Key result
The self-paced VO2max protocol elicited a higher VO2max compared to the traditional ramp protocol in young adults, but not in older adults.
Why the study?
Does a self-paced VO2max protocol improve maximal physiological responses compared to a traditional ramp protocol in young and old healthy adults?
RCT (n=44)
Open-label
Randomised, counter-balanced
No
Does a self-paced VO2max protocol improve maximal physiological responses compared to a traditional ramp protocol in young and old healthy adults?
Answers are grounded in this paper and cite their sources.
A self-paced VO2max protocol elicits higher maximal oxygen uptake and cardiac output in young adults compared to traditional ramp testing, but this advantage is lost in older adults likely due to age-related cardiovascular limitations.
A self-paced maximal exercise protocol has demonstrated higher V̇O₂ₘₐₓ values when compared against traditional tests. The aim was to compare physiological responses to this self-paced V̇O₂ₘₐₓ protocol (SPV) in comparison to a traditional ramp V̇O₂ₘₐₓ (RAMP) protocol in young (18–30 years) and old (50–75 years) participants. Forty-four participants (22 young; 22 old) completed both protocols in a randomised, counter-balanced, crossover design. The SPV included 5 × 2 min stages, participants were able to self-regulate their power output (PO) by using incremental ‘clamps’ in ratings of perceived exertion. The RAMP consisted of either 15 or 20 W min−1. Expired gases, cardiac output (Q), stroke volume (SV), muscular deoxyhaemoglobin (deoxyHb) and electromyography (EMG) at the vastus lateralis were recorded throughout. Results demonstrated significantly higher V̇O₂ₘₐₓ in the SPV (49.68 ± 10.26 ml kg−1 min−1) vs. the RAMP (47.70 ± 9.98 ml kg−1 min−1) in the young, but not in the old group (>0.05). Q and SV were significantly higher in the SPV vs. the RAMP in the young (<0.05) but not in the old group (>0.05). No differences seen in deoxyHb and EMG for either age groups (>0.05). Peak PO was significantly higher in the SPV vs. the RAMP in both age groups (<0.05). Findings demonstrate that the SPV produces higher V̇O₂ₘₐₓ , peak Q and SV values in the young group. However, older participants achieved similar V̇O₂ₘₐₓ values in both protocols, mostly likely due to age-related differences in cardiovascular responses to incremental exercise, despite them achieving a higher physiological workload in the SPV.
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Jenkins et al. (2016) conducted an RCT in Healthy (n=44). Self-paced VO2max test (SPV) vs. Traditional ramp VO2max test (RAMP) was evaluated on VO2max in young participants (ml kg-1 min-1) (p=<0.01). The self-paced VO2max protocol elicited a higher VO2max compared to the traditional ramp protocol in young adults, but not in older adults.
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