Search

Purpose: Moderate-intensity aerobic exercise is safe and beneficial in atrial fibrillation (AF) and coronary heart disease (CHD). Irregular or rapid heart rates (HR) in AF and other heart conditions create a challenge to using HR to monitor exercise intensity. The purpose of this study was to assess the potential of breathing frequency (BF) to monitor exercise intensity in people with AF and CHD without AF. Methods: This observational study included 30 AF participants (19 Male, 70.7 ± 8.7 yrs) and 67 non-AF CHD participants (38 Male, 56.9 ± 11.4 yrs). All performed an incremental maximal exercise test with pulmonary gas exchange. Results: Peak aerobic power in AF ( V ˙ O2peak; 17.8 ± 5.0 ml.kg−1.min−1) was lower than in CHD (26.7 ml.kg−1.min−1) (p <.001). BF responses in AF and CHD were similar (BF peak: AF 34.6 ± 5.4 and CHD 36.5 ± 5.0 breaths.min−1; p =.106); at the 1st ventilatory threshold (BF@VT-1: AF 23.2 ± 4.6; CHD 22.4 ± 4.6 breaths.min−1; p =.240). % V ˙ O2peak at VT-1 were similar in AF and CHD (AF: 59%; CHD: 57%; p =.656). Conclusion: With the use of wearable technologies on the rise, that now include BF, this first study provides an encouraging potential for BF to be used in AF and CHD. As the supporting data are based on incremental ramp protocol results, further research is required to assess BF validity to manage exercise intensity during longer bouts of exercise. [ABSTRACT FROM AUTHOR]

Purpose: To determine how repeatable thoracoabdominal compartmental contributions to tidal volume (VT) are across different intensities of exercise, and to examine if the pattern of breathing for a given minute ventilation (V̇E) is reproducible between constant-load and ramp exercise tests. Methods: Ten healthy adults (age: 27 ± 6 yr, peak oxygen uptake: 42 ± 5 mL min−1 kg−1) completed a 25 W·min−1 ramp cycling test to exhaustion and two repetitions of a step cycling test on separate days. VT, breathing rate (BR), and V̇E were assessed using a bi-directional turbine, and thoracic and abdominal contributions to VT were measured using respiratory inductance plethysmography. Repeatability (step vs. step) and reproducibility (step vs. ramp) of responses were assessed using the intra-class correlation coefficient (ICC). Results: The relative compartment contributions to VT during step exercise were highly repeatable for low (ICC = 0.87, p = 0.003), moderate (ICC = 0.89, p = 0.002) and heavy (ICC = 0.93, p = 0.001) exercise. Inter-individual differences in response to higher intensity exercise were observed, as two participants had significant relationships between VT and their percent compartmental contributions to VT, but five others did not. No differences were identified between ramp and step exercise tests for VT (main effect: p = 0.61) or BR (main effect: p = 0.77) at matched V̇E for each intensity, and the pattern of breathing was reproducible for each intensity. Conclusion: These findings suggest the way young healthy adults breathe for a given V̇E is repeatable day-to-day and reproducible between different exercise protocols. [ABSTRACT FROM AUTHOR]