New Data-based Cutoffs for Maximal Exercise Criteria across the Lifespan.
Journal
Medicine and science in sports and exercise
ISSN: 1530-0315
Titre abrégé: Med Sci Sports Exerc
Pays: United States
ID NLM: 8005433
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
pubmed:
1
4
2020
medline:
9
2
2021
entrez:
1
4
2020
Statut:
ppublish
Résumé
To determine age-dependent cutoff values for secondary exhaustion criteria for a general population free of exercise limiting chronic conditions; to describe the percentage of participants reaching commonly used exhaustion criteria during a cardiopulmonary exercise test (CPET); and to analyze their oxygen uptake at the respective criteria to quantify the impact of a given criterion on the respective oxygen uptake (V˙O2) values. Data from the COmPLETE-Health Study were analyzed involving participants from 20 to 91 yr of age. All underwent a CPET to maximal voluntary exertion using a cycle ergometer. To determine new exhaustion criteria, based on maximal respiratory exchange ratio (RERmax) and age-predicted maximal HR (APMHR), one-sided lower tolerance intervals for the tests confirming V˙O2 plateau status were calculated using a confidence level of 95% and a coverage of 90%. A total of 274 men and 252 women participated in the study. Participants were nearly equally distributed across age decades from 20 to >80 yr. A V˙O2 plateau was present in 32%. There were only minor differences in secondary exhaustion criteria between participants exhibiting a V˙O2 plateau and participants not showing a V˙O2 plateau. New exhaustion criteria according to the tolerance intervals for the age group of 20 to 39 yr were: RERmax ≥ 1.13, APMHR210 - age ≥ 96%, and APMHR208 × 0.7 age ≥ 93%; for the age group of 40 to 59 yr: RERmax ≥ 1.10, APMHR210 - age ≥ 99%, and APMHR208 × 0.7 age ≥ 92%; and, for the age group of 60 to 69 yr: RERmax ≥ 1.06, APMHR210 - age ≥ 99%, and APMHR208 × 0.7 age ≥ 89%. The proposed cutoff values for secondary criteria reduce the risk of underestimating V˙O2max. Lower values would increase false-positive results, assuming participants are exhausted although, in fact, they are not.
Identifiants
pubmed: 32224715
doi: 10.1249/MSS.0000000000002344
pii: 00005768-202009000-00008
doi:
Substances chimiques
Lactic Acid
33X04XA5AT
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1915-1923Subventions
Organisme : RRD VA
ID : IK6 RX002477
Pays : United States
Références
Laukkanen JA, Zaccardi F, Khan H, Kurl S, Jae SY, Rauramaa R. Long-term change in cardiorespiratory fitness and all-cause mortality: a population-based follow-up study. Mayo Clin Proc. 2016;91(9):1183–8.
Imboden MT, Harber MP, Whaley MH, Finch WH, Bishop DL, Kaminsky LA. Cardiorespiratory fitness and mortality in healthy men and women. J Am Coll Cardiol. 2018;72(19):2283–92.
Ross R, Blair SN, Arena R, et al. Importance of assessing cardiorespiratory fitness in clinical practice: a case for fitness as a clinical vital sign: a scientific statement from the American Heart Association. Circulation. 2016;134(24):e653–e99.
Howley ET, Bassett DR Jr, Welch HG. Criteria for maximal oxygen uptake: review and commentary. Med Sci Sports Exerc. 1995;27(9):1292–301.
Mehra MR, Canter CE, Hannan MM, et al. The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: a 10-year update. J Heart Lung Transplant. 2016;35(1):1–23.
Arena R, Myers J, Williams MA, et al. Assessment of functional capacity in clinical and research settings: a scientific statement from the American Heart Association Committee on Exercise, Rehabilitation, and Prevention of the Council on Clinical Cardiology and the Council on Cardiovascular Nursing. Circulation. 2007;116(3):329–43.
Midgley AW, McNaughton LR, Polman R, Marchant D. Criteria for determination of maximal oxygen uptake: a brief critique and recommendations for future research. Sports Med. 2007;37(12):1019–28.
Edvardsen E, Hem E, Anderssen SA. End criteria for reaching maximal oxygen uptake must be strict and adjusted to sex and age: a cross-sectional study. PLoS One. 2014;9(1):e85276.
Wood RE, Hills AP, Hunter GR, King NA, Byrne NM. Vo2max in overweight and obese adults: do they meet the threshold criteria? Med Sci Sports Exerc. 2010;42(3):470–7.
Lucia A, Rabadan M, Hoyos J, et al. Frequency of the VO2max plateau phenomenon in world-class cyclists. Int J Sports Med. 2006;27(12):984–92.
Barker AR, Williams CA, Jones AM, Armstrong N. Establishing maximal oxygen uptake in young people during a ramp cycle test to exhaustion. Br J Sports Med. 2011;45(6):498–503.
Murias JM, Pogliaghi S, Paterson DH. Measurement of a true [Formula: see text]O2max during a ramp incremental test is not confirmed by a verification phase. Front Physiol. 2018;9:143.
Possamai LT, Campos FS, Salvador P, et al. Similar VO2max assessment from a step cycling incremental test and verification tests on the same or different day. Appl Physiol Nutr Metab. 2019;1–5.
Poole DC, Wilkerson DP, Jones AM. Validity of criteria for establishing maximal O2 uptake during ramp exercise tests. Eur J Appl Physiol. 2008;102(4):403–10.
