• Exercise Science
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• v.23 no.1
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• pp.1-11
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• 2014

The purpose of this study was to develop and validate regression models to estimate maximal oxygen uptake (VO₂max) from the 20 m Progressive Shuttle Run Test (20 m PSRT) in Korean middle-school girls aged 13-15 years. The 20 m PSRT and VO₂max were assessed in a sample of 194 participants. The sample was randomly split into validation (n=127) and test-retest reliability (n=99, 32 out of 127 participants also performed validity test) groups. 127 participants performed a graded exercise test (GXT, stationary gas analyser) and the 20 m PSRT (portable gas analyser) once to develop a VO₂max prediction model and to analyze the validity of the modified 20 m PSRT protocol (starting at 7.5 km/h and increasing by 0.5 km/h every 1 min). 99 participants performed the 20 m PSRT twice for test-retest reliability purpose. Mean measured VO₂max (39.2±5.1 ml/kg/min) from the potable gas analyzer was significantly increased from that measured during the GXT from stationary gas analyzer (37.7±5.7 ml/kg/min, p=.001) using the modified 20 m PSRT protocol. But it was a narrow range (1.5 ml/kg/min). The measured VO₂max from the potable and stationary gas analyzers correlated at r=.88(p<.001). Test-retest of the 20 m PSRT yielded comparable results (Laps r=.88 & final speed r=.85). New regression equations were developed from present data to predict VO₂max for middle-school girls: y=.231×Laps-.311×weight(in kg)+46.201 (r=.74, SEE=4.29 ml/kg/min). It is concluded that (a) the modified 20 m PSRT protocol is a valid and reliable test and (b) this equation developed in this study provides valid estimates of VO₂max of Korean middle-school girl aged 13-15 years.

• Physical Therapy Korea
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• v.12 no.3
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• pp.74-83
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• 2005

The purpose of this study was to produce the regression equation from non-exercise $VO_{2max}$ of healthy young adults and to develop a maximal oxygen consumption ($VO_{2max}$) regression model. This model was based on heart rate non-exercise predictor variables (rest heart rate, maximal heart rate/rest heart rate), as an extra addition to the general regression which can reflect an individual's inherent or acquired cardiorespiratory fitness. The subjects were 101 healthy young adults aged 19 to 35 years. Exercise testing was measured by using a Balke protocol for treadmill and indirect calorimetry. The prediction equation was analyzed by using stepwise multiple regression procedures. The mean of $VO_{2max}$ was $39.02{\pm}6.72\;m{\ell}/kg/min$ (mean${\pm}$SD). The greatest variable correlated to $VO_{2max}$ was %fat. The predictor variable used in the non-exercise $VO_{2max}$ included %fat, gender, habitual physical activity and $HR_{max}/HR_{rest}$. The non-exercise $VO_{2max}$ estimation was as follows: $VO_{2max}$($m{\ell}/kg/min$)=55.58-.41(%fat)+.59(physical activity rating)-2.69($HR_{max}/HR_{rest}$)-5.36 (male=0, female=1); (R=.85, SEE=3.64, R2=.72: including heart rate variable); $VO_{2max}$($m{\ell}/kg/min$)=48.47-.41(%fat)+.45(physical activity rating)-5.12 (male=0, female=1); (R=.84, SEE=3.74, R2=.70: with the exception of heart rate variable). As an added heart rate variable, there was only a 2% coefficient of determination improved. Therefore, these results demonstrated that heart rate variable correlation with a non-exercise regression model was very low. In conclusion, for healthy young korean adults, those variables that can affect non-exercise $VO_{2max}$ estimation turned out to be only % fat, gender, and physical activity. We suggest that further research of predictor variables for non-exercise $VO_{2max}$ is necessary for different patient groups who cannot perform maximal exercise or submaximal exercise.

• Tuberculosis and Respiratory Diseases
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• v.47 no.1
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• pp.26-34
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• 1999

