Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, ETH Zurich, Zurich, Switzerland.
Zurich Center for Integrative Human Physiology (ZIHP), University of Zurich, Zurich, Switzerland.
Physiol Rep. 2021 Apr;9(7):e14814. doi: 10.14814/phy2.14814.
To investigate whether a metabolic cart using a flowmeter in the upper range of accepted resistance to airflow (<1.5 cmH O∙L ∙s for flows up to 14 L∙s , American Thoracic Society) negatively impacts exercise performance in healthy individuals.
16 recreationally active males (age 25 ± 1 years, height 180 ± 6 cm, weight 73.5 ± 5.8 kg, all mean ± SD) performed two incremental tests on a bicycle ergometer on each of two visits, using a metabolic cart with a flowmeter of either low (Oxycon Pro) or high (Innocor) airflow resistance. Mouth pressures, gas exchange, blood lactate concentration [La ], perception of breathlessness, respiratory, and leg exertion were assessed throughout the tests.
Tests performed with the Innocor were significantly shorter (15.3 ± 3.2 vs. 15.8 ± 3.3 min, p < 0.0001) and showed higher maximal flow resistance (1.3 ± 0.2 vs. 0.3 ± 0.0 cmH O∙L ∙s , p < 0.0001). At end-exercise, peak oxygen consumption (-200 ± 220 ml.min , p < 0.0001), minute ventilation (-19.9 ± 10.5 L.min , p < 0.0001), breathing frequency (-5.4 ± 5.2 breaths.min , p < 0.0001), heart rate (-2.1 ± 3.6 bpm, p = 0.002) and [La ] (-0.7 ± 1.0 mmol.L , p < 0.0001), but not tidal volume (-0.1 ± 0.2 L, p = 0.172) were lower with the Innocor, while the perception of breathlessness was higher (+3.8 ± 5.1 points, p < 0.0001).
Airflow resistance in the upper range of current guidelines can significantly affect exercise performance and respiratory pattern in young, healthy males during incremental exercise. The present results indicate the need to revisit guidelines for devices used in ergospirometry.
研究在接受气流阻力上限范围内(14 L/s 以下流速时为 1.5 cmH₂O·L·s,美国胸科学会)使用流量计的代谢车是否会对健康个体的运动表现产生负面影响。
16 名有业余运动习惯的男性(年龄 25 ± 1 岁,身高 180 ± 6 cm,体重 73.5 ± 5.8 kg,均为平均值 ± 标准差)在两次就诊时分别使用低气流阻力(Oxycon Pro)和高气流阻力(Innocor)流量计的代谢车在自行车测力计上进行两次递增测试。在整个测试过程中评估口腔压力、气体交换、血乳酸浓度[La]、呼吸困难感知、呼吸和腿部用力情况。
使用 Innocor 进行的测试明显更短(15.3 ± 3.2 分钟与 15.8 ± 3.3 分钟,p<0.0001),并且最大气流阻力更高(1.3 ± 0.2 cmH₂O·L·s 与 0.3 ± 0.0 cmH₂O·L·s,p<0.0001)。在运动结束时,峰值耗氧量(-200 ± 220 ml.min,p<0.0001)、分钟通气量(-19.9 ± 10.5 L.min,p<0.0001)、呼吸频率(-5.4 ± 5.2 次.min,p<0.0001)、心率(-2.1 ± 3.6 bpm,p=0.002)和[La](-0.7 ± 1.0 mmol.L,p<0.0001)降低,但潮气量(-0.1 ± 0.2 L,p=0.172)没有降低,而呼吸困难感知更高(+3.8 ± 5.1 分,p<0.0001)。
在递增运动期间,当前指南中气流阻力的上限范围可以显著影响年轻健康男性的运动表现和呼吸模式。本研究结果表明需要重新审查用于运动心肺功能测试的设备的指南。