Verification Phase Confirms V̇O 2max in a Hot Environment in Sedentary Untrained Males

• Published in: Medicine and science in sports and exercise 2023-06, Vol.55 (6), p.1069-1075
• Main Authors: PRYOR, J. LUKE, LAO, PETER, LEIJA, ROBERT G., PEREZ, SERGIO, MORALES, JACOBO, LOONEY, DAVID P., COCHRANE-SNYMAN, KRISTEN C.
• Format: Article
• Language: English
• Subjects: Exercise Test; Humans; Male; Oxygen Consumption
• ISSN: 0195-9131; 1530-0315
• DOI: 10.1249/MSS.0000000000003126

This study aimed to assess the V̇O 2 uptake obtained during a GXT and subsequent verification phase in untrained participants in a hot environment. Twelve sedentary males completed a GXT followed by a biphasic supramaximal-load verification phase in a hot environment (39°C, 32% relative humidity). Rest between tests occurred in a temperate chamber and lasted until gastrointestinal temperature returned to baseline. Mean verification phase V̇O 2max (37.8 ± 4.3 mL·kg -1 ·min -1 ) was lower than GXT (39.8 ± 4.1 mL·kg -1 ·min -1 ; P = 0.03) and not statistically equivalent. Using an individualized analysis approach, only 17% (2/12) of participants achieved a V̇O 2 plateau during the GXT. Verification phase confirmed GXT V̇O 2max in 100% of participants, whereas the traditional and the new age-dependent secondary V̇O 2max criteria indicated GXT V̇O 2max achievement at much lower rates (8/12 [67%] vs 7/12 [58%], respectively). Correlational indices between GXT and verification phase V̇O 2max were strong (intraclass correlation coefficient = 0.95, r = 0.86), and Bland-Altman analysis revealed a low mean bias of -2.1 ± 1.9 mL·kg -1 ·min -1 and 95% limits of agreement (-5.8 to 1.7 mL·kg -1 ·min -1 ). Very few untrained males achieved a V̇O 2 plateau during GXT in the heat. When conducting GXT in a hot condition, the verification phase remains a valuable addition to confirm V̇O 2max in untrained males.