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PubMed2003

Cycle ergometry is not a sensitive diagnostic test for mitochondrial myopathy.

Cycle exercise has repeatedly been used to diagnose patients suspected of having mitochondrial myopathy (MM), in whom exercise intolerance and lactic acidosis are common. No standardized test, however, has been established. We evaluated the diagnostic value of incremental and constant workload (20 min at 65 % VO(2max)) cycle tests for the diagnosis of MM. Plasma lactate and oxidative capacity (VO(2) and workload) were measured in 15 well-characterized MM patients during cycling. Findings were compared with those in 10 myotonic dystrophy patients and 18 sedentary, healthy subjects. All MM patients had ragged red or COX-negative fibers on muscle biopsy. VO(2max) and maximal workload were lower in MM than in control groups (P < 0.02). Resting plasma lactate was higher in MM than in control groups (P < 0.005; sensitivity = 93 %; specificity = 85 %), while exercise-induced increases in plasma lactate were only higher during the constant workload protocol in MM patients vs. control groups (P < 0.05; sensitivity = 27 %; specificity = 86 %). The findings indicate that the diagnostic value of a constant workload protocol is superior to an incremental cycle test, but that the test is less sensitive for MM than simple testing of resting lactate and muscle morphology. Cycle testing of MM patients remains an important research tool, but should not be a standard diagnostic procedure for MM.

Adult↗
PubMed2003

Comparison of fat oxidation in arm cranking in spinal cord-injured people versus ergometry in cyclists.

The aim of our study was to establish the exercise intensity with the highest fat oxidation rate in spinal cord-injured (SCI) people compared with able-bodied subjects on a stationary ergometer in order to provide recommendations for ergometer training. Ten endurance-trained wheelchair athletes [ VO(2peak,armcranking ) 35.9 (5.7) ml x kg(-1) min(-1); mean (SE)] and ten endurance-trained cyclists [ VO(2peak,cycling ) 62.3 (4.6) ml x kg(-1) min(-1)] were studied over 20 min at 55%, 65% and 75% VO(2peak,armcranking) or VO(2peak,cycling) on a cycling ergometer, respectively, in order to find the intensity with the highest fat oxidation. Total energy expenditure, and highest oxidation rate for fat and carbohydrate were highest at 75% VO(2peak,armcranking) and VO(2peak,cycling). Relative fat oxidation was highest at 55% VO(2peak,armcranking) and VO(2peak,cycling). Wheelchair athletes showed a tendency for higher lactate concentrations at each intensity compared to cyclists. Well-trained wheelchair athletes and cyclists reach the highest fat oxidation in arm cranking, respectively, in cycling on a stationary ergometer at the same relative intensity of 75% VO(2peak,armcranking) and VO(2peak,cycling). We presume that well-trained wheelchair athletes can perform ergometer training on a stationary ergometer at 75% VO(2peak,armcranking). Results are presented as mean (SE).

Adipose Tissue↗
PubMed2004

Non-linear cardiac output dynamics during ramp-incremental cycle ergometry.

Published literature asserts that cardiac output (Q(.) = V(.) >O(2)x1/C((a-v))O(2)) increases as a linear function of oxygen uptake with a slope of approximately 5-6 during constant work rate exercise. However, we have previously demonstrated that C((a-v))O(2) has a linear relationship as a function of V(.)O(2) during progressively increasing work rate incremental exercise. Therefore, we hypothesized that Q(.) may indeed have a non-linear relationship with respect to V(.)O(2) during incremental, non-steady state exercise. To investigate this hypothesis, we performed five maximal progressive work rate exercise studies in healthy human subjects. Q(.) was determined every minute during exercise using measured breath-by-breath V(.) >O(2), and arterial and pulmonary artery measurements of PO(2), hemoglobin saturation, and content. Q(.) was plotted as a function of V(.) >O(2) and the linear and non-linear (first order exponential and hyperbolic) fits determined for each subject. Tests for linearity were performed by assessing the significance of the quadratic terms added to the linear relation using least squares estimation in linear regression. Linearity was inadequate in all cases (group P<0.0001). We conclude that cardiac output is a non-linear function of V(.)O(2 )during ramp-incremental exercise; the pattern of non-linearity suggests that while the kinetics of Q(.) > are faster than those of V(.) >O(2) they progressively slow as work rate (and V(.) >O(2)) increases.

Adult↗
PubMed2000

Mechanomyographic and electromyographic responses during submaximal cycle ergometry.

