CHAPTER 2 LITERATURE REVIEWS There are reviewed related literatures under the following sections: Physical Fitness 1. The definitions of physical fitness 2. Health-related fitness & skill-related fitness 3. Aerobic fitness and anaerobic fitness Measurement of Maximal Oxygen Consumption 1. Aerobic testing 2. Methods of measurement of Maximal Oxygen Consumption Physical fitness 1. The definitions of physical fitness Physical fitness refers to “a set of attributes that related to the ability to perform physical activity” (U.S. Department of Health and Human Services [USDHHS], 1996). Physical fitness is the ability of the body systems to work together efficiently to allow people to be healthy and effectively perform activities of daily living (Corbin & Lindsey 2007). Physical fitness can be classified into health-related and skill-related fitness. Health-related fitness consists of five components: cardio respiratory endurance, muscular endurance, muscle strength, flexibility, and body composition and is determined by a combination of regular activity and genetically inherited ability. The amount of physical fitness ranges is form low to high (Caspersen et al., 1985). On the other hand, skill-related fitness is divided into six components: agility, balance, coordination, power, reaction time, and speed. In terms of prevention of diseases, the main emphasis of any fitness programs should be placed on the health-related fitness as skill-related fitness is crucial for success in sports and athletics, and it also contributes to wellness (Hoeger & Hoeger, 2005). Physical fitness may be defined as a physiological state of well-being that provide the foundation for the tasks of daily living, a degree of protection against hypokinetic disease, and a basis for participation in sport (American Alliance for 7 Health Physical Education, Recreation and Dance [AAHPERD], 1988). Physical fitness includes nonperformance components of physical fitness that relate to biological system that are influenced by one’s level of habitual physical activity (Bouchard, 1990). 2. Health-related fitness & skill-related fitness 2.1 Health-related fitness Health-related fitness means that portion of physical fitness which is directed toward the prevention of or rehabilitation from disease as well as the development of a high level of function capacity for the necessary and discretionary tasks of life (Plowan & Smith, 2008). Hoeger and Hoeger (2009) said that Health-related has four components: cadiorespiratory endurance, muscular strength and endurance, muscular flexibility, and body composition (see figure 2) defined respectively as: a) Cadiorespiratory endurance: the ability of the heart, lungs, and blood vessels to supply oxygen to the cells to meet the demands of prolonged physical activity (also referred to as aerobic exercise). b) Muscular strength and endurance: the ability of the muscles to generate. c) Muscular flexibility: the achievable range of motion at a joint or group of joints without causing injury. d) Body composition: body composition: the amount of lean body mass and adipose tissue (fat mass) in the human body. Figure 2 Four components of health-related physical fitness (Hoeger & Hoeger, 2009) 8 USDHHS (1996) Defined of the specific components of health-related physical fitness are follows: a) Body composition relates of relative amounts of muscle, fat, bone, and other vital part of the body. b) Cardiorespiratory fitness relates to the ability of the circulatory and respiratory systems to supply oxygen during sustained physical activity. c) Flexibility relates to the range of motion available at the joint. Flexibility is specific to each joint of the body. d) Muscular endurance relates to the muscle’s ability to continue to perform with out fatigue. e) Muscular strength relates to the ability of the muscle to exert force. Table 1 Components of health-related fitness (Genton, 2011). Term Definition Examples of assessment Body Structural components of the body Body mass index, skinfold thickness, BIA. composition Muscular Maximum force generated by a muscle One RM,a cable tensiometry, force platforms, strength dynamometry. Ability of a muscle to perform repeated Repetitions of lifts at a fixed contractions for a prolonged period of time percentage of body weight or Muscular RM,a of push-ups, of endurance abdominal curls, isokinetic dynamometry. Flexibility Ability to move joints and muscle freely “sit and reach test”, through their full range of motion goniometry. Cardiovascular Ability of the circulatory and respiratory and systems to supply oxygen to skeletal respiratory muscle for energy-generating processes Maximum oxygen consumption (VO2 max) Remark 1RM refers to maximum amount of weight lifted at one time. 9 According to the Toronto model presented by Bouchard and Shephard (1994), the components of health-related fitness are defined as morphological, muscular, motor, cardiorespiratory and metabolic fitness. Morphological fitness refers to body composition and bone strength. Body composition describes the amount of fat mass and fat free mass and considers also whether body fat is peripherally or abdominally distributed. Muscular or musculoskeletal fitness refers to muscular strength, muscular endurance and flexibility, and motor fitness refers to postular control. Cardiorespiratory fitness reflects the ability of cardiovascular and respiratory systems to supply oxygen to the working muscles during heavy dynamic exercise. And direct measurement of maximal oxygen uptake (VO2 max) during a maximal exercise test is regarded as the gold standard for the evaluation of cardiorespiratory fitness. Metabolic fitness refers to carbohydrate and lipid metabolism usually defined usually by glucose tolerance, insulin sensitivity, lipid profile and the ratio of lipid to carbohydrate oxidized at rest of during steady-state exercise. Cardio respiratory endurance is the ability of the lungs, heart, and blood vessels to deliver adequate amounts of oxygen to the cells to meet the demands of prolonged physical activity (Hoeger & Hoeger, 2006). 