Received:28 September 2019,
Published:30 March 2020
移动端阅览
Peng LI, Shenwei XIE, Bin XIANG, et al. Comparison of different indexes for assessing aerobic exercise capacity in military staff in high-altitude regions[J]. Journal of Third Military Medical University, 2020, 42(6): 588-593.
Peng LI, Shenwei XIE, Bin XIANG, et al. Comparison of different indexes for assessing aerobic exercise capacity in military staff in high-altitude regions[J]. Journal of Third Military Medical University, 2020, 42(6): 588-593. DOI: 10.16016/j.1000-5404.201909215.
Objective
2
To compare the accuracy of different indexes based on heart rate and blood oxygen saturation level for evaluating aerobic exercise capacity among the military staff serving in high-altitude regions.
Methods
2
We recruited 240 subjects from the military staff stationed in high-altitude (ranging from 3 850 m
4 100 m and 4550 m) regions and 76 subjects serving in a low-altitude (below 500 m) region. We tested the performance of the subjects in 3000-meter running and assessed their Borg's rating of perceived exertion (RPE) during the exercise. The heart rate (HR) and blood oxygen saturation (SaO
2
) were recorded before
during and after two-level quantitative loaded step exercise to calculate the physical work capacity at 170/150 beats/min (PWC
170/150
)
maximal volume of oxygen uptake (VO
2max
) and step index. The difference in SaO
2
(ΔSaO
2
) before and after the exercise was analyzed
and the changes in blood lactate levels and myocardial enzymes were measured. The data were compared between the 2 altitude groups to analyze the correlation of the indexes with the exercise capacity of the subjects.
Results
2
At a high altitude
the elevation based on HR after intense exercise was more limited and showed a greater individual variation than at a low altitude
which caused PWC
170/150
-based assessment to show discrepancy between the fact that physical exercise capacity decreases with the elevation of altitudes and the performance of the individual subjects in 3000-meter running. VO
2max
estimated from immediate HR after low-intensity exercise and th
e step index derived from HRs during post-exercise recovery period were mildly correlated with the physical capacity and myocardial enzyme profiles of the subjects. ΔSaO
2
after step exercise showed the best correlation with the altitudes
physical exercise capacity
blood lactic acid level and myocardial enzyme profiles after exercise.
Conclusion
2
The decrease of oxygen saturation after exercise is a reliable index for evaluating aerobic exercise capacity among military staff in high-altitude regions.
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