The purpose of this study was to examine the mechanomyographic (MMG) and electromyographic (EMG) responses during continuous, cycle ergometer workbouts performed at constant power outputs. Eight adults [mean (SD) age, 21.5 (1.6) years] volunteered to perform an incremental test to exhaustion for the determination of peak power (Wpeak) and four, 15-min (or to exhaustion) rides at constant power outputs of 50%, 65%, 80%, and 95% Wpeak. Piezoelectric crystal contact sensors were placed on the vastus lateralis (VL) and vastus medialis (VM) muscles to record the MMG signals. Bipolar surface electrode arrangements were placed on the VL and VM to record the EMG signals. Five-second samples of the MMG and EMG signals were recorded every 30 s at power outputs of 50%, 65%, and 80% Wpeak, and every 15 s at 95% Wpeak. The amplitudes of the selected portions of the signals were normalized to the first values recorded during the continuous rides, and regression analyses were used to determine whether the slope coefficients for the MMG and EMG versus time relationships were significantly (P < 0.05) different from zero. The results indicate that EMG amplitude increased (range of slope coefficients: 0.03-0.56) during the continuous rides for both muscles at all four power outputs (except the VM at 50% Wpeak), while MMG amplitude increased (slope coefficient at 95% Wpeak for VM = 0.19), decreased (range of slope coefficients for VL and VM at 50% and 65% Wpeak = -0.14 to -0.24), or remained unchanged (range of slope coefficients for VL and VM at 80% Wpeak and VL at 95% peak = -0.06 to 0.12) depending on the power output. The patterns of the MMG responses, however, were similar for the VL and VM muscles, except at 95% Wpeak. Fatigue-induced changes in motor-unit recruitment and discharge rates, or muscular compliance may explain the differences between power outputs in the patterns of the MMG amplitude responses.

Adult↗
PubMed1999

Sodium bicarbonate can be used as an ergogenic aid in high-intensity, competitive cycle ergometry of 1 h duration.

The aim of this study was to determine whether a dose of 300-mg x kg(-1) body mass of sodium bicarbonate would effect a high-intensity, 1-h maximal cycle ergometer effort. Ten male, well-trained [maximum oxygen consumption 67.3 (3.3) ml x kg(-1) x min(-1), mean (SD)] volunteer cyclists acted as subjects. Each undertook either a control (C), placebo (P), or experimental (E) ride in a random, double-blind fashion on a modified, air-braked cycle ergometer, attached to a personal computer to which the work and power data was downloaded at 10 Hz. Fingertip blood was sampled at 10-min intervals throughout the exercise. Blood was also sampled at 1, 3, 5, and 10 min post-exercise. Blood was analysed for lactate, partial pressure of Carbon dioxide and oxygen, pH and plasma bicarbonate (HCO-) concentration. Randomly chosen pairs of subjects were asked to complete as much work as possible during the 60-min exercise periods in an openly competitive situation. The sodium bicarbonate had the desired effect of increasing blood HCO3- prior to the start of the test. The subjects in E completed 950.9 (81.1) kJ of work, which was significantly more (F(2,27) = 5.28, P < 0.01) than during either the C [835.5 (100.2) kJ] or P [839.0 (88.6) kJ] trials. No differences were seen in peak power or in the power:mass ratio between these three groups. The results of this study suggest that sodium bicarbonate may be used to offset the fatigue process during high-intensity, aerobic cycling lasting 60 min.

Adult↗
PubMed2001

Bilateral deficit during short-term, high-intensity cycle ergometry in girls and boys.

Peak torque during an isokinetic bilateral knee extension or flexion is usually lower than the summed peak torque of two unilateral contractions, and this phenomenon is designated as bilateral deficit (BD). The objectives of this study were to determine whether a BD also exists for more complex, alternating movements (e.g., short-term, high-intensity cycling), and to assess the possible effects of gender and maturity. Forty children and adolescents performed two unilateral (ULWAnT) and one bilateral Wingate anaerobic test (BLWAnT). The highest power reached in any 3-s interval (peak power; PP), and the total mechanical work (TMW) performed during the test was determined. Individual BD for PP (BDpp, %) was calculated by dividing the PP in the BLWAnT by the sum of the PP values of both ULWAnTs. The BD for TMW (BDTMw) was calculated in the same way. The sum of PP generated during the two ULWAnTs was larger than the PP measured in the BLWAnT (P<0.000001). The same difference was observed for TMW (P<0.0001). Maturity did not affect the BDpp or BDTMW (P=0.34). However, the BD was more pronounced in females compared to males (P= 0.03). In conclusion, a BD is evident during cycling exercise.