2.2 Skill-related fitness Plowan and Smith (2008) stated that skill-related physical fitness is portion of physical fitness which is directed toward optimizing athletic performance. Skill-related physical fitness is less related to good health and more related to ability to learn sport and other kinds of physical skill (Corbin & Lindscey, 2007). Skill-related physical fitness is needed for success in athletics and lifetime sport and activities. Fitness components important for success in skillful activities and athletic events; encompasses agility, balance, coordination, power, reaction time, and speed (Hoeger & Hoeger, 2010). Skill-related physical fitness components following (Kotecki, 2010): Agility: the ability to quickly and accurately change the direction of the movement of the entire body in space. In game such as tennis, agility is important to reach the ball in time. 10 Balance: the ability to maintain equilibrium while moving or stationary. Activities such as gymnastics, ballet, and skiing require balance. Coordination: the ability to combine the senses with different body parts to perform activities smoothly and accurately. Activities such as catching a baseball or kicking a football require the hands and eyes or foot and eyes to work together. Power: the ability to transfer energy into force at a fast applies speed and strength to produce a muscular movement. Almost all sport requires power to perform well. Reaction time: the amount of time it takes to respond and react to a stimulus. Activities such as returning a serve in tennis or badminton require fast reaction times. Speed: the ability to move quickly from one point to another. Actives such as the 100 or 200 meter sprint in track or running the baseball require speed. Figure 3 Sport-specific athletic fitness built on the core of health-related physical fitness (Plowan & Smith, 2008). 11 Lavy and Hastad (2007) mentioned components of skill-related physical fitness as following: Agility is the ability to rapidly and accurately change the position of the body in space. Balance: is the maintenance of equilibrium while stationary or moving. Coordination is the ability to simultaneously perform multiple motor tasks smoothly and accurately. Power is the ability to exert maximum force in a minimum length of time. Reaction time is the duration between the stimulation and the response to the stimulation. Speed is the ability to perform a movement in a short period of time. 3. Aerobic fitness & anaerobic fitness 3.1 Aerobic fitness Sharkey and Gaskill (2007) defined aerobic fitness as the maximal capacity to take in, transport, and use oxygen, is best measured in a laboratory test called the oxygen intake (or VO2 max) test. Aerobic fitness, also called cardiorespirtory fitness or cardiovascular, is a good measure of the heart’s ability to pump oxygen-rich blood to the muscles. Although there are technical difference in terms using cardio (heart), vascular (blood vessels), respiratory (lung and ventilation), and aerobic (work with oxygen), they all reflect various aspects of this component of fitness (Franks & Howley, 1998). Aerobic fitness has three important dimensions. The first lactate threshold defines the level of effort that person can sustain for prolonged periods (see table 2). Expressed as a percentage of VO2 max, it may be low or high, depending on the person’s level of activity and training. People can increase all dimensions of aerobic fitness by training according to the principles (Sharkey & Gaskill, 2007). 12 Table 2 Dimensions of aerobic fitness. Test Measures Best related to VO2 max intensity Events lasting 5 to 15 min (1 to 3 mi, or 1.6 to4.8 km) Second lactate threshold Duration 30 min to 3 hr (10k to marathon) First lactate threshold Long duration prolonged work or sport (up to 8 Hr) 3.2 Anaerobic fitness Aerobic exercise is physical exercise of relatively low intensity that depends primarily on the aerobic energy-generating process (Plowman & Smith, 2008). Anaerobic fitness is also the athlete’s body ability to deal with lactic and recover. Better anaerobic fitness means the athletes can sprint, quickly change direction, accelerate and jump more throughout the game (Marlow, 2003; Ostojic et al., 2006). Anaerobic fitness can be explained as the capability of a person to perform maximal anaerobic exercise. In essence, the competence to generate the highest mechanical power (peak power, PP) over a few second (an indicator of maximal anaerobic power) and to sustain the high power output over a short period of time (usually less than 60s) (mean power, MP, an indicate of maximal anaerobic endurance or maximal muscular endurance) can be considered as prime indicators of anaerobic fitness. Anaerobic fitness is lost at the rate of about 10% in both men and women regardless of activity levels (Hawkins & Wiswell, 2003). Anaerobic fitness declines at a faster rate than aerobic fitness. Likely due to a greater reduction in frequency of anaerobic activities compared to aerobic activities as people age and also to the significant losses of muscle mass (sarcopenta) assoclated with aging (Charmarl et al., 1995; Doherty, 2003 cited in Inbar & Chia, 2008). Anaerobic fitness refers to 13 the use of oxygen to adequately meet energy demands during exercise via aerobic metabolism (McArdle et al., 2006). Benefits of improved anaerobic fitness include increased resistance to fatigue during high-intensity exercise and increased capacity for and performance in high-intendsity work. The most important benefit of anaerobic training is that it bulds muscle mass, muscle strength, and muscle power to a greater extent than aerobic training (Taylor & Johnson, 2007). Measurement of Maximal Oxygen Consumption It is imperative carefully screen the clients for exercise testing, classify their disease risk, identify any contraindications to exercise testing, and obtain their informed consent to exercise before conducting any physical fitness tests. It can use laboratory and field tests to assess each component of physical fitness and to develop physical fitness profiles foe the clients (Heyward, 2010). The test environment is important for test validity and reliability. Test anxiety, emotional problems, food in the stomach, bladder distance, room temperature, and ventilation should be controlled as much as possible. To minimize anxiety, the test procedures should be explained adequately, and the test environment should be quiet and private (ACSM, 2010). Cooper and Storer (2004) explained that aerobic performance is one of the essential elements of physical fitness, along with muscle strength, flexibility, and body composition. Aerobic performance is defined by certain parameters that can be measured using carefully selected exercise testing protocols. The best known of these parameters is maximum oxygen uptake (VO2 max). 