Department of Experimental and Clinical Medicine, University of Magna Graecia of Catanzaro, Catanzaro, Italy.
Department of Movement, Human and Health Sciences, Section of Health Sciences, University of Rome "Foro Italico", Rome, Italy.
PLoS One. 2019 Apr 11;14(4):e0215307. doi: 10.1371/journal.pone.0215307. eCollection 2019.
The use of the Individual Ventilatory Threshold (IVT), as parameter to prescribe exercise intensity in individuals with obesity, has become more frequent during the last years. This study aimed to evaluate the relationship between IVT and Maximal Fat Oxidation (MFO) in women with obesity.
Fifty-two obese female adults (age = 43.6±10.9 years; BMI = 38.5±5.2 kg/m2) were included in this study. According to the BMI classification, subjects were divided into three groups: Obese Class I (OBI, n = 16); Obese Class II (OBII, n = 20) and Obese Class III (OBIII, n = 16). All subjects performed an incremental graded exercise test to evaluate peak oxygen uptake (VO2peak), IVT and MFO. MFO was evaluated using a stoichiometric equation. Fat max zone was determined for each subject within 10% of fat oxidation rates at MFO. For each HR, %HRmax, VO2 and %VO2peak variable, Pearson's correlation test was done between IVT and MFO exercise intensity. When statistical correlation was found we used a comparative statistical analysis to assess differences between IVT and MFO. Statistical significance was set at P ≤ 0.05.
For each HR, %HRmax, VO2 and %VO2peak variable there was a positive significant correlation (P<0.01) between IVT and MFO. No significant differences were found for HR, %HRmax, and VO2 between IVT and MFO. %VO2peak was significantly higher at IVT than at MFO (P = 0.03). MFO rates were significantly higher in OBIII women than in women of the other two classes. In all subjects, IVT was within the fat max zone.
The use of HR and VO2 corresponding to IVT could be a useful parameter not only to improve cardiorespiratory fitness but also to prescribe physical activity that maximize fat oxidation in obese subjects.
近年来,个体通气阈(IVT)作为设定肥胖个体运动强度的参数,在医学领域的应用越来越频繁。本研究旨在评估肥胖女性 IVT 与最大脂肪氧化率(MFO)之间的关系。
本研究纳入了 52 名肥胖成年女性(年龄=43.6±10.9 岁;BMI=38.5±5.2kg/m2)。根据 BMI 分类,受试者被分为三组:肥胖 I 级(OBI,n=16);肥胖 II 级(OBII,n=20)和肥胖 III 级(OBIII,n=16)。所有受试者均进行递增分级运动试验,以评估峰值摄氧量(VO2peak)、IVT 和 MFO。MFO 采用化学计量方程进行评估。为每个受试者确定脂肪最大氧化率(MFO)的 10%范围内的脂肪最大氧化率(MFO)区。对于每个 HR、%HRmax、VO2 和 %VO2peak 变量,IVT 和 MFO 运动强度之间进行 Pearson 相关检验。当发现统计学相关性时,我们使用比较统计学分析来评估 IVT 和 MFO 之间的差异。统计学显著性设为 P≤0.05。
对于每个 HR、%HRmax、VO2 和 %VO2peak 变量,IVT 与 MFO 之间均存在显著正相关(P<0.01)。在 HR、%HRmax 和 VO2 方面,IVT 与 MFO 之间无显著差异。在 IVT 时的 %VO2peak 显著高于 MFO 时(P=0.03)。OBIII 女性的 MFO 率明显高于其他两组女性。在所有受试者中,IVT 位于脂肪最大氧化区。
使用对应 IVT 的 HR 和 VO2 不仅可以提高心肺适能,还可以设定最大脂肪氧化率的体力活动,这可能是一个有用的参数。