The acute effects of resistance exercise on the main determinants of blood rheology

The aim of this study was to examine short-term changes in blood rheological variables after a single bout of resistance exercise. Twenty-one healthy males completed three sets of 5 - 7 repetitions of six exercises at an intensity corresponding to 80% of one-repetition maximum (1-RM). The average duration of the exercise bout was 35 min. Venous blood samples were obtained before exercise, immediately after exercise and after 30 min of recovery and analysed for lactate, red blood cell count, haematocrit, haemoglobin, plasma viscosity, fibrinogen, total protein and albumin concentration. Plasma volume decreased 10.1% following resistance exercise. This occurred in parallel with an increase of 5.6%, 5.4% and 6.2% in red blood cell count, haemoglobin and haematocrit; respectively. Plasma viscosity increased from 1.55 +/- 0.01 to 1.64 +/- 0.01 mPa s immediately after resistance exercise before decreasing to 1.57 +/- 0.01 mPa s at the end of the recovery period. Similarly, fibrinogen, albumin and total protein increased significantly following resistance exercise. However, the rises in all these rheological parameters were transient and returned to pre-exercise values by the end of recovery. We conclude that a single session of heavy resistance exercise performed by normal healthy individuals alters blood rheological variables and that these changes are transient and could be attributed to exercise-induced haemoconcentration.     

The acute effects of resistance exercise on the main determinants of blood rheology

The aim of this study was to examine short-term changes in blood rheological variables after a single bout of resistance exercise. Twenty-one healthy males completed three sets of 5?–?7 repetitions of six exercises at an intensity corresponding to 80% of one-repetition maximum (1-RM). The average duration of the exercise bout was 35?min. Venous blood samples were obtained before exercise, immediately after exercise and after 30?min of recovery and analysed for lactate, red blood cell count, haematocrit, haemoglobin, plasma viscosity, fibrinogen, total protein and albumin concentration. Plasma volume decreased 10.1% following resistance exercise. This occurred in parallel with an increase of 5.6%, 5.4% and 6.2% in red blood cell count, haemoglobin and haematocrit; respectively. Plasma viscosity increased from 1.55?±?0.01 to 1.64?±?0.01 mPa?·?s immediately after resistance exercise before decreasing to 1.57?±?0.01 mPa?·?s at the end of the recovery period. Similarly, fibrinogen, albumin and total protein increased significantly following resistance exercise. However, the rises in all these rheological parameters were transient and returned to pre-exercise values by the end of recovery. We conclude that a single session of heavy resistance exercise performed by normal healthy individuals alters blood rheological variables and that these changes are transient and could be attributed to exercise-induced haemoconcentration.     

Effect of immersion on lung capacities and volumes: implications for the densitometric estimation of relative body fat

Immersion of 18 male subjects in water caused a 20.4% (787 ml) increase (P less than 0.05) in the mean inspiratory capacity (IC) whereas there were no changes (P greater than 0.05) in tidal volume (VT) and the frequency of respiration. All the means for the other pulmonary variables decreased (P less than 0.05) by varying amounts: total lung capacity (TLC) = 8.4% (599 ml), vital capacity (VC) = 5.5% (308 ml), functional residual capacity (FRC) = 42.6% (1386 ml), expiratory reserve volume (ERV) = 61.9% (1095 ml) and residual volume (RV) = 19.7% (292 ml). Variation of only the RV in the body density (BD) formula from which the percentage body fat (%BF) is estimated resulted in a significantly (P less than 0.05) lower mean of 15.2% BF for the RV in air (means = 1482 ml) compared with that of 17.1% BF for the RV in water (means = 1190 ml). All but one of the subjects exhibited a smaller RV in water than in air; the six largest differences were equivalent to 2.4-5.1% BF. These results indicate that the net effect of the hydrostatic pressure (decreases RV), pulmonary vascular engorgement (decreases RV) and diminished compliance (increases RV) is to reduce the ventilated RV. It is therefore advisable to measure the RV when the subject is immersed in order to minimize error in the determination of BD and hence the estimation of % BF.     

