Mechanical ventilatory constraints during incremental exercise in healthy and cystic fibrosis children.

AIM: To analyze breathing pattern and mechanical ventilatory constraints during incremental exercise in healthy and cystic fibrosis (CF) children. METHODS: Thirteen healthy children and 6 children with cystic fibrosis volunteered to perform an incremental test on a treadmill. Exercise tidal flow/volume loops were plotted every minute within a maximal flow/volume loop (MFVL). Expiratory flow limitation (expFL expressed in %Vt) was evaluated and end-expiratory and end-inspiratory lung volumes (EELV and EILV) were estimated from expiratory reserve volume relative to vital capacity (ERV/FVC) and from inspiratory reserve volume relative to vital capacity (IRV/FVC). RESULTS: During the incremental exercise, expFL was first observed at 40% of maximal aerobic speed in both groups. At maximal exercise, 46% of healthy children and 83% of CF children presented expFL, without significant effect of cystic fibrosis on the severity of expFL. According to the two-way ANOVA results, both groups adopted similar breathing pattern and breathing strategies as no significant effect of CF has been revealed. But, according to one-way ANOVA results, a significant increase of ERV/FVC associated with a significant decrease of IRV/FVC from resting value shave been observed in healthy children at maximal exercise, but not in CF children. DISCUSSION: The hypothesis of this study was based on the assumption that mild cystic fibrosis could induce more frequent and more severe mechanical ventilatory constraints due to pulmonary impairment and breathing pattern disturbances. But, this study did not succeed to highlight an effect of mild cystic fibrosis on the mechanical ventilatory constraints (expFL and dynamic hyperinflation) that occur during an incremental exercise. This absence of effect could be due to the absence of an impact of the disease on spirometric data, breathing pattern regulation during exercise and breathing strategy.

Effects of recovery mode (active vs. passive) on performance during a short high-intensity interval training program: a longitudinal study.

The aim of this longitudinal study was to compare two recovery modes (active vs. passive) during a seven-week high-intensity interval training program (SWHITP) aimed to improve maximal oxygen uptake ([Formula: see text]), maximal aerobic velocity (MAV), time to exhaustion (t lim) and time spent at a high percentage of [Formula: see text], i.e., above 90 % (t90 [Formula: see text]) and 95 % (t95 [Formula: see text]) of [Formula: see text]. Twenty-four adults were randomly assigned to a control group that did not train (CG, n = 6) and two training groups: intermittent exercise (30 s exercise/30 s recovery) with active (IEA, n = 9) or passive recovery (IEP, n = 9). Before and after seven weeks with (IEA and IEP) or without (CG) high-intensity interval training (HIT) program, all subjects performed a maximal graded test to determine their [Formula: see text] and MAV. Subsequently only the subjects of IEA and IEP groups carried out an intermittent exercise test consisting of repeating as long as possible 30 s intensive runs at 105 % of MAV alternating with 30 s active recovery at 50 % of MAV (IEA) or 30 s passive recovery (IEP). Within IEA and IEP, mean t lim and MAV significantly increased between the onset and the end of the SWHITP and no significant difference was found in t90 VO2max and t95 VO2max. Furthermore, before and after the SWHITP, passive recovery allowed a longer t lim for a similar time spent at a high percentage of VO2max. Finally, within IEA, but not in IEP, mean VO2max increased significantly between the onset and the end of the SWHITP both in absolute (p < 0.01) and relative values (p < 0.05). In conclusion, our results showed a significant increase in VO2max after a SWHITP with active recovery in spite of the fact that t lim was significantly longer (more than twice longer) with respect to passive recovery.

Comparison of mechanical ventilatory constraints between continuous and intermittent exercises in healthy prepubescent children.

BACKGROUND: The aim of this study was to evaluate the occurrence and severity of mechanical ventilatory constraints in healthy prepubescent children during continuous and intermittent exercise. METHODS: Twelve prepubescent children (7-11 years old) performed 7 exercises on a treadmill: one graded test for the determination of maximal aerobic speed (MAS), three continuous exercises (CE) at 60, 70, and 80% of MAS and three intermittent exercises (IE), alternating 15 sec of exercise with 15 sec of passive recovery, at 90, 100, and 110% of MAS. During each CE and IE, tidal flow/volume loops were plotted within a maximal flow/volume loop (MFVL) measured at rest before each exercise. Expiratory flow limitation (expFL expressed in %Vt) was defined as the part of exercise tidal volume (Vt) meeting the boundary of MFVL. Breathing strategy was estimated by measuring inspiratory capacity relative to forced vital capacity and tidal volume relative to inspiratory capacity. Other breathing pattern parameters (ventilation VE, Vt, respiratory frequency f) were continuously recorded during exercise. RESULTS: An "intensity" effect was found for VE during CE (P < 0.001) but not during IE (P = 0.08). The increase in VE was predominantly assumed by an increase in f for both exercise modalities. During each exercise, several children heterogeneously experienced expFL ranging between 10 and 90%Vt. For all exercises, Vt was predominantly regulated by an increase in Vt/IC with no change in IC/FVC from rest to exercise. Finally, no significant "modality" effect was found for mechanical ventilatory constraint parameters (expFL, Vt/IC, and IC/FVC). DISCUSSION: We could conclude that neither of the modalities studied induced more mechanical ventilatory constraints than the other, but that exercise intensities specific to each modality might be greater sources of exacerbation for mechanical ventilatory constraints.

