Kademeli Artan Koşu Testinde Kalp Atım Hızı ve Kas İçi Oksijen Saturasyon Değişkenliğinin İncelenmesi

Öz

Amaç: Bu çalışma, kalp atım hızı (HR), kalp atım hızı değişkenliği (HRV) ve kas içi oksijen saturasyonu (SmO2) parametrelerini birlikte değerlendirerek, kademeli artan koşu testi sırasında fizyolojik tepkileri incelemeyi amaçlamaktadır. Gereç ve Yöntem: Çalışmaya, 18–27 yaş aralığında, en az 3 yıllık spor geçmişine sahip, yaş ortalaması 19,3 yıl, boy ortalaması 180±7,87 cm, kilo ortalaması 78,3±14,6 kg ve vücut yağ oranı ortalaması 11,8±5,85 olan 16 erkek sporcu katılmıştır. Dinlenme, koşu ve toparlanma evrelerinde HR, HRV ve SmO₂ değerleri test süresince kaydedilmiştir. Koşu protokolü, 10 km/h hızla başlatılmış ve her dakika 1 km/h artırılarak tükenişe kadar sürdürülmüştür. Koşu sonrası 5 dakika boyunca kayıt alınmaya devam edilmiştir. Bulgular: Bulgular: Kademeli artan koşu testi sırasında HR’ın arttığı, SmO₂ seviyelerinin ise azaldığı gözlemlenmiştir. Koşu sonrası toparlanma süresince, her iki ölçüm parametresi de dinlenik değerlere yaklaşma eğilimi göstermiştir. Sonuç: Bu bulgular, HR, HRV ve SmO₂’nin birlikte değerlendirilmesinin egzersize verilen fizyolojik yanıtların bütüncül analizinde önemli olduğunu göstermektedir. Performans değerlendirmede koşu testleri ile birlikte kalp atım hızı (HR) ve değişkenliği (HRV), kas içi oksijen saturasyonu (SmO₂) gibi ölçümler önemli bir yer tutmaktadır.

Anahtar Kelimeler

• Kalp Atım Hızı
• Kalp Atım Hızı Değişkenliği
• Kas İçi Oksijen Doyğunluğu

Examination of Heart Rate and Intramuscular Oxygen Saturation Variability in the Gradually Increasing Runnig Test

Öz

Aim: This study aims to examine physiological responses during a gradually increasing running test by simultaneously evaluating heart rate (HR), heart rate variability (HRV), and muscle oxygen saturation (SmO2) parameters Materials and Methods: Sixteen male athletes aged between 18 and 27 years, with at least 3 years of sports experience, participated in the study. The average age was 19.25 ± 2.21 years, average height was 180±7.87 cm, average weight was 78.3±14.6 kg, and average body fat percentage was 11.8±5.85. HR, HRV, and SmO₂ values were recorded during the resting, running, and recovery phases throughout the test. The running protocol started at a speed of 10 km/h and increased by 1 km/h every minute until exhaustion. Recording continued for 5 minutes post-run. Results: During the gradually increasing running test, it was observed that heart rate (HR) increased while SmO₂ levels decreased. Throughout the recovery period after running, both measurement parameters tended to approach resting values Conclusion: These findings indicate that the joint assessment of HR, HRV, and SmO₂ is significant for a holistic analysis of the physiological responses to exercise. In performance evaluation, measurements such as heart rate (HR), heart rate variability (HRV), and intramuscular oxygen saturation (SmO₂) hold an important place alongside running tests.

