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1.
AbstractTo determine whether developmental nicotine exposure (DNE) alters the ventilatory and metabolic response to hyperthermia in neonatal rats (postnatal age 2–4 days), pregnant dams were exposed to nicotine (6 mg kg−1 of nicotine tartrate daily) or saline with an osmotic mini‐pump implanted subdermally on day 5 of gestation. Rat pups (a total of 72 controls and 72 DNE pups) were studied under thermoneutral conditions (chamber temperature 33°C) and during moderate thermal stress (37.5°C). In all pups, core temperature was similar to chamber temperature, with no treatment effects. The rates of pulmonary ventilation (), O2 consumption () and CO2 production () did not change with hyperthermia in either control or DNE pups. However, was lower in DNE pups at both chamber temperatures, whereas the duration of spontaneous apnoeas was longer in DNE pups than in controls at 33°C. The /ratio increased at 37.5°C in control pups, although it did not change in DNE pups. To simulate severe thermal stress, additional pups were studied at 33°C and 43°C. increased with heating in control pups but not in DNE pups. As heat stress continued, gasping was evoked in both groups, with no effect of DNE on the gasping pattern. Over a 20 min recovery period at 33°C, returned to baseline in control pups but remained depressed in DNE pups. In addition to altering baseline and apnoea duration, DNE is associated with subtle but significant alterations in the ventilatory response to hyperthermia in neonatal rats.
Abbreviations
- DNE
- developmental nicotine exposure
- P
- postnatal day
- RER
- respiratory exchange ratio
- Tchamber
- chamber temperature
- Tcore
- core temperature
- pulmonary ventilation rate
- oxygen consumption rate
- carbon dioxide production rate
- VT
- tidal volume
2.
José A. L. Calbet José Losa‐Reyna Rafael Torres‐Peralta Peter Rasmussen Jesús Gustavo Ponce‐González A. William Sheel Jaime de la Calle‐Herrero Amelia Guadalupe‐Grau David Morales‐Alamo Teresa Fuentes Lorena Rodríguez‐García Christoph Siebenmann Robert Boushel Carsten Lundby 《The Journal of physiology》2015,593(20):4649-4664
Key points
- Severe acute hypoxia reduces sprint performance.
- Muscle during sprint exercise in normoxia is not limited by O2 delivery, O2 offloading from haemoglobin or structure‐dependent diffusion constraints in the skeletal muscle of young healthy men.
- A large functional reserve in muscle O2 diffusing capacity exists and remains available at exhaustion during exercise in normoxia; this functional reserve is recruited during exercise in hypoxia.
- During whole‐body incremental exercise to exhaustion in severe hypoxia, leg is primarily dependent on convective O2 delivery and less limited by diffusion constraints than previously thought.
- The kinetics of O2 offloading from haemoglobin does not limit in hypoxia.
- Our results indicate that the limitation to during short sprints resides in mechanisms regulating mitochondrial respiration.
Abstract
To determine the contribution of convective and diffusive limitations to during exercise in humans, oxygen transport and haemodynamics were measured in 11 men (22 ± 2 years) during incremental (IE) and 30 s all‐out cycling sprints (Wingate test, WgT), in normoxia (Nx, PIO2: 143 mmHg) and hypoxia (Hyp, PIO2: 73 mmHg). Carboxyhaemoglobin (COHb) was increased to 6–7% before both WgTs to left‐shift the oxyhaemoglobin dissociation curve. Leg was measured by the Fick method and leg blood flow (BF) with thermodilution, and muscle O2 diffusing capacity (DMO2) was calculated. In the WgT mean power output, leg BF, leg O2 delivery and leg were 7, 5, 28 and 23% lower in Hyp than Nx (P < 0.05); however, peak WgT DMO2 was higher in Hyp (51.5 ± 9.7) than Nx (20.5 ± 3.0 ml min−1 mmHg−1, P < 0.05). Despite a similar PaO2 (33.3 ± 2.4 and 34.1 ± 3.3 mmHg), mean capillary PO2 (16.7 ± 1.2 and 17.1 ± 1.6 mmHg), and peak perfusion during IE and WgT in Hyp, DMO2 and leg were 12 and 14% higher, respectively, during WgT than IE in Hyp (both P < 0.05). DMO2 was insensitive to COHb (COHb: 0.7 vs. 7%, in IE Hyp and WgT Hyp). At exhaustion, the Y equilibration index was well above 1.0 in both conditions, reflecting greater convective than diffusive limitation to the O2 transfer in both Nx and Hyp. In conclusion, muscle during sprint exercise is not limited by O2 delivery, O2 offloading from haemoglobin or structure‐dependent diffusion constraints in the skeletal muscle. These findings reveal a remarkable functional reserve in muscle O2 diffusing capacity.Abbreviations
