Objective: To explore accuracy and validity of a VO2max prediction equation of the multistage model using by modified Bruce protocol submaximal exercise test in healthy subjects. Method: Thirty three healthy subjects (age: 44.0±12.9) were recruited. VO2max was measured during treadmill by direct gas analysis from a maximal incremental test. VO2max was then predicted from multistage model equation with age, measured oxygen consumption and heart rate during a maximal incremental treadmill test. And the predicted VO2max values from equation were compared with the measured VO2max values. Results: The predicted VO2max values and the measured VO2max values were highly correlated (r=0.9, p<0.001). The predicted VO2max values (2,285.3±536.0 ml/min) were not significantly different from the measured VO2max values (2,285.5±598.5 ml/min). Conclusion: In healthy subjects, the multistage model equation offers a fairly accurate VO2max prediction. Therefore the equation can be used in the estimation of VO2max at modified Bruce protocol in an aerobic exercise program. (J Korean Acad Rehab Med 2008; 32: 549-552)
Objective To investigate the usefulness of the oxygen uptake efficiency slope (OUES) in the evaluation of cardiorespiratory fitness of the stroke patients. Method: 25 stroke patients who could walk independently were included in this syudy. The symptom-limited graded treadmill test was performed to assess cardiovascular fitness. During the test, minute ventilation (VE), oxygen consumption (VO2), carbon dioxide production (VCO2), respiratory exchange ratio (RER) and anaerobic threshold (AT) were measured through respiratory gas analysis. A linear relationship was established between the oxygen consumption and the logarithmic transformation of minute ventilation. From this linear relationship, we obtained a slope that represented the OUES. OUES values were obtained from data corresponding to 75% (OUES75), 90% (OUES90) and 100% (OUES100) of the exercise duration. Results: The differences among OUES75, OUES90 and OUES100 groups were not statistically significant and these three groups were highly correlated to each other. Maximal oxygen consumption (VO2max) was positively correlated with OUES75 (r=0.723), OUES90 (r=0.762), OUES100 (r=0.809) and AT (r=0.696), respectively (p<0.01). Conclusion: OUES is considered to be the valuable submaximal index to evaluate the cardiorespiratory fitness of stroke patients who can not reach maximal exercise. (J Korean Acad Rehab Med 2007; 31: 423-426)