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9至11岁女孩和男孩对最大运动强度蹬车运动试验的心肺适能、呼吸功能及血流动力学反应:恐慌研究

Cardiorespiratory fitness, respiratory function and hemodynamic responses to maximal cycle ergometer exercise test in girls and boys aged 9-11 years: the PANIC Study.

作者信息

Lintu Niina, Viitasalo Anna, Tompuri Tuomo, Veijalainen Aapo, Hakulinen Mikko, Laitinen Tomi, Savonen Kai, Lakka Timo A

机构信息

Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio Campus, PO Box 1627, 70211, Kuopio, Finland,

出版信息

Eur J Appl Physiol. 2015 Feb;115(2):235-43. doi: 10.1007/s00421-014-3013-8. Epub 2014 Oct 2.

Abstract

PURPOSE

We aimed to provide comprehensive data on and reference values for cardiorespiratory fitness, respiratory function and hemodynamic responses during and after maximal cycle ergometer test in children.

METHODS

The participants were a population sample of 140 children (69 girls) aged 9-11 years. Heart rate (HR) and systolic blood pressure (SBP) were measured from pre-exercise rest to the end of recovery. Respiratory gases were measured directly by the breath-by-breath method. Peak workload, HR changes, peak oxygen uptake (VO2), peak oxygen pulse (O2 pulse), peak respiratory exchange ratio (RER) and the lowest ratio of ventilation and carbon dioxide output (VE/VCO2) during the exercise test in girls and boys were presented according to their distributions in 5 categories.

RESULTS

HR decreased more during 4-min recovery in boys than in girls (76 vs. 67 beats/min, p < 0.001), whereas SBP decrease was similar in boys and girls (30 vs. 22 mmHg, p = 0.66). Boys had a higher peak VO2 per weight [51.9 vs. 47.6 ml/kg/min, p < 0.001] and per lean mass [67.3 vs. 63.0 ml/kg/min, p < 0.001] than girls. Peak O2 pulse per lean mass was higher in boys than in girls (0.34 vs. 0.31 ml/kg/beat, p < 0.001). There was no difference in the lowest VE/VCO2 during the test between boys and girls (28 vs. 29, p = 0.18).

CONCLUSIONS

The indicators of cardiorespiratory fitness were better in boys than in girls. These data enable the evaluation of cardiorespiratory function during and after maximal exercise test and the detection of children with abnormal values.

摘要

目的

我们旨在提供儿童在最大运动强度的蹬车测试期间及之后的心肺适能、呼吸功能和血流动力学反应的全面数据及参考值。

方法

参与者为140名9至11岁儿童的群体样本(69名女孩)。从运动前休息状态到恢复结束,测量心率(HR)和收缩压(SBP)。通过逐次呼吸法直接测量呼吸气体。根据男孩和女孩在运动测试期间的分布情况,将峰值工作量、心率变化、峰值摄氧量(VO2)、峰值氧脉搏(O2脉搏)、峰值呼吸交换率(RER)以及最低通气与二氧化碳排出量比值(VE/VCO2)分为5类呈现。

结果

男孩在4分钟恢复期间心率下降幅度大于女孩(76次/分钟对67次/分钟,p<0.001),而男孩和女孩的收缩压下降幅度相似(30mmHg对22mmHg,p = 0.66)。男孩每体重的峰值VO2[51.9对47.6毫升/千克/分钟,p<0.001]和每瘦体重的峰值VO2[67.3对63.0毫升/千克/分钟,p<0.001]均高于女孩。男孩每瘦体重的峰值O2脉搏高于女孩(0.34对0.31毫升/千克/次搏动,p<0.001)。男孩和女孩在测试期间的最低VE/VCO2无差异(28对29,p = 0.18)。

结论

男孩的心肺适能指标优于女孩。这些数据有助于评估最大运动测试期间及之后的心肺功能,并检测出数值异常的儿童。

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