Background : Generally $VO_2$ max is higher in treadmill exercise than cycle ergometer exercise. According to Hassen and Wasserman, $VO_2$ max with treadmill exercise is higher at ratio of 1.11 than that with cycle ergometer. $VO_2$ max also is influenced by race, sociocultural background, exercise habit In this study, $VO_2$ max and AT were evaluated between Treadmill and cycle exercise in male Korean college students. Method: Study subjects were 44 male college students. We randomized them into 2 groups; 24 students did treadmill exercise at first and 1 week later did cycle ergometer. Another 20 students did in opposite method. They made symptom limited maximal exercise. Author defined maximal exercise as followings: 1) respiratory exchange ratio(RER)> 1.1, 2) plateau>30 sec, 3) heart rate reserve(HRR) <15%, or 4) breathing reserve (BR)<30%. Otherwise their results are excluded as submaximal exercise. Anaerobic threshold(AT) was estimated by V-slope method. Results: $VO_2$ max and AT was $45.1{\pm}6.66m\ell$/kg/min and $26.0{\pm}6.78m\ell$/kg/min in treadmill and $34.9{\pm}5.89m\ell$/kg/min, $19.5{\pm}4.77m\ell$/kg/min in Cycle Ergometer. The measured-$VO_2max$/pred-$VO_2max$ was $98.8{\pm}13.24%$ in treadmill; $84.4{\pm}13.42%$ in cycle ergometer. Comparing $VO_2$ max in treadmill with that obtained by Hassen's method, there were significant differences.(p<0.01). At maximal exercise there were differences in HRR, $O_2$/pulse, BR, $V_E$/MVV, $V_E/VCO_2$ between treadmill and cycle but not in $V_E/VO_2$, Vd/Vt, Ti/Ttot. At AT there were differences in $O_2$/pulse, BR, $V_E$/MVV, Ti/Ttot between treadmill and cycle, otherwise not. Conclusion: According to the result of this study, there are larger gap between treadmill and cycle ergometer in normal Korean adults than foreign data, and it needs further study to obtain reference value of Korea.

• 한국체육학회지인문사회과학편
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• v.51 no.3
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• pp.373-382
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• 2012

The purpose of this study is to predict VO₂max with body index and submaximal metabolic responses. The subjects are consisted of 250 male aging from 18 to 34 and we separated them into two groups randomly; 179 for a sample, 71 for a cross-validation group. They went through maximal exercise testing with Bruce protocol, and we measured the metabolic responses in the end of the first(3 minute) and second stage(6 minute). To predict VO₂max, we applied multiple regression analysis to the sample with stepwise method. Model 1's variables are weight, 6 minute HR and 6 minute VO₂(R=0.64, SEE=4.74, CV=11.7%, p<.01), and the equation is VO₂max(ml/kg/min)= 72.256-0.340(Weight)-0.220(6minHR)+0.013(6minVO₂). Model 2's variables are weight, 6 minute HR, 6 minute VO₂, and 6 minute VCO₂(R=0.67, SEE=4.59, CV=11.3%, p<.01), and the equation is VO₂max(ml/kg/min)= 68.699-0.277(Weight) -0.206(6minHR)+0.020(6minVO₂)-0.009(6minVCO₂). And the result did not show multicolinearity for both models. Model 2 demonstrated more correlation compared to Model 1. However, when we conducted cross-validation of those models with 71 men, measured VO₂max and estimated VO₂ Max had statistical significance with correlation (R=0.53, 0.56, P<.01). Although both models are functional with validity considering their simplicity and utility, Model 2 has more accuracy.

• Journal of Digital Convergence
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• v.11 no.3
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• pp.371-380
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• 2013

The purpose of this study was to develop the equation of $\dot{V}O_{2max}$ by $sub_{max}imal$ PACER method for obese middle school boys. For this, $_{max}$imal test using Bruce protocol in lab was performed and then PACER $_{max}imal$ test with portable $\dot{V}O_{2max}$ equipment. To decide the level of submaximal test, during PACER with portable equipment, we found the section in which target hreat rate(over 75%$HR_{max}$) and then per section(75%,80%,85%,90%,95%) metabolic responses were recorded, with which we analyzed multiple regression by stepwise method. Model 1(at 90%$HR_{max}$): $\dot{V}O_{2max}$(ml/kg/min) = 142.721-0.275(repetition)-0.48(HR)+0.177(weight)-1.536(age)[%error 3.90ml/kg/min; performance until 2 stage(13 repetition)]. Model 2(at 95%$HR_{max}$): $\dot{V}O_{2max}$(ml/kg/min) = 182.851-0.103(repetition)-0.744(HR)+0.186(weight)-0.324(age)[%error 4.51ml/kg/min; performance until 3 stage(25 repetitions)]. estimated $\dot{V}O_{2max}$ from Model 1 was different about $3.25{\pm}6.32ml/kg/min$(%error=6.84%), otherwise model 2 was $3.16{\pm}4.54ml/kg/min$(%error=5.75%). considering %HRmax, as the submaximal test model 1 might be fit more than model 2 for obese middle school boys.

