VO2 Max: Maximal Oxygen Consumption

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Questions and Answers

What is the fundamental premise behind using submaximal exercise tests, such as the PWC170 and Astrand bicycle ergometer tests, to predict VO2max?

  • There is a curvilinear relationship between heart rate and oxygen uptake during exercise.
  • There is a linear relationship between heart rate and oxygen uptake at various intensities of exercise. (correct)
  • Submaximal tests allow for direct measurement of oxygen consumption without the need for expensive equipment.
  • Submaximal tests accurately measure maximal heart rate, which is a primary determinant of VO2max.

In the context of the PWC170 bicycle ergometer test, if a subject's heart rate fluctuates significantly during the test, despite maintaining a constant workload, what is the most likely reason for this?

  • The subject is not cycling at the required speed of 60 RPM. (correct)
  • The subject is properly hydrated, leading to variations in blood volume and heart rate.
  • The subject is experiencing a normal physiological adaptation to the increasing workload.
  • The subject's cardiorespiratory system is highly efficient, resulting in heart rate variability.

During the Astrand bicycle ergometer test, why is it important to adjust the workload in small increments (e.g., 0.5 kp) rather than making large adjustments?

  • To shorten the overall test duration and improve subject compliance.
  • To ensure that the subject's heart rate gradually reaches and remains close to the target heart rate of 130 beats/minute. (correct)
  • To allow for precise manipulation of blood pressure response during the test.
  • To minimize the subject's perception of effort and reduce psychological stress during the test.

How does cardiorespiratory endurance capacity influence the steady state heart rate at a given exercise workload?

<p>Individuals with better cardiorespiratory endurance tend to have a lower steady state heart rate because their heart is more efficient at delivering oxygen. (B)</p> Signup and view all the answers

What is the key rationale behind including an active recovery phase (cool-down) in both the PWC170 and Astrand bicycle ergometer tests?

<p>To facilitate the removal of metabolic byproducts, such as lactate, from the muscles and reduce the risk of blood pooling. (A)</p> Signup and view all the answers

Why are the HR values from the 5th and 6th minutes used to determine steady state in the Astrand test?

<p>To allow the cardiovascular system enough time to adjust to the workload and achieve a stable heart rate. (D)</p> Signup and view all the answers

When conducting the PWC170 test, after the warm-up phase, why is the workload adjusted every 4 minutes based on the subject's heart rate response?

<p>To target specific heart rate ranges (115-130, 140-155, 160-180 bpm) and ensure a proper estimation of the heart rate-workload relationship. (D)</p> Signup and view all the answers

During the Astrand bicycle ergometer test, why is it important to maintain the workload constant once the subject's heart rate reaches approximately 130 beats/minute?

<p>To allow the subject to achieve a steady state heart rate, which is crucial for estimating VO2max. (D)</p> Signup and view all the answers

In the context of exercise physiology, what does VO2max represent, and why is it considered a standard measure of aerobic capacity and endurance fitness?

<p>The maximal volume of oxygen that the body can consume during intense exercise, reflecting the integrated capacity of the ventilatory, cardiovascular, and neuromuscular systems. (B)</p> Signup and view all the answers

Why is important to practice resting blood pressure measurements?

<p>Blood pressure readings are complex and require precision for accurate interpretation. (A)</p> Signup and view all the answers

What is the correct procedure after extrapolating the line of best fit to a heart rate of 170 beats/minute on the graph?

<p>Draw a vertical line down to VO2 (L/min). (D)</p> Signup and view all the answers

In the Astrand test, why should the heart rate increase above 130 beats/minute until a steady state is reached, but not be higher than 170 beats/minute?

<p>To ensure the subject's safety while staying within a range conducive to accurate prediction of VO2 max. (B)</p> Signup and view all the answers

In both the PWC170 and Astrand bicycle ergometer tests, what is the primary reason for closely monitoring and recording the subject's heart rate throughout the exercise protocol?