14 Table 3 Physical fitness testing lists. Types of Tests Contents of the Tests Beep Shuttle Run Test Aerobic fitness Sit and Reach Flexibility Handgrip Strength Muscle Strength Vertical Jump Muscle Power Home Push-up Test Muscle Strength & Muscle Endurance Sprint Test Speed Endurance Home Sit-up Test Muscle Strength & Muscle Endurance Bruce Test Cardiovascular Fitness Illinois Agility Test Agility Strength Push and Pull Tests Muscle Strength Push Up Beep Test Muscle Strength & Muscle Endurance Curl Up Beep Test Abdominal Strength and Endurance Bench Press Beep Test Chest Muscle Strength and Endurance Conconi Test Heart Rate at the Anaerobic Threshold Single Leg Squat Muscle Strength of Low Body Pull Up NAPA Muscle Strength and Endurance of Upper Body 1. Aerobic testing (VO2 max testing) Reiman and Manske (2009) stated that Aerobic testing utilizes various test procures that determine a client’s fitness level. Fitness encompasses many variables, including cardiorespiratory levels. One of the most common methods of determining one’s fitness level is to measure what is know as VO2 max. Moreover, McArdle et al. (2001) defined VO2 max as a person’s capacity for aerobic resynthesis. Aerobic power referred to as aerobic capacity, measures a person’s capacity for aerobic synthesis of ATP (McArdle et al., 1996) and so indicates the ability to performance 15 sustained, high-intensity exercise. During exercise of increases intensity, oxygen consumption increases. As the workload continues to increase, oxygen uptake plateaus and the athlete begins to utilize other energy sources (e.g., glycolytic sources) to produce ATP. The point at which oxygen uptake plateaus with an increases in workload is called maximal oxygen consumption, or simply VO2 max (Hoffman, 2006). Cardiorespiratory fitness is related to the ability to perform large muscle, dynamic, moderate-to-high intensity exercise for prolonged periods. Performance of such exercise depends on the functional state of the respiratory, cardiovascular, and skeletal (ACSM, 2010). The assessments of VO2 max can be divided into laboratory/ direct test and field/indirect test. However, using direct measurement of oxygen consumption are always required some criteria that should be demonstrated so the variable achieved should be considered as the Maximum Oxygen Consumption (Pomerants et al., 2004). The precision of the VO2 max results have been discussed for many years. Therefore, the most precise assessments of VO2 max are performed directly in the lab test setting (Bruce 1984; Grant et al., 1999). Also Larsen et al. (2002) agreed that the lab test is one of the most accurate for the results to measure VO2 max. VO2 max test define the highest intensity of effort, requires a treadmill or other exercise device, e.g., bicycle ergometer (Sharkey & Gaskill, 2007). Maximal oxygen consumption (VO2 max) is the greatest amount of oxygen that body can take in, transport, and utilize during heavy exercise. The body relies on the respiratory system to bring in the oxygen from the environment, the cardiovascular system to transport the oxygen, and the cells to extract the oxygen and use it in the production of energy (ATP). Thus, the assessment of maximal oxygen consumption provides a means for quantifying the functional capacity of the entire cardiovascular system (Plowan, & Smith, 2008). Brook and Fahey (1987) explained that maximal oxygen uptake (VO2 max) is accepted as the criterion measure of CR fitness. Significant variation in VO2 max across populations and fitness levels results primarily from differences in maximal cardiac output; therefore, VO2 max is closely related to the functional capacity of the heart (ACSM, 2006). VO2 max is an important determinant of the peak power output 16 and the maximal sustained power output or physical work capacity of which an individual is capable. However, the most widely accepted criterion for achievement of VO2 max during graded exercise test is plateau in values of VO2 max as the work rate continues to increase (Pettersen, 2001). Maximal oxygen uptake (VO2 max) maximum amount of oxygen the body is able to unitize per minute for physical activity, commonly expressed in ml/kg/min. the best indicator of cardiorespiratory or aerobic fitness (Hoeger & Hoeger, 2006). VO2 max is considered to be single best measure of cadiorespiratory fitness. It can be assessed using maximal or submaximal exercise tests. Maximal tests in which oxygen uptake is measured directly require expensive equipment and trained personnel, and are therefore most commonly preformed in research and clinical settings. VO2 max can also be predicted from a maximal exercise test by using the maximal exercise time achieved on a maximal treadmill test (Heyward, 1998), or maximal power output achieved on a cycle ergometer. Beashel and Taylor (1996) stated that bicycle ergometer tests were found on the principle of extrapolating heart rate to maximum. Factors limiting VO2 max The factors limit VO2 max related to many factors. Howley et al. (1995) argued that most of the descriptive variable which are statue, body mass and age effect on the VO2 max measurements results. However, Plowan & Smith (2008) stated three main systems are related to limiting VO2 max , which are the respiratory system, the cardiovascular system, and the metabolic functions within skeletal muscle. As many potential factor limiting VO2 max have been discussed for many years, Bassett (2000) stated that affecting VO2 are often divided into supply and demand factors, such as diffusion, stroke volume, blood volume during oxygen from the lungs to the mitochondria .however, many previous researches have been disscused the different factors limiting VO2 max. Howley et al. (1995) argued that most of the descriptive variable which are statue, body mass and age effect on the VO2 measurements results. The deliver of oxygen to active tissues that is the major limiting factor to VO2 max (Saltin & Rowell, 1980) concluded. In addition, Gollnick et al. (1972) studied that a weak relationship between the body's ability to utilize the available oxygen and VO2 max. 17 Moreover, the different gender also related to the VO2 max output. The highest level of VO2 max in females appears after menarche (Malina & Bouchard, 1991). In addition, Jensen et al. (2001) reported that boys exhibit higher values than girls throughout childhood and adolescence, the VO2 max of adult females is about 80% of the value achieved by the males. As some the physical factors limiting the VO2 max, the mental factors is no exception. Shephard (1984) mentioned that the importance of the willingness of participation and appropriate pace of exercise can effect on the VO2 max. In addition, the limitations raised with subjects` inability to achieve a true VO2 max based on established criteria of the willingness (Greenhalgh et al., 2001). However, the movement patterns and condition such as temperatures may also effect on the VO2 max measurement. Larsen et al. (2002) studied young subjects used running or walking to different methods for measurement VO2 max, the results suggested that the common opinion seems to be that running testing is more appropriate for younger subjects. Ketsingha (n.d.) concluded that temperature should be controlled under 35 Celsius (℃), otherwise, it would affect on VO2 max values. 