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临床试验/NCT07799662
NCT07799662已完成不适用

Higher VO2max Delays Substrate Switching and Shifts the Crossover Point to Greater Oxygen Uptake During Incremental Exerciseebys

Celil Kaçoğlu1 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2026年5月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
20
试验地点
1
主要终点
Time to reach the substrate crossover point

研究概览

简要总结

This study aims to investigate the relationship between maximal oxygen uptake (VO2max) and the substrate crossover point during incremental exercise. A total of 20 physical education students are recruited to complete a maximal incremental treadmill test using the standard Bruce protocol. Indirect calorimetry is utilized to assess oxygen uptake (VO2), carbon dioxide production (VCO2), and energy substrate utilization patterns. The substrate crossover point is operationally defined at a respiratory exchange ratio (RER) threshold of 0.85, indicating the metabolic transition toward predominant carbohydrate oxidation. The primary objective is to evaluate how variations in aerobic capacity influence the timing, oxygen uptake, and heart rate (HR) responses at this metabolic transition threshold.

详细描述

This study evaluates the relationship between maximal oxygen uptake (VO2max) and the substrate crossover point during incremental treadmill exercise in young, physically active individuals. Substrate utilization kinetics and metabolic flexibility represent critical components of cardiovascular conditioning and endurance performance; however, the impact of continuous variations in aerobic capacity on the onset of metabolic transition requires detailed investigation.

Participants undergo anthropometric testing followed by a maximal graded exercise test on a motor-driven treadmill following the standard Bruce protocol. Breath-by-breath expired gas analysis using indirect calorimetry continuously monitors oxygen uptake (VO2), carbon dioxide production (VCO2), and minute ventilation (VE) throughout the test. Respiratory exchange ratio (RER) values are calculated continuously. The substrate crossover point is operationally defined as the exercise intensity corresponding to an RER threshold of 0.85, representing the metabolic transition where carbohydrate oxidation becomes the predominant contributor to total energy expenditure over lipid oxidation.

Key outcome measures extracted at this threshold include:

Time to reach the crossover point (minutes)

Absolute oxygen uptake at crossover (liters per minute [L/min])

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Basic Science
盲法
None

盲法说明

Not applicable. This is an unblinded (Open Label) physiological performance study where all participants and investigators are fully aware of the exercise testing protocol and procedures.

入排标准

年龄范围
18 Years 至 30 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Healthy male or female physical education students aged 18 to 30 years
  • Regularly physically active (participating in structured physical activity at least 3 days per week)
  • Medically cleared and capable of performing maximal graded treadmill exercise testing to voluntary exhaustion
  • Willing and able to provide written informed consent

排除标准

  • History of cardiovascular, pulmonary, metabolic, renal, or neuromuscular disorders
  • Acute musculoskeletal injury or orthopedic condition that impairs treadmill running or maximal exertion
  • Current use of prescription medications, stimulants, or dietary supplements known to alter metabolic rate, heart rate, or substrate oxidation
  • Use of tobacco, nicotine products, or alcohol within 24 hours prior to testing
  • Consumption of caffeine or vigorous physical exercise within 24 hours prior to the exercise trial

研究组 & 干预措施

Exercise Testing Group

Experimental

: Healthy young adult participants who undergo a single maximal incremental treadmill exercise test using the Bruce Protocol to assess cardiorespiratory fitness (VO2max) and substrate crossover kinetics.

干预措施: Incremental Graded Exercise Test (Bruce Protocol) (Behavioral)

结局指标

主要结局

Time to reach the substrate crossover point

时间窗: Time Frame: Baseline (single test session, Day 1)

Measure Description: Elapsed time (in minutes) from the start of the incremental treadmill test (Bruce protocol) to the point where the respiratory exchange ratio (RER) reaches 0.85, indicating the metabolic crossover where carbohydrate oxidation becomes the predominant fuel source. Time Frame: Baseline (single exercise test session, Day 1) Unit of Measure: Minutes

Relative oxygen uptake at the crossover point

时间窗: Measure Description: Measured continuously during the incremental exercise test using indirect calorimetry, recorded specifically at the point where the respiratory exchange ratio (RER) reaches 0.85. Time Frame: Baseline

Measure Title: Relative oxygen uptake at the substrate crossover point Measure Description: Oxygen uptake (VO2) normalized to body weight (mL/kg/min) recorded at the moment the substrate crossover point (respiratory exchange ratio \[RER\] = 0.85) is reached during the maximal incremental treadmill test (Bruce protocol). Time Frame: Baseline

次要结局

  • Percentage of VO2max at the crossover point(Measure Description: Relative oxygen uptake (VO2) at the substrate crossover point (respiratory exchange ratio [RER] = 0.85) expressed as a % of the participant's maximal oxygen uptake (VO2max), calculated upon completion of the Bruce protocol)
  • Heart rate at the crossover point(Measure Description: Heart rate (HR) in beats per minute (bpm) measured continuously during the incremental treadmill test (Bruce protocol), recorded at the substrate crossover threshold (respiratory exchange ratio [RER] = 0.85). Time Frame: Baseline)
  • Maximal oxygen consumption (VO2max)(Measure Description: Relative maximal oxygen uptake (VO2max in mL/kg/min) assessed at maximal exertion at the end of the Bruce protocol treadmill test to voluntary exhaustion via indirect calorimetry. Time Frame: Baseline)

研究者

发起方
Celil Kaçoğlu
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Celil Kaçoğlu

Assoc. Prof. Dr.

Eskisehir Technical University

研究点 (1)

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