Anahtar Kelimeler

• Heart Rate
• Heart Rate Variability
• Muscle Oxygen Saturation

Kaynakça

1. Achten, J., & Jeukendrup, A. E. (2003). Heart rate monitoring: applications and limitations. Sports Medicine, 33, 517-538.
2. Bentley, D. J., Newell, J., & Bishop, D. (2007). Incremental exercise test design and analysis: implications for performance diagnostics in endurance athletes. Sports Medicine, 37, 575-586.
3. Boone, J., Vandekerckhove, K., Coomans, I., Prieur, F., & Bourgois, J. G. (2016). An integrated view on the oxygenation responses to incremental exercise at the brain, the locomotor and respiratory muscles. European Journal of Applied Physiology, 116, 2085-2102.
4. Carminatti, L. J., Possamai, C. A., De Moraes, M., Da Silva, J. F., De Lucas, R. D., Dittrich, N., & Guglielmo, L. G. (2013). Intermittent versus continuous incremental field tests: are maximal variables interchangeable? Journal of Sports Science & Medicine, 12(1), 165.
5. Cassirame, J., Godin, A., Chamoux, M., Doucende, G., & Mourot, L. (2022). Physiological implication of slope gradient during incremental running test. International Journal of Environmental Research and Public Health, 19(19), 12210.
6. Ferrari, M., Mottola, L., & Quaresima, V. (2004). Principles, techniques, and limitations of near infrared spectroscopy. Canadian Journal of Applied Physiology, 29(4), 463-487.
7. Ferrari, M., Muthalib, M., & Quaresima, V. (2011). The use of near-infrared spectroscopy in understanding skeletal muscle physiology: recent developments. Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences, 369(1955), 4577-4590.
8. Grassi, B., Pogliaghi, S., Rampichini, S., Quaresima, V., Ferrari, M., Marconi, C., & Cerretelli, P. (2003). Muscle oxygenation and pulmonary gas exchange kinetics during cycling exercise on-transitions in humans. Journal of Applied Physiology, 95(1), 149-158.

9. Mitchell, J. H., Kaufman, M. P., & Iwamoto, G. A. (2019). The exercise pressor reflex: its cardiovascular effects, afferent pathways, and central control mechanisms. Annual Review of Physiology, 41, 303-317.
10. Kalkan, H., & Pelvan, O. (2023). Investigation of the Effects of Different Exercise Models on Heart Rate Variability and Muscle Oxygen Saturation. Fenerbahçe Üniversitesi Spor Bilimleri Dergisi, 3(3), 13-39.
11. McCraty, R., & Shaffer, F. (2015). Heart rate variability: new perspectives on physiological mechanisms, assessment of self-regulatory capacity, and health risk. Global Advances in Health and Medicine, 4(1), 46-61.
12. McManus, C. J., Collison, J., & Cooper, C. E. (2018). Performance comparison of the MOXY and PortaMon near-infrared spectroscopy muscle oximeters at rest and during exercise. Journal of Biomedical Optics, 23(1), 015007-015007.
13. Midgley, A. W., McNaughton, L. R., & Jones, A. M. (2007). Training to enhance the physiological determinants of long-distance running performance: can valid recommendations be given to runners and coaches based on current scientific knowledge? Sports Medicine, 37, 857-880.
14. Perrey, S., Quaresima, V., & Ferrari, M. (2024). Muscle oximetry in sports science: an updated systematic review. Sports Medicine, 54(4), 975-996.
15. Perrey, S., & Rupp, T. (2009). Muscle oxygen saturation and exercise performance: A review of the current literature. Sports Medicine, 39(5), 377-392.
16. Poehling, C. P., & Llewellyn, T. L. (2019). The effects of submaximal and maximal exercise on heart rate variability. International Journal of Exercise Science, 12(2), 9.
17. Pelvan, O., Akbaş, S., & Çotuk, B. (2024). The Effect of Graded Running Protocols On Peak Oxygen Consumption and Intramuscular Oxygen Saturation. International Journal of Sport Exercise and Training Sciences-IJSETS, 10(2), 72-83.
18. Quaresima, V., & Ferrari, M. (2002). More on the use of near-infrared spectroscopy to measure muscle oxygenation in humans. European Journal of Applied Physiology, 88(3), 294.
19. Spencer, M. D., Murias, J. M., & Paterson, D. H. (2012). Characterizing the profile of muscle deoxygenation during ramp incremental exercise in young men. European Journal of Applied Physiology, 112, 3349-3360.
20. Stanley, J., Peake, J. M., & Buchheit, M. (2013). Cardiac parasympathetic reactivation following exercise: implications for training prescription. Sports Medicine, 43, 1259-1277.
21. Tulppo, M., Mäkikallio, T., Seppänen, T., Laukkanen, R. ve Huikuri, H. (1997). Vagal modulation of heart rate during exercise: Effects of age and physical fitness. Medicine & Science in Sports & Exercise, 29(5), 141-148.
22. Van Beekvelt, M. C., Colier, W. N., Wevers, R. A., & Van Engelen, B. G. (2001). Performance of near-infrared spectroscopy in measuring local O2 consumption and blood flow in skeletal muscle. Journal of Applied Physiology, 90(2), 511-519.