Recovery of pulmonary diffusing capacity after maximal exercise.

Pulmonary diffusing capacity (DICO), together with spirometric variables, arterial oxygen tension (paO2) and cardiac output were determined before and at intervals after maximal arm cranking, treadmill running and ergometer rowing. Independent of the type of exercise, D1CO increased immediately post-exercise from a median 13.6 (range 7.3-16.3) to 15.1 (9.3-19.6) mmol min-1 kPa-1 (P < 0.01). However, it decreased to 11.6 (6.9-15.5) mmol min-1 kPa-1 (P < 0.01) after 24 h with cardiac output and paO2 at resting values, and D1CO normalized after 20 h. Thoracic electrical impedance at 2.5 and 100 kHz increased slightly post-exercise, indicating a decrease in thoracic fluid balance, and there were no echocardiographic signs of left ventricular failure at the time of the decrease in D1CO. Also, active muscle (limb) circumference and volume, and an increase in haematocrit from 43.8 (38.0-47.0) to 47.1 (42.7-49.8) (P < 0.01), had normalized at the time of the decrease in D1CO. Vital capacity, forced vital capacity, forced expiratory volume in 1 s, peak and peak mid-expiratory flows did not change. However, total lung capacity increased from 6.8 (5.0-7.6) to 7.0 (5.1-7.8) litres (P < 0.05) immediately after exercise and remained elevated at 6.9 (5.1-8.7) litres (P < 0.05) when a decrease in D1CO was noted. The results demonstrate that independent of the type of maximal exercise, an approximate 15% reduction in D1CO takes place 2-3 h post-exercise, which normalizes during the following day of recovery.     

The influence of pre-warming on the physiological responses to prolonged intermittent exercise

To examine the influence of pre-warming on the physiological responses to prolonged intermittent exercise in ambient temperatures of 21.5 +/- 0.6 degrees C and relative humidities of 35.7 +/- 5.4% (mean +/- s), six healthy men performed intermittent treadmill running (30-s bouts at 90% of maximal oxygen uptake separated by 30-s static recovery periods) to exhaustion after active pre-warming, passive pre-warming and pre-exercise rest (control). Exercise time to exhaustion was significantly different between all conditions (active, 51.8 +/- 7.2 min; passive, 38.5 +/- 11.1 min; control, 72.0 +/- 17.2 min; P < 0.05). These changes in performance time were closely associated with a significant decline in both the rate of heat storage and heat storage capacity (P < 0.05). Rectal temperature, heart rate and ratings of perceived exertion were significantly higher during exercise in the two pre-warming conditions than in the control condition (P < 0.05). Ratings of perceived exertion were also significantly higher during exercise following passive pre-warming compared with active pre-warming (P < 0.05). During exercise there were no significant differences in serum prolactin, plasma norepinephrine and plasma free fatty acid concentrations between conditions. We conclude that both active and passive pre-warming promote a reduction in prolonged intermittent exercise capacity in environmental temperatures of 21 degrees C compared with pre-exercise rest. These performance decrements were dependent upon the mode of pre-warming and closely reflected alterations in body heat content.     

