Int J Sports Med 2018; 39(03): 198-203
DOI: 10.1055/s-0043-121148
Training & Testing
© Georg Thieme Verlag KG Stuttgart · New York

Confirming Maximal Oxygen Uptake: Is Heart Rate the Answer?

Don Keiller
1   Biomedical and Forensic Sciences, Anglia Ruskin University - Cambridge Campus, Cambridge, United Kingdom of Great Britain and Northern Ireland
,
Dan Gordon
2   Department of Sport & Exercise Sciences, Anglia Ruskin University, Cambridge, United Kingdom of Great Britain and Northern Ireland
› Author Affiliations
Further Information

Publication History



accepted 02 October 2017

Publication Date:
24 January 2018 (online)

Abstract

This study investigates heart rate (HR), in 11 young adults (22.4±3.21yr), at V̇O2max, to ascertain whether measured maximal heart rate (HRmax), as determined by a plateau in HR (HRplat), can reliably confirm V̇O2max. V̇O2max and HRplat were determined, using the parameters of a V̇O2≤50 ml•min−1 and a ∆HR≤2b•min−1, respectively, over the final 60 s of sampling. V̇O2 was also independently determined using a verification phase protocol. A HRplat was achieved by 91% of participants (∆HR=1.3±1b•min−1) and critically the time at which HRmax was reached coincided with that at which V̇O2max was achieved. Moreover RER and ΔRER criteria were reached significantly earlier (p<0.05) than V̇O2max, whilst age-related heart rate maximums (HRage), were not achieved by many participants. The results suggest that a HRplat ≤2 b•min−1 is a more accurate method, within the group tested, to determine whether a ‘true’ V̇O2max has been achieved, than other secondary criteria and potentially avoids the requirement for an additional verification phase.