2. Methods of Measurement of Maximal Oxygen Consumption 2.1 Atrand-Rhyming Test (Astrand & Rhyming, 1954) Equipment need: cycle ergometer, metronome, stopwatch, blood pressure apparatus, and RPE chart. Test area: areas suitable to accommodate a cycle ergometer and two tests. Procedures: the bicycle seat should be set at a comfortable height. The metronome should be set at 100 bpm so that the pedal rate is maintained at 50 rpm. A 2-3 minute warm-up with a work rate less than the chosen testing work rate is appropriate. The suggested work rate is based on gender and fitness status as follows: Males (conditioned): 600 or 900 kpm/min (2 or 3 kp) Females (conditioned): 450 or 600 kpm/min (1.5 or 2 kp) The goal is to obtain HR values between 125 and 170 bpm. Participants perform at the selected work rate for six minutes, and HR is measured during the fifth and six minutes of work. Blood pressure and RPE should be measured in the sixth minute. 18 Prediction procedures: VO2 max is estimated from the Astrand-Rhyming nomogram using work rate and average heart rate from minute 5 and 6. Count the heart rate at the end of minute 5 and the end of minute 6, take the average. Using the nomogram, place a straight edge (ruler) on the calculated average heart rate and the preset workload. To check where the straight edge crosses the VO2 max scale for predicted value. This value must then be adjusted for age by multiplying the VO2 max value by the following correction factors: Figure 4 Modified Astrand-Rhyming nomogram 19 Table 4 Oxygen Uptake (VO2) estimates in liters per minute for the Astrand-Rhyming Test (Astrand, 1960) HR 1 20 1 21 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 300 2.2 2.2 2.2 2.1 2.1 2.0 2.0 2.0 2.0 1.9 1.9 1.9 1.8 1.8 1.8 1.7 1.7 1.7 1.6 1.6 1.6 Men Workload 600 900 3.4 4.8 3.4 4.7 3.4 4.6 3.4 4.6 3.3 4.5 3.2 4.4 3.2 4.4 3.1 4.3 3.1 4.2 3.0 4.2 3.0 4.1 2.9 4.0 2.9 4.0 2.8 3.9 2.8 3.9 2.8 3.8 2.7 3.8 2.7 3.7 2.7 3.7 2.6 3.6 2.6 3.6 2.6 3.5 2.5 3.5 2.5 3.4 2.5 3.4 2.4 3.4 2.4 3.3 2.4 3.3 2.4 3.2 2.3 3.2 2.3 3.2 2.3 3.1 2.3 3.1 2.2 3.0 2.2 3.0 2.2 3.0 2.2 2.9 2.1 2.9 2.1 2.9 2.1 2.8 2.1 2.8 2.0 2.8 2.0 2.8 2.0 2.8 1200 6.0 5.9 5.8 5.7 5.6 5.6 5.5 5.4 5.3 5.3 5.2 5.1 5.0 5.0 4.9 4.8 4.8 4.7 4.6 4.6 4.5 4.5 4.4 4.4 4.3 4.3 4.2 4.2 4.1 4.1 4.0 4.0 4.0 3.9 3.9 3.8 3.8 3.7 3.7 3.7 1500 6.0 5.9 5.8 5.7 5.7 5.6 5.6 5.5 5.4 5.4 5.3 5.2 5.2 5.1 5.1 5.0 5.0 4.9 4.9 4.8 4.8 4.7 4.6 4.6 300 2.6 2.5 2.5 2.4 2.4 2.3 2.3 2.2 2.2 2.2 2.1 2.1 2.0 2.0 2.0 2.0 1.9 1.9 1.8 1.8 1.8 1.8 1.7 1.7 1.7 1.6 1.6 1.6 1.6 450 3.4 3.3 3.2 3.1 3.1 3.0 3.0 2.9 2.8 2.8 2.7 2.7 2.7 2.6 2.6 2.6 2.5 2.5 2.4 2.4 2.4 2.3 2.3 2.2 2.2 2.2 2.2 2.1 2.1 2.1 2.0 2.0 2.0 2.0 2.0 1.9 1.9 1.9 1.8 1.8 1.8 1.8 1.8 1.7 Women Workload 600 4.1 4.0 3.9 3.9 3.8 3.7 3.6 3.5 3.5 3.4 3.4 3.4 3.3 3.2 3.2 3.1 3.1 3.0 3.0 2.9 2.8 2.8 2.8 2.7 2.7 2.7 2.6 2.6 2.6 2.6 2.5 2.5 2.5 2.4 2.4 2.4 2.3 2.3 2.3 2.2 2.2 2.2 2.2 2.2 750 4.8 4.8 4.7 4.6 4.5 4.4 4.3 4.2 4.2 4.1 4.0 4.0 3.9 3.8 3.8 3.7 3.6 3.6 3.5 3.5 3.4 3.4 3.3 3.3 3.2 3.2 3.2 3.1 3.1 3.0 3.0 3.0 2.9 2.9 2.8 2.8 2.8 2.7 2.7 2.7 2.6 2.6 2.6 2.6 900 4.8 4.8 4.7 4.6 4.5 4.4 4.4 4.3 4.2 4.2 4.1 4.0 4.0 3.9 3.9 3.8 3.8 3.7 3.7 3.6 3.6 3.5 3.5 3.4 3.4 3.3 3.3 3.2 3.2 3.2 3.1 3.1 3.0 3.0 3.0 2.9 20 Table 4 (Continued) HR 164 165 166 167 168 169 170 300 Men Workload 600 900 2.0 2.7 2.0 2.7 1.9 2.7 1.9 2.6 1.9 2.6 1.9 2.6 1.8 2.6 1200 3.6 3.6 3.6 3.5 3.5 3.5 3.4 1500 4.5 4.5 4.5 4.4 4.4 4.3 4.3 300 450 1.7 1.7 1.7 1.6 1.6 1.6 1.6 Women Workload 600 2.1 2.1 2.1 2.1 2.0 2.0 2.0 750 2.5 2.5 2.5 2.4 2.4 2.4 2.4 900 2.9 2.9 2.8 2.8 2.8 2.8 2.7 Table 5 Age-based correction factors for Maximal Oxygen Uptake for the Astrand- Rhyming Test (Astrand, 1960) Correction Age Factor 1.11 14 1.10 15 1.09 16 1.08 17 1.07 18 1.06 19 1.05 20 1.04 21 1.03 22 1.02 23 1.01 24 1.00 25 0.987 26 0.974 27 0.961 28 0.943 29 0.935 30 0.922 31 Correction Age Factor 0.909 32 0.896 33 0.883 34 0.870 35 0.862 36 0.854 37 0.846 38 0.838 39 0.830 40 0.820 41 0.810 42 0.800 43 0.790 44 0.780 45 0.774 46 0.768 47 0.762 48 0.756 49 Correction Age Factor 0.750 50 0.742 51 0.734 52 0.726 53 0.718 54 0.710 55 0.704 56 0.698 57 0.692 58 0.686 59 0.680 60 0.674 61 0.668 62 0.662 63 0.656 64 0.650 65 VO2 max calculation: Predicted VO2 max (ml/kg /min) = {[VO2 (L/min) x 1000] / weight (kg)}x age factor To convert to ml/kg/min, multiply the above number by 1000 to obtain ml·min-1, and then divide by the participant’s body weight in kilograms. 21 2.2 YMCA Cycle Ergometer Test (Golding et al., 1989) Purpose: to predict maximal physical working capacity and maximal oxygen uptake. Equipment needed: cycle ergometer, metronome, stopwatch, blood pressure apparatus, RPE chart, and coring graph. Test area: area suitable to accommodate a cycle ergometer and two testers. Procedures: determine and record the participant’s age-predicted maximal heart rate (APMHR) and 85 percent of the APMHR. The bicycle seat should be set a comfortable height. The metronome should be set at 100 bpm so that pedal rate is maintained at 50 rpm. Workload should be set according to the guidelines found in (Figure 5). The participant should work at each workload for at least 3 minutes. Heart rate should be determined during the second and third minutes in each stage, and blood pressure and RPE should be assessed near the end of the stage. If the final two heart rate differ by more than 6 bpm, the participant should continue at that work rate until heart rate stabilizes. Heart rate and work rate recorded. The goal is to obtain heart rates from at least two consecutive stage that fall between 110 bpm and 85 percent of the APMHR. The heart rates from these stages are then used to predict maximal work rate from the scoring graph. Figure 5 YMCA workload guidelines for man and women (Golding et al., 1989) 22 Prediction procedures: the result of the test should be plotted on the scoring graph (Figure 6) according to the directions in the rectangular box. Figure 6 Maximum physical working capacity prediction (Goolding et al., 1989) VO2 max calculation: a) For each of the last two workloads, calculate the oxygen cost (VO2) in ml/kg/min using the following equation: VO2 = [workload (W) / body weight (kg) × 10.8] + 3.5 + 3.5 b) From these two oxygen cost (VO2) values estimate the VO2 max in mL/kg/min using the equations for the multistage model to calculate the slope of the line based on the HR response to the last two workloads. 