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At least 271 records · Page 15Linked to original sources

The prediction of fitness levels of United States Air Force officers: validation of cycle ergometry.

The purpose of this investigation was to evaluate the accuracy of the United States Air Force cycle ergometer test (CET) to predict maximal oxygen uptake (VO2max) of Air Force officers. The United States Air Force is currently evaluating cardiovascular fitness by cycle ergometry. In order to validate the accuracy of the CET, 50 male Air Force officers who were attending professional military education at Maxwell AFB were evaluated by a maximal treadmill Bruce test and open circuit spirometry. Characteristics of the subjects included the following mean values +/- SD: VO2max = 47.9 +/- 10.3 ml.kg-1.minute-1; age = 39.3 +/- 3.9 years; weight = 76.9 +/- 9.5 kg; height = 176.4 +/- 8.8 cm; percent fat = 20 +/- 9%; heart rate max = 174 +/- 10 beats.minute-1; and respiratory exchange ratio = 1.09 +/- 0.09. The predicted VO2max with the cycle ergometer test was 39.9 +/- 9.8 ml.kg-1.minute-1. The following product-moment correlation was derived between criterion VO2max (maximal treadmill test and the CET: r = 0.74 and standard error of estimate = 6.9 ml.kg-1.minute-1). A repeated measures analysis of variance between the CET and maximal treadmill test found a significant mean difference of 8.0 ml.kg-1.minute-1 (p < 0.0001). The CET significantly underpredicted fitness levels of Air Force officers. Based upon Air Force standards, the CET underpredicted oxygen uptake values by approximately one fitness category or 17%.

Adult↗

[Comparison of the effects of molsidomine retard and isosorbide dinitrate retard in patients with stable angina pectoris using an ergometry test].

In 24 men with angina after exertion the authors assessed, using ergometry, the action of molsidomine retard and isosorbide dinitrate retard after a single dose and after tree-week administration of the drug. The authors found that 8 mg of molsidomine retard in a single dose had a somewhat more potent effect than 40 mg isosorbide dinitrate retard. After prolonged administration the effect of both drugs on haemodynamics diminished and in molsidomine a significant decline of action was observed before development of a reduced S-T segment on the ECG. After three weeks' administration the effects of both drugs were comparable. After neither drug clinically significant tolerance developed when the drug was administered every 8 hours. In the conclusion the authors discuss possible mechanisms involved in development of tolerance.

Adult↗

[Current aspects in ergometry].

Exercise testing remains an important non-invasive diagnostic test modality in patients with coronary artery disease. In recent years considerable advances have been achieved in the test methodology and in interpretation. The following points are important for the test methodology: (1.) The optimal exercise time is 8-12 minutes. (2.) The stepwise increases in work load should be as small as possible (ideally, according to the ramp protocol). (3.) Whenever possible patients should be tested on a symptom-limited basis. Submaximal ergometry is only indicated in the 2-3 weeks after acute myocardial infarction. (4.) The value of the exercise test depends mainly on the double product achieved (maximal systolic blood pressure x maximal heart rate). The interpretation of the exercise test should consider the clinical and hemodynamic responses and ST-segment changes. ST-segment depressions are the most important diagnostic parameter. The ECG localization (most frequently lateral wall) does not necessarily correspond to the anatomic localization. Exercise capacity and blood pressure response are important prognostic variables.

Cardiovascular Agents↗

[Dependence of lactate on pulse rate, performance and cardiac volume performance quotient in rehabilitated myocardial infarct patients during bicycle ergometry].

All males of the district Cottbus who suffered from an acute myocardial infarction between 1 June 1973 and 30 June 1974 and survived the first rehabilitation phase of a definite myocardial infarction were included in the study. Their arterial lactate level, the oxygen intake, the heart rate and heart size were determined by means of standardized ergometry and radiology. Patients who had performed a rehabilitation training programme showed a higher efficiency and equal values of lactate level and heart rate compared with the patients without training programme. A close correlation also existed between lactate level and heart rate. There was no dependence on the age of the patient or the degree of heart insufficiency. These results allow to conclude that the lactate level can be used for the determination of the training intensity of patients after an acute myocardial infarction.