- a‐vO2diff
- arteriovenous oxygen concentration difference
- BF
- blood flow
- CaO2
- arterial content of oxygen
- CO
- carbon monoxide
- COHb
- carboxyhaemoglobin
- DLO2
- lung O2 diffusing capacity
- DMO2
- muscle O2 diffusing capacity
- DO2
- O2 diffusing capacity
- ECG
- electrocardiogram
- FIO2
- inspired oxygen fraction
- FV
- femoral vein
- HRmax
- maximal heart rate
- HRpeak
- peak heart rate during Wingate
- Hyp
- hypoxia
- LBF
- leg blood flow
- Nx
- normoxia
- SO2
- haemoglobin saturation with O2
- ODC
- oxyhaemoglobin dissociation curve
- P50
- partial oxygen pressure at 50% SO2
- PaO2
- arterial oxygen pressure
- PCO2
- carbon dioxide pressure
- PO2
- oxygen pressure
- PO2 cap
- capillary O2 pressure
- PO2 mit
- mitochondrial O2 pressure
- P FV O2
- femoral vein PO2
- PIO2
- inspiratory O2 pressure
- carbon dioxide production
- peak carbon dioxide production
- peak pulmonary ventilation
- oxygen consumption
- maximal oxygen consumption
- peak oxygen uptake
- Wpeak‐i
- instantaneous peak power output
- Wmean‐10
- mean power output during the first 10 s of the sprint exercise
- Wmean‐30
- mean power output during the whole sprint exercise
- WgT
- isokinetic 30 s Wingate test
3.
Jayson R. Gifford Ryan S. Garten Ashley D. Nelson Joel D. Trinity Gwenael Layec Melissa A. H. Witman Joshua C. Weavil Tyler Mangum Corey Hart Cory Etheredge Jake Jessop Amber Bledsoe David E. Morgan D. Walter Wray Matthew J. Rossman Russell S. Richardson 《The Journal of physiology》2016,594(6):1741-1751
Key points
- The concept of symmorphosis predicts that the capacity of each step of the oxygen cascade is attuned to the task demanded of it during aerobic exercise at maximal rates of oxygen consumption () such that no single process is limiting or in excess at .
- The present study challenges the applicability of this concept to humans by revealing clear, albeit very different, limitations and excesses in oxygen supply and consumption among untrained and endurance‐trained humans.
- Among untrained individuals, is limited by the capacity of the mitochondria to consume oxygen, despite an excess of oxygen supply, whereas, among trained individuals, is limited by the supply of oxygen to the mitochondria, despite an excess of mitochondrial respiratory capacity.
Abstract
The concept of symmorphosis postulates a matching of structural capacity to functional demand within a defined physiological system, regardless of endurance exercise training status. Whether this concept applies to oxygen (O2) supply and demand during maximal skeletal muscle O2 consumption () in humans is unclear. Therefore, in vitro skeletal muscle mitochondrial (Mito , mitochondrial respiration of fibres biopsied from vastus lateralis) was compared with in vivo skeletal muscle during single leg knee extensor exercise (KE , direct Fick by femoral arterial and venous blood samples and Doppler ultrasound blood flow measurements) and whole‐body during cycling (Body , indirect calorimetry) in 10 endurance exercise‐trained and 10 untrained young males. In untrained subjects, during KE exercise, maximal O2 supply (KE O2max) exceeded (462 ± 37 ml kg−1 min−1, P < 0.05) and KE matched (340 ± 22 ml kg−1 min−1, P > 0.05) Mito (364 ± 16 ml kg−1 min−1). Conversely, in trained subjects, both KE O2max (557 ± 35 ml kg−1 min−1) and KE (458 ± 24 ml kg−1 min−1) fell far short of Mito (743 ± 35 ml kg−1 min−1, P < 0.05). Although Mito was related to KE (r = 0.69, P < 0.05) and Body (r = 0.91, P < 0.05) in untrained subjects, these variables were entirely unrelated in trained subjects. Therefore, in untrained subjects, is limited by mitochondrial O2 demand, with evidence of adequate O2 supply, whereas, in trained subjects, an exercise training‐induced mitochondrial reserve results in skeletal muscle being markedly limited by O2 supply. Taken together, these in vivo and in vitro measures reveal clearly differing limitations and excesses at in untrained and trained humans and challenge the concept of symmorphosis as it applies to O2 supply and demand in humans. 相似文献4.