23 Slope (b) = SM2-SM1 / HR2-HR1 VO2 max = SM2 + [b x (HRmax - HR2)] SM1 = VO2 at Second-Last Workload SM2 = VO2 at Last Workload Example: A 20 year old female who weighed 62 kg completed the YMCA Cycle Ergometer Test. (Age-predicted HRmax = 200 bpm; 85 % of HRmax = 170 bpm). The test results are as follows: Table 6 A YMCA Cycle Ergometer Test result for a 20 years old female Workload 1 2 3 Time HR amount (mins) (bpm) 150 kpm/min 0-1 86 25w 1-2 90 2-3 92 450 kpm/min 3-4 120 75w 4-5 135 5-6 139 600 kpm/min 6-7 151 100w 7-8 159 8-9 163 HR1 = (135 + 139)/2 = 137 bpm HR2 = (159 + 163)/2 = 161 bpm SM1 = [(75/62) x 10.8] + 3.5 + 3.5 = 20.06 mL/kg/min SM2 = [(100/62) x 10.8] + 3.5 + 3.5 = 24.42 mL/kg/min. Slope (b) = SM2-SM1 / HR2-HR1 = (24.42- 20.06) / (161- 137) = 0.182 Estimated VO2 max VO2 max (ml/kg/min.)= SM2 + [b x (HRmax - HR2)] 24 = 24.42 + [0.182 x (200 - 161)] 2.3 Rockport Fitness Walking Test (Mackenzie, 2005) The objective of this test is to monitor the development of the athlete's VO2 max. Required resources: 400 metre track, Stop watch and assistant. To conduct the test a) Choose a windless day to conduct the test. b) Record your weight. c) Walk one mile (1609 meters) as fast as possible. d) Record the time to complete the one mile walk. e) Immediately on finishing the walk record your heart rate (beats per minute). f) Determine you VO2 max. Analysis Analysis of the result is by comparing it with the results of previous tests. It is expected that, with appropriate training between each test, the analysis would indicate an improvement. The formula used to calculate VO2 max (ml/kg/min.) is: 132.853 – (0.0769 x Weight) – (0.3877 x Age) + (6.315 x Gender) – (3.2649 x Time) – (0.1565 x Heart rate). a) Weight is in pounds (lbs) b) Gender Male = 1 and Female = 0 c) Time is expressed in minutes and 100ths of minutes d) Heart rate is in beats/minute e) Age is in years. 2.4 Cooper 12 Min. Run-Walk -Test (Mackenzie, 2005) The objective of the Cooper test is to predict an athlete’s VO2 max Required resources: 400 metre track – marked every 50m, Stop watch and the assistant. To conduct the test The test comprises of seeing how far an athlete can run/walk in 12 minutes. Performance assessment Based on the distance covered an estimate of the athlete’s VO2 max can be calculated as follows: 25 VO2 max = (Distance covered in meters – 504.9) / 44.73 Example: the athlete, a male football player, completes a total distance of 3400m in the 12 minutes. VO2 max = (3400 – 504.9) / 44.73 = 64.72 ml/kg/min. Analysis Analysis of the result is by comparing it with the results of previous tests. It is expected that, with appropriate training between each test, the analysis would indicate an improvement. The result from the Cooper test can be used to: a) Predict future performance. b) Indicate weaknesses. c) Measure improvement. d) Enable the coach to assess the success of his training programme. e) Place the athlete in appropriate training group. f) Motivate the athlete 2.5 Step Test (Hoeger & Hoeger, 2002) The Step Test requires little time and equipment and can be administered to almost anyone, as submaximal workload is used to estimate maximal oxygen uptake. Procedure for the Step Test: a) Conduct the test with a bench or gymnasium bleacher 161/4 inches high. b) Performance the stepping cycle to a four-step cadence (up-up-down-down). Men should perform 24 complete step-ups per minute, regulated with a metronome set at 96 beats per minute. Women perform 22 step-ups per min, or 88 beats per minute on the metronome. c) Allow a brief practice period of 5 to 10 seconds to familiarize player with the stepping cadence. d) Begin the test and perform the step-ups for exactly 3 minutes. e) Upon completing the 3minutes, remain standing and take the heart rate for a 15-second interval from 5 to 20seconds into recovery. Convert recovery heart rate to beats per minute (multiply 15-second heart rate by d). f) Maximal oxygen uptake (VO2 max) in ml/kg/min is estimated according to the following equations: Men: VO2 max = 111.3 – (0.42×recovery heart rate in bpm) Women: VO2 max = 65.81 – (0.1847 ×recovery heart rate in bpm 26 Table 7 VO2 max obtained from the recovery Heart Rates (McArdle et al., 1986) 15-Sec Heart Rate VO2 max (ml/kg/min) Heart Rate (bpm) Men Women 30 120 60.9 43.6 31 124 59.3 42.9 32 128 57.6 42.2 33 132 55.9 41.4 34 136 54.2 40.7 35 140 52.5 40.0 36 144 50.9 39.2 37 148 49.2 38.5 38 152 47.5 37.7 39 156 45.8 37.0 40 160 44.1 36.3 41 164 42.5 35.5 42 168 40.8 34.8 43 172 39.1 34.0 44 176 37.4 33.3 45 180 35.7 32.6 46 184 34.1 31.8 47 188 32.4 31.1 48 192 30.7 30.3 49 196 29.0 29.6 50 200 27.3 28.9 27 2.6 Maximal Oxygen Consumption Test (VO2 max) According to the adapted source, the Maximal Oxygen Consumption Test is from http: // www. topendsports.com/testing/ VO2 max.htm, the testing is conducted as followed. Equipment required: oxygen and carbon dioxide analyzers, ergometer on which workload may be modified, heart rate monitor (optional) and a stopwatch. Expired air may be collected and volume measured via Douglas bags or a Tissot tank, or measured by a pnuemotach or turbine ventilometer. Procedure: exercise is performed on an appropriate ergometer (treadmill, cycle, swim bench etc.). The exercise workloads are selected to gradually progress in increments from moderate to maximal intensity. Oxygen uptake is calculated from measures of ventilation and the oxygen and carbon dioxide in the expired air, and the maximal level is determined at or near test completion. Scoring: results are presented as either l/min (liters per minute) or ml/kg/min (ml of oxygen per kilogram of body weight per minute). The athlete is considered to have reached their VO2 max if several of the following occurred: a plateau or 'peaking over' in oxygen uptake, maximal heart rate was reached, attainment of a