Cardiac output represents the primary determinant of cardiovascular function. Therefore, understanding how cardiac output is regulated during exercise is crucial. A recently developed tool for determining cardiac output is the Innocor rebreathing system, which also incorporates an ergospirometry unit. So far, Innocor's test-retest reliability under exercise conditions has not been determined in healthy participants. Therefore, 15 male and 15 female healthy participants [30.6 y (SD 4.5); 68.0 kg (SD 10.5)] performed 2 test sessions, each consisting of 2 graded exercise tests to volitional exhaustion. We determined intra- and inter-session reliability of cardiac output, oxygen consumption, carbon dioxide output, and ventilation at 130 W and at peak exercise. For cardiac output, we found averaged coefficients of variation ranging from 4.3 (intra-session, 130 W) to 10.0% (inter-session, rest). For oxygen consumption, coefficients of variation ranged from 3.4 (intra-session, peak) to 5.7% (inter-session, peak). Coefficients of variation for carbon dioxide output were between 4.4 (intra-session, peak) and 6.6% (inter-session, peak), and for ventilation between 5.1 (intra-session, 130 W) and 7.0% (intra-session, peak). Innocor delivers safe and reliable measurements of cardiac output, gas exchange, and ventilation. Therefore, Innocor can be used to assess these parameters in exercise physiology studies as well as in performance diagnostics.
During firefighting, thermoregulation is challenged due to a combination of harsh environmental conditions, high metabolic rates and personal protective clothing (PPC). Consequently, investigations of thermoregulation in firefighters should not only consider climate and exercise intensity, but technical properties of textiles too. Therefore, laboratory textile performance simulations may provide additional insights into textile-dependent thermoregulatory responses to exercise. In order to investigate the thermo-physiological relevance of textile properties and to test how different garments affect thermoregulation at different exercise intensities, we analyzed the results of a standard laboratory test and human subject trials by relating functional properties of textiles to thermo-physiological responses. Ten professional, healthy, male firefighters (age: 43 ± 6 y, weight: 84.3 ± 10.3kg, height: 1.79 ± 0.05m) performed low and moderate intensity exercise wearing garments previously evaluated with a sweating torso system to characterize thermal and evaporative properties. Functional properties of PPC and the control garment differed markedly. Consequently, skin temperature was higher using PPC at both exercise intensities (low: 36.27 ± 0.32 versus 36.75 ± 0.15℃, P < 0.05; moderate: 36.53 ± 0.34 versus 37.18 ± 0.23℃, P < 0.001), while core body temperature was only higher for PPC at moderate (37.54 ± 0.24 versus 37.83 ± 0.27℃, P < 0.05), but not low-intensity exercise (37.26 ± 0.21 versus 37.21 ± 0.19, P = 0.685). Differences in thermal and evaporative properties between textiles are reflected in thermo-physiological responses during human subject trials. However, an appropriate exercise intensity has to be chosen in order to challenge textile performance during exercise tests.
The purpose of this study was to evaluate the effects of a new high-intensity training modality comprised of vibration exercise with superimposed resistance exercise and vascular occlusion (vibroX) on skeletal muscle and performance. Young untrained women were randomized to either train in a progressive mode on 3 days per week for 5 weeks (n = 12) or to maintain a sedentary lifestyle (n = 9). VibroX increased peak cycling power (+9%, P = 0.001), endurance capacity (+57%, P = 0.002), ventilatory threshold (+12%, P < 0.001), and end-test torque (+15%, P = 0.002) relative to the sedentary group. Training load increased by 84.5% (P < 0.001) after vibroX. The increases were paralleled by increases in myosin heavy 2 chain type 1 vastus lateralis muscle fiber cross-sectional area (+14%, P = 0.031) and proportion (+17%, P = 0.015), thigh lean mass (+4%, P = 0.001), capillary-to-fiber ratio (+14%, P = 0.003), and cytochrome c oxidase activity. Conversely, maximal values for oxygen consumption, cardiac output, isokinetic leg extension power and jumping power remained unaffected. Notably, vastus lateralis muscle adaptations were achieved with a very low weekly training volume. We conclude that vibroX quickly increases muscle (fiber) size, capillarization, and oxidative potential, and markedly augments endurance capacity in young women.
Even for 1-lead electrocardiography (ECG), single-use gel conductive electrodes are employed in a clinical setting. However, gel electrodes show limited applicability for long-term monitoring due to skin irritation and detachment. In the present study, we investigated the validity of a textile ECG-belt suitable for long-term measurements in clinical use. In order to assess the signal quality and validity of the ECG-belt during sleep, 242 patients (186 males and 56 females, age 52 (interquartile range 42–60) years, body mass index 29 (interquartile range 26–33) kg·m−2) with suspected sleep apnoea underwent overnight polysomnography including standard 1-lead ECG recording. The single intervals between R-peaks (RR-intervals) were calculated from the ECG-signals. We found a mean difference for average RR-intervals of −2.9 ms, a standard error of estimate of 0.39%, as well as a Pearson r of 0.91. Furthermore, we found that the validity of the ECG-belt decreases when lying on the side, which was potentially due to the fitting of the belt. In conclusion, the validity of RR-interval measurements using the ECG-belt is high and it may be further improved for future applications by optimizing wear fitting.
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