New Data-based Cutoffs for Maximal Exercise Criteria across the Lifespan
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 4606154
Author(s) Wagner, Jonathan; Niemeyer, Max; Infanger, Denis; Hinrichs, Timo; Streese, Lukas; Hanssen, Henner; Myers, Jonathan; Schmidt-Trucksäss, Arno; Knaier, Raphael
Author(s) at UniBasel Hinrichs, Timo
Streese, Lukas
Wagner, Jonathan
Knaier, Raphael
Year 2020
Title New Data-based Cutoffs for Maximal Exercise Criteria across the Lifespan
Journal Medicine and Science in Sports and Exercise
Volume 52
Number 9
Pages / Article-Number 1915-1923
Mesh terms Adult; Age Factors; Aged; Aged, 80 and over; Exercise, physiology; Exercise Test, statistics & numerical data; Female; Heart Rate; Humans; Lactic Acid, blood; Longevity, physiology; Male; Middle Aged; Oxygen Consumption; Perception, physiology; Physical Exertion, physiology; Pulmonary Gas Exchange; Young Adult
Abstract To determine age-dependent cutoff values for secondary exhaustion criteria for a general population free of exercise limiting chronic conditions; to describe the percentage of participants reaching commonly used exhaustion criteria during a cardiopulmonary exercise test (CPET); and to analyze their oxygen uptake at the respective criteria to quantify the impact of a given criterion on the respective oxygen uptake (V˙O2) values.; Data from the COmPLETE-Health Study were analyzed involving participants from 20 to 91 yr of age. All underwent a CPET to maximal voluntary exertion using a cycle ergometer. To determine new exhaustion criteria, based on maximal respiratory exchange ratio (RERmax) and age-predicted maximal HR (APMHR), one-sided lower tolerance intervals for the tests confirming V˙O2 plateau status were calculated using a confidence level of 95% and a coverage of 90%.; A total of 274 men and 252 women participated in the study. Participants were nearly equally distributed across age decades from 20 to >80 yr. A V˙O2 plateau was present in 32%. There were only minor differences in secondary exhaustion criteria between participants exhibiting a V˙O2 plateau and participants not showing a V˙O2 plateau. New exhaustion criteria according to the tolerance intervals for the age group of 20 to 39 yr were: RERmax ≥ 1.13, APMHR210 - age ≥ 96%, and APMHR208 × 0.7 age ≥ 93%; for the age group of 40 to 59 yr: RERmax ≥ 1.10, APMHR210 - age ≥ 99%, and APMHR208 × 0.7 age ≥ 92%; and, for the age group of 60 to 69 yr: RERmax ≥ 1.06, APMHR210 - age ≥ 99%, and APMHR208 × 0.7 age ≥ 89%.; The proposed cutoff values for secondary criteria reduce the risk of underestimating V˙O2max. Lower values would increase false-positive results, assuming participants are exhausted although, in fact, they are not.
Publisher Lippincott, Williams & Wilkins
ISSN/ISBN 0195-9131 ; 1530-0315
Full Text on edoc No
Digital Object Identifier DOI 10.1249/MSS.0000000000002344
PubMed ID
ISI-Number WOS:000562852800008
Document type (ISI) Journal Article

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