大强度的无氧间歇练习、有氧耐力练习及其组合练习的次序对恢复期心脏自主神经功能的影响

目的：评估大强度的无氧间歇练习、有氧耐力练习及其组合练习的次序对恢复期心脏自主神经功能的影响。方法：采用随机交互设计,15名健康男性受试者分别完成4次运动：600 m间歇跑练习、30 min大强度持续跑练习、600 m间歇跑加30 min大强度持续跑练习,30 min大强度持续跑加600 m间歇跑练习,分别在运动前（0~10 min）、整个运动期间和运动后恢复期（0~20 min）记录RR间期,并进行相应HRV分析以及在运动前和运动后即刻进行血乳酸测试。结果：与安静状态相比,运动中HR、EPOC和TRIMP均显著增加,但组合练习次序间不存在显著差异;恢复期20 min内,HR随恢复时间增加逐渐降低,但同一恢复阶段不同运动方案之间无显著差异;RMSSD、SDNN、SDNN/HR、HF和LF变化相似,在整个恢复阶段均显著低于安静值,但HF和LF在恢复期（15~20 min）显著增加;而LF/HF随着恢复时间延长显著增加。结论：大强度的无氧间歇练习、持续有氧练习及其组合练习,在运动后早期恢复阶段（0~20 min）HRV变化趋于一致,提示耐力运动后心脏自主神经功能的调整可能不具有运动形式依赖性。此外,大强度无氧间歇和有氧耐力练习的组合练习次序不影响运动后恢复期心脏自主功能的调节,恢复期20 min内,交感活性仍处于较高水平。     

乳酸阈强度运动对超重女大学生心肺机能和身体成分的影响

该研究旨在观察乳酸阈强度训练提升超重女大学生心肺机能和改善身体成分的效果。方法：通过递增负荷实验测定超重女大学生个体乳酸阈，绘制血乳酸-走跑强度动力曲线，依此确定运动干预强度及设计运动方案；受试者进行12周乳酸阈强度运动训练；测定实验前后身体成分、肺活量、最大摄氧量、超声心动等指标进行与对照组的对比分析。结果显示：超重女大学生个体乳酸阈为3.75±0.91mmol/L，乳酸阈强度为6.91±0.88km/h，乳酸阈强度训练靶心率为137±12.2次/min；实验组训练后，体脂%、腹部脂肪含量等非常显著的下降，最大摄氧量、肺活量、每博输出量、射血分数显著性提升；对照组无明显变化。结论：12周乳酸阈强度运动锻炼可显著改善超重女大学生的心肺机能和身体成分；本研究得出的乳酸阈强度可作为超重女大学生有氧健身的参考强度。     

The influence of pre-warming on the physiological responses to prolonged intermittent exercise

To examine the influence of pre-warming on the physiological responses to prolonged intermittent exercise in ambient temperatures of 21.5?±?0.6°C and relative humidities of 35.7?±?5.4% (mean?±?s), six healthy men performed intermittent treadmill running (30-s bouts at 90% of maximal oxygen uptake separated by 30-s static recovery periods) to exhaustion after active pre-warming, passive pre-warming and pre-exercise rest (control). Exercise time to exhaustion was significantly different between all conditions (active, 51.8?±?7.2?min; passive, 38.5?±?11.1?min; control, 72.0?±?17.2?min; P <?0.05). These changes in performance time were closely associated with a significant decline in both the rate of heat storage and heat storage capacity (P <?0.05). Rectal temperature, heart rate and ratings of perceived exertion were significantly higher during exercise in the two pre-warming conditions than in the control condition (P <?0.05). Ratings of perceived exertion were also significantly higher during exercise following passive pre-warming compared with active pre-warming (P <?0.05). During exercise there were no significant differences in serum prolactin, plasma norepinephrine and plasma free fatty acid concentrations between conditions. We conclude that both active and passive pre-warming promote a reduction in prolonged intermittent exercise capacity in environmental temperatures of 21°C compared with pre-exercise rest. These performance decrements were dependent upon the mode of pre-warming and closely reflected alterations in body heat content.     

Decrease in pulmonary diffusion capacity after maximal exercise

Oppression of the chest, cough and orthopnea are well known to occur in some athletes after competitions, maybe reflecting an increase in lung water. In order to indicate if lung water increases after maximal exercise we measured pulmonary diffusion capacity before and 2.1 h after a short maximal arm exercise bout in 11 canoeists and showed a decrease of 6.7%. The result may be explained by a calculated 17% increase in alveolar interstitial volume.     

