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Artan Yüke Karşı Yapılan Egzersiz Testi Sırasında Kardiyopulmoner ve Metabolik Cevapların Aerobik ve Anaerobik Egzersiz Bölgelerinde Karşılaştırılmalı Olarak Belirlenmesi

Yıl 2018, Cilt: 28 Sayı: 4, 135 - 140, 01.12.2018

Nida Aslan Karakelle Oğuz Özçelik

Öz

Amaç: Bu çalışmanın amacı; artan yüke karşı yapılan egzersiz testi sırasında aerobik ve anaerobik egzersiz bölgelerindeki solunum, kalp ve metabolik parametrelerin karşılaştırılmalı olarak araştırılmasıdır.Gereç ve Yöntem: Çalışmaya toplam 24 sağlıklı erkek yaş: 19.7 ± 1.87 yıl denek katıldı. Denekler iş gücü 15 W/dk olarak artırılan egzersiz testini yoruluncaya kadar devam ettiler. Metabolik asidin artmaya başladığı noktayı tanımlayan anaerobik eşik, aerobik V-slope metodu ile hesaplandı ve anaerobik egzersiz bölgelerinin ayırımında kullanıldı. Deneklerin egzersiz testleri sırasında akciğer gaz değişim ve metabolik parametreleri gaz ölçüm cihazı kullanılarak solunumdan solunuma hesaplandı. Bulgular: Maksimal egzersizde ve AE’de ki iş gücü ile O2 alım değerleri 233±30 W ve 156±25 W ile 2.96±0.28 L/dk ve 2.02±0.20 L/dk olarak bulundu. Aerobik ve anaerobik bölgelerdeki ortalama O2 alım değerleri sırasıyla 1.291±0.18 L/dk ve 0.924±0.16 L/dk olarak bulundu p< 0.001 . Buna karşılık CO2 atım değerleri ise AE egzersiz bölgesinde 1.301±0.16 L/dk ve anaerobik egzersiz bölgesinde 1.631±0.31 L/dk olarak bulundu p< 0.001 . Aerobik egzersiz bölgesinde 1 W iş gücü için 270.8±37 ml solunum gerekirken anaerobik egzersiz bölgesinde ise 685.4±180 ml gerekmektedir p< 0.001 . Kalp atım hızı, aerobik egzersiz bölgesinde 1 W iş gücü için 2.61±0.6 atım/W gerekirken anaerobik egzersiz bölgesinde ise 2.24±0.5 atım/W gerekmektedir p< 0.03 .Sonuç: Egzersiz sırasında metabolizmadaki aerobikten anaerobiğe değişim ile aerobik ve anaerobik O2 alım, CO2 atılım, solunum ve kalp atım cevapları arasında anlamlı farklılık gözlendi. Aerobik ve anaerobik egzersiz bölgelerindeki kardiopulmoner ve metabolik cevapların değerlendirilmesi aerobik fitnes seviyesi ile ilgili önemli bilgiler sağlamaktadır

