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High-intensity interval training accelerates oxygen uptake kinetics and improves exercise tolerance for individuals with cystic fibrosis

Reuveny, Ronen, DiMenna, Fred J. orcid logoORCID: 0000-0003-3018-8094, Gunaratnam, Cedric, Arad, Avigdor D., McElvaney, Gerry N., Susta, Davide, Peled, Michael and Moyna, Niall orcid logoORCID: 0000-0003-1061-8528 (2020) High-intensity interval training accelerates oxygen uptake kinetics and improves exercise tolerance for individuals with cystic fibrosis. BMC Sports Science, Medicine and Rehabilitation, 12 (9). ISSN 2052-1847

Abstract
Background: Exercise training provides benefits for individuals with cystic fibrosis; however, the optimal program is unclear. High-intensity interval training is safe and effective for improving ‘functional capacity’ in these individuals with peak rate of O2 uptake typically referenced. The ability to adjust submaximal rate of oxygen uptake (V̇O2 kinetics) might be more important for everyday function because maximal efforts are usually not undertaken. Moreover, the ability of high-intensity training to accelerate V̇O2 kinetics for individuals with cystic fibrosis could be enhanced with O2 supplementation during training. Methods: Nine individuals with cystic fibrosis completed incremental cycling to limit of tolerance followed by 8 weeks of high-intensity interval cycling (2 sessions per week x ~ 45 min per session) either with (n = 5; O2+) or without (AMB) oxygen supplementation (100%). Each session involved work intervals at 70% of peak work rate followed by 60s of recovery at 35%. For progression, duration of work intervals was increased according to participant tolerance. Results: Both groups experienced a significant increase in work-interval duration over the course of the intervention (O2+, 1736 ± 141 v. 700 ±154 s; AMB, 1463±598 v. 953±253s; P=0.000); however, the increase experienced by O2+ was greater (P=0.027). During low-intensity constant-work-rate cycling, the V̇O2 mean response time was shortened post compared to pre training (O2+, 34±11 v. 44±9s; AMB, 39±14 v. 45±17s; P= 0.000) while during high-intensity constant-work-rate cycling, time to exhaustion was increased (O2+, 1628 ± 163 v. 705 ±133s; AMB, 1073±633 v. 690±348s; P=0.002) and blood [lactate] response was decreased (O2+, 4.5±0.9 v. 6.3 ± 1.4 mmol. L−1; AMB, 4.5 ±0.6 v. 5.2 ±1.4mmol. L−1; P=0.003). These positive adaptations were similar regardless of gas inspiration during training.
Metadata
Item Type:Article (Published)
Refereed:Yes
Uncontrolled Keywords:Cystic fibrosis; high-intensity interval training; oxygen supplementation; V̇O2 kinetics; functional capacity; exercise tolerance
Subjects:UNSPECIFIED
DCU Faculties and Centres:DCU Faculties and Schools > Faculty of Science and Health > School of Health and Human Performance
Publisher:BMC (Springer)
Official URL:https://dx.doi.org/10.1186/s13102-020-0159-z
Copyright Information:© 2020 The Authors. Open Access (CC-BY 4.0)
Funders:Cystic Fibrosis Hopesource Foundation in Ireland
ID Code:27373
Deposited On:22 Jul 2022 12:41 by Thomas Murtagh . Last Modified 22 Jul 2022 12:41
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