Adolescent↗
PubMed2001

Treadmill and cycle ergometry testing in 5- to 6-year-old children.

The primary purpose of this study was to determine the maximal cardiorespiratory responses of 48, 5- to 6-year-old children (24 girls and 24 boys), who were tested on a treadmill (TM) and an electronically braked cycle ergometer (CE). We also examined the percentage of boys and girls who were able to achieve the criteria for reaching maximal oxygen consumption (VO2max) on each testing mode. After an orientation period, each child was tested twice (once on the TM and once on the CE), with an interval of 1 week between tests. VO2max was measured during progressive, all out, continuous TM and CE tests using standardized procedures. A 2 x 2 analysis of variance test (genderxexercise mode) with Bonferroni adjustment revealed the following: (1) there were no gender differences in any of the measured dependent variables, (2) the children produced a significantly higher relative VO2max (ml x kg(-1) x min(-1) and a higher absolute VO2max (l x min(-1)) on the TM than on the CE (P < 0.001), (3) the children produced a higher heart rate on the TM than on the CE (P < 0.001), (4) the CE generated significantly higher values for respiratory exchange ratio (P < 0.001), (5) the criteria necessary to establish a maximal exercise effort were achieved on both the TM and the CE, and (6) all of the children reached two of the criteria associated with a maximal effort, while only 46% of the children reached three criterion measures. There were no significant differences in the attainment of criterion measures between the TM and the CE. The results of this study indicate a lack of gender differences in maximal exercise testing in 5- to 6-year-old children, and that both the CE and the TM are effective modes of maximal cardiorespiratory testing in this age group.

Child↗
PubMed2007

Evaluation of pulmonary function and bicycle ergometry tests in patients with Behçet's disease.

Behçet's disease (BD) has well-defined pulmonary complications, but cardiopulmonary exercise testing and the strength of the respiratory muscles have not been studied in detail. We aimed to investigate the pulmonary functions tests, inspiratory and expiratory muscle strength and endurance, cardiopulmonary exercise test response, and the relationship of these parameters in patients with BD. Forty BD patients and 20 healthy control subjects were recruited for this study. Mean age was 32.95 +/- 7.66 years for the BD group and 33.85 +/- 6.63 years for the control group with no statistically significant difference. The ratios of slight obstructive ventilatory impairment were 32.5% for the BD group. When the values of pulmonary function tests were compared, no statistically significant difference was found in FEV(1)/FVC (Forced expiratory volume during the first second/forced vital capacity), or maximal midexpiratory flow rate (all in percent) values between patient and control groups. Maximal inspiratory and expiratory pressures, peak expiratory flow rate (in percent) and maximal voluntary ventilation (in percent) values were significantly lower than those of the control group. Body's consumption of peak oxygen (VO(2peak)), oxygen consumption (milliliters per kilogram per minute), anaerobic threshold (AT), maximum exercise ventilation (VE(max)), work load values, and exercise test time in the bicycle exercise test were significantly higher in control groups than in patients with BD. The values of heart rate reserve, breathing reserve, and VE/VCO(2) at the AT of BD patients were within normal limits We conclude that respiratory and aerobic exercise may be recommended to improve respiratory muscle strength and endurance as well as the aerobic capacity and maximal ventilatory capacity in patients with BD.

Adult↗
PubMed1996

Acute effects of acupuncture on physiological and psychological responses to cycle ergometry.

OBJECTIVE: Recent research has reported an improvement in exercise capacity following a series of acupuncture treatments. We examined the immediate effects of a single acupuncture treatment on perceived exertion and physiological responses during submaximal dynamic exercise, and maximal exercise capacity in human subjects. DESIGN: Ten healthy subjects (5 men, 5 women) participated in the study. After demonstrating consistency in using the rating of perceived exertion (RPE) scale, each subject underwent graded continuous maximal exercise testing on a cycle ergometer after genuine acupuncture, sham acupuncture, and rest without needles being inserted. Treatment conditions were randomized for each subject, and tests were conducted at least 72 hours apart. Heart rate and oxygen uptake were measured, and RPE was requested during the last 30 seconds of each 3-minute exercise stage. Data were analyzed with repeated-measures analysis of variance. RESULTS: There were no statistically significant differences among conditions for RPE, oxygen uptake, heart rate, respiratory exchange ratio, ventilation, and ventilatory equivalent for oxygen at submaximal workloads. In addition, none of the physiological measures at peak exertion or the duration of exercise differed among conditions. CONCLUSIONS: A single acupuncture treatment has no significant immediate effect on the perceived exertion and physiological responses during submaximal dynamic exercise or upon maximal exercise capacity among healthy individuals.