Decrease in pulmonary diffusion capacity after maximal exercise

Oppression of the chest, cough and orthopnea are well known to occur in some athletes after competitions, maybe reflecting an increase in lung water. In order to indicate if lung water increases after maximal exercise we measured pulmonary diffusion capacity before and 2.1 h after a short maximal arm exercise bout in 11 canoeists and showed a decrease of 6.7%. The result may be explained by a calculated 17% increase in alveolar interstitial volume.     

Recovery of pulmonary diffusing capacity after maximal exercise

Abstract

Pulmonary diffusing capacity (Dl_co), together with spirometric variables, arterial oxygen tension (paO₂) and cardiac output were determined before and at intervals after maximal arm cranking, treadmill running and erogmeter rowing. Independent of the type of exercise, Dl_co increased immediately post‐exercise from a median 13.6 (range 7.3–16.3) to 15.1 (9.3–19.6) mmol min^‐1 kPa^‐1 (P <0.01). However, it decreased to 11.6 (6.9–15.5) mmol min^‐1 kPa^‐1 (P <0.01) after 24 h with cardiac output and paO₂ at resting values, and Dl_co normalized after 20 h. Thoracic electrical impedance at 2.5 and 100 kHz increased slightly post‐exercise, indicating a decrease in thoracic fluid balance, and there were no echocardiographic signs of left ventricular failure at the time of the decrease in Dl_co. Also, active muscle (limb) circumference and volume, and an increase in haematocrit from 43.8 (38.0–47.0) to 47.1 (42.7–49.8) (P <0.01), had normalized at the time of the decrease in Dl_co. Vital capacity, forced vital capacity, forced expiratory volume in 1 s, peak and peak mid‐expiratory flows did not change. However, total lung capacity increased from 6.8 (5.0–7.6) to 7.0 (5.1–7.8) litres (P <0.05) immediately after exercise and remained elevated at 6.9 (5.1–8.7) litres (P <0.05) when a decrease in Dl_co was noted. The results demonstrate that independent of the type of maximal exercise, an approximate 15% reduction in Dl_co takes place 2–3 h post‐exercise, which normalizes during the following day of recovery.     

12周苗鼓运动干预女大学生健康体适能的实验研究

目的旨在了解苗鼓运动干预对女大学生健康体适能的影响,为大学生体质健康提供参考,同时丰富校园文化生活,促进传统体育传承。方法随机抽取吉首大学普通专业女大学生30名,分为干预组、对照组各15人。除了体育课外,干预组进行65min/次、3次/周、共12周的苗鼓运动,对照组不进行额外运动。干预前后分别测试两组学生身体成分、心肺功能、柔韧性以及肌力等。组内比较采用配对t检验、组间比较采用独立T检验。结果(1)与干预前相比,干预组的FAT%由28.34%下降到23.43%,肌肉量由32.93kg增加到36.65kg,同时左右臂、躯干、左右腿肌肉量均显著增加(P<0.05);肺活量、最大摄氧量显著增加,安静时心率下降(P<0.05);上肢肩部、腰腹部柔韧性显著增加,下肢左右竖叉、横叉距离地面的距离减少(P<0.05);核心肌力由65.80s明显上升到92.93s,左右手握力、背力也均有所增加(P<0.05)。(2)干预后,与对照组相比,干预组FAT%显著降低,安静时心率显著降低(P<0.05),而肌肉量、左右臂、躯干、左右腿肌肉量、肺活量和最大摄氧量则显著增加(P<0.05),上肢、腰腹、下肢左右竖叉、横叉对比均显著性提升(P<0.05);握力、背力、核心肌力显著性增强(P<0.05)。结论12周苗鼓运动可以改善女大学生的身体成分,提高心肺功能,增强柔韧性及肌力、肌耐力,对健康体适能有促进作用,苗鼓运动对于大学生来说,是一种良好的锻炼与健身方式。     

The effects of substrate and fluid provision on thermoregulatory and metabolic responses to prolonged exercise in a hot environment

