Abstract

PurposeTo investigate whether a metabolic cart using a flowmeter in the upper range of accepted resistance to airflow (<1.5 cmH2O∙L−1∙s−1 for flows up to 14 L∙s−1, American Thoracic Society) negatively impacts exercise performance in healthy individuals.Methods16 recreationally active males (age 25 ± 1 years, height 180 ± 6 cm, weight 73.5 ± 5.8 kg, all mean ± SD) performed two incremental tests on a bicycle ergometer on each of two visits, using a metabolic cart with a flowmeter of either low (Oxycon Pro) or high (Innocor) airflow resistance. Mouth pressures, gas exchange, blood lactate concentration [La−], perception of breathlessness, respiratory, and leg exertion were assessed throughout the tests.ResultsTests performed with the Innocor were significantly shorter (15.3 ± 3.2 vs. 15.8 ± 3.3 min, p < 0.0001) and showed higher maximal flow resistance (1.3 ± 0.2 vs. 0.3 ± 0.0 cmH2O∙L−1∙s−1, p < 0.0001). At end‐exercise, peak oxygen consumption (−200 ± 220 ml.min−1, p < 0.0001), minute ventilation (−19.9 ± 10.5 L.min−1, p < 0.0001), breathing frequency (−5.4 ± 5.2 breaths.min−1, p < 0.0001), heart rate (−2.1 ± 3.6 bpm, p = 0.002) and [La−] (−0.7 ± 1.0 mmol.L−1, p < 0.0001), but not tidal volume (−0.1 ± 0.2 L, p = 0.172) were lower with the Innocor, while the perception of breathlessness was higher (+3.8 ± 5.1 points, p < 0.0001).ConclusionsAirflow resistance in the upper range of current guidelines can significantly affect exercise performance and respiratory pattern in young, healthy males during incremental exercise. The present results indicate the need to revisit guidelines for devices used in ergospirometry.

Highlights

  • Metabolic carts require a participant to breathe through a mask or mouthpiece which channels the inspired and expired air through different sensors in order to determine respiratory flow, volume, and gas fractions

  • The current guidelines for spirometry recommend that flowmeters produce resistances

  • The measurement of gas exchange during ergospirometry requires an additional valve, which further increases resistance, placing the device at the upper range of what is considered acceptable by current guidelines

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Summary

Introduction

Metabolic carts require a participant to breathe through a mask or mouthpiece which channels the inspired and expired air through different sensors in order to determine respiratory flow, volume, and gas fractions. The current guidelines for spirometry recommend that flowmeters produce resistances

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