Acupuncture Therapy↗
PubMed2001

Does computer game play aid in motivation of exercise and increase metabolic activity during wheelchair ergometry?

GAME(Wheels) is an interface between a portable roller system and a computer that enables a wheelchair user to play commercially available computer video games. The subject controls the game play with the propulsion of their wheelchair's wheels on the rollers. The purpose of this study was to investigate whether using the GAME(Wheels) System during wheelchair propulsion exercise can help increase the individual's physiological response and aid in the motivation to exercise. Fifteen subjects participated in this study. The subjects propelled their wheelchairs on a portable roller that was equipped with the GAME(Wheels) System. There were two exercise trials consisting of 2 min of warm-up, 16 min of exercise and 2 min of cool-down. Physiological data (ventilation rate, oxygen consumption, heart rate) were collected. A significant difference (P<0.05) was found between exercise with GAME(Wheels) versus without GAME(Wheels) for average ventilation rate and average oxygen consumption. The differences were found during time periods of transition from warm-up to exercise, and before and after the midpoint of exercise. Written questionnaires showed that 87% of the individuals tested reported the system would help them work out on a regular basis. Playing the video game helped these individuals to reach their exercise training zone faster and maintain it for the entire exercise trial.

Adult↗
PubMed2001

Differential effects of exhaustive cycle ergometry on concentric and eccentric torque production.

The purpose of this study was to investigate the potential differences in peak isokinetic concentric end eccentric torque following low- and high-intensity cycle exercise fatigue protocols. Ten healthy, recreationally-active men were tested in a balanced, randomized testing sequence for peak eccentric and concentric isokinetic torque (60 degrees/sec) immediately before and after three experimental conditions each separated by 48 hours: 1) a bout of high intensity cycling consisting of a maximal 90-second sprint; 2) a bout of low-intensity cycling at 60 rpm equated for total work with the high-intensity protocol: and 3) no exercise (control bout). Blood was drawn from an antecubital vein and plasma lactate concentrations were determined immediately before and after each experimental bout. Post-exercise plasma lactate concentrations were 15.1 +/- 2.5 and 4.7 +/- 1.9 mmol l(-1), respectively, following the high- and low-intensity protocols. The high intensity exercise bout resulted in the only post-exercise decrease in concentric and eccentric isokinetic peak torque. The percent decline in maximal force production was significantly (P< 0.05) greater for concentric muscle actions compared to eccentric (29 vs 15%, respectively). In conclusion, a 90-second maximal cycling sprint results in a significant decline in maximal torque of both concentric and eccentric muscle actions with the greatest magnitude observed during concentric muscle actions.

Adult↗
PubMed1998

The effect of stage duration on the calculation of peak VO2 during cycle ergometry.

This study investigated the influence of stage duration on the calculation of peak oxygen consumption (peak VO2 to determine whether both the lactate threshold (LT) and peak VO2 could be measured during the same test without compromising the peak VO2 value obtained. Eight moderately-active females (mean age +/- SD = 19.6 +/- 2.5 years) performed three peak VO2 tests on an electrically-braked cycle ergometer. Power output was increased every minute for the short peak VO2 test (S) and every three minutes for the long peak VO2 tests (L). Testing took place over two weeks with all tests separated by at least 48 hours. The first peak VO2 test was a long test (L1) and served as familiarisation. The subjects then performed a short (S) and a long (L2) peak VO2 test in random, counterbalanced order. For each subject, all three tests were performed at the same time of day in controlled environmental conditions. There was no significant difference between the two exercise protocols for peak VO2 when expressed in ml x kg(-1) x min(-1) (F[1,7]=3.47, P=0.105) or in L x min(-1) (F[1,7]=3.39. P=0.108). However, the maximum heart rate (HRmax) achieved in S was significantly less than the HRmax achieved in L2 (F[1,7]=33.4, P<0.001). The power output at exhaustion (Wpeak) was significantly greater in S than in L2 (F[1,7]=56.5, P<0.001). The data from this study therefore showed that in moderately-active females, a three-minute incremental protocol, allowing for the simultaneous calculation of the LT, could be used without compromising peak VO2, but that HRmax and Wpeak were affected.

Adolescent↗