de Esfuerzo , Femenino , Humanos , Modelos LinealesRESUMEN
ABSTRACT: Ferrari, L, Colosio, AL, Teso, M, and Pogliaghi, S. Performance and anthropometrics of classic powerlifters: Which characteristics matter? J Strength Cond Res 36(4): 1003-1010, 2022-The purpose of this study is: (a) provide normative performance and anthropometric data of Southern European classic powerlifters of both sexes; (b) determine the possible relationships between these variables and performance; and (c) develop population-specific predictive equations for single lifts and overall powerlifting performance. During an unofficial national-level competition, we recruited 74 athletes (51 men and 23 women) and recorded their individual, anthropometric, and performance characteristics and divided them into sex and 2 performance categories based on their Wilks points. Weaker (<370 Wilks points) and stronger (>370 Wilks points) athletes of both sexes were compared by two-way analysis of variance. Simple correlation and multiple linear regression between individual/anthropometric characteristics and performance were modeled. We applied a step-forward multiple linear regression model to predict single lifts and overall performance. All parameters significantly differed between sexes (p < 0.05 for all comparisons). Stronger male athletes had a significantly larger neck (42 ± 2.8 cm; effect size [ES] = 0.59), and flexed (40.6 ± 3.3 cm; ES = 1.18) and relaxed upper-arm (37.5 ± 3.1 cm; ES = 1.34) and thigh girths (63.6 ± 7.0 cm; ES = 0.77) compared to weaker male athletes. Furthermore, stronger women had significantly larger flexed (32.6 ± 3.3 cm; ES = 0.88) and relaxed upper-arm (33 ± 1.5 cm; ES = 2.28) and chest girths (99.3 ± 9.2 cm; ES = 1.10) compared to weaker female athletes. A combination of experience, fat mass, and upper-limb and lower-limb muscle mass indexes can accurately and precisely predict overall and individual lift performance (r2 ≥ 0.83 for all the predictions). This is the first study to provide normative performance and anthropometric data in Southern European male and female powerlifters.
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Rendimiento Atlético , Levantamiento de Peso , Antropometría , Atletas , Rendimiento Atlético/fisiología , Femenino , Humanos , Modelos Lineales , Masculino , Rango del Movimiento Articular , Levantamiento de Peso/fisiologíaRESUMEN
BACKGROUND: Vascular dysfunction and associated disorders are major side effects of chronic bed rest, yet passive mobilization as a potential treatment has only been theorized so far. This study investigated the effects of passive mobilization treatment on vascular function in older, chronically bedridden people. METHOD: The study sample was 45 chronically bedridden people of advanced age (mean age: 87 years; 56% female; mean bed rest: 4 years) randomly assigned to a treatment (n = 23) or a control group (CTRL, n = 22). The treatment group received passive mobilization twice daily (30 minutes, 5 times/wk) for 4 weeks. A kinesiologist performed passive mobilization by passive knee flexion/extension at 1 Hz in one leg (treated leg [T-leg] vs control leg [Ctrl-leg]). The CTRL group received routine treatment. The primary outcome was changes in peak blood flow (∆peak) as measured with the single passive leg movement test at the common femoral artery. RESULTS: ∆Peak was increased in both legs in the Treatment group (+90.9 mL/min, p < .001, in T-leg and +25.7 mL/min, p = .039 in Ctrl-leg). No difference in peak blood flow after routine treatment was found in the CTRL group. CONCLUSION: Improvement in vascular function after 4 weeks of passive mobilization was recorded in the treatment group. Passive mobilization may be advantageously included in standard clinical practice as an effective strategy to treat vascular dysfunction in persons with severely limited mobility.