 
  • References

  • 1 Aitken JC, Thompson J. The respiratory VCO2/VO2 exchange ratio during maximum exercise and its use as a predictor of maximum oxygen uptake. Eur J Appl Physiol 1988; 57: 714-719
  • 2 Astorino TA, Robergs RA, Ghiasvand F, Marks D, Burns S. Incidence of the oxygen plateau during exercise testing to volitional fatigue. J Exerc Physiol 2000; 3: 1-12
  • 3 Astorino TA, Rietschel JC, Tam PA, Taylor K, Johnson SM, Freedman TP, Sakary CE. Reinvestigation of optimal duration of VO2max testing. J Exerc Physiol 2004; 7: 1-8
  • 4 Astorino TA. Alterations in VO2max and the VO2 plateau with manipulation of sampling interval. Clin Physiol Funct Imag 2009; 29: 60-67
  • 5 Astorino TA, White AC. Assessment of anaerobic power to verify VO2max attainment. Clin Physiol Funct Imag 2010; 30: 294-300
  • 6 Astrand PO, Saltin B. Maximal oxygen uptake and heart rate in various types of muscular work. J Appl Physiol 1961; 16: 977-981
  • 7 Bassett DR, Howley ET. Maximal oxygen uptake ‘classical’ versus ‘contemporary’ viewpoints. Med Sci Sports Exerc 1997; 29: 591-603
  • 8 Beltrami FG, Froyd C, Mauger AR, Metcalfe AJ, Marino F, Noakes TD. Conventional testing methods produce submaximal values of maximum oxygen consumption. Br J Sports Med 2012; 46: 23-29
  • 9 Calbet JA, Gonzalez-Alonso J, Helge JW, Søndergaard H, Munch-Andersen T, Boushel R, Saltin B. Cardiac output and leg and arm blood flow during incremental exercise to exhaustion on the cycle ergometer. J Appl Physiol 2007; 103: 969-978
  • 10 Day JR, Rossiter HB, Couts EM, Skasick A, Whipp BJ. The maximally attainable VO2 during exercise in humans: The peak vs. maximum issue. J Appl Physiol 2003; 95: 1901-1907
  • 11 Doherty M, Nobbs L, Noakes T. Low frequency of the “plateau phenomenon” during maximal exercise in elite British athletes. Eur J Appl Physiol 2003; 89: 619 - 623
  • 12 Duncan GE, Mahon AD, Howe CA, Del Corral P. Plateau in oxygen uptake at maximal exercise in male children. Pediatr Exerc Sci 1996; 8: 77-86
  • 13 Gledhill N, Cox D, Jamnik R. Endurance athletes’ stroke volume does not plateau: Major advantage is diastolic function. Med Sci Sports Exerc 1994; 26: 1116-1121
  • 14 Gonzales-Alonso J, Calbet JAL. Reductions in systemic and skeletal muscle blood flow and oxygen delivery limit maximal aerobic capacity in humans. Circulation 2003; 107: 824-830
  • 15 Gordon D, Hopkins S, King C, Barnes R. Incidence of the plateau at VO2max is dependent on the anaerobic capacity. Int J Sports Med 2011; 32: 1-6
  • 16 Gordon D, Mehter M, Gernigon M, Caddy O, Keiller D, Barnes R. The effects of exercise modality on the incidence of plateau of VO2max. Clin Physiol Funct Imag 2012; 32: 394-399
  • 17 Gordon D, Schaitel K, Pennefather A, Gernigon M, Keiller D, Barnes R. The incidence of plateau at VO2max is affected by a bout of prior-priming exercise. Clin Physiol Funct Imag 2012; 32: 39-44
  • 18 Gordon D, Wood M, Porter A, Vetrivel V, Gernigon M, Caddy O, Merzbach V, Keiller D, Baker J, Barnes R. Influence of blood donation on the incidence of plateau at VO2max . Eur J Appl Physiol 2014; 114: 21-27
  • 19 Harriss DJ, Macsween A, Atkinson G. Standards for Ethics in Sport and Exercise Science Research: 2018 Update. Int J Sports Med 2017; 38: 1126-1131
  • 20 Higginbotham MG, Morris KG, Williams RS, McHale PA, Coleman RE, Cobb FR. Regulation of stroke volume during submaximal and maximal upright exercise in normal men. Circ Res 1986; 58: 281-291
  • 21 Hill AV, Lupton H. Muscular exercise, lactic acid and the supply and utilisation of oxygen. Q J Med 1923; 16: 135-171
  • 22 Hill AV, Long CNH, Lupton H. Muscular exercise lactic acid and the supply and utilisation of oxygen: Parts VII-VIII. Proc R Soc Med 1924; 97: 155-176
  • 23 Howley ET, Bassett DR, Welch HG. Criteria for maximal oxygen uptake: review and commentary. Med Sci Sports Exerc 1995; 27: 1292-1301
  • 24 Howley ET. VO2max and the Plateau—Needed or Not?. Med Sci Sports Exerc 2007; 39: 101-102
  • 25 Inbar O, Oren A, Scheinowitz M, Rotstein A, Dlin R, Casaburi R. Normal cardiopulmonary responses during incremental exercise in 20 to 70 year-old men. Med Sci Sports Exerc 1994; 26: 538-546
  • 26 Jones AM. The physiology of the world record holder for the women’s marathon. Int J Sports Sci Coach 2006; 1: 101-116
  • 27 Katch VL, Sady SS, Freedson P. Biological variability in maximum aerobic power. Med Sci Sports Exerc 1982; 14: 21-25
  • 28 Kon Yoon B, Kravitz L, Robergs R. VO2max protocol duration and the VO2 plateau. Med Sci Sports Exerc 2007; 7: 1186-1192
  • 29 Lepretre PM, Foster C, Koralsztein JP, Billat V. Heart rate deflection point as a strategy to defend stroke volume during incremental exercise. J Appl Physiol 2005; 98: 1660-1665
  • 30 Londeree BR, Moeschberger ML. Influence of age and other factors on maximal heart rate. J Card Rehab 1984; 4: 44-49
  • 31 Lucia A, Rabadan M, Hoyos J, Hernandex-Capilla M, Perez M, Suan-Juan AF, Earnest CP, Chicharro JL. Frequency of the VO2max plateau phenomenon in world class cyclists. Int J Sports Med 2006; 27: 984-992
