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Hervé Assadi and Romuald Lepers

Purposes:

To compare the physiological responses and maximal aerobic running velocity (MAV) during an incremental intermittent (45-s run/15-s rest) field test (45-15FIT) vs an incremental continuous treadmill test (TR) and to demonstrate that the MAV obtained during 45-15FIT (MAV45-15) was relevant to elicit a high percentage of maximal oxygen uptake (VO2max) during a 30-s/30-s intermittent training session.

Methods:

Oxygen uptake (VO2), heart rate (HR), and lactate concentration ([La]) were measured in 20 subjects during 2 maximal incremental tests and four 15-min intermittent tests. The time spent above 90% and 95% VO2max (t90% and t95% VO2max, respectively) was determined.

Results:

Maximal physiological parameters were similar during the 45-15FIT and TR tests (VO2max 58.6 ± 5.9 mL · kg−1 · min−1 for TR vs 58.5 ± 7.0 mL · kg−1 · min−1 for 45-15FIT; HRmax 200 ± 8 beats/min for TR vs 201 ± 7 beats/min for 45-15FIT). MAV45-15 was significantly (P < .001) greater than MAVTR (17.7 ± 1.1 vs 15.6 ± 1.4 km/h). t90% and t95% VO2max during the 30-s/30-s performed at MAVTR were significantly (P < .01) lower than during the 30-s/30-s performed at MAV45-15. Similar VO2 during intermittent tests performed at MAV45-15 and at MAVTR can be obtained by reducing the recovery time or using active recovery.

Conclusions:

The results suggested that the 45-15FIT is an accurate field test to determine VO2max and that MAV45-15 can be used during high-intensity intermittent training such as 30-s runs interspersed with 30-s rests (30-s/30-s) to elicit a high percentage of VO2max.

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Denise M. Roche, Sarah Edmunds, Tim Cable, Mo Didi and Gareth Stratton

No studies to date have evaluated the relationship between exercise and microvascular function in youth with type 1 diabetes mellitus (T1DM). Twenty-nine complication free children and adolescents with T1DM were assessed for skin microvascular reactivity, aerobic fitness (VO2peak) and physical activity. VO2peak but not physical activity was significantly and independently associated with maximal hyperemia of the skin microcirculation (p < .01). No significant associations were found between venoarte-riolar reflex (VAR) vasoconstriction and VO2peak or physical activity. Aerobic fitness may be an important indicator or mediator of effective microvascular endothelial function in youth with T1DM.

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Colleen M. Grossner, Emily M. Johnson and Marco E. Cabrera

Differences in oxygen uptake (VO2) relative to body mass between children and adults walking or running at a given speed might be the result of body size differences. In order to determine whether body size is the main factor affecting these differences in VO2 per kg, we investigated treadmill economy in 10 female adolescents (girls) and 10 women who were matched for body size. There were no significant differences between groups in anthropometrics, stride frequency, or VO2peak. Mean mass-specific VO2 was not significantly different during walking (girls: 12.3 ± 1.7 ml·kg-1·min-1; women: 10.9 ± 1.4 ml·kg-1·min-1) or running (girls: 30.5 ± 3.5 ml·kg-1·min-1; women: 29.0 ± 2.0 ml·kg-1·min-1). Body size appears to have the largest effect on oxygen cost differences usually seen between girls and women during locomotion.

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Kathleen M. Shuleva, Gary R. Hunter, Donna J. Hester and Donna L. Dunaway

This study compared submaximal and maximal oxygen uptake (V̇O2 max) in children ages 3–4 and 5–6 years. Methods appropriate for this age group were developed to elicit maximal performance on the exercise tests. Subjects (N = 22) performed progressive treadmill walking tests. The criteria used to determine whether V̇O2 max was reached were a plateauing of oxygen uptake, HR > 195, and an R > 1.00. The V̇O2 max for the 3- and 4-year-olds (44.5 ml•kg−1•min−1) was not significantly different from that of the 5- and 6-year-olds (44.1 ml•kg−1•min−1). At submaximal levels, 5- and 6-year-olds had significantly lower relative oxygen uptake, indicating better economy in walking. A large proportion of children met testing criteria for V̇O2 max. Test-retest results indicated that the tests were reliable.

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Joanne R. Williams and Neil Armstrong

A total of 100 boys and 91 girls, ages 11 to 16 years, completed a discontinuous treadmill test to voluntary exhaustion to determine the oxygen uptake/blood lactate relationship. Maturational stage was assessed in 72 boys and 47 girls using Tanner’s indices. Mean blood lactate at peak VO2 was significantly higher in the girls compared to the boys (6.1 vs. 5.8 mmol•l-1, P<0.01). Lactate at peak VO2 and percent peak VO2 at 4.0 mmol•l-1 were not significantly correlated with chronological age (p>0.05) in either sex, although a relationship was obtained between chronological age and percent peak VO2 at 2.5 mmol•l-“1 for boys (r= ‒0.226, p<.05) and girls (r= ‒0.272, p0.05). Analysis of variance revealed no significant changes (p>0.05) in any of the lactate variables examined with progression through the Tanner stages of maturity.

