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The oxygen uptake kinetic response to moderate intensity exercise in overweight and non-overweight children

Abstract

Objective:

To compare the phase II oxygen uptake time constant (τV′O2) and V′O2 mean response time (V′O2MRT) in overweight (OW) and non-OW (NO) children during moderate intensity exercise.

Design:

Between subjects where participants completed a maximal ramp exercise test on an electromagnetically braked cycle ergometer to determine peak V′O2 (V′O2peak) and gas exchange threshold (GET). Gas exchange was measured breath-by-breath using a mass spectrometer. On subsequent visits, 6 square-wave transitions (2 per day) from 0 W to 90% GET were completed. Individual phase II τV′O2 and V′O2MRTs were estimated from time aligned average V′O2 traces.

Subjects:

Eleven OW (11.8±0.4 years) and 12 NO (11.9±0.4 years) children were recruited to the study. The OW group was significantly heavier (62.9±9.7 vs 39.4±5.8 kg, P<0.001), taller (1.58±0.05 vs 1.47±0.07 m, P<0.001) and had a higher body mass index (25.8±3.4 vs 18.3±1.8 kg m−2, P<0.001).

Results:

Both τV′O2 (30.2±9.6 vs 22.8±7.1 s, P<0.05) and V′O2MRT (43.5±10.7 vs 36.3±5.3 s, P<0.05) were significantly slower in OW compared with NO children; absolute V′O2peak was higher in the OW compared with NO group (2.23±0.04 vs 1.74±0.04 l min−1, P<0.05); mass relative V′O2peak was lower in OW compared with NO children (35.9±8.3 vs 43.8±6.2 ml kg−1 min−1, P<0.05); allometrically scaled V′O2peak was similar between OW and NO groups whether relative to body mass0.67 (139.8±29.1 vs 147.2±23.9 ml kg−67 min−1) or stature3 (576.0±87.2 vs 544.9±84.9 ml m−3 min−1) (P>0.05); absolute V′O2 at GET was similar between OW and NO groups (0.94±0.24 vs 0.78±0.27 l min−1, P>0.05); GET expressed as percentage of V′O2peak was similar between the groups (42.0±0.1 vs 44.8±0.1%, P>0.05).

Conclusion:

These findings demonstrate impairment in the factors determining V′O2 kinetics in OW children at a relatively young age. Furthermore, assessment of cardiorespiratory fitness using peak exercise values is likely to be misleading and not useful when designing exercise programmes for OW children.

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References

  1. Ebbelling CB, Pawlak DB, Ludwig DS . Childhood obesity: public health crisis common sense cure. Lancet 2002; 360: 473–482.

    Article  Google Scholar 

  2. Owens S, Gutin B, Allison J, Riggs S, Ferguson M, Litaker M et al. Effect of physical training on total and visceral fat in obese children. Med Sci Sports Exerc 1999; 31: 143–148.

    Article  CAS  Google Scholar 

  3. Bell LM, Byrne S, Thompson A, Ratnam N, Blair E, Bulsara M et al. Increasing body mass index z-scores is continuously associated with complications of overweight in children, even in the healthy weight range. J Clin Endcrinol Metabol 2007; 92: 517–522.

    Article  CAS  Google Scholar 

  4. Drinkard B, McDuffie J, McCann S, Uwaifo GI, Nicholson J, Yanovski JA . Relationships between walk/run performance and cardiorespiratory fitness in adolescents who are overweight. Phys Ther 2001; 81: 1889–1896.

    CAS  PubMed  Google Scholar 

  5. Goran M, Fields DA, Hunter GR, Herd SL, Weinsier RL . Total body fat does not influence maximal aerobic capacity. Int J Obes Relat Metabol Dis 2000; 24: 841–848.

    Article  CAS  Google Scholar 

  6. Rowland TW, Bhargava R, Parslow D, Heptulla RA . Cardiac response to progressive cycle exercise in moderately obese adolescent females. J Adolesc Health 2003; 32: 422–427.

    Article  Google Scholar 

  7. Armstrong N . Young people’s physical activity patterns as assessed by heart rate monitoring. J Sports Sci 1998; 16: S9–S16.