• Tuberculosis and Respiratory Diseases
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• v.49 no.4
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• pp.495-501
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• 2000

Background : Cardiopulmonary exercise test is a useful test for the evaluation of the cardiovascular and respiratory systems. Obese subjects have an increased resting metabolic rate ($VO_2$) compared to non~obese subjects and the increase is more marked during dynamic exercise, which results in the limitation of maximal exercise in obese subjects. In this study, the influence of the obesity and fat distribution on the maximal exercise capacity were evaluated. Methods : Maximal exercise capacity was represented by maximam maximum oxygen uptake and $VO_2$ max in the cardiopulmonary test. Obesity, total fat content and abdomina1 obesity(waist to hip ratio, WHR) were measured by bioelectrical impedence method. Total of 42 volunteers (male 22, fema1e 20) were evaluated. Results : 1) Weight to height ratio (mean$\pm$SD) was 110$\pm$14.9% in men and 100$\pm$11.1% in women. 2) Fat ratio (mean$\pm$SD) was 23.3$\pm$5.2% in men and 27.55$\pm$3.9% in woman. 3) Waist to hip ratio (mean$\pm$SD) was 0.85$\pm$0.04 in men and 0.8$\pm$0.03 in woman. 4) In men, $VO_2$ max/min/Kg was negatively correlated with obesity, fat ratio, and abdominal fat distribution. 5) In woman, $VO_2$ max/Kg was negatively correlated with obesity and fat ratio, but did not show significant relationship with abdominal fat distribution. Conclusion : Obesity was a limiting factor for maximal exercise in both men and women. Abdominal obesity was a limiting factor for maximal exercise in men but its implication to women needs further evaluation.

• Journal of Life Science
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• v.21 no.1
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• pp.9-14
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• 2011

Perceived exertion involves detection and interpretation of sensations arising from the body during physical exercise. Physiological variables such as heart rate and oxygen consumption positively correlate with ratings of perceived exertion (RPE). It is unknown whether the accuracy of predicting exercise intensity from RPE differs between men and women. Therefore, it was examined whether men or women could predict relative exercise intensity, determined by oxygen consumption, more accurately from RPE. Ten male and ten female young adult subjects aged 25.1${\pm}$3.52 yr volunteered to participate. RPE were determined by the Borg 15-category scale, and a standard Bruce treadmill protocol was used to perform graded exercise testing. There was no significant difference in slope means between males and females (p=0.501). No significant difference was observed when plotting rates of perceived exertion (RPE) vs. percentage of $VO_2$ max. The relative maximal oxygen consumptions ($VO_{2max,\;}_{rel}$) were 52.36${\pm}$7.35 ml/kg/min for males and 41.44${\pm}$6.71 ml/kg/min for females, respectively and there was a significantly high difference between the two groups in the relative $VO_{2max}$, as well as figures of 4.05${\pm}$0.36 l/min for males and 2.53${\pm}$0.39 l/min for females in the absolute $VO_{2max}$ in this study. There were no significant differences in slope, y-intercept, and standard error of estimate (SEE) between males and females. No significant difference with RPE according to exercise intensity was found between males and females. However, RPE was a useful predictor of exercise intensity in independent genders.

• Tuberculosis and Respiratory Diseases
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• v.46 no.2
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• pp.204-214
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• 1999

Background: Resting pulmonary function tests(PFTs) are routinely used in the evaluation of pulmonary impairment/disability. But the significance of the cardiopulmonary exercise test(CPX) in the evaluation of pulmonary impairment is controvertible. Many experts believe that dyspnea, though a necessary part of the assessment, is not a reliable predictor of impairment. Nevertheless, oxygen requirements of an organism at rest are different from at activity or exercising, and a clear relationship between resting PFTs and exercise tolerance has not been established in patients with chronic pulmonary disease. As well, the relationship between resting PFTs and dyspnea is complex. To investigate the relationship of dyspnea, resting PFTs, and CPX, we evaluated the patients of stabilized chronic pulmonary disease with clinical dyspnea rating(baseline dyspnea index, BDI), resting PFTs, and CPX. Method: The 50 patients were divided into two groups: non-severe and severe group on basis of results of resting PFTs(by criteria of ATS), CPX(by criteria of ATS or Ortega), and dyspnea rating(by focal score of BDI). Groups were compared with respect to pulmonary function, indices of CPX, and dyspnea rating. Results: 1. According to the criteria of pulmonary impairment with resting PFTs, $VO_2$max, and focal score of BDI were significantly low in the severe group(p<0.01). According to the criteria of $VO_2$max(ml/kg/min) and $VO_2$max(%), the parameters of resting PFTs, except $FEV_1$ were not significantly different between non-severe and severe(p>0.05). According to focal score($FEV_1$(%), FVC(%), MW(%), $FEV_1/FVC$, and $VO_2$max were significantly lower in the severe group(p<0.01). However, in the more severe dyspneic group(focal score<5), only $VO_2$max(ml/kg/min) and $VO_2$max(%) were low(p<0.01). $FEV_1$(%) was correlated with $VO_2$max(%)(r=0.52;p<0.01), but not predictive of exercise performance. The focal score had the correlation with max WR(%) (r=0.55;p<0.01). Sensitivity and specificity analysis were utilized to compare the different criteria used to evaluate the severity of pulmonary impairment, revealed that the classification would be different according to the criteria used. And focal score for dyspnea showed similar sensitivity and specificity. Conclusion : According to these result, resting PFTs were not superior to rating of dyspnea in prediction of exercise performance in patients with chronic pulmonary diseases and less correlative with focal score for dyspnea than $VO_2$max and max WR. Therefore, if not contraindicated, CPX would be considered to evaluate the severity of pulmonary impairment in patients with chronic pulmonary diseases, including with severe resting PFTs. Current criteria used to evaluate the severity of impairment were insufficient in considering the degree of dyspnea, so new criteria, including the severity of dyspnea, may be necessary.

