Journal of Applied Physiology
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J Appl Physiol (November 10, 2005). doi:10.1152/japplphysiol.00932.2005
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Submitted on August 1, 2005
Accepted on November 4, 2005

A test to establish maximum O2 uptake despite no plateau in the O2 uptake response to ramp incremental exercise

H. B Rossiter1*, J. M Kowalchuk2, and B. J Whipp1

1 Department of Physiology, St George's Hospital Medical School, London, United Kingdom; Centre of Sport & Exercise Sciences Faculty of Biological Sciences, University of Leeds, Leeds, United Kingdom
2 Department of Physiology, St George's Hospital Medical School, London, United Kingdom; Department of Physiology and Pharmacology, Canadian Centre for Activity and Ageing, London, Canada

* To whom correspondence should be addressed. E-mail: h.b.rossiter{at}leeds.ac.uk.

The O2 uptake (VO2) response to ramp-incremental (RI) exercise does not consistently demonstrate plateau-like behavior at the limit of tolerance, and hence the requirements for a maximum VO2 commonly are not met despite apparent maximum effort. We sought to determine whether an appended step exercise (SE) test at a work rate greater than that achieved in a preceding ramp test would establish the plateau criterion. Seven healthy male adults performed RI cycle ergometry (20 W/min) to the limit of tolerance, followed by 5 min recovery (20W) and then an SE test at 105% (RISE-105) of the final work rate (WRpeak) achieved during RI. Five of these subjects also performed an RI test followed by SE at 95% WRpeak (RISE-95). VO2 was measured breath-by-breath using a turbine and mass spectrometer. The average of the final 15 s of RI or SE was used to establish respective VO2 peaks. When approaching VO2 peak, a constant VO2 value (e.g. a plateau) was not discernable during any RI or SE component of the tests. Although the WRpeak [mean (±SD)] was higher during the SE portion [359 (31) W] than during the RI portion [341 (29) W] of the RISE-105, the peak VO2 was not different (SE, 4.30 (0.51) L/min; RI, 4.33 (0.52) L/min; p=0.49; n=7). Similarly, in the RISE-95 test, WRpeak was 310 (31) W for the SE portion and 326 (32) W for the RI portion, yet the peak VO2 values were not different [SE, 4.12 (0.53) L/min; RI, 4.11 (0.48) L/min; p=0.78; n=5]. The lack of notable difference between the VO2 peaks established at different peak work rates in our RISE protocols provides the plateau criterion for verification of maximum VO2 in a single test session, even when the data response profiles do not themselves evidence a plateau.




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