Criteria for maximum oxygen uptake in progressive bicycle tests

Summary Different criteria for O₂ max in a progressive bicycle exercise were studied in 115 healthy subjects. In the repeated progressive tests performed on 16 men, aged 25–35 years, three types of O₂ response against work load were noticed: a linear increase, an unexpectedly high increase, and a plateau; the last two only appearing when O₂ max was achieved. The last three O₂ values at least were required to define the plateau. Most commonly, subjective exhaustion was achieved, respiratory quotient (R) was over 1.15 and maximal heart rate (HR) at the estimated level for age, though O₂ max was not achieved. No significant differences were found between peak O₂ in the first progressive test (mean=2.95 l/min), the second progressive test (mean=3.14 l/min), or the constant-load test (mean=3.05 l/min). In the progressive test performed once on 55 men and 44 women, aged 35–62 years, subjective exhaustion was achieved by most of the subjects, but the plateau in O₂ was shown only in 17 subjects, and the peak O₂ values were somewhat lower than expected. Moreover, R max did not correlate with peak O₂, and was over 1.15 only in 9 subjects, and HR max was often below the estimated level. Thus, the progressive test appeared to be convenient in testing the physical work capacity of the subjects, but the establishment of the physiological maximum was more difficult: the relatively uncommon plateau in O₂ was the only useful criterion for O₂ max, the value of other criteria being unacceptable.