<p>To assess the cardiovascular system's response to exercise and to estimate VO2max based on the relationship between heart rate and workload. (D)</p> Signup and view all the answers

What is the rationale of using milliliters per kilogram per minute (ml/kg/min) as a measurement of VO2 max?

<p>To allow better comparison of aerobic capacity between individuals of different body weights. (C)</p> Signup and view all the answers

What is indicated if a subject's average steady-state heart rate during the last two minutes of the Astrand bike tests is excessively high?

<p>Low cardiorespiratory fitness. (A)</p> Signup and view all the answers

Flashcards

VO2max (Maximal Oxygen Consumption)

The maximal volume of oxygen the body can consume during exercise, expressed as a rate.

VO2max Units

VO2max is expressed in liters per minute (L/min) or relative to body weight in milliliters per kilogram per minute (ml/kg/min).

Purpose of VO2max Testing

VO2max testing is a standard to compare performance estimates of aerobic capacity and endurance fitness.

Submaximal Exercise Tests

Exercise tests that predict maximal oxygen consumption from submaximal performances.

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Steady State Heart Rate

Heart rate increases until it reaches a plateau when the rate of work is held constant at a submaximal intensity.

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Estimating VO2max

VO2max can be estimated from steady state heart rates at given work load intensities.

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PWC170 Bicycle Test Purpose

Predict maximal oxygen consumption from a submaximal heart rate exercise test.

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Heart Rate measurement for VO2 max

To estimate VO2 max, heart rate is measured in the last 10 seconds of every one minute interval.

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Heart Rate Target

Adjust workload every minute until heart rate reaches around 130 beats/minute.

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Workload Duration

Keep the workload constant on the bike for 6 minutes.

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Termination Point

The test terminates once heart rate has reached a steady state (the HR can be within 5 beats/min for the 5th and 6th minute).

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Blood Pressure timing

Blood pressure is measured at the start of each 2 minute interval but enter the BP value as a 3 minute BP.

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Study Notes

  • Maximal oxygen consumption (VO2max) defines the max volume of oxygen consumed during intense exercise.
  • VO2max is expressed as a rate in liters per minute (L/min) or relative to body weight in milliliters per kilogram of body weight per minute (ml/kg/min)
  • VO2max reveals information about aerobic system capacity because it requires integration of the ventilatory, cardiovascular, and neuromuscular systems.
  • VO2max testing compares performance estimates of aerobic capacity and endurance fitness capabilities.
  • A higher maximal oxygen consumption equates to a greater amount and intensity of aerobic work that one can perform.
  • Measuring VO2max directly can be time-consuming, requires expensive equipment, and considerable motivation.
  • Exercise tests predict maximal oxygen consumption from submaximal performances.
  • Submaximal tests predict VO2max from exercise heart rates and work performance.
  • Heart rate and oxygen uptake show a linear relationship for light to moderately heavy exercise.
  • The PWC170 bicycle ergometer test and the Ã…strand bicycle ergometer test represent submaximal aerobic power tests.
  • Steady state heart rate is when the rate of work is held constant at a submaximal intensity and heart rate increases until it reaches a plateau.
  • When heart rate plateaus, it becomes optimal for meeting demands placed on the body at a rate of work.
  • By plotting steady state heart rates on a graph to an assumed maximum heart rate or by estimating VO2max from tables utilizing heart rate and workload obtained at the end of steady state exercise provides allows for the estimation of VO2max using steady state heart rates at given work load intensities.
  • Those with a better cardiorespiratory endurance capacity will have a lower steady state heart rate at a specific given exercise workload.

Purpose

  • Predicting maximal oxygen consumption (PWC170 bicycle test) utilizing a submaximal heart rate exercise test.
  • Predicting maximal oxygen consumption (Ã…strand bicycle ergometer test) utilizing a submaximal heart rate exercise test.
  • Measuring blood pressure during submaximal bicycle ergometer tests.

