Laboratory of Human Movement Biosciences, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
Post-Graduate Program in Science and Technology in Health, Universidade de Brasília (UnB), Brasília, DF, Brazil.
Braz J Phys Ther. 2020 Jul-Aug;24(4):365-372. doi: 10.1016/j.bjpt.2019.07.002. Epub 2019 Jul 16.
Cardiopulmonary exercise testing is the main tool assessing cardiorespiratory fitness. However, cardiopulmonary exercise testing devices are expensive and often cannot be used.
The present study sought to develop cardiopulmonary exercise testing equations for estimating maximum oxygen uptake from ergometric testing combined with ventilometry.
181 volunteers of both sexes were submitted to cardiopulmonary exercise testing on treadmill using an incremental protocol. Volunteers were randomized into two groups: regression group: composed of 68 women with age 24.7±6.0 years and 54 men aged 21.5±3.9 years; and a cross-validation group composed of 29 women with mean age of 23.8±4.7 years and 30 men with a mean age of 23.1±4.4 years. The estimating equations were developed using multiple stepwise linear regressions; comparison of means was done using a t test and reliability assessed by Cronbach's alpha.
8 independent variables exhibited a significant result for estimating VO: minute ventilation (E) at second ventilatory threshold (VT-II): (E _VT-II); heart rate at VT-II (HR_VT-II); body mass (BM); body mass index (BMI); fat percentage (F%); age; sex; velocity at VT-II (Vel_VT-II); test time of VT-II (T_VT-II) and final test velocity (Vel). Two equations presented more accurate results; for active subjects: Equation = 33.08 + 2.41*(Vel) - 0.32*(F%) + 0.40*(VE_VT-II) - 0.26*(BM) - 0.09*(HR_VT-II); for sedentary subjects: Equation for = 54.65 + 1.37*(T_VT-II) + 8.24*(sex) - 1.26*(BMI) + 0.37*(VE_VT-II) - 0.12*(HR_VT-II).
The present study demonstrated that the use of parameters collected during maximal ergometric test combined with ventilometry, improved the accuracy of equations for estimating maximum oxygen uptake.
心肺运动测试是评估心肺适应能力的主要工具。然而,心肺运动测试设备昂贵,且通常无法使用。
本研究旨在开发心肺运动测试方程,用于从测功计测试和通气量测定中估算最大摄氧量。
181 名志愿者(男女不限)接受了跑步机递增式心肺运动测试。志愿者随机分为两组:回归组:由 68 名女性(年龄 24.7±6.0 岁)和 54 名男性(年龄 21.5±3.9 岁)组成;交叉验证组由 29 名女性(平均年龄 23.8±4.7 岁)和 30 名男性(平均年龄 23.1±4.4 岁)组成。使用多元逐步线性回归法建立估算方程;使用 t 检验比较平均值,用 Cronbach's alpha 评估可靠性。
8 个独立变量对估计 VO 有显著意义:分钟通气量(E)在第二通气阈(VT-II):(E_VT-II);VT-II 时的心率(HR_VT-II);体重(BM);体重指数(BMI);体脂百分比(F%);年龄;性别;VT-II 时的速度(Vel_VT-II);VT-II 测试时间(T_VT-II)和最终测试速度(Vel)。两个方程的结果更准确;对于活跃的受试者:方程= 33.08 + 2.41*(Vel) - 0.32*(F%) + 0.40*(VE_VT-II) - 0.26*(BM) - 0.09*(HR_VT-II);对于久坐的受试者:方程= 54.65 + 1.37*(T_VT-II) + 8.24*(性别) - 1.26*(BMI) + 0.37*(VE_VT-II) - 0.12*(HR_VT-II)。
本研究表明,在最大测功计测试中使用结合通气量测量的参数,可提高估算最大摄氧量方程的准确性。