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Kenneth H. Pitetti and Bo Fernhall

The purpose of this study was to evaluate the relationship between aerobic capacity (VO2peak) and leg strength of male (n = 17) and female (n = 12) youths (age = 14.2 ± 2.1 years) with mild to moderate mental retardation. Aerobic capacity was determined by a treadmill test (GXT) and isokinetic knee flexion and extension strength (peak torque, peak force, average force) was determined by isokinetic dynamometry. Results indicate that significant positive relationships (p < .05) exist between VO2peak (ml · min−1 · kg−1) and isokinetic leg strength expressed relative to body weight. The results indicate that leg strength is a contributor to aerobic fitness in youths with mental retardation. Additionally, when considering the low levels of both strength and VO2peak, leg strength may be a limiting factor of VO2peak in these youths, or the relationship may be explained by the concept of metabolic nonspecialization.

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Hye-Ryun Hong, Jin-Kyung Cho, Ji-Young Lee, Jin-Koo Park and Hyun-Sik Kang

The present study investigated the relationships among metabolic risk factors, major lifestyle factors, and serum cytokines in a sample of Korean children. In a cross-sectional design, we studied a total of 275 children (130 boys and 145 girls) aged 12–13 years. Measured variables included anthropometrics, blood pressures (BP), VO2max, physical activity (PA), dietary intakes, lipids, glucose, and insulin. We explored the extent to which dietary intakes, VO2max, PA, and serum cytokines explained variance in a clustered risk score, which is a sum of Z scores for waist circumference, BP, TG, HDLC, and HOMA-IR, using a stepwise linear regression by blocks. VO2max, vigorous PA (VPA), and leptin were independent predictors for the clustered risk score while adjusting for age and Tanner stage. Our findings suggest that the clustered risk score is associated not only with low levels of VO2max and VPA, but also with elevated serum leptin in Korean children.

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K. Fiona Iredale and Myra A. Nimmo

Thirty-three men (age 26–55 years) who did not exercise regularly were exercised to exhaustion using an incremental treadmill protocol. Blood lactate concentration was measured to identify lactate threshold (LT, oxygen consumption at which blood lactate concentration begins to systematically increase). The correlation coefficient for LT (ml · kg−1 · min−1) with age was not significant, but when LT was expressed as a percentage of peak oxygen consumption (VO2 peak), the correlation was r = +.69 (p < .01). This was despite a lack of significant correlation between age and VO2 peak (r = −.33). The correlation between reserve capacity (the difference between VO2 peak and LT) and age was r = −.73 (p < .01 ), and reserve capacity decreased at a rate of 3.1 ml · kg−1 · min−1 per decade. It was concluded that the percentage of VO2 peak at which LT occurs increases progressively with age, with a resultant decrease in reserve capacity.

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Thomas Rowland, Gregory Kline, Donna Goff, Leslie Martel and Lisa Ferrone

Little is known regarding the physiological determinants of maximal oxygen uptake (VO2max) in children. A group of 39 healthy sixth-grade boys (mean age, 12.2 years) underwent maximal cycle testing with determination of cardiovascular factors using Doppler echocardiography as well as standard gas exchange variables. Maximal stroke index was related to VO2max/kg (r=0.52, p < .05), but no relationship was observed between VO2max/kg and either maximal heart rate or calculated maximal arteriovenous oxygen difference. Values of maximal stroke index were closely related to those at rest (r = 0.67). These findings suggest that factors influencing resting stroke volume are primarily responsible for inter-individual differences in VO2max per kg in healthy, non-athletically-trained boys.

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Kennon Francis, Scott Hopkins and Ronald Feinstein

This study was conducted to determine if VO2, of stepping in children is affected by altering the step platform height based on leg length. The effect of leg length on VO2 and heart rate (HR) during stepping was examined in 19 children, ages 8–17, who stepped onto 5 different bench heights that corresponded to hip angles of 65°, 73°, 82°, 90°, or 98°. VO2 and HR response to a work load of 8 m · min−1 assumed a U-shaped curve with 82° assuming the lowest point of the curve. Efficiency of stepping was significantly higher at 82° when compared to the other hip angles. It was concluded that VO2 and HR in children is influenced by leg length during stepping, and there is an optimum step height for stepping that can be determined from the ratio of leg length to stature.