James T. Davis Chi‐Yan A. Ng Sierra D. Hill Richard C. Padgett Andrew T. Lovering 《The Journal of physiology》2015,593(20):4615-4630
Key points
- Patent foramen ovale (PFO) is present in ∼35% of the general population.
- The respiratory system participates in thermoregulation via evaporative and convective heat loss so blood flow that bypasses the respiratory system, e.g. through a PFO, may not participate in respiratory system cooling.
- We found that subjects with a PFO (PFO+) had a ∼0.4°C higher oesophageal temperature (T oesoph) than subjects without a PFO (PFO−) during pre‐exercise and exercise.
- T oesoph in PFO+ subjects was associated with the estimated size of the PFO whereby subjects with a large PFO had a greater T oesoph than PFO− subjects and subjects with a small PFO.
- During high intensity exercise breathing cold and dry air, PFO+ subjects achieved a higher T oesoph than PFO– subjects.
- Absence of respiratory system cooling of shunted blood partially explains the differences in T oesoph between PFO+ and PFO– subjects; other differences in thermoregulatory responses that impact core temperature also likely exist.
Abstract
Respiratory system cooling occurs via convective and evaporative heat loss, so right‐to‐left shunted blood flow through a patent foramen ovale (PFO) would not be cooled. Accordingly, we hypothesized that PFO+ subjects would have a higher core temperature than PFO– subjects due, in part, to absence of respiratory system cooling of the shunted blood and that this effect would be dependent upon the estimated PFO size and inspired air temperature. Subjects were screened for the presence and size of a PFO using saline contrast echocardiography. Thirty well‐matched males (15 PFO−, 8 large PFO+, 7 small PFO+) completed cycle ergometer exercise trials on three separate days. During Trial 1, subjects completed a test. For Trials 2 and 3, randomized, subjects completed four 2.5 min stages at 25, 50, 75 and 90% of the maximum workload achieved during Trial 1, breathing either ambient air (20.6 ± 1.0°C) or cold air (1.9 ± 3.5°C). PFO+ subjects had a higher oesophageal temperature (T oesoph) (P < 0.05) than PFO− subjects on Trial 1. During exercise breathing cold and dry air, PFO+ subjects achieved a higher T oesoph than PFO− subjects (P < 0.05). Subjects with a large PFO, but not those with a small PFO, had a higher T oesoph than PFO− subjects (P < 0.05) during Trial 1 and increased T oesoph breathing cold and dry air. These data suggest that the presence and size of a PFO are associated with T oesoph in healthy humans but this is explained only partially by absence of respiratory system cooling of shunted blood.Abbreviations
- DLCO
- lung diffusion capacity for carbon monoxide
- FEF25–75
- forced mid‐expiratory flow
- FEV1
- forced expiratory volume in 1 s
- FVC
- forced vital capacity
- HR
- heart rate
- PFO
- patent foramen ovale
- PFO+
- subjects with a PFO
- PFO−
- subjects without a PFO
- cardiac output
- RER
- respiratory exchange ratio
- RPEleg discomfort
- rate of perceived exertion for legs
- RPE dyspnoea
- rate of perceived exertion for lungs
- SaO2
- arterial saturation of oxygen
- SpO2
- peripheral arterial oxygen saturation
- Tair
- ambient air temperature
- Tcore
- core temperature
- Toesoph
- oesophageal temperature
- Texp
- expired air temperature
- Tinsp
- inspired air temperature
- TLC
- total lung capacity
- carbon dioxide elimination
- minute ventilation
- /
- ventilatory equivalent of oxygen
- oxygen uptake
- Vt
- tidal volume
5.