respiratory exchange ratio of 1.15 or greater, and volitional exhaustion. Table 8 Maximal Oxygen Uptake norms for men (ml/kg/min). Age (years) Rating 18-25 26-35 36-45 46-55 56-65 65+ Excellent >60 >56 >51 >45 >41 >37 Good 52-60 49-56 43-51 39-45 36-41 33-37 Above average 47-51 43-48 39-42 36-38 32-35 29-32 Average 42-46 40-42 35-38 32-35 30-31 26-28 Below average 37-41 35-39 31-34 29-31 26-29 22-25 Poor 30-36 30-34 26-30 25-28 22-25 20-21 Very poor <30 <30 <26 <25 <22 <20 28 Table 9 Maximal Oxygen Uptake norms for women (ml/kg/min). Age (years) Rating 18-25 26-35 36-45 46-55 56-65 65+ Excellent >56 >52 >45 >40 >37 >32 Good 47-56 45-52 38-45 34-40 32-37 28-32 Above average 42-46 39-44 34-37 31-33 28-31 25-27 Average 38-41 35-38 31-33 28-30 25-27 22-24 Below average 33-37 31-34 27-30 25-27 22-24 19-21 Poor 28-32 26-30 22-26 20-24 18-21 17-18 Very poor <28 <26 <22 <20 <18 <17 2.7 Balke Test – Treadmill (Hanson, 1984) Equipment required: treadmill, stopwatch, electrocardiograph (optional) Procedure: (note: there is also the different Balke 15 minute run test) the athlete walks on a treadmill to exhaustion, at a constant walking speed while gradient/ slope is increased every one or two minutes. The assistant starts the stopwatch at the beginning of the test and stops it when the subject is unable to continue. There are several modifications or variation of the Balke Test that are used, with variations in the treadmill speed, time at each level and or increase in gradient. There are examples of test protocols that have been used. a) For men the treadmill speed is set at 3.3 mph, with the gradient starting at 0%. After 1 minute it is raised to 2%, then 1% each minute thereafter. b) For women the treadmill speed is set at 3.0 mph, with the gradient starting at 0%, and increased by 2.5% every three minutes. c) Walking speed constant at 3 km/hr whilst the grade was increased by 2.5 percent every two minutes. Results: the test score is the time taken on the test, in minutes. Ideally this should be between 9-15 minutes. The test time can also be converted to an estimated VO2 max score using the following formulas where the value "T" is the total time completed (expressed in minutes and fractions of a minute e.g. 9 minutes 15 29 seconds = 9.25 minutes) (note: this is only applicable if the same protocol is used as when these formula were developed): For men: VO2 max = 1.444 (T) + 14.99 (Pollock et al., 1976) For women: VO2 max = 1.38 (T) + 5.22 (Pollock et al., 1982) 2.8 Bruce Protocol Stress Test The adapted source of using the Bruce Protocol Stress Test is from http://www.topendsports.com/testing/tests/bruce.htm, the test details are as followed. Equipment required: treadmill, stopwatch, a 12-lead electrocardiograph (ECG) machine and leads, sticking tape, clips. Procedure: exercise is performed on a treadmill. If required, the leads of the ECG are placed on the chest wall. The treadmill is started at 2.74 km/hr (1.7 mph) and at a gradient (or incline) of 10%. At three minute intervals the incline of the treadmill increases by 2%. Table 10 The treadmill speed increases index. Stage Speed (km/hr) Speed (mph) Gradient 1 2.74 1.7 10 2 4.02 2.5 12 3 5.47 3.4 14 4 6.76 4.2 16 5 8.05 5.0 18 6 8.85 5.5 20 7 9.65 6.0 22 8 10.46 6.5 24 9 11.26 7.0 26 10 12.07 7.5 28 Modifications: there is a commonly used modified Bruce protocol, which starts at a lower workload than the standard test, and is typically used for elderly or sedentary patients. The fist two stages of the Modified Bruce Test are 30 performed at a 1.7 mph and 0% grade and 1.7 mph and 5% grade, and the third stage corresponds to the first stage of the Standard Bruce Test protocol as listed above. Results: the test score is the time taken on the test, in minutes. This can also be converted to an estimated VO2 max score using the calculator below and the following formulas, where the value "T" is the total time completed (expressed in minutes and fractions of a minute e.g. 9 minutes 15 seconds = 9.25 minutes). As with many exercise test equations, there have been many regression equations developed that may give varying results. If possible, use the one derived from a similar population and which best suits your needs. VO2 max (ml/kg/min) = 14.76 - (1.379 × T) + (0.451 × T²) - (0.012 × T³) (this formula is the one used for the calculator below) Women: VO2 max (ml/kg/min) = 2.94 x T + 3.74 Young women: VO2 max (ml/kg/min) = 4.38 × T - 3.9 Men: VO2 max (ml/kg/min) = 2.94 x T + 7.65 Young men: VO2 max (ml/kg/min) = 3.62 x T + 3.91 2.9 Bruce Treadmill Test (Mackenzie, 2005) The objective of the Bruce Treadmill Test is to monitor the development of the athlete’s general endurance (VO2 max). Required resource: treadmill where speed and grade of slope can be adjusted, the stop watch and Assistant. Table 11 The timed stages with the speed and grade of slope of the treadmill Stage 1 2 3 4 5 6 7 8 9 10 Time (min.) 0 3 6 9 12 15 18 21 24 27 Km/hr 2.74 4.02 5.47 6.76 8.05 8.85 9.65 10.46 11.26 12.07 Slope 10% 12% 14% 16% 18% 20% 22% 24% 26% 28% 31 The treadmill is set up with the stage 1 speed (2.74 km/hr) and grade of slope (10%) and the athlete commences the test. At the appropriate times during the test the speed and slope of the treadmill are adjusted. So after 3 minutes into the test the speed is adjusted to 4.02 km/hr and the slope to 12%, after 6 minutes into the test the speed is adjusted to 5.47 km/hr and the slope to 14%, and so on. The assistant starts the stop watch at the start of the test and stops it when the athlete is unable to continue – this ideally should be between 9 and 15 minutes. Analysis: analysis of the result is by comparing it with the results of previous tests. It is expected that, with appropriate training between each test, the analysis would indicate an improvement. Active and sedentary men (Foster et al., 1984) From the total walk/ run time an estimate of the athlete's VO2 max can be calculated as follows: VO2 max = 14.8 – (1.379 x T) + (0.451 x T2) – (0.012 x T3) "T" is the total time of the test expressed in minutes and fractions of a minute e.g. 13 minutes 15 seconds = 13.25 minutes. Active and sedentary women (Pollock et al., 1982) From the total walk/ run time an estimate of the athlete's VO2 max can be calculated as follows: VO2 max = 4.38 x T – 3.9 "T" is the total time of the test expressed in minutes and fractions of a minute. 