  • 32 Midgley AW, McNaughton LR, Wilkinson M. Is there an optimal training intensity for enhancing the maximal oxygen uptake of distance runners?: Empirical research findings, current opinions, physiological rationale and practical recommendations. J Sports Med 2006; 36: 117-132
  • 33 Midgley AW, McNaughton LR, Polman R, Marchant D. Criteria for determination of maximal oxygen uptake: A brief critique and recommendations for future research. J Sports Med 2007; 37: 1019-1028
  • 34 Midgley AW, Carroll S. Emergence of the verification phase procedure for confirming ‘true’ VO2max . Scand J Med Sci Sports 2009; 19: 313-322
  • 35 Midgley AW, Carroll S, Marchant D, McNaughton LR, Siegler J. Evaluation of true maximal oxygen uptake based on a novel set of standardized criteria. Appl Physiol Nutr Metab 2009; 34: 115-123
  • 36 Misquita NA, Davis DC, Dobrovolny CL, Ryan AS, Dennis KE, Nicklas BJ. Applicability of maximal oxygen consumption criteria in obese, postmenopausal women. J Womens Health Gend Based Med 2001; 10: 879-885
  • 37 Mole PA, Chung Y, Tran TK, Sailasuta N, Hurd R, Jue T. Myoglobin desaturation with exercise intensity in human gastrocnemius muscle. Am J Physiol 1999; 277: 73-80
  • 38 Moore GE, Brinker KR, Stray-Gundersen J, Mitchell JH. Determinants of VO2peak in patients with end-stage renal disease, on and off dialysis. Med Sci Sports Exerc 1993; 25: 18-23
  • 39 Poole DC, Wilkerson DP, Jones AM. Validity of criteria for establishing maximal O2 uptake during ramp exercise tests. Eur J Appl Physiol 2008; 102: 403-410
  • 40 Richardson RS. Oxygen transport: Air to muscle cell. Med Sci Sports Exerc 1998; 30: 53-59
  • 41 Richardson RS, Newcomer SC, Noyszewski EA. Skeletal muscle intracellular PO2 assessed by myoglobin desaturation: Response to graded exercise. J Appl Physiol 2001; 91: 2679-2685
  • 42 Richardson RS, Duteil S, Wary C, Wray DW, Hoff J, Carlier PG. Human skeletal muscle intracellular oxygenation: The impact of ambient oxygen availability. J Physiol 2006; 571: 415-424
  • 43 Rivera-Brown AM, Rivera MA, Frontera WR. Reliability of vOpmax in adolescent runners: A comparison between plateau achievers and nonachievers. Pediatr Exerc Sci 1995; 7: 203-210
  • 44 Rivera-Brown AM, Frontera WR. Achievement of plateau and reliability of VO2max in trained adolescents tested with different ergometers. Pediatr Exerc Sci 1996; 10: 164-175
  • 45 Robergs RA. An exercise physiologist’s ‘Contemporary’ interpretations of the ‘Ugly and Creaking Edifices’ of the VO2max concept. J Exerc Physiol 2001; 4: 1-44
  • 46 Robergs RA, Dwyer D, Astorino T. Recommendations for improved data processing from expired gas analysis indirect calorimetry. Sports Med 2010; 40: 95-111
  • 47 Rossiter HB, Kowalchuk JM, Whipp BJ. A test to establish maximal O2 uptake response to ramp incremental exercise. J Appl Physiol 2006; 100: 764-770
  • 48 Rowland TW, Cunningham LN. Oxygen uptake plateau during maximal treadmill exercise in children. Chest 1992; 101: 485-489
  • 49 Roy J, Shephard C, Allen A, Benade JS, Davies CTM, di Prampero PE, Hedman R, Merriman JE, Myhre K, Simmons R. Standardization of submaximal exercise tests. Bull World Health Organ 1968; 38: 765-775
  • 50 Shephard RJ. Is it time to retire the ‘Central Governor’?. Sports Med 2009; 39: 709-721
  • 51 Smith TP, McNaughton LR, Marshall KJ. Effects of 4-week training using Vmax ⁄ Tmax on VO2max and performance in athletes. Med Sci Sports Exerc 1999; 31: 892-896
  • 52 Stringer WW, Hansen JE, Wasserman K. Cardiac output estimated noninvasively from oxygen uptake during exercise. J Appl Physiol 2007; 82: 908-912
  • 53 Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol 2001; 37: 15-36
  • 54 Taylor HL, Buskirk E, Henschel A. Maximal oxygen intake as an objective measure of cardio-respiratory performance. J Appl Physiol 1955; 8: 73-80
  • 55 Thoden JS. Testing aerobic power. Physiological testing of the high-performance athlete. 2nd ed. In: MacDougall JD, Wenger HA, Green HJ. (eds) Human Kinetics. Champaign USA; 1991: 107-173
  • 56 Vella CA, Robergs RA. A review of the stroke volume response to upright exercise in healthy subjects. Br J Sports Med 2005; 39: 190-195
  • 57 Vieira SS, Lemes B, de T C de Carvalho P, de Lima RN, Bocalini DS, Junior J, Arsa G, Casarin CA, Andrade EL, Serra AJ. Does stroke volume increase during an incremental exercise? A systematic review. Open Cardiovasc Med J 2016; 10: 57-63
  • 58 Wagner PD. New ideas on limitations to VO2max . Exerc Sport Sci Rev 2000; 28: 10-14
  • 59 Wasserman K. Diagnosing cardiovascular and lung pathophysiology from exercise gas exchange. Chest 1997; 112: 1091-1101
  • 60 Wasserman K, Hansen JE, Sue D, Stringer WW, Whipp BJ. Principles of exercise testing and interpretation. 4th ed. Philadelphia: Lippincott Williams and Wilkins; 2004
  • 61 Zhou B. Explanation of variance in VO2max for trained and untrained female college students. J Exerc Physiol 2004; 7: 69-74