David Morales‐Alamo José Losa‐Reyna Rafael Torres‐Peralta Marcos Martin‐Rincon Mario Perez‐Valera David Curtelin Jesús Gustavo Ponce‐González Alfredo Santana José A. L. Calbet 《The Journal of physiology》2015,593(20):4631-4648
Key points
- At the end of an incremental exercise to exhaustion a large functional reserve remains in the muscles to generate power, even at levels far above the power output at which task failure occurs, regardless of the inspiratory O2 pressure during the incremental exercise.
- Exhaustion (task failure) is not due to lactate accumulation and the associated muscle acidification; neither the aerobic energy pathways nor the glycolysis are blocked at exhaustion.
- Muscle lactate accumulation may actually facilitate early recovery after exhaustive exercise even under ischaemic conditions.
- Although the maximal rate of ATP provision is markedly reduced at task failure, the resynthesis capacity remaining exceeds the rate of ATP consumption, indicating that task failure during an incremental exercise to exhaustion depends more on central than peripheral mechanisms.
Abstract
To determine the mechanisms causing task failure during incremental exercise to exhaustion (IE), sprint performance (10 s all‐out isokinetic) and muscle metabolites were measured before (control) and immediately after IE in normoxia (PIO2: 143 mmHg) and hypoxia (PIO2: 73 mmHg) in 22 men (22 ± 3 years). After IE, subjects recovered for either 10 or 60 s, with open circulation or bilateral leg occlusion (300 mmHg) in random order. This was followed by a 10 s sprint with open circulation. Post‐IE peak power output (W peak) was higher than the power output reached at exhaustion during IE (P < 0.05). After 10 and 60 s recovery in normoxia, W peak was reduced by 38 ± 9 and 22 ± 10% without occlusion, and 61 ± 8 and 47 ± 10% with occlusion (P < 0.05). Following 10 s occlusion, W peak was 20% higher in hypoxia than normoxia (P < 0.05), despite similar muscle lactate accumulation ([La]) and phosphocreatine and ATP reduction. Sprint performance and anaerobic ATP resynthesis were greater after 60 s compared with 10 s occlusions, despite the higher [La] and [H+] after 60 s compared with 10 s occlusion recovery (P < 0.05). The mean rate of ATP turnover during the 60 s occlusion was 0.180 ± 0.133 mmol (kg wet wt)−1 s−1, i.e. equivalent to 32% of leg peak O2 uptake (the energy expended by the ion pumps). A greater degree of recovery is achieved, however, without occlusion. In conclusion, during incremental exercise task failure is not due to metabolite accumulation or lack of energy resources. Anaerobic metabolism, despite the accumulation of lactate and H+, facilitates early recovery even in anoxia. This points to central mechanisms as the principal determinants of task failure both in normoxia and hypoxia, with lower peripheral contribution in hypoxia.Abbreviations
- Cr
- creatine
- d.w.
- dry weight
- FIO2
- inspired oxygen fraction
- HR
- heart rate
- HRpeak
- peak heart rate
- Hyp
- hypoxia
- IE
- incremental exercise to exhaustion
- La
- lactate
- Mb
- myoglobin
- Nx
- normoxia
- PCr
- phosphocreatine
- P ETC O2
- end‐tidal CO2 pressure
- P ET O2
- end‐tidal O2 pressure
- PIO2
- partial pressure of inspired O2
- RER
- respiratory exchange ratio
- SpO2
- haemoglobin oxygen saturation measured by pulse‐oximetry
- TOI
- tissue oxygenation index
- CO2 production
- peak CO2 production
- minute ventilation
- O2 consumption
- maximal O2 uptake
- peak O2 uptake
- WBIE
- whole‐body incremental exercise
- Wpeak‐i
- instantaneous peak power output
- Wpeak‐1
- peak power output using 1 s averages
- Wmax
- peak power output at exhaustion during the incremental exercise test
- Wmean
- mean power output during the 10 s sprints
- w.w.
- wet weight
6.