    Article  Google Scholar 

  8. Whipp BJ . The slow component of O2 uptake kinetics during heavy exercise. Med Sci Sports Exerc 1994; 26: 1319–1326.

    CAS  PubMed  Google Scholar 

  9. Markovitz GH, Sayre JW, Storer TW, Cooper CB . On issues of confidence in determining the time constant for oxygen uptake kinetics. Br J Sports Med 2004; 38: 553–560.

    Article  CAS  Google Scholar 

  10. Barstow TJ, Buchthal S, Zanconato S, Cooper DM . Muscle energetics and pulmonary oxygen uptake kinetics during moderate exercise. J Appl Physiol 1994; 77: 1742–1749.

    Article  CAS  Google Scholar 

  11. Whipp BJ, Davis JA, Torres F, Wasserman K . A test to determine parameters of aerobic function during exercise. J Appl Physiol 1981; 50: 217–221.

    Article  CAS  Google Scholar 

  12. Armstrong N, Welsman J . Young People and Physical Activity. Oxford University Press: Oxford, UK, 1997.

    Google Scholar 

  13. Eriksson BO, Gollnick PD, Saltin B . Muscle metabolism and enzyme activities after training in boys 11-13 years old. Acta Physiol Scand 1973; 87: 485–497.

    Article  CAS  Google Scholar 

  14. Haralambie G . Enzyme activities in skeletal muscle of 13-15 years old adolescents. Bull Eur Physiopathologie Respir 1982; 18: 65–74.

    CAS  Google Scholar 

  15. Cooper DM, Poage J, Barstow TJ, Springer C . Are obese children truly unfit? Minimizing the confounding effect of body size on the exercise response. J Pediatr 1990; 116: 223–230.

    Article  CAS  Google Scholar 

  16. Loftin M, Heusel L, Bonis M, Carlisle L, Sothern M . Comparison of oxygen uptake kinetics and oxygen deficit in severely overweight and normal weight adolescent females. J Sport Sci Med 2005; 4: 430–436.

    Google Scholar 

  17. Unnithan VB, Baynard T, Potter CR, Barker P, Heffernan KS, Kelly E et al. An exploratory study of cardiac function and oxygen uptake during cycle ergometry in overweight children. Obesity 2007; 15: 2673–2682.

    Article  Google Scholar 

  18. Salvadego D, Lazzer S, Busti C, Galli R, Agosti F, Lafortuna C et al. Gas exchange kinetics in obese adolescents. Inferences on exercise tolerance and prescription. Am J Physiol Regul Integr Comp Physiol 2010; 299: R1298–R1305.

    Article  CAS  Google Scholar 

  19. Potter CR, Childs DJ, Houghton W, Armstrong N . Breath-to-breath "noise" in the ventilatory and gas exchange responses of children to exercise. Eur J Appl Physiol 1999; 80: 118–124.

    Article  CAS  Google Scholar 

  20. Cole T, Bellizzi M, Flegal K, Dietz W . Establishing a standard definition for child overweight and obesity worldwide: International survey. Br Med J 2000; 320: 1240–1243.

    Article  CAS  Google Scholar 

  21. Beaver WL, Wasserman K, Whipp BJ . A new method for detecting anaerobic threshold by gas exchange. J Appl Physiol 1986; 60: 2020–2027.

    Article  CAS  Google Scholar 

  22. Mettauer B, Zhao Q, Epailly E, Charloux A, Lampert E, Heitz-Naegelen B et al. V′O2 kinetics reveal a central limitation at the onset of subthreshold exercise in heart transplant recipients. J Appl Physiol 2000; 88: 1228–1238.

    Article  CAS  Google Scholar 

  23. Fawkner SG, Armstrong N, Potter CR, Welsman JR . Oxygen uptake kinetics in children and adults after the onset of moderate-intensity exercise. J Sports Sci 2002; 20: 319–326.

    Article  Google Scholar 

  24. Whipp BJ, Ward SA, Lamarra N, Davis JA, Wasserman K . Parameters of ventilatory and gas exchange dynamics during exercise. J Appl Physiol 1982; 52: 1506–1513.