Aged↗

[Spirometry and bicycle ergometry in the evaluation of work capacity of coal miners with ischemic heart disease].

The article deals with results obtained in examination covering miners who faced myocardial infarction and assessing their performance. Spirometry and bicycle ergometry appeared to detect changes in aerobic threshold even in the cases when the effort tolerance is not compromised. The materials obtained bring to a conclusion that the miners after myocardial infarction include subjects with lower functional resources and a higher share of those with reserved aerobic capacity. That necessitates more differentiated approach in occupational placement.

Adult↗

[Prognostic significance of blood pressure during ergometry].

Evaluation of high blood pressure would be greatly facilitated by a standardized test procedure that could enable comparable and reproducible blood pressure determinations to be made. It would also be useful to have a standardized method for monitoring sympathetic activity, so that the occurrence and magnitude of inordinate stress responses could be assessed more accurately. One way to meet these requirements is through standardized ergometric testing at workloads of 50 to 100 watts using increments of 10 watts/min. or 25 watts/2 min. (cuff blood pressure measurements). Between the ages of 20 and 50 years the criteria for a hypertensive response during exercise are blood pressure values of more than 200/100 mmHg (mean + 1 SD of the normotensives) at a workload of 100 watts. In the recovery phase, blood pressure is considered as being hypertensive if a value of 140/90 mmHg ist exceeded in the fifth minute. There are several studies showing that the blood pressure response to ergometry predicts future hypertension in patients with normal resting blood pressure. Patients suffering from mild hypertension showed significantly higher blood pressures at 100 watts and after exercise than age-matched normotensives but significantly lower values than hypertensives with stable hypertension. Ergometric studies also assume a prognostic importance, with respect to prevention of acute and chronic complications of hypertension. Therefore we must require that antihypertensive drugs not only normalize the resting blood pressure, but also lower the blood pressure adequately in stressful situations.

Adult↗

The assessment of intramural stress alignment on the beating heart in situ using micro-ergometry: functional implications.

The main local stress transmission pathways in the left ventricular base, midportion and apex in up to seven layers have been assessed in normal dog and porcine hearts, in hypertrophied dog hearts, and in three pig hearts having undergone a temporary left ventricular outflow stricture. The rotational sensitivity of needle force probes was used to determine the focal surface-parallel direction of the myocardial tension vector. In all places investigated the orientation of the force transmission pathways differs slightly from the morphologically determined fibre alignment. Vector rotation upon an axis normal to the epicardial surface is definitely tempered as compared to fibre rotation. Alterations in the force transmission pathways assessed in hypertrophied dog hearts by micro-ergometry qualitatively confirm structural remodelling in so far as an irregularity in the transmural rotation of the main stress vector was found. The measured disparities between the alignment of the myocardial fibre weave and the direction of stress transmission both in the normal and the diseased heart is widely individual, and hence, scattering of the data is marked. However, it must also be called into consideration that the measured orientation of force vectors is that at the moment of highest developed force, only. Further investigations will elucidate if discrepancies between that force vector and morphology are less pronounced when the vector is averaged over the entire heart cycle.

Animals↗

Ergometry for estimation of mechanical power output in sprinting in humans using a newly developed self-driven treadmill.

