Determination of respiratory point compensation in healthy adults: Can non-invasive near-infrared spectroscopy help?

Federico Y. Fontana, Daniel A. Keir, Cecilia Bellotti, Gabriela F. De Roia, Juan M. Murias, Silvia Pogliaghi*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

60 Citations (Scopus)

Abstract

Objectives: We tested the hypothesis that the respiratory compensation point can be accurately determined in healthy participants during incremental cycling exercise using non-invasive near-infrared spectroscopy-derived measures of deoxygenated hemoglobin ( deoxyHb). Design: Validation study. Methods: 118 healthy men (average age 47±19 yrs, range 20-79 yrs) performed an incremental cycling test to exhaustion. Breath-by-breath pulmonary oxygen uptake (VO2) and other ventilatory and gas exchange variables were measured and used to determine respiratory compensation point. Vastus lateralis deoxyHb was monitored using a frequency domain multi-distance system near-infrared spectroscopy device and deoxyHb data were modeled with a piece-wise double-linear function from which the deoxyHb deflection point (deoxyHbDP) was determined. The absolute (Lmin-1) and relative (% maximal VO2 [VO2max]) VO2 values associated with the respiratory compensation point and deoxyHbDP were determined for each individual. Results: DeoxyHbDP increased as a function of exercise intensity up to a point (deoxyHbDP) after which the signal displayed a "near-plateau". The deoxyHbDP corresponded to a VO2 of 2.25±0.69Lmin-1 (74±12% VO2max) which was not significantly different from the VO2 at respiratory compensation point (2.28±0.70Lmin-1 and 74±10% VO2max, p<0.05). Both indices were highly correlated (r2=0.86) and Bland Altman analyses confirmed a non-significant bias for VO2 (-0.024Lmin-1) concomitant with a small imprecision of 0.26Lmin-1. Conclusions: During incremental cycling exercise, the VO2 associated with the onset of a plateau in near-infrared spectroscopy-derived deoxyHb occurs in coincidence with the VO2 at respiratory compensation point suggesting that respiratory compensation point can be accurately estimated, non-invasively, using near-infrared spectroscopy-derived deoxyHb in alternative to the use of ventilatory-based techniques.

Original languageEnglish
Pages (from-to)590-595
Number of pages6
JournalJournal of Science and Medicine in Sport
Volume18
Issue number5
DOIs
Publication statusPublished - 1 Sept 2015
Externally publishedYes

Keywords

  • Anaerobic metabolism
  • Exercise prescription
  • Functional evaluation
  • Non-invasive techniques

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