Equipment for Bike Tests

  • Weigh scale
  • Bicycle ergometer
  • Metronome
  • Ruler
  • Blood pressure cuff and stethoscope
  • Stopwatch or timer
  • Calculator

PWC170 Bike Test Protocol

  • Conducted with a partner, blood pressure readings must be accurate before the bike tests.
  • Weigh the subject and record body weight to the nearest 0.1 kg.
  • The subject is set up on the bike, adjusting handle bars and seat and their resting heart rate and blood pressure recorded after sitting quietly the bike for 2 minutes.
  • The subject pedals at 60 RPM.
  • The computer may vary for RPM on different bikes.
  • Metronome is set to 120, which is equivalent to 60 RPM on some bike computers and 120 RPM on others.
  • During warm up phase, the subject cycles for 2 minutes at a workload of 0.5 kp (30 Watts) on the manually adjusted bike or 1.0 kg (60 Watts) on the bike with a basket.
  • Heart rate and blood pressure are measured and recorded.
  • Following the 2 minute warm up, the subject pedals continuously for 12 minutes according to the heart rate.
  • During the first four minutes, the workload is adjusted to achieve a heart rate of 115 to 130 beats/minute at a workload (WL ~ 0.75 to 1.5 kp or 45 to 88 Watts).
  • From 4 to 8 minutes, the workload is adjusted to achieve a heart rate of 140 to 155 beats/minute at a work load of (WL ~ 1.5 to 2.5 kp or 88 to 148 Watts).
  • From 8 to 12 minutes, the workload is adjusted to achieve a HR of 160 to 180 beats/minute (WL ~ 2.0 to 3.0 kp or 118 to 177 Watts)
  • The heart rate, blood pressure, and workloads are recorded for each 4-minute interval on a table.
  • Heart rate vs. workload is plotted at the 3 stages of exercise on the graph and drawing a line of best fit, the line extrapolated to a heart rate of 170 beats/min is graphed.
  • The vertical line is drawn down from 170 beats/minute to VO2 (L/min) and is recorded on the table
  • Following the exercise test, the subject cycles for 2 minutes for an active cool-down recovery phase with no workload on the bike.
  • After the recovery phase, the subject's heart rate and blood pressure is recorded.
  • Lastly, the subject rests for 3 minutes (no cycling). Measure the subject's heart rate and blood pressure and record the values.

Astrand Bicycle Ergometer Submaximal Bike Test Protocol

  • Weigh the subject and record body weight to the nearest 0.1 kg.
  • The subject's age and gender is recorded.
  • The subject is set up on the cycle ergometer and their resting heart rate and blood pressure are measured.
  • The metronome is set to 100 which equals 50 RPM.
  • The subject cycles at 50 RPM which is indicated on the computer panel of the bike.
  • The subject cycles for 2 minutes at a workload of 0.5 kp (25 Watts) on the manually adjusted bike or 1.0 kg (50 Watts) on the bike with a basket for a warm.
  • Heart rate and blood pressure are then recorded during the 2 minute warm up phase.
  • Then the workload on the bike is adjusted every minute until the subject's heart rate reaches 130 beats/minute ensuring the workload is adjusted at 0.5 kp intervals.
  • Heart rate is measured in the last 10 seconds of every one minute interval.
  • Blood pressure is measured at the start of each 2 minute interval but blood pressure value is entered as a 3 minute BP.
  • After this heart rate and BP is recorded.
  • Once the subject's heart rate reaches 130 beats/minute, the workload is to kept constant on the bike for 6 minutes.
  • If the heart rate decreases below 130 beats/minute, the workload is increased by 0.5 kp or 25 Watts.
  • The heart rate should increase above 130 beats/minute until a steady state is reached, but should not be higher than 170 beats/minute.
  • The test can terminated once heart rate has reached a steady state and results in the same heart rate value for the 5th and 6th minutes within 5 beats/min for the 5th and 6th minute.
  • After the exercise test, the subject cycles at 0.5 kg (25 Watts) for 2 minutes for a recovery phase.
  • Their heart rate and blood pressure are recorded during this recovery phase.
  • The subject rests for 3 minutes (no cycling).
  • Their heart rate and blood pressure values are measured and recorded.

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