An evaluation of mechanical power during walking and running in humans was undertaken after developing a specially designed running ergometer (RE) in which the subjects gripped the handlebar in front of them keeping both arms straight and in a horizontal position. Ten subjects participated in comparisons of the mean horizontal pushing force (MFam) on the handlebar with the mean horizontal ground reaction force (MFfp) recorded by force platform under the RE during five different constant speeds of walking or running and sprint running with maximal effort. Mechanical power developed during sprint running on the RE was compared with a 50 m sprint. Mean linear velocity (Mv) of the RE belt was recorded by the rotary encoder attached to the axis of the belt. Mean mechanical power calculated from the handlebar setting (MPam = MFam x Mv) was compared to that calculated from force platform recordings (MPfp = MFfp x Mv). A high test-retest reproducibility was observed for both MFfp (r = 0.889) and MFam (r = 0.783). Larger values for the coefficient of variation for MFam (11.3%-15.8%) were observed than for MFfp (3.3%-8.2%). The MPam, which were obtained from five different constant speeds of walking, running and sprint running were closely correlated to those of MPfp (y = 0.98x - 19.10, r = 0.982, P < 0.001). In sprint running, MPam was 521.7 W (7.67 W.kg-1) and was correlated to the 50 m sprint time (r = -0.683, P < 0.01). It is concluded that the newly developed RE was useful in the estimation of mechanical power output during human locomotion such as when walking, jogging and sprinting.

Adult↗

Cortisol and testosterone concentrations in wheelchair athletes during submaximal wheelchair ergometry.

It is yet unknown how upper body exercise combined with high ambient temperatures affects plasma testosterone and cortisol concentrations and furthermore, how these hormones respond to exercise in people suffering spinal cord injuries. The purpose of this study was to characterize plasma testosterone and cortisol responses to upper body exercise in wheelchair athletes (WA) compared to able-bodied individuals (AB) at two ambient temperatures. Four WA [mean age 36 (SEM 13) years, mean body mass 66.9 (SEM 11.8) kg, injury level T7-T11], matched with five AB [mean age 33.4 (SEM 8.9) years, mean body mass 72.5 (SEM 13.1) kg] exercised (cross-over design) for 20 min on a wheelchair ergometer (0.03 kg resistance.kg-1 body mass) at 25 degrees C and 32 degrees C. Blood samples were obtained before (PRE), at min 10 (MID), and min 20 (END) of exercise. No differences were found between results obtained at 25 degrees C and 32 degrees C for any physiological variable studied and therefore these data were combined. Pre-exercise testosterone concentration was lower (P < 0.05) in WA [18.3 (SEM 0.9) nmol.l-1] compared to AB [21.9 (SEM 3.6) nmol.l-1], and increased PRE to END only in WA. Cortisol concentrations were similar between groups before and during exercise, despite higher rectal temperatures in WA compared to AB, at MID [37.21 (SEM 0.14) and 37.02 (SEM 0.08) degrees C, respectively] and END [37.36 (SEM 0.16) and 37.19 (SEM 0.10) degrees C, respectively]. Plasma norepinephrine responses were similar between groups. In conclusion, there were no differences in plasma cortisol concentrations, which may have been due to the low relative exercise intensities employed. The greater exercise response in WA for plasma testosterone should be confirmed on a larger population. It could have been the result of the lower plasma testosterone concentrations at rest in our group.

Adult↗

Physical performance of elite wheelchair basketball players in armcranking ergometry and in selected wheeling tasks.

This study compared the aerobic and the anaerobic performance of 11 elite Israeli wheelchair basketball players in arm ergometric tests and corresponding wheeling tasks, derived from basketball practice. The ergometric tests included a continuous aerobic maximal peak work capacity test (PWCmax), and a 30-second arm-all-out anaerobic test of mean anaerobic capacity (MANC) and peak anaerobic power (PANP). The wheeling tasks included a 428 meter race, slalom and 6-minute endurance race. We examined the relationship of performance variables to personal variables, age, bodyweight and classification as athletes. The results were analysed by Spearman correlation tables, revealing the following: (1) HRmax (maximal heart rate) correlated highly (r = .884-.962) with performance in all wheeling tasks; (2) no relationship was found between variables in the arm ergometric tests and variables in the wheeling tasks; (3) bodyweight correlated significantly with MANC and PWCmax (r = .817 and .783 respectively). This relationship was better than the other independent variables (classification and age). It is concluded that HRmax can be used for performance evaluation in wheelchair basketball practice, and that arm ergometric work capacity has only limited predictive value of performance in wheeling tasks.