Effects of playing surface (hard and clay courts) on heart rate and blood lactate during tennis matches played by high-level players.

The aim of this study was to compare tennis matches played on clay (CL) and resin (R) courts. Six matches were played (3 on CL courts and 3 on R courts) by 6 high-level players. Heart rate (HR) was monitored continuously while running time (4.66 m), and blood lactate concentration ([La]) were measured every 4 games. Mean duration of points and effective playing time (EPT) were measured for each match. Mean HR (154 ± 12 vs. 141 ± 9 b · min(-1)) and [La] values (5.7 ± 1.8 vs. 3.6 ± 1.2 mmol · L(-1)) were significantly higher on CL (p < 0.05). The [La] increased significantly during the match on CL court. Mean duration of rallies (8.5 ± 0.2 vs. 5.9 ± 0.5 seconds) and EPT (26.2 ± 1.9 vs. 19.5 ± 2.0%) were significantly longer (p < 0.05) on CL. Running time values in speed tests were not significantly different between CL and R. Running time performance was not significantly decreased during the match, whatever the playing surface. This study shows that the court surface influences the characteristics of the match and the player's physiological responses. The court surface should be a key factor for consideration when coaches determine specific training programs for high-level tennis players.

Assessment of child-specific aerobic fitness and anaerobic capacity by the use of the power-time relationships constants.

This study first aimed to compare critical power (CP) and anaerobic work capacity (AWC), to laboratory standard evaluation methods such as maximal oxygen uptake (VO(2)max) and maximal accumulated oxygen deficit (MAOD). Secondly, this study compared child and adult CP and AWC values. Subjects performed a maximal graded test to determine VO(2)max and maximal aerobic power (MAP); and four constant load exercises. In children, CP (W * kg(-1)) was related to VO(2)max (ml * kg(-1) * min(-1); r = .68; p = .004). AWC (J * kg(-1) in children was related to MAOD (r = .58; p = .018). Children presented lower AWC (J * kg(-1); p = .001) than adults, but similar CP (%MAP) values. CP (%MAP and W * kg(-1) and AWC (J * kg(-1) were significantly related to laboratory standard evaluation methods but low correlation indicated that they cannot be used interchangeably. CP (%MAP) was similar in children and adults, but AWC (J * kg(-1) was significantly lower in children. These conclusions support existing knowledge related to child-adults characteristics.

Reproducibility of measurement of muscle deoxygenation in children during exercise.

This study was designed to test the reproducibility of muscle oxygenation by NIRS in children during exercise. Twelve healthy non-obese and non-trained children performed one maximal graded test, and four 6-min constant load cycle exercises. Deoxy-hemoglobin (Hb/Mb- H+) data were averaged every 1, 5, 10, 20 and 30s. Hb/Mb- H+ data averaged every 5, 10, 20 and 30s showed good reproducibility. When averaged every second, Hb/Mb-H+ values were reproducible after the first minute of exercise. Based on 1s averaged signal modeling, time period and t values for Hb/Mb-H+ were not reproducible but mean response time values showed an acceptable reproducibility.

Continuous vs. interval aerobic training in 8- to 11-year-old children.

The aim of the present study was to show if the use of continuous-running training vs. intermittent-running training has comparable or distinct impact on aerobic fitness in children. At first, children were matched according to their chronological age, their biological age (secondary sexual stages), and their physical activity or training status. Then, after randomization 3 groups were composed. Sixty-three children (X 9.6 +/- 1.0 years) were divided into an intermittent-running training group (ITG, 11 girls and 11 boys), a continuous-running training group (CTG, 10 girls and 12 boys), and a control group (CG, 10 girls and 9 boys). Over 7 weeks, ITG and CTG participated in 3 running sessions per week. Before and after the training period, they underwent a maximal graded test to determine peak oxygen uptake (peak VO2) and maximal aerobic velocity (MAV). Intermittent training consisted of short intermittent runs with repeated exercise and recovery sequences lasting from 5/15 to 30/30 seconds. With respect to continuous training sessions, repeated exercise sequences lasted from 6' to 20'. Training-effect threshold for statistical significance was set at p < 0.05. After training, peak VO2 was significantly improved in CTG (+7%, p < 0.001) and ITG (+4.8%, p < 0.001), whereas no difference occurred for the CG (-1.5%). Similarly, MAV increased significantly (p < 0.001) in both CTG (+8.7%) and ITG (+6.4%) with no significant change for CG. Our results demonstrated that both continuous and intermittent-running sessions induced significant increase in peak VO2 and MAV. Therefore, when adequate combinations of intensity/duration exercises are offered to prepubertal children, many modalities of exercises can successfully be used to increase their aerobic fitness. Aerobic running training is often made up of regular and long-distance running exercises at moderate velocity, which causes sometimes boredom in young children. During the developmental years, it seems therefore worthwhile to use various training modalities, to make this activity more attractive and thus create conditions for progress and enhanced motivation.