Anahtar Kelimeler

Egzersiz O2 alım CO2 atılım ventilasyon anaerobik eşik

Kaynakça

  • Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic dise- ases. Scand J Med Sci Sports 2015;25:1-72.
  • Ridgway ZA, Howell SJ. Cardiopulmonary exercise testing: a review of methods and applications in surgical patients. Eur J Anaesthesiol 2010;27:858-65.
  • Agarwal SK. Cardiovascular benefits of exercise. Int J Gen Med 2012;5:541-5.
  • Wasserman K, Hansen JE, Sue DY, Stringer WW, Sietse- ma KE, Sun XG, et al. Physiology of Exercise. Principles of Exercise Testing and Interpretation Including Pathophysio- logy and Clinical Applications. Philadelphia, PA: Lippincott Williams & Wilkins; 2012:29.
  • Myers J, Buchanan N, Walsh D, Kraemer M, McAuley P, Hamilton-Wessler M, et al. Comparison of the ramp versus standard exercise protocols. J Am Coll Cardiol 1991;17:1334-42.
  • Hofmann P, Tschakert G. Special needs to prescribe exer- cise intensity for scientific studies. Cardiol Res Pract 2010;2011:209302.
  • Ozcelik O, Ozkan Y, Algul S, Colak R. Beneficial effects of training at the anaerobic threshold in addition to pharma- cotherapy on weight loss, body composition, and exercise performance in women with obesity. Patient Prefer Adhe- rence. 2015;9:999-1004.
  • Wasserman K, Casaburi R. 1991. Acid–base regulation during exercise in humans. In: Whipp, B.J., Wasserman, K. (Eds.), Pulmonary Physiology and Pathophysiology of Exercise. Dekker, New York, pp. 405–48.
  • Ozcelik O, Kelestimur H. Effects of acute hypoxia on the estimation of lactate threshold from ventilatory gas exchan- ge indices during an incremental exercise test. Physiol Res 2004;53:653-9.
  • Bentley DJ, McNaughton LR, Thompson D, Vleck VE, Bat- terham AM. Peak power output, the lactate threshold, and time trial performance in cyclists. Med Sci Sports Exerc 2001;33:2077-81.
  • Rossiter HB. Exercise: Kinetic Considerations for Gas Exc- hange Compr Physiol 2011;1:203-4.
  • Poole DC, Hirai DM, Copp SW, Musch TI. Muscle oxygen transport and utilization in heart failure: implications for exercise (in)tolerance. Am J Physiol Heart Circ Physiol 2012;302:1050–63.
  • Kisaka T, Cox TA, Dumitrescu D, Wasserman K. CO2 pulse and acid-base status during increasing work rate exercise in health and disease. Respir Physiol Neurobiol 2015;218:46- 56.
  • Kaya H, Ozcelik O. Tıp öğrencilerinde bir yılda vücut kom- pozisyonlarında meydana gelen değişimlerin belirlenmesi. Firat Med J 2005;10:164-8.
  • Prabha V, Doddamani BR, Sureshbalaji. To evaluate car- diorespiratory fitness & the effect of body mass index on cardiorespiratory fitness in young healthy males. Int J Curr Res Rev 2012;4:30-5.
  • Ozcelik O, Ward SA, Whipp BJ. Effect of altered body CO2 stores on pulmonary gas exchange dynamics during incre- mental exercise in humans. Exp Physiol 1999; 84:999-1011.
  • Ward SA, Whipp BJ, Koyal S, Wasserman, K. Influence of body CO2 stores on ventilatory dynamics during exercise. J Appl Physiol 1983;55:742-9.
  • Whipp BJ, Davis JA, Torres F, Wasserman K. A test to de- termine parameters of aerobic function during exercise. J Appl Physiol Respir Environ Exerc Physiol 1981;50:217-21.
  • Beaver WL, Wasserman K, Whipp BJ. A new method for detecting anaerobic threshold by gas exchange. J Appl Phy- siol 1986;60:2020-7.
  • Whipp BJ, Ward SA, Wasserman K. Respiratory markers of the anaerobic threshold. Adv Cardiol 1986;35:47-64.
  • Algul S, Ozcelik O, Yilmaz B. Evaluation of relationship between aerobic fitness level and range of isocapnic buffe- ring periods during incremental exercise test. Cell Mol Biol (Noisy-le-grand). 2017;63(3):78-82.
  • Ozcelik O, Aslan M, Ayar A, Kelestimur H. Effects of body mass index on maximal work production capacity and aerobic fitness during incremental exercise. Physiol Res 2004;53:165-70.
  • Palange P, Ward SA. Indications for exercise testing: a cri- tical perspective. In: Clinical Exercise Testing 2010;1:221- 30.
  • Ramos RP, Alencar MC, Treptow E, Arbex F, Ferreira EM, Neder JA. Clinical usefulness of response profiles to rapidly incremental cardiopulmonary exercise testing. Pulm Med 2013; 2013:359021.
  • Joyner MJ, Coyle EF. Endurance exercise performance: the physiology of champions. J Physiol 2008;586:35–44.
  • Hansen JE, Sue DY, Wasserman K. Predicted values for clinical exercise testing. Philadelphia. Am Rev Respir Dis 1984;129:49-55.
  • Burnley M, Jones AM. Oxygen uptake kinetics as a deter- minant of sports performance. Eur J Sport Sci 2007;7:63- 79.
  • Poole DC, Hirai DM, Copp SW, Musch TI. Muscle oxygen transport and utilization in heart failure: implications for exercise (in)tolerance. Am J Physiol Heart Circ Physiol. 2012;302:1050-63.
  • Özçelik O, Çolak R. Effects of increased respiratory resis- tance on maximal O2 uptake and anaerobic threshold du- ring incremental exercise tests. Turk J Med Sci 2002:32:49- 52.
  • Ward SA. Control of the exercise hyperpnoea in humans: a modelling perspective. Respir Physiol 2000;122:149-66.
  • Whipp BJ. Physiological mechanisms dissociating pulmo- nary CO2 and O2 exchange dynamics during exercise in humans. Exp Physiol 2007;92:347-55.
  • Stringer W, Casaburi R, Wasserman K. Acid-base regulati- on during exercise and recovery in humans. J Appl Physiol 1992;72:954-61.
  • Zhang YY, Sietsema KE, Sullivan CS, Wasserman K. A met- hod for estimating bicarbonate buffering of lactic acid du- ring constant work rate exercise. Eur J Appl Physiol Occup Physiol 1994;69:309-15.
  • Power GA, Handrigan GA, Basset FA. Ventilatory response during an incremental exercise test: A mode of testing effe- ct. Eur JSport Sci, 2012;12: 491-8.
  • Özçelik O, Çolak R, Doğukan A. Obezlerde kalp atım rezer- vinin egzersiz performansı üzerine etkileri. Fırat Tıp Dergi- si 2002; 7: 745-9.

