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Richard Frazee, Denis Brunt and Robert F. Castle

This paper describes the exercise tolerance of a young girl with a congenital heart defect associated with asplenia syndrome. The child was exercised minimally on a treadmill for a period of 10 minutes, during which time heart rate, blood pressure, ECG, and transcutaneous PO2 values were monitored. Due to a small increase in heart rate and a very low PO2 during exercise, it was suggested that some adaptive mechanism had been developed to counteract her cyanotic condition. An optimal increase in hematocrit and hemoglobin levels supported this. No ECG abnormalities were noted. It was concluded that this child should have some, but minimal, involvement in physical education programs despite the severity of her condition.

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Kazuto Omiya, Yoshihiro J Akashi, Kihei Yoneyama, Naohiko Osada, Kazuhiko Tanabe and Fumihiko Miyake

The aim of this study was to clarify the mechanism of impaired exercise tolerance in chronic sleep-restricted conditions by investigating variables related to heart-rate (HR) response to sympathetic nervous stimulation. Sixteen healthy men (mean age 21.5 years) were tested in a control state, acute sleep-loss state, and chronic sleeprestricted state. Participants underwent cardiopulmonary exercise testing in each state. Their norepinephrine (NE) concentration was measured before and immediately after exercise. Intracellular magnesium (Mg) concentration was measured in a resting state. Exercise duration was shorter and the ratio of HR response to the percentage increase in NE was higher in the chronic sleep-restricted state than in the control state. Intracellular Mg gradually decreased from control to chronic sleep restriction. There was a negative correlation between peak exercise duration and the ratios of HR response to the rate of increase in NE. Intracellular Mg was positively correlated with the ratios of HR response to the increase in NE both in control and in acute sleep loss. The authors conclude that the impaired exercise tolerance in a chronic sleep-restricted state is caused by hypersensitivity of the HR response to sympathetic nervous stimulation, which showed a compensation for decreased intracellular Mg concentration.

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Naiandra Dittrich, Ricardo Dantas de Lucas, Ralph Beneke and Luiz Guilherme Antonacci Guglielmo

The purpose of this study was to determine and compare the time to exhaustion (TE) and the physiological responses at continuous and intermittent (ratio 5:1) maximal lactate steady state (MLSS) in well-trained runners. Ten athletes (32.7 ± 6.9 y, VO2max 61.7 ± 3.9 mL · kg−1 · min−1) performed an incremental treadmill test, three to five 30-min constant-speed tests to determine the MLSS continuous and intermittent (5 min of running, interspaced by 1 min of passive rest), and 2 randomized TE tests at such intensities. Two-way ANOVA with repeated measures was used to compare the changes in physiological variables during the TE tests and between continuous and intermittent exercise. The intermittent MLSS velocity (MLSSint = 15.26 ± 0.97 km/h) was higher than in the continuous model (MLSScon = 14.53 ± 0.93 km/h), while the TE at MLSScon was longer than MLSSint (68 ± 11 min and 58 ± 15 min, P < .05). Regarding the cardiorespiratory responses, VO2 and respiratory-exchange ratio remained stable during both TE tests while heart rate, ventilation, and rating of perceived exertion presented a significant increase in the last portion of the tests. The results showed a higher tolerance to exercising during MLSScon than during MLSSint in trained runners. Thus, the training volume of an extensive interval session (ratio 5:1) designed at MLSS intensity should take into consideration this higher speed at MLSS and also the lower TE than with continuous exercise.

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David B. Creel, Leslie M. Schuh, Robert L. Newton Jr, Joseph J. Stote and Brenda M. Cacucci

Little is known about the cardiorespiratory fitness of patients awaiting bariatric surgery. Although it can be assumed that exercise endurance is limited among the morbidly obese individuals, few investigators have quantified these limitations. Those studies that have examined exercise tolerance

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Bhanu Sharma and Brian W. Timmons

used to monitor exercise tolerance and symptom resolution ( 11 , 14 , 42 , 48 – 50 , 52 , 53 ). In a convenience sample of concussed college athletes, relative to historical healthy controls, the odds of a shorter treadmill test (namely, a treadmill test terminated early due to symptom exacerbation

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David Giles, Joel B. Chidley, Nicola Taylor, Ollie Torr, Josh Hadley, Tom Randall and Simon Fryer

climbing performance, 12 , 13 there is a need for ecologically validated tests within the sport. Determining finger flexor CF would be advantageous in understanding exercise tolerance in climbers, and determining optimal training prescription and monitoring. Therefore, the present study aims to determine

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Aleksandar Sovtic, Predrag Minic, Jovan Kosutic, Gordana Markovic-Sovtic and Milan Gajic