Correspondences between continuous and intermittent exercises intensities in healthy prepubescent children.

The aim of this article is to determine correspondences between three levels of continuous and intermittent exercise (CE and IE, respectively) in terms of steady-state oxygen uptake (VO(2SS)) and heart rate (HR) in children. Fourteen healthy children performed seven exercises on a treadmill: one graded test for the determination of maximal aerobic speed (MAS), three CE at 60, 70 and 80% of MAS (CE60, CE70 and CE80) and three IE (alternating 15 s of exercise intercepted with 15 s of passive recovery) at 90, 100 and 110% of MAS (IE90, IE100 and IE110). Mean VO(2SS) and mean HR were determined for both continuous and intermittent exercises. For comparison, three associations were designed: CE60 versus IE90, CE70 versus IE100 and CE80 versus IE110. No VO(2SS) difference was observed for CE60 versus IE90 and CE70 versus IE100 whereas a significant difference (P < 0.01) was found for CE80 versus IE110 (1.36 +/- 0.45 vs. 1.19 +/- 0.38 L min(-1), respectively). Significant linear regressions were found for the three CE versus IE associations for VO(2SS) (0.60 < r (2) < 0.99, P < 0.05). For the three associations, mean HR presented no significant difference. Only one significant relation was found for CE80 versus IE110 association (r(2) = 0.49, P < 0.05). Correspondences between CE and IE intensities are possible in terms of VO(2SS) whatever the level of exercise; even if for high intensities, VO(2SS) was higher during CE. These results demonstrated that it is possible to diversify the exercise modality while conserving exercise individualization.

Effect of high intensity intermittent training on heart rate variability in prepubescent children.

The purpose of this study was to observe the effect of high intermittent exercise training on children's heart rate variability (HRV). Thirty-eight children (age 9.6 +/- 1.2 years) were divided into an intermittent (IT, n = 22) and a control group (CON, n = 16). At baseline and after a 7-week training period, HRV parameters, peak oxygen consumption (VO(2peak)) and maximal aerobic velocity (MAV) were assessed. Training consisted of three 30-min sessions composed by short maximal and supramaximal runs at velocities ranging from 100 up to 190% of MAV. HRV was computed in time and frequency domains. Training resulted in a significant increase in MAV and VO(2peak) in IT (P < 0.05) only without any significant change in HRV parameters for the two groups. Thus, 7 weeks of high intermittent exercise training allows to improve aerobic fitness. However, this modality of training was not sufficient enough to underline a possible effect on the heart rate autonomic regulation in children.

Influence of recovery intensity on time spent at maximal oxygen uptake during an intermittent session in young, endurance-trained athletes.

In this study, we examined the effects of three recovery intensities on time spent at a high percentage of maximal oxygen uptake (t90[Vdot]O(2max)) during a short intermittent session. Eight endurance-trained male adolescents (16 +/- 1 years) performed four field tests until exhaustion: a graded test to determine maximal oxygen uptake ([Vdot]O(2max); 57.4 +/- 6.1 ml x min(-1) . kg(-1)) and maximal aerobic velocity (17.9 +/- 0.4 km x h(-1)), and three intermittent exercises consisting of repeat 30-s runs at 105% of maximal aerobic velocity alternating with 30 s active recovery at 50% (IE(50)), 67% (IE(67)), and 84% (IE(84)) of maximal aerobic velocity. In absolute values, mean t90[Vdot]O(2max) was not significantly different between IE(50) and IE(67), but both values were significantly longer compared with IE(84). When expressed in relative values (as a percentage of time to exhaustion), mean t90[Vdot]O(2max) was significantly higher during IE(67) than during IE(50). Our results show that both 50% and 67% of maximal aerobic velocity of active recovery induced extensive solicitation of the cardiorespiratory system. Our results suggest that the choice of recovery intensity depends on the exercise objective.

Influence of exercise intensity on time spent at high percentage of maximal oxygen uptake during an intermittent session in young endurance-trained athletes.