Yıl 2018, Cilt: 28 Sayı: 4, 135 - 140, 01.12.2018

Nida Aslan Karakelle Oğuz Özçelik

Öz

Objective: The aim of this study was comparatively investigate respiratory, cardiac and metabolic parameters in the aerobic and anaerobic region of the incremental exercise test.Material and Methods: Total of 24 healthy male age: 19.7±1.87 years participated to study. The subjects performed an incremental exercise test with a work rate of 15 W/min to exhaustion. The anaerobic threshold AT reflects the onset of metabolic acidosis and separate aerobic to anaerobic exercise reagion was estimated from V-slope method. During exercise, the subjects’ pulmonary gas exchange and metabolic parameters were measured breathby-breath using metabolic gas analyser. Results: The work rate and O2 uptake at maximal exercise and at the AT was found to be 233±30 W and 156±25 W, 2.96±0.28 L/min and 2.02±0.20 L/min, respectively. O2 uptake was found to be 1.291±0.18 L/min in aerobic region and 0.924±0.16 L/min in anaerobic region p< 0.001 . In contrast, CO2 output was 1.301±0.16 L/min in aerobic region and 1.631±0.31 L/min anaerobic region p

Anahtar Kelimeler

Incremental exercise O2 uptake CO2 output ventilation anaerobic threshold

Kaynakça

  • Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic dise- ases. Scand J Med Sci Sports 2015;25:1-72.
  • Ridgway ZA, Howell SJ. Cardiopulmonary exercise testing: a review of methods and applications in surgical patients. Eur J Anaesthesiol 2010;27:858-65.
  • Agarwal SK. Cardiovascular benefits of exercise. Int J Gen Med 2012;5:541-5.
  • Wasserman K, Hansen JE, Sue DY, Stringer WW, Sietse- ma KE, Sun XG, et al. Physiology of Exercise. Principles of Exercise Testing and Interpretation Including Pathophysio- logy and Clinical Applications. Philadelphia, PA: Lippincott Williams & Wilkins; 2012:29.
  • Myers J, Buchanan N, Walsh D, Kraemer M, McAuley P, Hamilton-Wessler M, et al. Comparison of the ramp versus standard exercise protocols. J Am Coll Cardiol 1991;17:1334-42.
  • Hofmann P, Tschakert G. Special needs to prescribe exer- cise intensity for scientific studies. Cardiol Res Pract 2010;2011:209302.
  • Ozcelik O, Ozkan Y, Algul S, Colak R. Beneficial effects of training at the anaerobic threshold in addition to pharma- cotherapy on weight loss, body composition, and exercise performance in women with obesity. Patient Prefer Adhe- rence. 2015;9:999-1004.
  • Wasserman K, Casaburi R. 1991. Acid–base regulation during exercise in humans. In: Whipp, B.J., Wasserman, K. (Eds.), Pulmonary Physiology and Pathophysiology of Exercise. Dekker, New York, pp. 405–48.
  • Ozcelik O, Kelestimur H. Effects of acute hypoxia on the estimation of lactate threshold from ventilatory gas exchan- ge indices during an incremental exercise test. Physiol Res 2004;53:653-9.
  • Bentley DJ, McNaughton LR, Thompson D, Vleck VE, Bat- terham AM. Peak power output, the lactate threshold, and time trial performance in cyclists. Med Sci Sports Exerc 2001;33:2077-81.
  • Rossiter HB. Exercise: Kinetic Considerations for Gas Exc- hange Compr Physiol 2011;1:203-4.
  • Poole DC, Hirai DM, Copp SW, Musch TI. Muscle oxygen transport and utilization in heart failure: implications for exercise (in)tolerance. Am J Physiol Heart Circ Physiol 2012;302:1050–63.
  • Kisaka T, Cox TA, Dumitrescu D, Wasserman K. CO2 pulse and acid-base status during increasing work rate exercise in health and disease. Respir Physiol Neurobiol 2015;218:46- 56.
  • Kaya H, Ozcelik O. Tıp öğrencilerinde bir yılda vücut kom- pozisyonlarında meydana gelen değişimlerin belirlenmesi. Firat Med J 2005;10:164-8.
  • Prabha V, Doddamani BR, Sureshbalaji. To evaluate car- diorespiratory fitness & the effect of body mass index on cardiorespiratory fitness in young healthy males. Int J Curr Res Rev 2012;4:30-5.