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Pierna , Movimiento , Anciano , Anciano de 80 o más Años , Femenino , Arteria Femoral/fisiología , Hemodinámica/fisiología , Humanos , Pierna/fisiología , Masculino , Movimiento/fisiología , Rango del Movimiento ArticularRESUMEN
This study focused on the steady-state phase of exercise to evaluate the relative contribution of metabolic instability (measured with NIRS and haematochemical markers) and muscle activation (measured with EMG) to the oxygen consumption ([Formula: see text]) slow component ([Formula: see text]) in different intensity domains. We hypothesized that (i) after the transient phase, [Formula: see text], metabolic instability and muscle activation tend to increase differently over time depending on the relative exercise intensity and (ii) the increase in [Formula: see text] is explained by a combination of metabolic instability and muscle activation. Eight active men performed a constant work rate trial of 9 min in the moderate, heavy and severe intensity domains. [Formula: see text], root mean square by EMG (RMS), deoxyhaemoglobin by NIRS ([HHb]) and haematic markers of metabolic stability (i.e. [La-], pH, HCO3-) were measured. The physiological responses in different intensity domains were compared by two-way RM-ANOVA. The relationships between the increases of [HHb] and RMS with [Formula: see text] after the third min were compared by simple and multiple linear regressions. We found domain-dependent dynamics over time of [Formula: see text], [HHb], RMS and the haematic markers of metabolic instability. After the transient phase, the rises in [HHb] and RMS showed medium-high correlations with the rise in [Formula: see text] ([HHb] r = 0.68, p < 0.001; RMS r = 0.59, p = 0.002). Moreover, the multiple linear regression showed that both metabolic instability and muscle activation concurred to the [Formula: see text] (r = 0.75, [HHb] p = 0.005, RMS p = 0.042) with metabolic instability possibly having about threefold the relative weight compared to recruitment. Seventy-five percent of the dynamics of the [Formula: see text] was explained by [HHb] and RMS.
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Ejercicio Físico , Músculo Esquelético/fisiología , Consumo de Oxígeno , Adulto , Humanos , Masculino , Contracción Muscular , Músculo Esquelético/metabolismo , Distribución AleatoriaRESUMEN
Quantitative and qualitative running gait analysis allows the early identification and the longitudinal monitoring of gait abnormalities linked to running-related injuries. A promising calibration- and marker-less video sensor-based technology (i.e., Graal), recently validated for walking gait, may also offer a time- and cost-efficient alternative to the gold-standard methods for running. This study aim was to ascertain the validity of an improved version of Graal for quantitative and qualitative analysis of running. In 33 healthy recreational runners (mean age 41 years), treadmill running at self-selected submaximal speed was simultaneously evaluated by a validated photosensor system (i.e., Optogait-the reference methodology) and by the video analysis of a posterior 30-fps video of the runner through the optimized version of Graal. Graal is video analysis software that provides a spectral analysis of the brightness over time for each pixel of the video, in order to identify its frequency contents. The two main frequencies of variation of the pixel's brightness (i.e., F1 and F2) correspond to the two most important frequencies of gait (i.e., stride frequency and cadence). The Optogait system recorded step length, cadence, and its variability (vCAD, a traditional index of gait quality). Graal provided a direct measurement of F2 (reflecting cadence), an indirect measure of step length, and two indexes of global gait quality (harmony and synchrony index). The correspondence between quantitative indexes (Cadence vs. F2 and step length vs. Graal step length) was tested via paired t-test, correlations, and Bland-Altman plots. The relationship between qualitative indexes (vCAD vs. Harmony and Synchrony Index) was investigated by correlation analysis. Cadence and step length were, respectively, not significantly different from and highly correlated with F2 (1.41 Hz ± 0.09 Hz vs. 1.42 Hz ± 0.08 Hz, p = 0.25, r2 = 0.81) and Graal step length (104.70 cm ± 013.27 cm vs. 107.56 cm ± 13.67 cm, p = 0.55, r2 = 0.98). Bland-Altman tests confirmed a non-significant bias and small imprecision between methods for both parameters. The vCAD was 1.84% ± 0.66%, and it was significantly correlated with neither the Harmony nor the Synchrony Index (0.21 ± 0.03, p = 0.92, r2 = 0.00038; 0.21 ± 0.96, p = 0.87, r2 = 0.00122). These findings confirm the validity of the optimized version of Graal for the measurement of quantitative indexes of gait. Hence, Graal constitutes an extremely time- and cost-efficient tool suitable for quantitative analysis of running. However, its validity for qualitative running gait analysis remains inconclusive and will require further evaluation in a wider range of absolute and relative running intensities in different individuals.
