Why the study?
The choice of CPx protocol influences ventilatory threshold identification and can reduce reliability for exercise prescription, prompting evaluation of whether VO2 and HR from a ramp protocol match rectangular load exercises.
Does a ramp protocol accurately determine VO2 and HR at ventilatory thresholds compared to rectangular load exercises in athletes and non-athletes?
Does a ramp protocol accurately determine VO2 and HR at ventilatory thresholds compared to rectangular load exercises in athletes and non-athletes?
A ramp protocol for cardiopulmonary exercise testing may underestimate VO2 and HR at the first ventilatory threshold in non-athletes compared to rectangular load exercises.
Caution advised with ramp protocols for VT1 in non-athletes; leaves open optimal CPET methods for accurate thresholds.
Training near or at ventilatory threshold (VT) is an adequate stimulus to improve the thresholds for sedentary subjects, but a higher intensity is necessary for conditioned subjects. The choice of cardiopulmonary exercise testing (CPx) protocol has an influence on VTs identification and can reduce their reliability for exercise prescription. This study tested if VO2 and heart rate (HR) corresponding to first (VT1) and second ventilatory threshold (VT2) determined during a ramp protocol were equivalent to those observed in rectangular load exercises at the same intensity in runners elite athletes (EA) and non-athletes (NA). Eighteen health subjects were divided into two groups: EA (n = 9, VO2max 68.6 mL·kg-1·min-1) and NA (n = 9, VO2max 47.2 mL·kg-1·min-1). They performed CPx and 48h and 96h later, a continuous running lasting 1 h for VT1 and until exhaustion for VT2. The results showed that EA at VT1 session, presented delta differences for VO2 (+9.1%, p = 0.125) vs. NA (+20.5%, p = 0.012). The Bland-Altman plots for VT1 presented biases of (4.4 ± 6.9) and (5.5 ± 5.6 mLO2·kg-1·min-1) for AE and NA, respectively. In VT2, the VO2 and HR of the NA showed biases of (0.4 ± 2.9 mLO2·kg-1·min-1) and (4.9 ± 4.2 bpm). The ramp protocol used in this study was inappropriate for NA because it underestimates the values of VO2 and HR at VT1 found in the rectangular load exercise. The HR showed good agreement at VT2 with CPx and may be a good parameter for controlling exercise intensity.
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Neto et al. (2019) studied this question.
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