On heart rate regulation in cycle-ergometer exercise

© 2014 IEEE. In this paper, we have focused on the issue of regulating the human heart rate (HR) to a predefined reference trajectory, especially for cycle-ergometer exercise used for training or rehabilitation. As measuring HR is relatively easy compared to exercise intensity, it has been used in the wide range of training programs. The aim of this paper is to develop a non-model-based control strategy using proportional, integral and derivative (PID) controller/relay controller to regulate the HR to track a desired trajectory. In the case of using PID controller, the controller output signal is interpreted as a voice or auditory command, referred to as biofeedback, which can be heard by the exercising subject as a part of the control-loop. Alternatively, the relay controller output signals can be converted to some special words which can be recognised by the exerciser. However, in both cases, to effectively communicate to the user a change in exercise intensity, the timing of this feedback signal relative to the positions of the pedals becomes quite critical. A feedback signal delivered when the pedals are not in a suitable position to efficiently exert force may be ineffective and may lead to a cognitive disengagement of the user form the feedback controller. In this paper we examine the need and the consequence of synchronising the delivery of the feedback signal with an optimal and user specific placement of the pedal

The reproducibility of perceptually regulated exercise responses during short-term cycle ergometry

This is the author's PDF version of an article published in International journal of sports medicine in 2004. The definitive version is available at www.thieme-connect.com.The purpose of this study was to assess the reproducibility over four trials of perceptually regulated exercise intensity during short-term cycle ergometry. Recent research has suggested that an improvement in the reproducibility (better agreement) of the exercise output would be observed with a repeated practice of using regulatory tools such as Borg’s 6-20 rating of perceived exertion (RPE) scale. Eighteen healthy active volunteers (nine males mean age (± SD) 24.7 ± 3.4 yr, and nine females 27.6 ± 5.4 yr) completed four identical intermittent effort production trials on a cycle ergometer, over a period of two-three weeks, with all trials being between three and five days apart. After warm-up, the volunteers were asked to produce four x three-minute bouts of exercise at RPE levels: 13, 15, 9, and 17 (in this order). Power output (W), percentage maximum heart rate reserve (%MHRR), and oxygen consumption (VO2; ml•kg-1•min-1) were recorded in the final minute of each bout. Analysis revealed that the 95% limits of agreement (LoA) between repeated trials did not decrease for the objective markers of exercise intensity, remaining wide throughout. In the worst case comparisons the LoA represented changes (expressed as a proportion of the mean of two trials) of up to 58.3% in power output (T2 vs. T3 at RPE 9), 65.5% in %MHRR (T1 vs. T2 at RPE 13) and 36.5% in VO2 (T3 vs. T4 at RPE 17). These findings question the use of ratings of perceived exertion to regulate exercise effort. That the reproducibility of effort is also not seen to improve with practice raises doubts over the validity of using the RPE scale for providing training intensities for this type of exercise.This article was submitted to the RAE2008 for the University of Chester - Allied Health Professions and Studies

ERS statement on standardisation of cardiopulmonary exercise testing in chronic lung diseases

The objective of this document was to standardise published cardiopulmonary exercise testing (CPET) protocols for improved interpretation in clinical settings and multicentre research projects. This document: 1) summarises the protocols and procedures used in published studies focusing on incremental CPET in chronic lung conditions; 2) presents standard incremental protocols for CPET on a stationary cycle ergometer and a treadmill; and 3) provides patients’ perspectives on CPET obtained through an online survey supported by the European Lung Foundation. We systematically reviewed published studies obtained from EMBASE, Medline, Scopus, Web of Science and the Cochrane Library from inception to January 2017. Of 7914 identified studies, 595 studies with 26 523 subjects were included. The literature supports a test protocol with a resting phase lasting at least 3 min, a 3-min unloaded phase, and an 8- to 12-min incremental phase with work rate increased linearly at least every minute, followed by a recovery phase of at least 2–3 min. Patients responding to the survey (n=295) perceived CPET as highly beneficial for their diagnostic assessment and informed the Task Force consensus. Future research should focus on the individualised estimation of optimal work rate increments across different lung diseases, and the collection of robust normative data.The document facilitates standardisation of conducting, reporting and interpreting cardiopulmonary exercise tests in chronic lung diseases for comparison of reference data, multi-centre studies and assessment of interventional efficacy. http://bit.ly/31SXeB

The stimulating effect of bright light on physical performance depends on internal time.