E.F. Sperandio R.L. Arantes A.C. Matheus R.P. Silva V.T. Lauria M. Romiti A.R.T. Gagliardi V.Z. Dourado 《Brazilian journal of medical and biological research》2015,48(4):349-353
The 6-minute walk test (6MWT) is a simple field test that is widely used in clinical
settings to assess functional exercise capacity. However, studies with healthy
subjects are scarce. We hypothesized that the 6MWT might be useful to assess exercise
capacity in healthy subjects. The purpose of this study was to evaluate 6MWT
intensity in middle-aged and older adults, as well as to develop a simple equation to
predict oxygen uptake () from the 6-min walk distance (6MWD). Eighty-six participants, 40
men and 46 women, 40-74 years of age and with a mean body mass index of 28±6
kg/m2, performed the 6MWT according to American Thoracic Society
guidelines. Physiological responses were evaluated during the 6MWT using a K4b2
Cosmed telemetry gas analyzer. On a different occasion, the subjects performed ramp
protocol cardiopulmonary exercise testing (CPET) on a treadmill. Peak in the 6MWT corresponded to 78±13% of the peak during CPET, and the maximum heart rate corresponded to 80±23% of
that obtained in CPET. Peak in CPET was adequately predicted by the 6MWD by a linear regression
equation: mL·min-1·kg-1 = -2.863 +
(0.0563×6MWDm) (R2=0.76). The 6MWT represents a
moderate-to-high intensity activity in middle-aged and older adults and proved to be
useful for predicting cardiorespiratory fitness in the present study. Our results
suggest that the 6MWT may also be useful in asymptomatic individuals, and its use in
walk-based conditioning programs should be encouraged. 相似文献
7.
F.A. Cunha R.A. Montenegro A.W. Midgley F. Vasconcellos P.P. Soares P. Farinatti 《Brazilian journal of medical and biological research》2014,47(8):706-714
The main purpose of this study was to investigate the level of agreement between the
gas exchange threshold (GET) and heart rate variability threshold (HRVT) during
maximal cardiopulmonary exercise testing (CPET) using three different exercise
modalities. A further aim was to establish whether there was a 1:1 relationship
between the percentage heart rate reserve (%HRR) and percentage oxygen uptake reserve
() at intensities corresponding to GET and HRVT. Sixteen apparently
healthy men 17 to 28 years of age performed three maximal CPETs (cycling, walking,
and running). Mean heart rate and at GET and HRVT were 16 bpm (P<0.001) and 5.2
mL·kg-1·min-1 (P=0.001) higher in running than cycling, but
no significant differences were observed between running and walking, or cycling and
walking (P>0.05). There was a strong relationship between GET and HRVT, with
R2 ranging from 0.69 to 0.90. A 1:1 relationship between %HRR and
was not observed at GET and HRVT. The %HRR was higher during
cycling (GET mean difference=7%; HRVT mean difference=11%; both P<0.001), walking
(GET mean difference=13%; HRVT mean difference=13%; both P<0.001), or running (GET
mean difference=11%; HRVT mean difference=10%; both P<0.001). Therefore, using
HRVT to prescribe aerobic exercise intensity appears to be valid. However, to assume
a 1:1 relationship between %HRR and at HRVT would probably result in overestimation of the energy
expenditure during the bout of exercise. 相似文献
8.
M.V. Damasceno L.A. Pasqua A.E. Lima-Silva R. Bertuzzi 《Brazilian journal of medical and biological research》2015,48(11):1048-1054
This study aimed to verify the association between the contribution of energy systems
during an incremental exercise test (IET), pacing, and performance during a 10-km
running time trial. Thirteen male recreational runners completed an incremental
exercise test on a treadmill to determine the respiratory compensation point (RCP),
maximal oxygen uptake (), peak treadmill speed (PTS), and energy systems contribution; and
a 10-km running time trial (T10-km) to determine endurance performance. The fractions
of the aerobic (WAER) and glycolytic (WGLYCOL) contributions
were calculated for each stage based on the oxygen uptake and the oxygen energy
equivalents derived by blood lactate accumulation, respectively. Total metabolic
demand (WTOTAL) was the sum of these two energy systems. Endurance
performance during the T10-km was moderately correlated with RCP, and PTS (P<@0.05), and moderate-to-highly correlated with
WAER, WGLYCOL, and WTOTAL (P<0.05). In
addition, WAER, WGLYCOL, and WTOTAL were also
significantly correlated with running speed in the middle (P<0.01) and final
(P<0.01) sections of the T10-km. These findings suggest that the assessment of
energy contribution during IET is potentially useful as an alternative variable in
the evaluation of endurance runners, especially because of its relationship with
specific parts of a long-distance race. 相似文献
9.
10.
11.
12.
13.
14.
15.
16.
17.