2.10 12Min Run Test Purpose: to estimate an individual’s VO2 max for the 12 min run. Equipment: measured track or course (treadmill is a possible alternative), stopwatch. Procedure (Hoffman, 2006): a) Review testing procedures with the client before beginning the test. Inform the client that he or she is allowed to walk or test during the test if necessary, but that this will affect the score on the assessment. b) Instruct the client to run continuously for a 12 min period over a set course marked for standard distance (e.g., 32 track). Advice the client to cover as much distance as possible over this 12 min period. c) Start the stopwatch as soon as the client begins the test and stop it at 12 min mark. Analysis and interpretation of data: the distance covered from the start of the assessment to where the client stops at the 12 min mark is measured for the client’s score. To estimate the VO2 max, use the following formula: VO2 max = 0.0268 (Distance cover) – 11.3 Where VO2 max is in ml/kg/min. distance covered is in m. Table 12 Percentile ranks for distance during 12 Min Run for men and women. (ACSM, 1995) Percentile Men 90 80 70 60 50 40 30 20 10 Women 90 80 70 60 50 40 30 20 10 20-29 mi km N=1,675 1.74 2.78 1.65 2.64 1.61 2.58 1.54 2.46 1.50 2.40 1.45 2.32 1.41 2.26 1.34 2.14 1.27 2.03 N=764 1.54 2.46 1.45 2.32 1.37 2.19 1.33 2.13 1.29 2.06 1.25 2.00 1.21 1.94 1.16 1.86 1.10 1.76 30-39 mi km N=7,7095 1.71 2.74 1.61 2.58 1.55 2.48 1.49 2..38 1.45 2.32 1.39 2.22 1.35 2.16 1.29 2.06 1.21 1.94 N=2,049 1.45 2.32 1.38 2.21 1.33 2.13 1.27 2.03 1.25 2.00 1.21 1.94 1.16 1.86 1.11 1.78 1.05 1.68 Age (y) 40-49 mi km N=6,837 1.65 2.64 1.54 2.46 1.47 2.35 1.42 2.27 1.37 2.19 1.33 2.13 1.29 2.06 1.23 1.97 1.17 1.87 N=1,630 1.41 2.26 1.32 2.11 1.25 2.00 1.21 1.94 1.17 1.87 1.13 1.81 1.10 1.76 1.05 1.68 1.01 1.62 50-59 mi km N=3,808 1.57 2.51 1.45 2.32 1.38 2.21 1.33 2.13 1.29 2.06 1.25 2.00 1.21 1.94 1.15 1.84 1.09 1.74 N=878 1.29 2.06 1.21 1.94 1.17 1.87 1.13 1.81 1.10 1.76 1.06 1.70 1.02 1.63 0.98 1.57 0.93 1.49 60+ mi km N=1,005 1.49 1.38 1.37 1.19 1.29 1.06 1.24 1.98 1.19 1.90 1.15 1.84 1.11 1.78 1.05 1.68 0.95 1.52 N=202 1.29 2.06 1.18 1.89 1.13 1.81 1.07 1.71 1.03 1.65 0.99 1.58 0.97 1.55 0.94 1.50 0.89 1.42 33 2.11 1.5-Mile (2.4km) Test Purpose: to estimate an individual’s VO2 max for the 1.5mi (2.41km) Equipment: measured track or course and stopwatch. Procedure: a) Instruct the client to run the 1.5-mile (2.41 km) course as fast as he or she is capable of running. b) Record the time in minutes and to the nearest tenth of a second from the initiation of the test until the 1.5-mile distance is completed (Reiman & Manske, 2009). Analysis and interpretation of data: to estimate the VO2 max, use the following formula: VO2mx = 3.5 + 483/ (time to run 1.5 mi or 2.41km) VO2 max is in ml/kg/mi and time is in min. Table 13 Percentile rank for 1.5 mi (2.41 km) run time (min: s) men and women (ACSM, 1995) Percentile Men 90 80 70 60 50 40 30 20 10 Women 90 80 70 60 50 40 30 20 10 20-29 N=1,675 9:09 10:16 10:47 11:41 12:18 12:51 13:22 14:13 15:10 N=764 11:43 12:51 13:53 14:24 14:55 15:26 15:57 16:33 17:21 30-39 N=7,7095 9:30 10:47 11:34 12:20 12:51 13:36 14:08 14:52 15:52 N=2,049 12:51 13:43 14:24 15:08 15:26 15:57 16:35 17:14 18:00 Age (y) 40-49 N=6,837 10:16 11:44 12:34 13:14 13:53 14:29 14:56 15:41 16:28 N=1,630 13:22 14:31 15:16 15:57 16:27 16:58 17:24 18:00 18:31 50-59 N=3,808 11:18 12:51 13:45 14:24 14:55 15:26 15:57 16:43 17:29 N=878 14:55 15:57 16:27 16:58 17:24 17:55 18:23 18:49 19:30 60+ N=1,005 12:20 13:53 14:53 15:29 16:07 16:43 17:14 18:00 19:15 N=202 14:55 16:20 16:58 17:46 18:16 18:44 18:59 19:21 20:04 34 2.12 Rockport Walking Test (Kline et al., 1987) To estimate VO2 max, the individual’s time for walking 1mi (1.6 km) and the ending heart rate are entered into following formula: VO2 man (ml/kg/min.) = 132.853 – (0.0769×BW) – (0.03877×age) + [6.315 × gender (1 for males, 0 for females)] – 3.2649 × time in minutes walk 1.0 miles – (0.1565×heart rate). Table 14 Normative values for the Rockport Walking Test (Morrow et al., 2005) Rating Males Females Ages 30-69 y (min : s) Excellent <10:12 <11:40 Good 10:13-11:42 11:41-13:08 High average 11:43-13:13 13:09-14:36 Low average 13:14-14:44 14:37-16:04 Fair 14:45-16:23 16:05-17:31 Poor >16:24 >17:32 18-30 y (min : s) 90% 11:08 11:45 75% 11:42 12:49 50% 12:38 13:15 25% 13:38 14:12 10% 14:37 15:03 2.13 20-Meters Shuttle Running Test (Cooper & Storer, 2004) The multistage 20-meter shuttle run test was originally developed to assess VO2 max in healthy adults tested either individually or in groups. The protocol requires the following conditions: a) The 20-m course should be dry, firm, and flat and allow 5–10m extra length for deceleration at each end. b) Subjects run back and forth on the 20-m course 35 marked at each end with a line. c) Subjects must touch the line at the same time a sound cue is emitted from a prerecorded audiotape. d) The frequency of the cues is increased 0.5km·h-1 (8.33m·min-1) every 2 min from a starting speed of 8.0km·h-1 (133.3m·min-1 or 5.0 m.p.h.). e) Cues are provided so that an audible tone is sounded as a pacing mechanism. The pace time for each shuttle during each 2-min stage. f) When the subject is no longer able to reach the 20-m distance on cue (defined as more than 3m away), the last fully completed stage number is recorded and used to predict maximal oxygen uptake corresponding to the final stage. VO2 max = (5.857×S) − 19.458 Where VO2 max is expressed in ml/kg/min., and S is the speed corresponding to the last completed stage expressed in km·h-1. Speed can be obtained calculated in km·h-1 using the formula 8 + [0.5(completed stages -1)]. 