The human circadian clock regulates the daily timing of sleep, alertness and performance and is synchronized to the 24-h day by the environmental light-dark cycle. Bright light exposure has been shown to positively affect sleepiness and alertness, yet little is known about its effects on physical performance, especially in relation to chronotype. We, therefore, exposed 43 male participants (mean age 24.5 yrs ± SD 2.3 yrs) in a randomized crossover study to 160 minutes of bright (BL: ≈ 4.420 lx) and dim light (DL: ≈ 230 lx). During the last 40 minutes of these exposures, participants performed a bicycle ergometer test. Time-of-day of the exercise sessions did not differ between the BL and DL condition. Chronotype (MSF(sc), mid-sleep time on free days corrected for oversleep due to sleep debt on workdays) was assessed by the Munich ChronoType Questionnaire (MCTQ). Total work was significantly higher in BL (median 548.4 kJ, min 411.82 kJ, max 875.20 kJ) than in DL (median 521.5 kJ, min 384.33 kJ, max 861.23 kJ) (p = 0.004) going along with increased exhaustion levels in BL (blood lactate (+12.7%, p = 0.009), heart rate (+1.8%, p = 0.031), and Borg scale ratings (+2.6%, p = 0.005)) in all participants. The differences between total work levels in BL and DL were significantly higher (p = 0.004) if participants were tested at a respectively later time point after their individual mid-sleep (chronotype). These novel results demonstrate, that timed BL exposure enhances physical performance with concomitant increase in individual strain, and is related not only to local (external) time, but also to an individual's internal time

Physical exercise during encoding improves vocabulary learning in young female adults

Acute physical activity has been repeatedly shown to improve various cognitive functions. However, there have been no investigations comparing the effects of exercise during verbal encoding versus exercise prior to encoding on long-term memory performance. In this current psychoneuroendocrinological study we aim to test whether light to moderate ergometric bicycling during vocabulary encoding enhances subsequent recall compared to encoding during physical rest and encoding after being physically active. Furthermore, we examined the kinetics of brain-derived neurotrophic factor (BDNF) in serum which has been previously shown to correlate with learning performance. We also controlled for the BDNF val66met polymorphism. We found better vocabulary test performance for subjects that were physically active during the encoding phase compared to sedentary subjects. Post-hoc tests revealed that this effect was particularly present in initially low performers. BDNF in serum and BDNF genotype failed to account for the current result. Our data indicates that light to moderate simultaneous physical activity during encoding, but not prior to encoding, is beneficial for subsequent recall of new items

Consistency of pacing and metabolic responses during 2000-m rowing ergometry

PURPOSE: This study investigated the pacing strategy adopted and the consistency of performance and related physiological parameters across three 2000-m rowing-ergometer tests. METHODS: Fourteen male well-trained rowers took part in the study. Each participant performed three 2000-m rowing-ergometer tests interspersed by 3-7 d. Throughout the trials, respiratory exchange and heart rate were recorded and power output and stroke rate were analyzed over each 500 m of the test. At the completion of the trial, assessments of blood lactate and rating of perceived exertion were measured. RESULTS: Ergometer performance was unchanged across the 3 trials; however, pacing strategy changed from trial 1, which featured a higher starting power output and more progressive decrease in power, to trials 2 and 3, which were characterized by a more conservative start and an end spurt with increased power output during the final 500 m. Mean typical error (TE; %) across the three 2000-m trials was 2.4%, and variability was low to moderate for all assessed physiological variables (TE range = 1.4-5.1%) with the exception of peak lactate (TE = 11.5%). CONCLUSIONS: Performance and physiological responses during 2000-m rowing ergometry were found to be consistent over 3 trials. The variations observed in pacing strategy between trial 1 and trials 2 and 3 suggest that a habituation trial is required before an intervention study and that participants move from a positive to a reverse-J-shaped strategy, which may partly explain conflicting reports in the pacing strategy exhibited during 2000-m rowing-ergometer trials

Ergometer

An ergometer is described that has a pedal driven direct current motor as a load and includes a frame for supporting the body of a person in either a sitting or a prone position. The pedals may be operated by either the feet or the hands. The electrical circuitry of the ergometer includes means for limiting the load applied to the pedals as a function of work being performed, heart rate, and increases in heart rate

Therapeutic role of dietary nitrates on cardiorespiratory function in cancer survivors