The modified Chrispin-Norman radiography score (CNS) is used in evaluation of radiographic changes in children with cystic fibrosis (CF). We evaluated the correlation of modified CNS with peak exercise capacity (Wpeak) and ventilatory efficiency (reflected by breathing reserve index—BRI) during progressive cardiopulmonary exercise testing (CPET). Thirty-six children aged 8–17 years were stratified according to their CNS into 3 groups: mild (<10), moderate (10–15), and severe (>15). CPET was performed on a cycle ergometer. Lung function tests included spirometry and whole-body plethysmography. Patients with higher CNS had lower FEV1 (p < .001), Wpeak predicted (%; p = .01) and lower mean peak oxygen consumption (VO2peak/kg; p = .014). The BRI at the anaerobic threshold and at Wpeak was elevated in patients with the highest CNS values (p < .001). The modified CNS correlates moderately with Wpeak (R = −0.443; p = .007) and BRI (R = −0.419; p = .011). Stepwise multiple linear regression showed that RV/TLC was the best predictor of Wpeak/pred (%; B = −0.165; b = −0.494; R2 = .244; p = .002). Children with CF who have high modified CNS exhibit decreased exercise tolerance and ventilatory inefficacy during progressive effort.

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Mark Hayes, Paul C. Castle, Emma Z. Ross and Neil S. Maxwell


To examine the effect of a hot humid (HH) compared with a hot dry (HD) environment, matched for heat stress, on intermittent-sprint performance. In comparison with HD, HH environments compromise evaporative heat loss and decrease exercise tolerance. It was hypothesized that HH would produce greater physiological strain and reduce intermittent-sprint exercise performance compared with HD.


Eleven male team-sport players completed the cycling intermittent-sprint protocol (CISP) in 3 conditions, temperate (TEMP; 21.2°C ± 1.3°C, 48.6% ± 8.4% relative humidity [rh]), HH (33.7°C ± 0.5°C, 78.2% ± 2.3% rh), and HD (40.2°C ± 0.2°C, 33.1% ± 4.9% rh), with both heat conditions matched for heat stress.


All participants completed the CISP in TEMP, but 3 failed to completed the full protocol of 20 sprints in HH and HD. Peak power output declined in all conditions (P < .05) but was not different between any condition (sprints 1–14 [N = 11]: HH 1073 ± 150 W, HD 1104 ± 127 W, TEMP, 1074 ± 134; sprints 15–20 [N = 8]: HH 954 ± 114 W, HD 997 ± 115 W, TEMP 993 ± 94; P > .05). Physiological strain was not significantly different in HH compared with HD, but HH was higher than TEMP (P < .05).


Intermittent-sprint exercise performance of 40 min duration is impaired, but it is not different in HH and HD environments matched for heat stress despite evidence of a trend toward greater physiological strain in an HH environment.

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Stephen A. Ingham, Barry W. Fudge, Jamie S. Pringle and Andrew M. Jones

Prior high-intensity exercise increases the oxidative energy contribution to subsequent exercise and may enhance exercise tolerance. The potential impact of a high-intensity warm-up on competitive performance, however, has not been investigated.


To test the hypothesis that a high-intensity warm-up would speed VO2 kinetics and enhance 800-m running performance in well-trained athletes.


Eleven highly trained middle-distance runners completed two 800-m time trials on separate days on an indoor track, preceded by 2 different warm-up procedures. The 800-m time trials were preceded by a 10-min self-paced jog and standardized mobility drills, followed by either 6 × 50-m strides (control [CON]) or 2 × 50-m strides and a continuous high-intensity 200-m run (HWU) at race pace. Blood [La] was measured before the time trials, and VO2 was measured breath by breath throughout exercise.


800-m time-trial performance was significantly faster after HWU (124.5 ± 8.3 vs CON, 125.7 ± 8.7 s, P < .05). Blood [La] was greater after HWU (3.6 ± 1.9 vs CON, 1.7 ± 0.8 mM; P < .01). The mean response time for VO2 was not different between conditions (HWU, 27 ± 6 vs CON, 28 ± 7 s), but total O2 consumed (HWU, 119 ± 18 vs CON, 109 ± 28 ml/kg, P = .05) and peak VO2 attained (HWU, 4.21 ± 0.85 vs CON, 3.91 ± 0.63 L/min; P = .08) tended to be greater after HWU.


These data indicate that a sustained high-intensity warm-up enhances 800-m time-trial performance in trained athletes.

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296 314 10.1123/apaq.1.4.296 Physical Activity as a Reinforcer in Physical Education Barry Lavay * 10 1984 1 4 315 321 10.1123/apaq.1.4.315 Exercise Tolerance Level of a Young Child with Congenital Heart Disease Associated with Asplenia Syndrome Richard Frazee * Denis Brunt Robert F. Castle 10