  • Ozcelik O, Ward SA, Whipp BJ. Effect of altered body CO2 stores on pulmonary gas exchange dynamics during incre- mental exercise in humans. Exp Physiol 1999; 84:999-1011.
  • Ward SA, Whipp BJ, Koyal S, Wasserman, K. Influence of body CO2 stores on ventilatory dynamics during exercise. J Appl Physiol 1983;55:742-9.
  • Whipp BJ, Davis JA, Torres F, Wasserman K. A test to de- termine parameters of aerobic function during exercise. J Appl Physiol Respir Environ Exerc Physiol 1981;50:217-21.
  • Beaver WL, Wasserman K, Whipp BJ. A new method for detecting anaerobic threshold by gas exchange. J Appl Phy- siol 1986;60:2020-7.
  • Whipp BJ, Ward SA, Wasserman K. Respiratory markers of the anaerobic threshold. Adv Cardiol 1986;35:47-64.
  • Algul S, Ozcelik O, Yilmaz B. Evaluation of relationship between aerobic fitness level and range of isocapnic buffe- ring periods during incremental exercise test. Cell Mol Biol (Noisy-le-grand). 2017;63(3):78-82.
  • Ozcelik O, Aslan M, Ayar A, Kelestimur H. Effects of body mass index on maximal work production capacity and aerobic fitness during incremental exercise. Physiol Res 2004;53:165-70.
  • Palange P, Ward SA. Indications for exercise testing: a cri- tical perspective. In: Clinical Exercise Testing 2010;1:221- 30.
  • Ramos RP, Alencar MC, Treptow E, Arbex F, Ferreira EM, Neder JA. Clinical usefulness of response profiles to rapidly incremental cardiopulmonary exercise testing. Pulm Med 2013; 2013:359021.
  • Joyner MJ, Coyle EF. Endurance exercise performance: the physiology of champions. J Physiol 2008;586:35–44.
  • Hansen JE, Sue DY, Wasserman K. Predicted values for clinical exercise testing. Philadelphia. Am Rev Respir Dis 1984;129:49-55.
  • Burnley M, Jones AM. Oxygen uptake kinetics as a deter- minant of sports performance. Eur J Sport Sci 2007;7:63- 79.
  • Poole DC, Hirai DM, Copp SW, Musch TI. Muscle oxygen transport and utilization in heart failure: implications for exercise (in)tolerance. Am J Physiol Heart Circ Physiol. 2012;302:1050-63.
  • Özçelik O, Çolak R. Effects of increased respiratory resis- tance on maximal O2 uptake and anaerobic threshold du- ring incremental exercise tests. Turk J Med Sci 2002:32:49- 52.
  • Ward SA. Control of the exercise hyperpnoea in humans: a modelling perspective. Respir Physiol 2000;122:149-66.
  • Whipp BJ. Physiological mechanisms dissociating pulmo- nary CO2 and O2 exchange dynamics during exercise in humans. Exp Physiol 2007;92:347-55.
  • Stringer W, Casaburi R, Wasserman K. Acid-base regulati- on during exercise and recovery in humans. J Appl Physiol 1992;72:954-61.
  • Zhang YY, Sietsema KE, Sullivan CS, Wasserman K. A met- hod for estimating bicarbonate buffering of lactic acid du- ring constant work rate exercise. Eur J Appl Physiol Occup Physiol 1994;69:309-15.
  • Power GA, Handrigan GA, Basset FA. Ventilatory response during an incremental exercise test: A mode of testing effe- ct. Eur JSport Sci, 2012;12: 491-8.
  • Özçelik O, Çolak R, Doğukan A. Obezlerde kalp atım rezer- vinin egzersiz performansı üzerine etkileri. Fırat Tıp Dergi- si 2002; 7: 745-9.
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Original Article
Yazarlar

Nida Aslan Karakelle Bu kişi benim

Oğuz Özçelik Bu kişi benim

Yayımlanma Tarihi 1 Aralık 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 28 Sayı: 4

Kaynak Göster

Vancouver Aslan Karakelle N, Özçelik O. Artan Yüke Karşı Yapılan Egzersiz Testi Sırasında Kardiyopulmoner ve Metabolik Cevapların Aerobik ve Anaerobik Egzersiz Bölgelerinde Karşılaştırılmalı Olarak Belirlenmesi. Genel Tıp Derg. 2018;28(4):135-40.

Genel Tıp Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.