Poole DC, Jones AM. Measurement of the maximum oxygen uptake Vo2max: Vo2peak is no longer acceptable. J Appl Physiol (1985). 2017;122(4):997–1002.
Kokkinos P, Kaminsky LA, Arena R, Zhang J, Myers J. A new generalized cycle ergometry equation for predicting maximal oxygen uptake: the Fitness Registry and the Importance of Exercise National Database (FRIEND). Eur J Prev Cardiol. 2018;25(10):1077–82.
Fleg JL, Morrell CH, Bos AG, et al. Accelerated longitudinal decline of aerobic capacity in healthy older adults. Circulation. 2005;112(5):674–82.
Wagner J, Knaier R, Infanger D, et al. Functional aging in health and heart failure: the COmPLETE Study. BMC Cardiovasc Disord. 2019;19(1):180.
Agostoni P, Bianchi M, Moraschi A, et al. Work-rate affects cardiopulmonary exercise test results in heart failure. Eur J Heart Fail. 2005;7(4):498–504.
Midgley AW, Bentley DJ, Luttikholt H, McNaughton LR, Millet GP. Challenging a dogma of exercise physiology: does an incremental exercise test for valid VO 2 max determination really need to last between 8 and 12 minutes? Sports Med. 2008;38(6):441–7.
American Thoracic S. American College of Chest P. ATS/ACCP Statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med. 2003;167(2):211–77.
Jones AM, Carter H. Oxygen uptake-work rate relationship during two consecutive ramp exercise tests. Int J Sports Med. 2004;25(6):415–20.
Niemeyer M, Bergmann TGJ, Beneke R. Oxygen uptake plateau: calculation artifact or physiological reality? Eur J Appl Physiol. 2019;120:231–42.
Midgley AW, Carroll S, Marchant D, McNaughton LR, Siegler J. Evaluation of true maximal oxygen uptake based on a novel set of standardized criteria. Appl Physiol Nutr Metab. 2009;34(2):115–23.
Gravelle BM, Murias JM, Spencer MD, Paterson DH, Kowalchuk JM. Adjustments of pulmonary O2 uptake and muscle deoxygenation during ramp incremental exercise and constant-load moderate-intensity exercise in young and older adults. J Appl Physiol (1985). 2012;113(9):1466–75.
Boone J, Koppo K, Bouckaert J. The VO2 response to submaximal ramp cycle exercise: Influence of ramp slope and training status. Respir Physiol Neurobiol. 2008;161(3):291–7.
Roecker K, Striegel H, Dickhuth HH. Heart-rate recommendations: transfer between running and cycling exercise? Int J Sports Med. 2003;24(3):173–8.
Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001;37(1):153–6.
Wongpakaran N, Wongpakaran T, Wedding D, Gwet KL. A comparison of Cohen’s Kappa and Gwet’s AC1 when calculating inter-rater reliability coefficients: a study conducted with personality disorder samples. BMC Med Res Methodol. 2013;13.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.
Myers J, Walsh D, Sullivan M, Froelicher V. Effect of sampling on variability and plateau in oxygen uptake. J Appl Physiol (1985). 1990;68(1):404–10.
Beltrami FG, Wong Del P, Noakes TD. High prevalence of false-positive plateau phenomena during VO2max testing in adolescents. J Sci Med Sport. 2014;17(5):526–30.
Gordon D, Mehter M, Gernigon M, Caddy O, Keiller D, Barnes R. The effects of exercise modality on the incidence of plateau at VO2max. Clin Physiol Funct Imaging. 2012;32(5):394–9.
Knaier R, Niemeyer M, Wagner J, et al. Which cutoffs for secondary V O2max criteria are robust to diurnal variations? Med Sci Sports Exerc. 2019;51(5):1006–13.
Kaminsky LA, Imboden MT, Arena R, Myers J. Reference standards for cardiorespiratory fitness measured with cardiopulmonary exercise testing using cycle ergometry: data from the Fitness Registry and the Importance of Exercise National Database (FRIEND) Registry. Mayo Clin Proc. 2017;92(2):228–33.
Mylius CF, Krijnen WP, van der Schans CP, Takken T. Peak oxygen uptake reference values for cycle ergometry for the healthy Dutch population: data from the LowLands Fitness Registry. ERJ Open Res. 2019;5(2):00056–2018.
Koch B, Schaper C, Ittermann T, et al. Reference values for cardiopulmonary exercise testing in healthy volunteers: the SHIP study. Eur Respir J. 2009;33(2):389–97.
Hakola L, Komulainen P, Hassinen M, et al. Cardiorespiratory fitness in aging men and women: the DR’s EXTRA study. Scand J Med Sci Sports. 2011;21(5):679–87.
Genberg M, Andren B, Lind L, Hedenstrom H, Malinovschi A. Commonly used reference values underestimate oxygen uptake in healthy, 50-year-old Swedish women. Clin Physiol Funct Imaging. 2018;38(1):25–33.
Robergs RA, Dwyer D, Astorino T. Recommendations for improved data processing from expired gas analysis indirect calorimetry. Sports Med. 2010;40(2):95–111.
Davis JA, Vodak P, Wilmore JH, Vodak J, Kurtz P. Anaerobic threshold and maximal aerobic power for three modes of exercise. J Appl Physiol. 1976;41(4):544–50.
Adami A, Sivieri A, Moia C, Perini R, Ferretti G. Effects of step duration in incremental ramp protocols on peak power and maximal oxygen consumption. Eur J Appl Physiol. 2013;113(10):2647–53.