Key result
Using handrail support during maximal exercise treadmill testing overestimated exercise capacity by 22.4% and prolonged parasympathetic influence on heart rate compared to not using support.
Why the study?
To investigate whether handrail support during maximal exercise treadmill testing interferes with cardiac autonomic modulation kinetics compared to not using support.
Does the use of handrail support during maximal exercise treadmill testing alter cardiac autonomic modulation and estimated peak oxygen uptake in healthy young adults?
Cross-Sectional (n=35)
Not randomized
No
Does the use of handrail support during maximal exercise treadmill testing alter cardiac autonomic modulation and estimated peak oxygen uptake in healthy young adults?
Holding onto treadmill handrails during maximal exercise testing overestimates peak oxygen uptake and delays parasympathetic deactivation, reinforcing guidelines that recommend against handrail support during testing.
Answers are grounded in this paper and cite their sources.
May warrant avoiding handrail support during maximal treadmill testing; leaves open standardization of exercise protocols in research and practice.
The aim of this study was to investigate whether the use of handrail support during maximal exercise treadmill testing (ETT) would interfere in cardiac autonomic modulation kinetics when compared to not using handrail support. The hypothesis of overestimation in cardiac autonomic dynamics when the ETT is performed using handrail was tested. Thirty-five undergraduates (21.08 ± 2.98 years old) of both sexes, volunteered to undertake two ETT under the Ellestad protocol, in non-consecutive days. The first test (T1) was performed with handrail support and, after 7 days, the second test was performed (T2) without the support. Autonomic function was measured by heart rate variability (HRV) during both tests and resting. Estimated value of peak oxygen uptake (VO 2 ) was 22.4% (p < 0.0001) higher in T1 when compared to T2. Overall, parasympathetic pathway was deactivated earlier in T2 than in T1, with NNxx measures variating in T1 from 10.74 ± 14.59 (ms) and in T2 from 3.48 ± 3.79 (ms). In stage two, mean values of HF in T2 corresponded to 32% of values in T1. Stage three presented a difference of 60% (p < 0.014) in LF between means reached in T1 and T2. Lastly, the association of LF and VO 2 persisted longer in T1 stages than in T2 and was verified in early stages (S2 and S3) of both ETTs. Our findings suggest that parasympathetic influences on HR were slightly prolonged during ETT when subjects hold onto the treadmill.
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Oliveira et al. (2020) conducted a cross-sectional in Healthy young adults (n=35). Handrail support during exercise treadmill testing vs. No handrail support was evaluated on Peak oxygen uptake (VO2peak) (22.4% higher, p=<0.001). Using handrail support during maximal exercise treadmill testing overestimated exercise capacity by 22.4% and prolonged parasympathetic influence on heart rate compared to not using support.
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