• Journal of Life Science
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• v.20 no.3
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• pp.437-443
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• 2010

This study was designed to examine the aerobic capacity and ventilatory response during an incremental exercise in elite high school cyclists. Twelve boys ($17{\pm}1\;yr$, $175{\pm}5\;cm$, $70{\pm}9\;kg$) participated in anthropometric measurements, incremental exercise testing, and pulmonary function tests. During incremental exercise testing using a cycle ergometer, their maximal oxygen uptake ($VO_2max$), maximal power output, ventilation, ventilatory equivalents for oxygen ($V_E/VO_2$) and carbon dioxide ($V_E/VCO_2$), respiratory rate, and tidal volume were measured. Time variables such as inspiratory time (Ti), expiratory time (Te), breathing time (Tb), and inspiratory duty cycle (Ti/Tb), as well as inspiratory flow rate ($V_T$/Ti) were assessed. Pulmonary function of vital capacity (FVC), forced expiratory volume in one second ($FEV_1$), $FEV_1$/FVC, and peak expiratory flow were evaluated. Their $VO_2max$, maximal heart rate, and Wmax were $57.5{\pm}3.9\;ml{\cdot}kg^{-1}{\cdot}min^{-1}$, $194.1{\pm}8.6\;beat{\cdot}min^{-1}$, and 452 W, respectively. $VO_2max$ was not related to any anthropometric parameters. Most ventilatory variables progressively increased with exercise intensity. As intensity increased, Ti, Tb, Tb decreased while Ti/Tb was maintained. Below an intensity of 250 W, height, weight, body mass index, and body surface were highly correlated with $V_T$/Ti and Ti/Tb (p<0.05). Collectively, $VO_2max$ appeared to be lower than adult cyclists, suggesting a different pattern of ventilatory control as age advances. Morphological characteristics were not related to $VO_2max$ in the population. Time variables of ventilatory response seemed to be related only at an exercise intensity level of less than 250 W. $V_T$/Ti may be related to exercise endurance capacity, but Ti/Tb was similar to adult cyclists.

• Exercise Science
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• v.21 no.2
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• pp.231-242
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• 2012

The purpose of this study was to develop the prediction model of VO₂max using submaximal metabolic responses from the Bruce protocol, HR responses at several stages and 1,200 m running record, and to compare and analyse the validity of these prediction models. The subjects were consisted of 255 male(133 male for 1,200 m running). They were participated maximal exercise testing with Bruce protocol, and the metabolic responses were measured in the end of the first(3 minute), second stage(6 minute), and 1,200 m running record. Measurement items were VO₂(㎖/kg/min), VCO₂(㎖/kg/min), VE(L/min), HR(bpm) of 3 and 6 minute, time to HR 150 bpm and 170 bpm, HR difference between Bruce protocol 6 and 3 minute, 1,200 m running record. Analyzing with all variables using enter method, the multiple R of total variable model was 0.642(p<.01), SEE was 4.38 ㎖/kg/min, CV was 10.8 %, but multicolinearity was appeared. The multiple R of 3 minutes model 1 and model 2 were 0.341 and 0.461, SEE was 6.05 and 5.72 ㎖/kg/min, CV was 14.9 and 14.1%, and multicolinearity did not appeared. The multiple R of 6 minutes model 1 and model 2 were 0.350 and 0.456, SEE was 6.03 and 5.74 ㎖/kg/min, CV was 14.9 and 14.2%, and multicolinearity did not appeared. The R of HR 170 and HR 170 model were 0.151 and 0.154, SEE were 6.36~6.37 ㎖/kg/min, CV were 15.7%. The R of 1,200 m running model was 0.444, SEE was 4.82 ㎖/kg/min, CV were 11.9%. In conclusion, with considering usefulness and convenience through the validity of these prediction models, the prediction model of VO₂max recommended 6 and 3 minute model, and the validity of HR model and 1,200 m running model were moderately low.