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Análisis de la Marcha , Carrera , Adulto , Fenómenos Biomecánicos , Prueba de Esfuerzo , Marcha , Humanos , CaminataRESUMEN
BACKGROUND: Appropriate quantification of exertional intensity remains elusive. OBJECTIVE: To compare, in a large and heterogeneous cohort of healthy females and males, the commonly used intensity classification system (i.e., light, moderate, vigorous, near-maximal) based on fixed ranges of metabolic equivalents (METs) to an individualized schema based on the exercise intensity domains (i.e., moderate, heavy, severe). METHODS: A heterogenous sample of 565 individuals (females 165; males 400; age range 18-83 years old) were included in the study. Individuals performed a ramp-incremental exercise test from which gas exchange threshold (GET), respiratory compensation point (RCP) and maximum oxygen uptake (VO2max) were determined to build the exercise intensity domain schema (moderate = METs ≤ GET; heavy = METs > GET but ≤ RCP; severe = METs > RCP) for each individual. Pearson's chi-square tests over contingency tables were used to evaluate frequency distribution within intensity domains at each MET value. A multi-level regression model was performed to identify predictors of the amplitude of the exercise intensity domains. RESULTS: A critical discrepancy existed between the confines of the exercise intensity domains and the commonly used fixed MET classification system. Overall, the upper limit of the moderate-intensity domain ranged between 2 and 13 METs and of the heavy-intensity domain between 3 and 18 METs, whereas the severe-intensity domain included METs from 4 onward. CONCLUSIONS: Findings show that the common practice of assigning fixed values of METs to relative categories of intensity risks misclassifications of the physiological stress imposed by exercise and physical activity. These misclassifications can lead to erroneous interpretations of the dose-response relationship of exercise and physical activity.
Asunto(s)
Capacidad Cardiovascular , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Prueba de Esfuerzo , Femenino , Humanos , Masculino , Equivalente Metabólico , Persona de Mediana Edad , Evaluación de Resultado en la Atención de Salud , Oxígeno , Consumo de Oxígeno , Adulto JovenRESUMEN
PURPOSE: The aims of this study were (1) to investigate if the respiratory compensation point (RCP) as derived from ramp incremental (RI) exercise could accurately predict the power output (PO) at the maximal lactate steady state (MLSS), and (2) to compare its accuracy with the second lactate threshold (LT2) obtained from step incremental (SI) exercise. METHODS: Nineteen participants performed a RI test (30 W·min-1) to determine RCP, a SI test (30 or 40 W·3 min-1) to determine LT2, and two or more constant work rate (CWR) tests to determine MLSS. For each participant, the [Formula: see text]O2/PO relationship for RI and CWR exercise was established. The ramp-identified PO at RCP was corrected by accounting for the gap between these relationships using the individually determined [Formula: see text] O2/PO regression above GET (RCPcorr-1) or using a fixed regression slope (RCPcorr-2). LT2 was determined using four methods: Dmax, modified Dmax (ModDmax), 4-mM threshold (LT4mM) and an expert-determined LT2 (LT2-expert). RESULTS: RCPcorr-1 (235 ± 69 W), RCPcorr-2 (228 ± 58 W) and LT2-expert (227 ± 61 W) were not different from MLSS (225 ± 60 W). Dmax (203 ± 53 W) underestimated MLSS, while RCP (280 ± 60 W), ModDmax (235 ± 67 W) and LT4mM (234 ± 68 W) overestimated MLSS. The [Formula: see text]O2 at RCP (3.13 ± 0.79L·min-1) and LT2-expert (2.99 ± 0.19L·min-1) did not differ from MLSS (3.05 ± 0.72 L·min-1). CONCLUSION: This study demonstrated that RCP as derived from RI exercise and LT2 as derived from SI exercise can be equally accurate to determine the PO associated with MLSS. Although these results confirmed the suitability of RI and SI tests for this purpose, they also highlighted the importance of an appropriate threshold method selection and the eye of the expert.