Adult↗

Comparison of physiological responses to open water kayaking and kayak ergometry.

This study compared the physiological responses of simulated kayaking on a K1 ERGO kayak ergometer with open water paddling. Nine well-trained male kayakers (VO2peak 4.27 +/- 0.58 L x min(-1), age 24 +/- 4 yr, mass 77.3 +/- 6.4 kg, height 179.5 +/- 5.3 cm; [mean +/- SD]) performed two 4 min exercise bouts on open water (OW) and on an air braked kayak ergometer (Erg). During exercise, expired air and heart rate (HR) were continuously measured. The distance covered during OW (992 +/- 47.1 m) was highly correlated (r2 = 0.86) with the total work performed in Erg (47.64 +/- 7.67 kJ). There were no differences between trials for oxygen uptake, carbon dioxide production or estimated carbohydrate oxidation. However, during OW, minute ventilation was significantly higher at 60 and 90 s (104.2 +/- 16.4 vs. 92.6 +/- 20.4 L x min(-1) and 120.5 +/- 15.8 vs. 111.7 +/- 17.6 L x min(-1) for 60 and 90 s, respectively, p < 0.05), and HR was higher in OW during the first minute (120 +/- 20 vs. 104 +/- 19 beats x min(-1), 164 +/- 8 vs. 147 +/- 18 beats x min(-1) and 178 +/- 6 vs. 170 +/- 7 beats x min(-1) for 0, 30, and 60 s, respectively, p < 0.05). There were no differences in peak VO2 between OW and Erg (4.10 +/- 0.49 vs. 4.09 +/- 0.53 L x min(-1), respectively) nor in post-exercise blood (lactate) (6.43 +/- 1.47 vs. 6.59 +/- 0.99 mmol x L(-1), respectively). We conclude that the K1 ERGO accurately simulates the physiological demands of short-term, high-intensity kayaking.

Adolescent↗

Reliability and within subject variability of VE, VO2, heart rate and blood pressure during submaximum cycle ergometry.

To assess the reliability and within subject variability of steady-rate ventilation (VE), oxygen uptake (VO2), heart rate, systolic and diastolic blood pressure, 4 subjects exercised for 10 minutes at 3 work rates on a bicycle ergometer: 50 W, 125 W and 55% of maximum work rate (55% max). Each testing session included two work rates and only 2 testing sessions were scheduled per week. The order of the work rates was counterbalanced. In 8 to 10 weeks, 3 of the subjects completed 20 trials at 50 W while the fourth subject completed 11 trials, and all the subjects completed 10 trials at 125 W and 55% max. The within subject variability (S2w) was expressed as a percent of the mean steady-rate response. VO2 ranged from 21.2% to 27.5% of VO2max at 50 W, from 37.7% to 49.7% at 125 W and from 42.9% to 63.7% at 55% max. The S2w averaged 6.8% for VE, 4.3% for VO2, 3.2% for heart rate, 7.3% for systolic blood pressure and 10.5% for diastolic blood pressure. Reliability coefficients were calculated for the steady-rate scores by dividing the between subject variation by the total variation. The reliability was similar for VE, VO2 and heart rate and ranged from r = 0.69 to r = 0.97. Systolic and diastolic blood pressure reliabilities were lower and ranged from r = 0.27 and r = 0.80. In summary, the steady-rate ventilation, oxygen uptake and heart rate responses were reliable and consistent. The reliability of blood pressure was low. It is possible that this low reliability may result from variability in stroke volume or total peripheral resistance.

Adult↗

Absence of work efficiency differences during cycle ergometry exercise in Bolivian Aymara.

