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个性化与标准化运动处方对最大摄氧量反应者的发生率。

Incidence of V˙O2max Responders to Personalized versus Standardized Exercise Prescription.

机构信息

Human Potential Centre, Auckland University of Technology, Auckland, NEW ZEALAND.

Recreation, Exercise & Sport Science, Western State Colorado University, Gunnison, CO.

出版信息

Med Sci Sports Exerc. 2019 Apr;51(4):681-691. doi: 10.1249/MSS.0000000000001842.

Abstract

INTRODUCTION

Despite knowledge of cardiorespiratory fitness (CRF) training responders and nonresponders, it is not well understood how the exercise intensity prescription affects the incidence of response. The purpose of this study was to determine CRF training responsiveness based on cohort-specific technical error after 12 wk of standardized or individually prescribed exercise and the use of a verification protocol to confirm maximal oxygen uptake (V˙O2max).

METHODS

Sedentary adult participants (9 men, 30 women; 48.2 ± 12.2 yr) completed exercise training on 3 d·wk for 12 wk, with exercise intensity prescribed based on standardized methods using heart rate reserve or an individualized approach using ventilatory thresholds. A verification protocol was used at baseline and 12 wk to confirm the identification of a true V˙O2max and subsequent relative percent changes to quantify CRF training responsiveness. A cohort-specific technical error (4.7%) was used as a threshold to identify incidence of response.

RESULTS

Relative V˙O2max significantly increased (P < 0.05) from 24.3 ± 4.6 to 26.0 ± 4.2 and 29.2 ± 7.5 to 32.8 ± 8.6 mL·kg·min for the standardized and individualized groups, respectively. Absolute V˙O2max significantly increased (P < 0.05) from 2.0 ± 0.6 to 2.2 ± 0.6 and 2.4 ± 0.8 to 2.6 ± 0.9 L·min for the standardized and individualized groups, respectively. A significant difference in responsiveness was found between the individualized and standardized groups with 100% and 60% of participants categorized as responders, respectively.

CONCLUSIONS

A threshold model for exercise intensity prescription had a greater effect on the incidence of CRF training response compared with a standardized approach using heart rate reserve. The use of thresholds for intensity markers accounts for individual metabolic characteristics and should be considered as a viable and practical method to prescribe exercise intensity.

摘要

简介

尽管人们对心肺适能(CRF)训练的应答者和无应答者有一定了解,但运动强度的处方如何影响应答的发生还不太清楚。本研究的目的是确定基于 12 周标准化或个体化运动处方后特定队列的技术误差,以及使用验证方案来确认最大摄氧量(V˙O2max)的情况下,12 周的 CRF 训练应答情况。

方法

久坐的成年参与者(9 名男性,30 名女性;48.2 ± 12.2 岁)每周运动 3 天,持续 12 周,运动强度根据心率储备的标准化方法或使用通气阈值的个体化方法进行处方。在基线和 12 周时使用验证方案来确认真正的 V˙O2max 的识别以及随后的相对百分比变化,以量化 CRF 训练的应答情况。使用特定队列的技术误差(4.7%)作为识别应答发生率的阈值。

结果

相对 V˙O2max 分别显著增加(P < 0.05),从标准化组的 24.3 ± 4.6 增加到 26.0 ± 4.2 和个体化组的 29.2 ± 7.5 增加到 32.8 ± 8.6 mL·kg·min。绝对 V˙O2max 分别显著增加(P < 0.05),从标准化组的 2.0 ± 0.6 增加到 2.2 ± 0.6 和个体化组的 2.4 ± 0.8 增加到 2.6 ± 0.9 L·min。在标准化组和个体化组之间,应答者的比例分别为 100%和 60%,显示出应答率存在显著差异。

结论

与使用心率储备的标准化方法相比,运动强度处方的阈值模型对 CRF 训练应答的发生率有更大的影响。使用强度标志物的阈值可以考虑个体的代谢特征,应被视为一种可行且实用的运动强度处方方法。

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