Andziulis A, Gocentas A, Jascaniniene N, Jaszczanin J, Juozulynas A, Radzijewska M
Vilnius University, Lithuania.
Fiziol Zh (1994). 2005;51(4):86-95.
Functional diagnostics is one of the most important areas of sports medicine, which plays an increasingly role in selection of athletes, optimisation of training, early diagnostics and prophylaxis of sports pathology. Functional condition of the body undergoes constant changes under the influence of a number of factors. The differences may be considerable and pose problems related to the recruitment of athletes to teams in game sports and in individual sports. Physical ability is determined by the quality of external breathing and cardiovascular functions and by peculiarities of metabolism related to the tissue breathing and transport of substrates. In qualitative assessment of these phenomena one must relate the parameters of the individual's functional conditions to the required or desired values, i.e. norms. On the other hand, there exist no norms for a comprehensive evaluation of the Lithuanian persons' physical capacity and breathing system and metabolic function capacity including residents going in for sports. It is not clear whether one may rely upon the nomograms drawn up by foreign authors because they may not be applicable to Lithuanian athletes for a number of possible reasons: differences in training methods, regional cultural environment (differences in energy requirements in daily life), nutritional aspects, even demographic peculiarities taking into account limited assimilation level and small number of inhabitants. It has been established that the maximum oxygen uptake indicators reflecting the body's dynamic potential are different in elite athletes when evaluated during a standard ergo metric test. The aerobic capacity is determined by all links in the oxygen transport chain, since both heart rate (HR) and breathing indicators (VE-ventilation volume, PEF-peak expiratory flow and RR-respiratory rate) are characterised by equally good correlation with the oxygen uptake indicators and high determination coefficients (all r > 0.95, R2 > 95%, p < 0.01).
功能诊断是运动医学最重要的领域之一,在运动员选拔、训练优化、运动病理学的早期诊断和预防方面发挥着越来越重要的作用。身体的功能状态在多种因素的影响下不断变化。这些差异可能相当大,并给团队运动和个人运动项目中运动员的选拔带来问题。体能由外呼吸和心血管功能的质量以及与组织呼吸和底物运输相关的代谢特性决定。在对这些现象进行定性评估时,必须将个体功能状态的参数与所需或期望的值,即标准进行比较。另一方面,目前尚无全面评估立陶宛人(包括从事体育运动的居民)体能、呼吸系统和代谢功能能力的标准。尚不清楚是否可以依赖外国作者绘制的列线图,因为由于多种可能的原因,它们可能不适用于立陶宛运动员:训练方法的差异、区域文化环境(日常生活中能量需求的差异)、营养方面,甚至考虑到有限的同化水平和较少的居民数量的人口统计学特征。已经确定,在标准测力计测试中评估时,反映身体动态潜力的最大摄氧量指标在精英运动员中是不同的。有氧能力由氧运输链中的所有环节决定,因为心率(HR)和呼吸指标(VE——通气量、PEF——呼气峰值流量和RR——呼吸频率)与摄氧量指标具有同样良好的相关性,且决定系数较高(所有r>0.95,R2>95%,p<0.01)。