    Article  CAS  Google Scholar 

  25. Brandenburg SL, Reusch JE, Bauer TA, Jeffers BW, Hiatt WR, Regensteiner JG . Effects of exercise training on oxygen uptake kinetic responses in women with type 2 diabetes. Diabetes Care 1999; 22: 1640–1646.

    Article  CAS  Google Scholar 

  26. Reybrouck T, Vinckx J, Gewillig M . Assessment of oxygen deficit during exercise in obese children and adolescents. Pediatr Exerc Sci 2005; 17: 291–300.

    Article  Google Scholar 

  27. Whipp BJ . Dynamics of pulmonary gas exchange. Circulation 1987; 76: S18–S28.

    Google Scholar 

  28. Hughson RL . Exploring cardiorespiratory control mechanisms through gas exchange dynamics. Med Sci Sports Exerc 1990; 22: 72–79.

    Article  CAS  Google Scholar 

  29. Whipp BJ, Mahler M . Dynamics of pulmonary gas exchange during exercise. In: West JB, (eds) Pulmonary Gas Exchange, vol. II, Organism and Environment. Academic Press: New York, NY, 1980. pp 33–96.

    Google Scholar 

  30. Huttunen N, Knip M, Paavilainen T . Physical activity and fitness in obese children. Int J Obes 1986; 10: 519–525.

    CAS  PubMed  Google Scholar 

  31. Pate RR, Wang CY, Dowda M, Farrell SW, O’Neill JR . Cardiorespiratory fitness levels among US youth 12 to 19 years of age: findings from the 1999–2002 National Health and Nutrition Examination Survey. Arch Pediatr Adolesc Med 2006; 160: 1005–1012.

    Article  Google Scholar 

  32. Grund A, Dilba B, Forberger K, Krause H, Siewers M, Rieckert H et al. Relationships between physical activity, physical fitness, muscle strength and nutritional state in 5- to 11-year-old children. Eur J Appl Physiol 2000; 82: 425–438.

    Article  CAS  Google Scholar 

  33. Bar-Or O . Pediatric Sports Medicine for the Practitioner: from Physiologic Principles to Clinical Applications. Springer-Verlag: New York, NY, 1983.

    Book  Google Scholar 

  34. Reybrouck T, Deroost F, Van der Hauwaert L . Evaluation of breath-by-breath measurement of respiratory gas exchange in pediatric exercise testing. Chest 1992; 102: 147–152.

    Article  CAS  Google Scholar 

  35. Rowland TW . Children’s Exercise Physiology. Human Kinetics: Champaign, IL, 2005.

    Google Scholar 

  36. Motulsky HJ, Ransnas LA . Fitting curves to data using nonlinear regression: a practical and nonmathmatical review. J Federation Am Societies Exp Biol 1987; 1: 365–374.

    Article  CAS  Google Scholar 

  37. Jebb SA, Prentice AM . Single definition of overweight and obesity should be used. Br Med J 2001; 32: 999.

    Article  Google Scholar 

  38. Mei Z, Grummer-Strawn LM, Pietrobelli A, Goulding A, Goran MI, Dietz WH . Validity of body mass index compared with other body-composition screening indexes for the assessment of body fatness in children and adolescents. Am J Clin Nutr 2002; 75: 978–985.

    Article  CAS  Google Scholar 

  39. Daniels SR . The use of BMI in the clinical setting. Pediatrics 2009; 124: S35–S41.

    Article  Google Scholar 

  40. Krebs NF, Himes JH, Jacobson D, Nicklas TA, Guilday P, Styne D . Assessment of Child and Adolescent Overweight and Obesity. Pediatrics 2007; 120: S193–S228.

    Article  Google Scholar 

Download references

Acknowledgements

This work was supported by a research studentship from the University of Gloucestershire. We wish to thank Matthew Black and Thomas Davenport for their assistance with data collection.

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Correspondence to C R Potter.

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Potter, C., Zakrzewski, J., Draper, S. et al. The oxygen uptake kinetic response to moderate intensity exercise in overweight and non-overweight children. Int J Obes 37, 101–106 (2013). https://doi.org/10.1038/ijo.2012.130

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