The purpose of this study was to compare, during a 30s intermittent exercise (IE), the effects of exercise intensity on time spent above 90% VO2max(t90VO2max) and time spent above 95% VO2max(t95VO2max) in young endurance trained athletes. We hypothesized that during a 30sIE, an increase in exercise intensity would allow an increase in t90VO2max and t95VO2max due to a decrease in time to achieve 90% or 95% of VO2max. Nine endurance-trained male adolescents took part in three field tests. After determination of their VO2max and maximal aerobic velocity (MAV), they performed, until exhaustion, two intermittent exercise sessions alternating 30s at 100% of MAV (IE(100)) or 110% of MAV (IE(110)) and 30s at 50% of MAV. Mean time to exhaustion (t (lim)) values obtained during IE(100) were significantly longer than during IE(110) (p < 0.01). Moreover, no significant difference was found in t90VO2max or t95VO2max) expressed in absolute or relative (%t (lim)) values between IE(100) and IE(110). In conclusion, an increased of 10% of exercise intensity during a 30s intermittent exercise model (with active recovery), does not seem to be the most efficient exercise to solicit oxygen uptake to its highest level in young endurance-trained athletes.

Influence of recovery mode (passive vs. active) on time spent at maximal oxygen uptake during an intermittent session in young and endurance-trained athletes.

The aim of this study was to analyze the effects of recovery mode (active/passive) on time spent at high percentage of maximal oxygen uptake (VO2max) i.e. above 90% of VO2max (t90VO2max) and above 95% of VO2max (t95VO2max) during a single short intermittent session. Eight endurance-trained male adolescents (15.9 +/- 1.4 years) performed three field tests until exhaustion: a graded test to determine their VO2max (57.4 +/- 6.1 ml min(-1) kg(-1)), and maximal aerobic velocity (MAV; 17.9 +/- 0.4 km h(-1)), and in a random order, two intermittent exercises consisting of repeated 30 s runs at 105% of MAV alternated with 30 s passive (IE(P)) or active recovery (IE(A), 50% of MAV). Time to exhaustion (t(lim)) was significantly longer for IE(P) than for IE(A) (2145 +/- 829 vs. 1072 +/- 388 s, P < 0.01). No difference was found in t90VO2max and t95VO2max between IE(P) (548 +/- 499-316 +/- 360 s) and IE(A) (746 +/- 417-459 +/- 332 s). However, when expressed as a percentage of t(lim), t90VO2max and t95VO2max were significantly longer (P < 0.001 and P < 0.05, respectively) during IE(A) (67.7 +/- 19%-42.1 +/- 27%) than during IE(P) (24.2 +/- 19%-13.8 +/- 15%). Our results demonstrated no influence of recovery mode on absolute t90VO2max or t95VO2max mean values despite significantly longer t(lim) values for IE(P) than for IE(A). In conclusion, passive recovery allows a longer running time (t(lim)) for a similar time spent at a high percentage of VO2max.

Effects of active recovery between series on performance during an intermittent exercise model in young endurance athletes.

The purpose of our study was to compare time to exhaustion ( t(lim)) and time spent at a high level of oxygen uptake (V(.)O(2)) during two high-intensity short intermittent exercises (30 s-30 s) realized with or without series. Eleven young endurance-trained athletes [16.6 (0.4) years] took part in three field tests until exhaustion: (1) a maximal graded test to measure their maximal aerobic velocity (MAV) and maximal oxygen uptake (V(.)O(2max)); (2) and (3) two randomized intermittent exercises (30 s at 110% of MAV alternated with 30 s at 50% of MAV): one alternating repetitions non-stop (IE) and another including 4 min recovery every six repetitions (IEs). The mean t(lim) measured during IEs was significantly longer than IE [respectively 960.0 (102.0) s vs 621.8 (56.2) s]. The time spent at V(.)O(2max)( t(V(.)O2max)) and the time spent above 90% of V(.)O(2max)( t(90%V(.)O2max)) did not differ significantly according to the type of exercise: with or without series [respectively t(V(.)O2max) was 158.2 (59.7) s vs 178.0 (56.5) s and t(90%O2max) was 290.4 (84.3) s vs 345.0 (61.6) s] but when expressed as a relative value, t(90%O2max) during IEs was significantly lower than during IE [respectively 36.4 (10.4)% t(lim) vs 58.3 (8.7)% t(lim)]. Despite a significant decrease ( P<0.005) of time to achieve 90% of V(.)O(2max) at the start of each series during IEs [respectively 165.0 (43.1) s for the first series and 82.5 (15.8) s for the second series ( n=6)] the time spent under 90% of V(.)O(2max) limited the t(90%V(.)O2max) during each series. In conclusion, our results showed that intermittent exercise with series does not permit an increase in the time spent at a high level of V(.)O(2); however, the athletes performed more repetitions of short intense exercise.