Gaston A F, Hapkova I, Durand F
Laboratoire Performance, Santé et altitude, Department STAPS,Université de Perpignan Via Domitia, Font‑Romeu, France -
J Sports Med Phys Fitness. 2015 Sep;55(9):865-71. Epub 2014 Jun 19.
Exercise induced hypoxemia (EIH) can develop in highly trained endurance athletes in terms of exercise mode, muscle mass involved in the exercise, training status and altitude. With this background, the present study compared EIH development and cardiorespiratory responses, in younger highly trained biathletes, at moderate altitude, during running and roller ski field tests.
Ten younger (15.3±1.5 years) highly trained biathletes performed two incremental maximal field tests (Leger Boucher test) in running (R) and in roller skiing (RS), at 1850 meters altitude. EIH (haemoglobin O2 saturation (SpO2) decreased ≥4% from baseline) was measured indirectly using an ear-lobe pulse oximeter included in the K4 (Cosmed) used for measured cardiorespiratory responses.
During the R test, 9 athletes developed EIH whereas only 7 in SR test. Tests duration was the same furthermore at the end of tests, fall of SpO2 was significantly higher in R compared to RS (-9.11±1.51 vs. -5.89±1.09; P<0.01). SpO2 was significantly lower in R compared to RS from 75% of VO2max to VO2max (P<0.05). VO2max was significantly higher in R than in RS (61.33±6.36 vs. 57±6.60 mL.min-1.kg-1; P<0.001). No difference of maximal heart rate, global ventilation, tidal volume or respiratory frequency was present during and at the end of tests.
We concluded that prevalence and severity of EIH was more important during R than RS exercises and that EIH differences may be due to a greater gas exchange abnormality in R.
运动诱发低氧血症(EIH)可能在训练有素的耐力运动员中因运动模式、运动中涉及的肌肉量、训练状态和海拔高度而出现。在此背景下,本研究比较了年轻的、训练有素的冬季两项运动员在中等海拔、跑步和越野滑雪实地测试期间EIH的发生情况以及心肺反应。
10名年轻(15.3±1.5岁)且训练有素的冬季两项运动员在海拔1850米处进行了两项递增式最大实地测试(勒热尔-布歇测试),分别是跑步(R)和越野滑雪(RS)。使用用于测量心肺反应的K4(科美达)设备所包含的耳垂脉搏血氧仪间接测量EIH(血红蛋白氧饱和度(SpO2)较基线下降≥4%)。
在跑步测试中,9名运动员出现EIH,而在越野滑雪测试中只有7名。测试持续时间相同,此外在测试结束时,跑步时SpO2的下降明显高于越野滑雪(-9.11±1.51对-5.89±1.09;P<0.01)。从最大摄氧量的75%到最大摄氧量,跑步时的SpO2明显低于越野滑雪(P<0.05)。跑步时的最大摄氧量明显高于越野滑雪(61.33±6.36对57±6.60毫升·分钟-1·千克-1;P<0.001)。在测试期间和结束时,最大心率、总通气量、潮气量或呼吸频率没有差异。
我们得出结论,EIH的发生率和严重程度在跑步运动中比越野滑雪运动中更显著,且EIH的差异可能是由于跑步时更大的气体交换异常所致。