Johan Cassirame, Esther Eustache, Lucas Garbellotto, Simon Chevrolat, Philippe Gimenez, Pierre-Marie Leprêtre
{"title":"Detrended fluctuation analysis to determine physiologic thresholds, investigation and evidence from incremental cycling test.","authors":"Johan Cassirame, Esther Eustache, Lucas Garbellotto, Simon Chevrolat, Philippe Gimenez, Pierre-Marie Leprêtre","doi":"10.1007/s00421-024-05614-z","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Training zones are generally assessed by gas-exchange thresholds (GET). Several mathematical analyses of heart rate variability (HRV) are proposed for indirect GET determination. Our study aimed to investigate the accordance of the detrend fluctuation analysis (DFA α1) for determining GET with first (VT1) and second ventilatory (VT2) thresholds in well-trained subjects.</p><p><strong>Methods: </strong>Eighteen female and 38 male sub-elite cyclists performed a maximal incremental cycling test of 2-min stage duration with continuous gas exchange and HR measurements. Power output (PO), Oxygen uptake ( <math><mover><mtext>V</mtext> <mo>˙</mo></mover> </math> O<sub>2</sub>) and HR at VT1 and VT2 were compared with DFA α1 0.75 (HRVT1) and 0.50 (HRVT2). Agreements between PO, <math><mover><mtext>V</mtext> <mo>˙</mo></mover> </math> O<sub>2</sub> and HR values were analyzed using Bland-Altman analysis.</p><p><strong>Results: </strong>Large limits of agreement between VT1 and HRVT1 were observed for measures of <math><mover><mtext>V</mtext> <mo>˙</mo></mover> </math> O<sub>2</sub> expressed in mL.min<sup>-1</sup>.kg<sup>-1</sup> [- 21.3; + 14.1], HR [ 39.2; + 26.9] bpm and PO [- 118; + 83] watts. Indeed, agreements were also low between VT2 and HRVT2 for measures of <math><mover><mtext>V</mtext> <mo>˙</mo></mover> </math> O<sub>2</sub> [- 26.7; + 4.3] mL.min<sup>-1</sup>.kg<sup>-1</sup>, HR [- 45.5; + 10.6] bpm and PO [- 157; + 35] watts. Our results also showed a sex effect: women obtained worst predictions based on DFA α1 than men for HR (p = 0.014), PO (p = 0.044) at VT1 and <math> <msub> <mrow><mover><mtext>V</mtext> <mo>˙</mo></mover> <mtext>O</mtext></mrow> <mn>2</mn></msub> </math> (p = 0.045), HR (p = 0.003) and PO (p = 0.004) at VT2.</p><p><strong>Conclusion: </strong>There was unsatisfactory agreement between the GET and DFA α1 methods for VT1 and VT2 determination in both sex well-trained cyclists. Trial registration number 2233534 on 2024/03/05 retrospectively registered.</p>","PeriodicalId":2,"journal":{"name":"ACS Applied Bio Materials","volume":null,"pages":null},"PeriodicalIF":4.6000,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Bio Materials","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00421-024-05614-z","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MATERIALS SCIENCE, BIOMATERIALS","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: Training zones are generally assessed by gas-exchange thresholds (GET). Several mathematical analyses of heart rate variability (HRV) are proposed for indirect GET determination. Our study aimed to investigate the accordance of the detrend fluctuation analysis (DFA α1) for determining GET with first (VT1) and second ventilatory (VT2) thresholds in well-trained subjects.
Methods: Eighteen female and 38 male sub-elite cyclists performed a maximal incremental cycling test of 2-min stage duration with continuous gas exchange and HR measurements. Power output (PO), Oxygen uptake ( O2) and HR at VT1 and VT2 were compared with DFA α1 0.75 (HRVT1) and 0.50 (HRVT2). Agreements between PO, O2 and HR values were analyzed using Bland-Altman analysis.
Results: Large limits of agreement between VT1 and HRVT1 were observed for measures of O2 expressed in mL.min-1.kg-1 [- 21.3; + 14.1], HR [ 39.2; + 26.9] bpm and PO [- 118; + 83] watts. Indeed, agreements were also low between VT2 and HRVT2 for measures of O2 [- 26.7; + 4.3] mL.min-1.kg-1, HR [- 45.5; + 10.6] bpm and PO [- 157; + 35] watts. Our results also showed a sex effect: women obtained worst predictions based on DFA α1 than men for HR (p = 0.014), PO (p = 0.044) at VT1 and (p = 0.045), HR (p = 0.003) and PO (p = 0.004) at VT2.
Conclusion: There was unsatisfactory agreement between the GET and DFA α1 methods for VT1 and VT2 determination in both sex well-trained cyclists. Trial registration number 2233534 on 2024/03/05 retrospectively registered.