A high ambient temperature reduces the capacity to perform prolonged exercise. Total carbohydrate oxidation is less, and thus glycogen depletion is not limiting. Fluid ingestion in the heat should, therefore, focus on maintenance of hydration status rather than on substrate provision. Six healthy males cycled to exhaustion at 60% of maximum oxygen consumption (VO 2max ) with no drink, ingestion of a 15% carbohydrate-electrolyte drink (1.45 - 0.29 litres) or ingestion of a 2% carbohydrate-electrolyte drink (3.12 - 0.47 litres). The ambient temperature was 30.2 - 0.6°C (mean - s ), with a relative humidity of 71 - 1% and an air speed of approximately 0.7 m.s -1 on all trials. Weighted mean skin temperature, rectal temperature and heart rate were recorded and venous samples drawn for determination of plasma volume changes, blood metabolites, serum electrolytes and osmolality. Expired gas was collected to estimate rates of fuel oxidation. Exercise capacity was significantly ( P ? 0.05) different in all trials. The median (range) time to exhaustion was 70.9 min (39.4-97.4 min) in the no-drink trial, 84.0 min (62.7-145 min) in the 15% carbohydrate trial and 118 min (82.6-168 min) in the 2% carbohydrate trial. The 15% carbohydrate drink resulted in significantly ( P ? 0.05) elevated blood glucose and total carbohydrate oxidation compared with the no-drink trial. The 2% carbohydrate drink restored plasma volume to pre-exercise values by the end of exercise. No differences were observed in other thermoregulatory or cardiorespiratory responses between trials. These results suggest that fluid replacement with a large volume of a dilute carbohydrate drink is beneficial during exercise in the heat, but the precise mechanisms for the improved exercise capacity are unclear.     

The effects of substrate and fluid provision on thermoregulatory and metabolic responses to prolonged exercise in a hot environment

A high ambient temperature reduces the capacity to perform prolonged exercise. Total carbohydrate oxidation is less, and thus glycogen depletion is not limiting. Fluid ingestion in the heat should, therefore, focus on maintenance of hydration status rather than on substrate provision. Six healthy males cycled to exhaustion at 60% of maximum oxygen consumption (VO2max) with no drink, ingestion of a 15% carbohydrate-electrolyte drink (1.45+/-0.29 litres) or ingestion of a 2% carbohydrate-electrolyte drink (3.12+/-0.47 litres). The ambient temperature was 30.2+/-0.6 degrees C (mean +/- s), with a relative humidity of 71+/-1% and an air speed of approximately 0.7 m x s(-1) on all trials. Weighted mean skin temperature, rectal temperature and heart rate were recorded and venous samples drawn for determination of plasma volume changes, blood metabolites, serum electrolytes and osmolality. Expired gas was collected to estimate rates of fuel oxidation. Exercise capacity was significantly (P < 0.05) different in all trials. The median (range) time to exhaustion was 70.9 min (39.4-97.4 min) in the no-drink trial, 84.0 min (62.7-145 min) in the 15% carbohydrate trial and 118 min (82.6-168 min) in the 2% carbohydrate trial. The 15% carbohydrate drink resulted in significantly (P < 0.05) elevated blood glucose and total carbohydrate oxidation compared with the no-drink trial. The 2% carbohydrate drink restored plasma volume to pre-exercise values by the end of exercise. No differences were observed in other thermoregulatory or cardiorespiratory responses between trials. These results suggest that fluid replacement with a large volume of a dilute carbohydrate drink is beneficial during exercise in the heat, but the precise mechanisms for the improved exercise capacity are unclear.     