This study tested the hypothesis that Andean natives are adapted to high altitude (HA) via high work efficiency during exercise in hypoxia. A total of 186 young males and females were tested in Bolivia, comprising eight different subject groups. Groups were identified based on gender, ancestry (Aymara vs. European), altitude of birth (highlands vs. lowlands), and the altitude where tested (420, 3600, 3850 m). This design allows partitioning of ancestral (i.e., genetic) and developmental effects. To minimize measurement error, subjects were given two submaximal exercise tests on a cycle ergometer (on separate days). Each test consisted of four 5-min work bouts (levels), each separated by a 5-min rest period. For all groups, the oxygen consumption (V(O2))-work rate relationship was not different from the sea-level reference. Gross and net efficiencies (GE and NE) were not different between groups at any work level, with the exception of European men born in the lowlands and acclimatized and tested at 3600 m. These men showed slightly lower V(O2) at high work output, but this may be due to a nonsteady-state V(O2) kinetic, rather than to an altered steady-state V(O2)-work rate relationship per se. There were no significant group differences in delta efficiency (DE). In sum, these results provide no support for the hypothesis of energetic advantage during submaximal work in Andean HA natives. A review and analysis of the literature suggest that the same is true for HA natives in the Himalayas.

Acclimatization↗

The effects of high-intensity and low-intensity cycle ergometry in older adults with knee osteoarthritis.

BACKGROUND: People with osteoarthritis (OA) of the knee experience pain and deconditioning that lead to disability. This study challenged the clinical belief that repetitive lower extremity exercise is not indicated in persons with knee OA. The effects of high-intensity and low-intensity stationary cycling on functional status, gait, overall and acute pain, and aerobic capacity were examined. METHODS: Thirty-nine adults (71+/-6.9 years old) with complaints of knee pain and diagnosis of OA were randomized to either a high-intensity (70% heart rate reserve [HRR]) or low-intensity (40% HRR) exercise group for 10 weeks of stationary cycling. Participants cycled for 25 minutes, 3 times per week. Before and after the exercise intervention they completed the Arthritis Impact Measurement Scale 2 for overall pain assessment, underwent timed chair rise, 6-minute walk test, gait, and graded exercise treadmill tests. Acute pain was reported daily with a visual analog scale and the Western Ontario and McMaster Universities Osteoarthritis Index scale. RESULTS: Analysis of variance revealed that participants in both groups significantly improved in the timed chair rise, in the 6-minute walk test, in the range of walking speeds, in the amount of overall pain relief, and in aerobic capacity. No differences between groups were found. Daily pain reports suggested that cycling did not increase acute pain in either group. CONCLUSIONS: Cycling may be considered as an alternative exercise modality for patients with knee OA. Low-intensity cycling was as effective as high-intensity cycling in improving function and gait, decreasing pain, and increasing aerobic capacity.

Activities of Daily Living↗

Cadence, power, and muscle activation in cycle ergometry.

PURPOSE: Based on the resistance-rpm relationship for cycling, which is not unlike the force-velocity relationship of muscle, it is hypothesized that the cadence which requires the minimal muscle activation will be progressively higher as power output increases. METHODS: To test this hypothesis, subjects were instrumented with surface electrodes placed over seven muscles that were considered to be important during cycling. Measurements were made while subjects cycled at 100, 200, 300, and 400 W at each cadence: 50, 60, 80, 100, and 120 rpm. These power outputs represented effort which was up to 32% of peak power output for these subjects. RESULTS: When all seven muscles were averaged together, there was a proportional increase in EMG amplitude each cadence as power increased. A second-order polynomial equation fit the EMG:cadence results very well (r2 = 0.87- 0.996) for each power output. Optimal cadence (cadence with lowest amplitude of EMG for a given power output) increased with increases in power output: 57 +/- 3.1, 70 +/- 3.7, 86 +/- 7.6, and 99 +/- 4.0 rpm for 100, 200, 300, and 400 W, respectively. CONCLUSION: The results confirm that the level of muscle activation varies with cadence at a given power output. The minimum EMG amplitude occurs at a progressively higher cadence as power output increases. These results have implications for the sense of effort and preferential use of higher cadences as power output is increased.

Adult↗