Master of ScienceDepartment of KinesiologyCarl J. AdeIntroduction: The acute and chronic adverse physiological consequences of anticancer therapy include direct injury to the entire cardiovascular-skeletal muscle axis. As such, these patients are at an increased risk of both cancer therapy-related and age-related pathological outcomes; primary cardiovascular disease, exercise intolerance, and cancer-related fatigue. To date, however, therapeutic strategies that mitigate these negative effects within the human body have yet to be established. Previous work has demonstrated that dietary nitrate (NO₃⁻) supplementation can improve cardiac, vascular and cardiorespiratory exercise parameters, highlighting its potential therapeutic use in clinical populations. Therefore, we hypothesized that NO₃⁻ supplementation would improve both cardiac performance and exercise capacity. Methods: To date, 6 cancer survivors (57 ± 11 years) with a history of anticancer therapy completed a randomized, double-blind, crossover study with a single, acute-dose administration of NO₃⁻ or placebo (PL) [140 ml]. Transthoracic echocardiographic measures at rest were made to obtain left ventricular stroke volume. Patients performed a supine-cycling steady-state exercise test (30W) with measurements of arterial blood pressure, stroke volume, cardiac output, and a maximal-effort cardiopulmonary exercise test. Results: As intended, there was a statistically significant increase in plasma nitrite during the NO₃⁻ condition compared to PL (NO₃⁻ 1300 ± 963 µM vs. PL 111 ± 49 µM, respectively; P = 0.02). Additionally, we observed a decrease in relative oxygen uptake (VO₂) during steady-state exercise with NO₃⁻ compared to PL (NO₃⁻ 8.46 ± 2.2 vs. PL 8.98 ± 2.4 ml/kg/min; p = 0.01; Absolute VO₂: BRJ 0.64 ± 0.10 vs. PL: 0.68 ± 0.11 L/min; p = 0.01) indicating an improved exercise efficiency. Resting and steady-state arterial blood pressure, stroke volume, and cardiac output were not different between conditions. Furthermore, we did not observe any differences between conditions for peak relative VO₂ (NO₃⁻ 22.42 ± 3.86 vs. PL 23.14 ± 4.01 ml/kg/min; p = 0.23), total work done (NO₃⁻ 70.64 ± 29.5 vs PL 70.67 ± 30.71 kJ; p = 0.49), or for gross exercise efficiency (NO₃⁻ 5.23 ± 1.48 vs. PL 4.97 ± 1.41 kJ/L O₂; p = 0.14) during the maximal-effort cardiopulmonary exercise test. Conclusions: A single, acute-dose of inorganic nitrate supplementation in cancer survivors with a history of anticancer therapy enhanced steady-state exercise efficiency, but had no effect on exercise cardiac performance or peak exercise capacity

Appetite, gut hormone and energy intake responses to low volume sprint interval and traditional endurance exercise.

Sprint interval exercise improves several health markers but the appetite and energy balance response is unknown. This study compared the effects of sprint interval and endurance exercise on appetite, energy intake and gut hormone responses. Twelve healthy males [mean (SD): age 23 (3) years, body mass index 24.2 (2.9) kg m(-2), maximum oxygen uptake 46.3 (10.2) mL kg(-1) min(-1)] completed three 8 h trials [control (CON), endurance exercise (END), sprint interval exercise (SIE)] separated by 1 week. Trials commenced upon completion of a standardised breakfast. Sixty minutes of cycling at 68.1 (4.3) % of maximum oxygen uptake was performed from 1.75-2.75 h in END. Six 30-s Wingate tests were performed from 2.25-2.75 h in SIE. Appetite ratings, acylated ghrelin and peptide YY (PYY) concentrations were measured throughout each trial. Food intake was monitored from buffet meals at 3.5 and 7 h and an overnight food bag. Appetite (P 0.05). Therefore, relative energy intake (energy intake minus the net energy expenditure of exercise) was lower in END than that in CON (15.7 %; P = 0.006) and SIE (11.5 %; P = 0.082). An acute bout of endurance exercise resulted in lower appetite perceptions in the hours after exercise than sprint interval exercise and induced a greater 24 h energy deficit due to higher energy expenditure during exercise

Methods and protocols for incremental exercise testing in tetraplegia, using arm-crank ergometry assisted by Functional Electrical Stimulation

Cervical spinal cord injury (SCI) leads to tetraplegia, with paralysis and loss of sensation in the upper and lower limbs. The associated sedentary lifestyle results in an increased risk of cardiovascular disease. To address this, we require the design of exercise modalities aimed specifically at tetraplegia and methods to assess their efficacy. This paper describes methods for arm-crank ergometry (ACE) assisted by Functional Electrical Stimulation (FES) applied to the biceps and triceps. The instrumented ergometer enables work-rate control during exercise, implemented here for incremental exercise testing during FES-ACE. Detailed protocols for the tests are given. Experimental data collected during exercise tests with tetraplegic volunteers are provided to illustrate the feasibility of the proposed approach to testing and data analysis. Incremental tests enabled calculation of peak power output and peak oxygen uptake. We propose that the high-precision exercise testing protocols described here are appropriate to assess the efficacy of the novel exercise modality, FES-ACE, in tetraplegia