One-year endurance training: effects on lung function and airway inflammation

The aim of this study was to determine whether endurance training in athletes induces airway inflammation and pulmonary function disorders. Respiratory pattern and function were analysed in ten healthy endurance runners at rest, during sub-maximal exercise, and during the recovery. Inflammatory cells and metabolites (histamine, interleukin-8, and leukotriene E(4)) were measured in sputum at rest and after exercise. The experiments were conducted on three different occasions (basic endurance training, pre-competitive and competitive periods). In spite of the absence of post-exercise spirometric changes and respiratory symptoms, airway cells counts and inflammatory markers changed significantly. At the beginning of the experiment, athletes' induced sputum showed an abundance of macrophages compared with neutrophils. We found a high percentage of neutrophils during the pre-competitive and competitive periods of the sport season (41% and 37%), a significant increase in macrophage counts during the pre-competitive period (51%), and a significant rise in total cells, interleukin-8, leukotriene E(4), and histamine during the competitive period. In conclusion, one year's training increased markers of inflammation in the airways of endurance runners without symptoms or changes in pulmonary function, suggesting that airway inflammation is of insufficient magnitude to markedly impact lung function in healthy athletes.     

One-year endurance training: Effects on lung function and airway inflammation

Abstract

The aim of this study was to determine whether endurance training in athletes induces airway inflammation and pulmonary function disorders. Respiratory pattern and function were analysed in ten healthy endurance runners at rest, during sub-maximal exercise, and during the recovery. Inflammatory cells and metabolites (histamine, interleukin-8, and leukotriene E₄) were measured in sputum at rest and after exercise. The experiments were conducted on three different occasions (basic endurance training, pre-competitive and competitive periods). In spite of the absence of post-exercise spirometric changes and respiratory symptoms, airway cells counts and inflammatory markers changed significantly. At the beginning of the experiment, athletes' induced sputum showed an abundance of macrophages compared with neutrophils. We found a high percentage of neutrophils during the pre-competitive and competitive periods of the sport season (41% and 37%), a significant increase in macrophage counts during the pre-competitive period (51%), and a significant rise in total cells, interleukin-8, leukotriene E₄, and histamine during the competitive period. In conclusion, one year's training increased markers of inflammation in the airways of endurance runners without symptoms or changes in pulmonary function, suggesting that airway inflammation is of insufficient magnitude to markedly impact lung function in healthy athletes.     

Six Minute Walk Test in People with Tuberculosis Sequelae

Background & Purpose: Tuberculosis is an infectious disease that affects the lungs and results in poor lung compliance secondary to diffuse fibrotic changes to lung tissue. Consequently, people with pulmonary tuberculosis experience impaired gas exchange resulting in a decline in functional capacity. The purpose of this study was to evaluate the physical functional capacity (VO₂max) in a group of older (50 – 65 years) people with pulmonary tuberculosis and to compare them to an age-matched healthy group. A secondary purpose was to develop reference equations that could be used to predict 6 minute walk test (6MWT) distance in older, healthy people in India. Methods: Sixty healthy subjects (30 male and 30 female) and 60 subjects with a diagnosis of pulmonary tuberculosis (30 male and 30 female) participated in the study. All subjects underwent a 6MWT. Walk-work was calculated and used for evaluating functional capacity. Group comparison for functional capacity was done using 2-tailed t-tests. Pearson product correlation was used to examine for significant relationships and regression analysis was used to derive reference equations. Results: There was a significant difference between groups in regard to functional capacity and 6MWT distance (p < 0.001). Reference equations were developed that use age, height, and weight as predictors for 6MWT distance in the healthy group. Conclusion: The sequelae from pulmonary tuberculosis have considerable impact on functional capacity in older people in India.Key Words: six minute walk test, tuberculosis, functional capacity     

Repeated exercise stress impairs volitional but not magnetically evoked electromechanical delay of the knee flexors

