1. The COSMED K5 in Breath-by-Breath and Mixing Chamber Mode at Low to High Intensities
- Author
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Jens Dreyhaupt, Gunnar Treff, Kay Winkert, Johannes Kirsten, and Jürgen M. Steinacker
- Subjects
Adult ,Male ,Intraclass correlation ,Physical Therapy, Sports Therapy and Rehabilitation ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Animal science ,Humans ,Orthopedics and Sports Medicine ,Power output ,Carbon dioxide output ,Mixing chamber ,High rate ,Pulmonary Gas Exchange ,Chemistry ,Reproducibility of Results ,030229 sport sciences ,Carbon Dioxide ,Oxygen uptake ,Respiratory Function Tests ,Oxygen ,Exercise Test ,Metabolic rate ,Pulmonary Ventilation ,Respiratory minute volume - Abstract
Purpose The portable metabolic analyzer COSMED K5 (Rome, Italy) allows for switching between breath-by-breath (BBB) and dynamic micro-mixing chamber (DMC) modes. This study aimed to evaluate the reliability and validity of the K5 in BBB and DMC at low, moderate, and high metabolic rates. Methods Two K5 simultaneously operated in BBB or DMC, whereas (i) a metabolic simulator (MS) produced four different metabolic rates (repeated eight times), and (ii) 12 endurance-trained participants performed bike exercise at 30%, 40%, 50%, and 85% of their individual power output at V˙O2max (repeated three times). K5 data were compared with predicted simulated values and consecutive Douglas bag measurements. Results Reliability did not differ significantly between BBB and DMC, whereas the typical error and intraclass correlation coefficients for oxygen uptake (V˙O2), carbon dioxide output (V˙CO2), and minute ventilation (V˙E) ranged from 0.27% to 6.18% and from 0.32 to 1.00 within four metabolic rates, respectively. Validity indicated by mean differences ranged between 0.61% and -2.05% for V˙O2, 2.99% to -11.04% for V˙CO2, and 0.93% to -6.76% for V˙E compared with MS and Douglas bag at low to moderate metabolic rates and was generally similar for MS and bike exercise. At high rates, mean differences for V˙O2 amounted to -4.63% to -7.27% in BBB and -0.38% to -3.81% in DMC, indicating a significantly larger difference of BBB at the highest metabolic rate. Conclusion The K5 demonstrated accurate to acceptable reliability in BBB and DMC at all metabolic rates. Validity was accurate at low and moderate metabolic rates. At high metabolic rates, BBB underestimated V˙O2, whereas DMC showed superior validity. To test endurance athletes at high workloads, the DMC mode is recommended.
- Published
- 2019
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