Miriam S. Nokia Sanna Lensu Juha P. Ahtiainen Petra P. Johansson Lauren G. Koch Steven L. Britton Heikki Kainulainen 《The Journal of physiology》2016,594(7):1855-1873
Key points
- Aerobic exercise, such as running, enhances adult hippocampal neurogenesis (AHN) in rodents.
- Little is known about the effects of high‐intensity interval training (HIT) or of purely anaerobic resistance training on AHN.
- Here, compared with a sedentary lifestyle, we report a very modest effect of HIT and no effect of resistance training on AHN in adult male rats.
- We found the most AHN in rats that were selectively bred for an innately high response to aerobic exercise that also run voluntarily and increase maximal running capacity.
- Our results confirm that sustained aerobic exercise is key in improving AHN.
Abstract
Aerobic exercise, such as running, has positive effects on brain structure and function, such as adult hippocampal neurogenesis (AHN) and learning. Whether high‐intensity interval training (HIT), referring to alternating short bouts of very intense anaerobic exercise with recovery periods, or anaerobic resistance training (RT) has similar effects on AHN is unclear. In addition, individual genetic variation in the overall response to physical exercise is likely to play a part in the effects of exercise on AHN but is less well studied. Recently, we developed polygenic rat models that gain differentially for running capacity in response to aerobic treadmill training. Here, we subjected these low‐response trainer (LRT) and high‐response trainer (HRT) adult male rats to various forms of physical exercise for 6–8 weeks and examined the effects on AHN. Compared with sedentary animals, the highest number of doublecortin‐positive hippocampal cells was observed in HRT rats that ran voluntarily on a running wheel, whereas HIT on the treadmill had a smaller, statistically non‐significant effect on AHN. Adult hippocampal neurogenesis was elevated in both LRT and HRT rats that underwent endurance training on a treadmill compared with those that performed RT by climbing a vertical ladder with weights, despite their significant gain in strength. Furthermore, RT had no effect on proliferation (Ki67), maturation (doublecortin) or survival (bromodeoxyuridine) of new adult‐born hippocampal neurons in adult male Sprague–Dawley rats. Our results suggest that physical exercise promotes AHN most effectively if the exercise is aerobic and sustained, especially when accompanied by a heightened genetic predisposition for response to physical exercise.Abbreviations
- AHN
- adult hippocampal neurogenesis
- BDNF
- brain‐derived neurotrophic factor
- BrdU
- bromodeoxyuridine
- HIT
- high‐intensity interval training
- HRT
- high‐response trainer
- LRT
- low‐response trainer
- RW
- running wheel
- Sed
- sedentary
- TBS
- Tris‐buffered saline
- maximal oxygen uptake
18.
19.
D. C. Costa G. L. de Santi J. C. Crescêncio L. P. Seabra E. E. V. Carvalho V. Papa F. Marques L. Gallo Junior A. Schmidt 《Brazilian journal of medical and biological research》2015,48(12):1136-1144
This study aimed to analyze the agreement between measurements of unloaded oxygen
uptake and peak oxygen uptake based on equations proposed by Wasserman and on real
measurements directly obtained with the ergospirometry system. We performed an
incremental cardiopulmonary exercise test (CPET), which was applied to two groups of
sedentary male subjects: one apparently healthy group (HG, n=12) and the other had
stable coronary artery disease (n=16). The mean age in the HG was 47±4 years and that
in the coronary artery disease group (CG) was 57±8 years. Both groups performed CPET
on a cycle ergometer with a ramp-type protocol at an intensity that was calculated
according to the Wasserman equation. In the HG, there was no significant difference
between measurements predicted by the formula and real measurements obtained in CPET
in the unloaded condition. However, at peak effort, a significant difference was
observed between oxygen uptake (O2)peak(predicted)and O2peak(real)(nonparametric Wilcoxon test). In the CG,
there was a significant difference of 116.26 mL/min between the predicted values by
the formula and the real values obtained in the unloaded condition. A significant
difference in peak effort was found, where O2peak(real)was 40% lower than O2peak(predicted)(nonparametric Wilcoxon test). There was
no agreement between the real and predicted measurements as analyzed by Lin’s
coefficient or the Bland and Altman model. The Wasserman formula does not appear to
be appropriate for prediction of functional capacity of volunteers. Therefore, this
formula cannot precisely predict the increase in power in incremental CPET on a cycle
ergometer. 相似文献