The effects of serial episodes of fatigue and recovery on volitional and magnetically evoked neuromuscular performance of the knee flexors were assessed in 20 female soccer players during: (i) an intervention comprising 4 × 35 s maximal static exercise, and (ii) a control condition. Volitional peak force was impaired progressively (-16% vs. baseline: 235.3 ± 54.7 to 198.1 ± 38.5 N) by the fatiguing exercise and recovered to within -97% of baseline values following 6 min of rest. Evoked peak twitch force was diminished subsequent to the fourth episode of exercise (23.3%: 21.4 ± 13.8 vs. 16.4 ± 14.6 N) and remained impaired at this level throughout the recovery. Impairment of volitional electromechanical delay performance following the first episode of exercise (25.5%: 55.3 ± 11.9 vs. 69.5 ± 24.5 ms) contrasted with concurrent improvement (10.0%: 24.5 ± 4.7 vs. 22.1 ± 5.0 ms) in evoked electromechanical delay (P < 0.05), and this increased disparity between evoked and volitional electromechanical delay remained during subsequent periods of intervention and recovery. The fatiguing exercise provoked substantial impairments to volitional strength and volitional electromechanical delay that showed differential patterns of recovery. However, improved evoked electromechanical delay performance might identify a dormant capability for optimal muscle responses during acute stressful exercise and an improved capacity to maintain dynamic joint stability during critical episodes of loading.     

Exhaled nitric oxide in single and repetitive prolonged exercise

This study was performed to determine the influence of single and repetitive exercise on nitric oxide (NO) concentration in the lung. Exhaled NO concentration (FE(NO)) was measured during a constant-flow exhalation manoeuvre (170 ml x s(-1), against a 10 cmH2O resistance) in healthy individuals (a) during and after a 100-min square-wave exercise of between 25 and 60% of maximal power output (n = 18) and (b) before and after five successive prolonged exercises (90-120 min, 75-85% of maximal heart rate) separated by 48 or 24 h (n = 8). The FE(NO0.170) was decreased during and after the 100-min exercise test (mean +/- s(x): 58.5 +/- 3.7% and 76.7 +/- 5.2% of resting value at 90 min of exercise and 15 min post-exercise, respectively; P < 0.05). The five successive exercise sessions induced a similar post-exercise FE(NO0.170) decrement (73.1 +/- 2.9% of resting value 15 min post-exercise), while basal FE(NO0.170) values were not different between the five sessions (P > 0.05). These results suggest that prolonged exercise induces a reduction in NO concentration within the lung that lasts for several minutes after the end of exercise. However, repetitive exercises (at least every 24 h) allow complete NO recovery from one session to another. The implication of such a decrease in NO availability within the lung remains to be clarified.     

Recovery Responses to Maximal Exercise in Healthy-Weight Children and Children With Obesity

Purpose: The purpose of this study was to examine differences in heart rate recovery (HRRec) and oxygen consumption recovery (VO₂ recovery) between young healthy-weight children and children with obesity following a maximal volitional graded exercise test (GXTmax). Method: Twenty healthy-weight children and 13 children with obesity completed body composition testing and performed a GXTmax. Immediately after the GXTmax, HRRec and VO₂ recovery were measured each minute for 5 consecutive minutes. Results: There were no statistically significant group differences in HRRec for the 5 min following maximal exercise, Wilks’s Lambda = .885, F(4, 28) = 0.911, p = .471, between the healthy-weight children and children with obesity despite statistically significant differences in body fat percentage (BF%; healthy-weight children, 18.5 ± 6.1%; children with obesity, 41.1 ± 6.9%, p < .001) and aerobic capacity relative to body mass (VO₂ peak; healthy-weight children, 46.8 ± 8.2 mL/kg/min; children with obesity, 31.9 ± 4.7 mL/kg/min, p < .001). There were statistically significant differences in VO₂ recovery for the 5 min following exercise, Wilks’s Lambda = .676, F(4, 26) = 3.117, p = .032. There were no statistically significant correlations between HRRec and body mass index (BMI), BF%, VO₂peak, or physical activity. Conclusions: In a healthy pediatric population, obesity alone does not seem to significantly impact HRRec, and because HRRec was not related to obesity status, BMI, or BF%, it should not be used as the sole indicator of aerobic capacity or health status in children. Using more than one recovery variable (i.e., HRRec and VO₂ recovery) may provide greater insight into cardiorespiratory fitness in this population.