4.6 Article

Determination of respiratory point compensation in healthy adults: Can non-invasive near-infrared spectroscopy help?

期刊

JOURNAL OF SCIENCE AND MEDICINE IN SPORT
卷 18, 期 5, 页码 590-595

出版社

ELSEVIER SCI LTD
DOI: 10.1016/j.jsams.2014.07.016

关键词

Functional evaluation; Exercise prescription; Non-invasive techniques; Anaerobic metabolism

资金

  1. University of Verona
  2. Italian Ministry of University
  3. Canadian Institute of Health Research

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Objectives: We tested the hypothesis that the respiratory compensation point can be accurately determined in healthy participants during incremental cycling exercise using non-invasive near-infrared spectroscopy-derived measures of deoxygenated hemoglobin (deoxyHb). Design: Validation study. Methods: 118 healthy men (average age 47 +/- 19 yrs, range 20-79 yrs) performed an incremental cycling test to exhaustion. Breath-by-breath pulmonary oxygen uptake ((V) over dotO(2)) and other ventilatory and gas exchange variables were measured and used to determine respiratory compensation point. Vastus lateralis deoxyHb was monitored using a frequency domain multi-distance system near-infrared spectroscopy device and deoxyHb data were modeled with a piece-wise double-linear function from which the deoxyHb deflection point (deoxyHb(DP)) was determined. The absolute (L min(-1)) and relative (% maximal (V) over dotO(2) [(V) over dotO(2max)]) (V) over dotO(2) values associated with the respiratory compensation point and deoxyHb(DP) were determined for each individual. Results: DeoxyHb increased as a function of exercise intensity up to a point (deoxyHb(DP)) after which the signal displayed a near-plateau. The deoxyHb(DP) corresponded to a (V) over dotO(2) of 2.25 +/- 0.69 L min(-1) (74 +/- 12% (V) over dotO(2max)) which was not significantly different from the (V) over dotO(2) at respiratory compensation point (2.28 +/- 0.70 L min(-1) and 74 +/- 10% (V) over dotO(2max), p < 0.05). Both indices were highly correlated (r(2) = 0.86) and Bland Altman analyses confirmed a non-significant bias for (V) over dotO(2) (-0.024 L min(-1)) concomitant with a small imprecision of 0.26 L min(-1). Conclusions: During incremental cycling exercise, the (V) over dotO(2) associated with the onset of a plateau in near-infrared spectroscopy-derived deoxyHb occurs in coincidence with the (V) over dotO(2) at respiratory compensation point suggesting that respiratory compensation point can be accurately estimated, non-invasively, using near-infrared spectroscopy-derived deoxyHb in alternative to the use of ventilatory-based techniques. (C) 2014 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

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