Key result
Anticipating maximal versus submaximal exercise fails to alter cardiopulmonary response during testing.
Why the study?
Anticipation before exercise may influence cardiopulmonary responses differently in maximal versus submaximal exercise, affecting comparability of normative values.
Does the anticipation of maximal versus submaximal exercise alter cardiopulmonary responses in healthy young adults?
RCT (n=12)
Single-blind
Random order
Does the anticipation of maximal versus submaximal exercise alter cardiopulmonary responses in healthy young adults?
Anticipation of maximal versus submaximal exercise does not alter cardiopulmonary responses, indicating that normative values at submaximal levels are comparable regardless of the targeted endpoint.
Submaximal normative values remain comparable regardless of test endpoint; leaves open generalizability beyond small healthy cohorts.
BACKGROUND: Anticipation before the start of exercise may influence the cardiopulmonary responses during exercise. If anticipation influences the responses differently with maximal and submaximal exercises, normative values for submaximal responses will not be comparable unless exercise has been continued to the same end point. METHODS: Twelve healthy subjects (five men) aged 18-27 years had a maximal exercise test and a submaximal exercise test on a cycle ergometer on different days and in random order. They were not aware of the specific purpose of the study and were informed 15 min before the tests whether it should be maximal or submaximal. Workload increased with 15 W min(-1) until exhaustion or to 80% of predicted maximal heart rate (HR). HR, oxygen uptake (VO(2)), carbon dioxide production (VCO(2)), minute ventilation (V(E)) and tidal volume (V(T)) were averaged over 20 s intervals. Linear regression of the HR-VO(2) relationship and quadratic regression of the V(T)-V(E) relationship were performed for each individual, and the regression coefficients for maximal and submaximal tests were compared. RESULTS: The regression models described the V(T)-V(E) responses with a R(2) > 0.85 in 23 of 24 tests, and the HR-VO(2) responses with a R(2) > 0.90 in all tests. The regression coefficients of the relationships were not significantly different with maximal and submaximal exercises. CONCLUSION: Anticipation appears not to influence the responses to progressive maximal and submaximal exercise tests with the same rate of increase in load. Normative values at submaximal exercise levels are not influenced by the targeted end point of exercise.
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Kjelkenes et al. (2010) conducted an RCT in Healthy (n=12). Anticipation of maximal exercise test vs. Anticipation of submaximal exercise test was evaluated on Regression coefficients of the HR-VO(2) and V(T)-V(E) relationships. Anticipation of maximal versus submaximal exercise tests did not significantly alter cardiopulmonary responses, with no significant differences in HR-VO2 and VT-VE regression coefficients.
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