Effects of different ventilatory rates on dyspnea and ventilatory parameters under a locomotor-respiratory coupling with pedaling exercise.

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Hayato Kita, OSAMU AOKI
Purpose:

The purpose of this study is to clarify the effects of different ventilatory rate, which was 1:1 or 1:2 ventilation/pedal ratio with a 1:1 inspiratory/expiratory ratio, on dyspnea and ventilatory parameters under the constant pedal exercise with a bicycle ergometer.

Methods:

Twenty-one healthy young individuals (age: 19.7±0.6 y, male=13) were included in the study.

Participants were asked to pedal a bicycle ergometer at 50 beats/min and a ventilation threshold intensity for 20 minutes while wearing an exhaled gas analyzer (AE-100i; MINATO MEDICAL SCIENCE Co., ltd. JP) mask. The conditions were (1) 25 breaths/min (inhale/exhale at a half cycle respectively; 25BPM) and (2) 50 breaths/min (inhale/exhale at a single cycle respectively; 50BPM), and the participants were instructed to synchronize a pedal and breathing. The rest period between the two conditions was at least one hour.

The indices measured were subjective exercise intensity of dyspnea and leg fatigue (RPE_D, RPE_L), minute oxygen uptake (VO2), ratio of dead space to tidal volume (VD/VT), and minute ventilation/carbon dioxide output ratio (VE/VCO2), at 10 and 20 minutes after the start of exercise.

The indices were compared between conditions by t-test or Wilcoxon test at a significance level of 5%.

Results:

 RPE_L in the 50BPM condition was significantly higher than that in the 25BPM condition only at 20 minutes (p=0.004). VO2 was not different between conditions at 10 and 20 minutes. Both of VD/VT and VE/VCO2 in the 50BPM condition were higher than that in the 25BPM condition at both 10 and 20 minutes (all p0.001).

Conclusion(s):

 The higher VE/VCO2 in the 50BPM condition suggests that, in general, exercise was easier in the 50BPM than in the 25BPM condition. However, this is not consistent with the fact that RPE_L was higher in the 50BPM condition after 20 minutes; VO2 comparisons showed no differences between conditions, and VD/VT was lower in the 50BPM condition, suggesting that the 50BPM condition was addressed by a decrease in VT. Participants commented that it was difficult to match ventilation to a pedal in the 50BPM condition, suggesting that the psychological burden associated with ventilation/pedal adjustments may have contributed to the fatigue of the exercise.

Implications:

The results suggest that, in healthy individuals, the 25BPM condition is sufficient ventilation to obtain an oxygen uptake, which was needed for exercise at a ventilatory threshold intensity.

Funding acknowledgements:
Not applicable
Keywords:
pedaling exercise
ventilatory rates
dyspnea
Primary topic:
Cardiorespiratory
Second topic:
Health promotion and wellbeing/healthy ageing/physical activity
Third topic:
Other
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
Shijonawate Gakuen University Research Ethical Review Bord
Provide the ethics approval number:
23-2
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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