Abstract

PurposeKinetics of cardiorespiratory parameters (CRP) in response to work rate (WR) changes are evaluated by pseudo-random binary sequences (PRBS testing). In this study, two algorithms were applied to convert responses from PRBS testing into appropriate impulse responses to predict steady states values and responses to incremental increases in exercise intensity.Methods13 individuals (age: 41 ± 9 years, BMI: 23.8 ± 3.7 kg m−2), completing an exercise test protocol, comprising a section of randomized changes of 30 W and 80 W (PRBS), two phases of constant WR at 30 W and 80 W and incremental WR until subjective fatigue, were included in the analysis. Ventilation (dot{V}_{{text{E}}}), O2 uptake (dot{V}{text{O}}_{2}), CO2 output (dot{V}{text{CO}}_{2}) and heart rate (HR) were monitored. Impulse responses were calculated in the time domain and in the frequency domain from the cross-correlations of WR and the respective CRP.ResultsThe algorithm in the time domain allows better prediction for dot{V}{text{O}}_{2} and dot{V}{text{CO}}_{2}, whereas for dot{V}_{{text{E}}} and HR the results were similar for both algorithms. Best predictions were found for dot{V}{text{O}}_{2} and HR with higher (3–4%) 30 W steady states and lower (1–4%) values for 80 W. Tendencies were found in the residuals between predicted and measured data.ConclusionThe CRP kinetics, resulting from PRBS testing, are qualified to assess steady states within the applied WR range. Below the ventilatory threshold, dot{V}{text{O}}_{2} and HR responses to incrementally increasing exercise intensities can be sufficiently predicted.

Highlights

  • The response of cardio-respiratory parameters (CRP), such as oxygen uptake (V O2 ), ventilation (V E ), ­CO2 output (V CO2 ) and heart rate (HR) to changes in work rate (WR) are measured during cardio-pulmonary exercise tests

  • The averaging over the individual results with potential time-delays may result in a further smoothing of the signal. In this interval (0 < t ≤ 10 s), hTD(t) of HR showed the fastest response followed by the responses of V O2 and, V E and V CO2

  • For hFD(t), different observations can be summarized: hFD(t) of HR started less steep and the maximum for hFD(t) of V O2 is much higher compared to hTD(t) of V O2

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Summary

Introduction

The response of cardio-respiratory parameters (CRP), such as oxygen uptake (V O2 ), ventilation (V E ), ­CO2 output (V CO2 ) and heart rate (HR) to changes in work rate (WR) are measured during cardio-pulmonary exercise tests. From these data, the regulation of aerobic metabolism, ventilation and the cardio-vascular system can be derived (see Poole and Jones 2012 for a comprehensive overview). The description of these systems allows to identify the influence of factors such as type of exercise (Koschate et al 2019a, b), ambient conditions (Drescher et al 2018) and individual characteristics, e. The combination of exercise tests with information from other non-invasive methods to assess cardiovascular data, e. g. continuous blood pressure measurements, cardiac output and pulse-oximetry, can improve the diagnostic outcome (Oyake et al 2021)

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