2.14 Balke VO2 max Test (Mackenzie, 2005) The objective of this test is to monitor the development of the athlete's general endurance (VO2 max). Required resources: 400m track, stop watch and assistant. To conduct the test The Balke Test is conducted as follows: a) Choose a windless day and run around a track for 15 minutes – the aim is to run as far as possible. b) The assistant notes the total distance achieved in the 15 minutes to the nearest 25 metres. Analysis Analysis of the result is by comparing it with the results of previous tests. It is expected that, with appropriate training between each test, the analysis would indicate an improvement. The distance achieved can also be used to predict the athlete’s VO2 max. Performance assessment The formula used to calculate VO2 max is: VO2 max = (((Total distance covered / 15) – 133) x 0.172) + 33.3 Example: an athletes completes 5200 metres in 15 minutes VO2 max = (((5200/15) – 133) x 0.172) + 33.3 36 VO2 max = 70 ml/kg/min. 2.15 Queen’s College Step Test (Mackenzie, 2005) The objective of the Queen’s College Step Test is to predict an athlete’s VO2 max Required resources: a) Step 16.25 inches or 41.3 cm high; b) Stop watch; c) Metronome or cadence tape; d) Heart Rate monitor (optional); e) Assistant. To conduct the test: a) Step up and down on the step for 3 minutes at the following rate: Male – 24 steps per minute; Female – 22 steps per minute. b) Use a metronome or have someone to help you keep to the required pace. c) 5 seconds after finishing the test – count the heart beats for 15 seconds (PR). Analysis Analysis of the result is by comparing it with the results of previous tests. It is expected that, with appropriate training between each test, the analysis would indicate an improvement. To calculate your VO2 max as follows: a) Male = 111.33 – (1.68 x PR) b) Female = 65.81– (0.7388 x PR) 2.16 Test for VO2 max from a One Mile Jog (Mackenzie, 2005) Required resources: 400 meter track, Stop watch and Heart Rate monitor. To conduct the test: a) Warm up by jogging for a couple of minutes. b) Jog one mile at an easy, steady pace, making sure that you take longer (yes longer) than eight minutes (males), or more than nine minutes (females). c) Record how long it actually takes you to jog one mile. d) Record your heart rate immediately on completing the mile. Analysis The algorithms to calculate your VO2 max are: Male Athletes VO2 max = 108.844 – 0.1636W – 1.438T – 0.1928H Female Athletes VO2 max = 100.5 – 0.1636W – 1.438T – 0.1928H Where W = Weight in kg, T = Time for the one mile run and H = Heart Rate at the end of the run. 2.17 One-mile Walk Test Purpose: to determine the subject’s level of cardiorespiratory fitness 37 (VO2 max). This test utilize an alternate method (other than using respirators or expiratory devices) to determine VO2 max, which oxygen is consumed during a given activity. Equipment: Measured track or course or treadmill, stopwatch; heart rate (HR) monitor is optional. Procedure: (American Heart Association [AHA], 1990) a) Instruct the subject to walk along the measured testing surface as fast as ha or she can without running. b) If monitor is not available, measure the subject’s pulse rate manually and record HR in beats per minute immediately upon completion of the test. c) Record the elapsed time to complete the walk to the nearest second. Analysis and interpretation of data Calculation of the estimated VO2 max is as follows: VO2 max (ml/kg/min.) = 132.85-(0.007×body weight in pounds) – (0.39×Age in year) + [6.32×gender (0=F; 1=M)]-(3.26×elapsed time in minutes)-(0.16×HR in beats per minute). 2.18 Multistage Fitness Test (20-Meter Shuttle Run, YO-YO Test) Purpose: to determine the client’s level of cardiorespiratory. Equipment: calibrated cassette tape drive or CD version of the 20 m Shuttle Run Test (CD version is preferable due to tape stretch with cassette tape; available for purchase from Australian Sports Commission), flat nonslip testing surface, two cones to mark distances, stopwatch. Procedure (Leger & Gadoury, 1989; Ramsbottom et al., 1988; Shvartz & Reibold, 1990) a) Mark a 20 m distance with one cone at each end. b) Instruct the client to carefully listen to the tape or CD and advise the client of the testing criterion of always placing a foot on or behind the 20 m mark. c) The tape or CD will emit a beep at the time the client is required to be at the 20 m mark. d) The client must try to be at the opposite end of the 20m track by the time the next beep sounds. e) The client’s running speed will have to gradually increase because the time interval between beeps decreases after approximately each minute. f) Start the tape or CD and instruct the client to begin the test. g) Warn the client if he or she is unable to reach the 20m mark 38 in time for the beep; terminate the test when the client is unable to reach 20 m mark twice in succession. Analysis and interpretation of data a) The subject’s score is the level and number of shuttles immediately previous to the beep on which he or she was eliminated. b) More detailed instructions for calculations of VO2 max according to the subject’s score on the test are given on the tape or CD, but scores can generally be calculated from the following formula: VO2 max = 3.46 x [1x level + (shuttles/ [level x 0.4325+7.0048])] +12.2 Normative values can be estimated from the following table. Table 15 Maximal Oxygen Uptake (ml/kg/min) classifications (men and women). (Cooper Institute for Aerobic Research, 2002) Age Poor Fair Good Excellent Superior 20-29 ≤31 32-34 35-37 38-41 42+ 39-30 ≤29 30-32 33-35 36-39 40+ 40-49 ≤27 28-30 31-32 33-36 37+ 50-59 ≤24 25-27 28-29 30-32 33+ 60-69 ≤23 24-25 26-27 28-31 32+ 20-29 ≤37 38-41 42-44 45-48 49+ 39-30 ≤35 36-39 40-42 43-47 48+ 40-49 ≤33 34-37 38-40 41-44 45+ 50-59 ≤30 31-34 35-37 38-41 42+ 60-69 ≤26 27-30 31-34 35-38 39+ Women Men Rough estimates of percentages of category of fitness are given in the following table. VO2 max for athletes in various sports are as following: 39 a) Average: females ranged from 35 to 43 and males ranged from 44 to 51 ml/kg/min. b) Above average: females ranged from 44 to 48 and males ranged from 52 to 56 ml/kg/min. Table 16 Fitness categories according to percentages (Reiman & Manske, 2009) Category Percent (%) of population Excellent 3 Very good 8 Good 22 Average 34 Fair 22 Poor 8 Very poor 3 2.19 Ramp Test The Ramp Test requires the use of ergometer, metronome. The metronome should be set at 100bpm in order to maintain the pedals` speed at 50 rounds per minute (rpm).the subject works at each workload for 3 minutes. The heart rate is measured during the 3rd, the 6th, and the 9th minutes. The results of the heart rates predict maximum oxygen consumption (VO2 max) is referenced the scoring graph by Golding et al. (1989). The procedure o f the test is followed: a) To set the first workload at 300 Kpm (1 KP); b) If the HR in the 3rd minute is: + Greater than (>) 105, it should be set workload at 600 Kpm (2KP); + 90 to 105, it should be set workload at 750 Kpm (2KP—1/2 KP); + Less than (<) 90, it should be set workload at 900 Kpm (3KP); 40 c) set the 7th minute load (the last load) according to the loads in the following graft (figure 7, 8). 300kgm 1kp HR<90 HR>105 HR=90-105 900kgm 3kp HR<120 HR>135 HR=120-135 1350kgm 4-1/2kp 1200kgm 4kp 200kgm 2kp 750kgm 2-1/2kp 1050kgm 3-1/2kp HR<120 HR=120-135 1200kgm 4kp HR>135 900kgm 3kp 1050kgm 3-1/2kp HR<120 HR>135 HR=120-135 1050kgm 3-1/2kp 750kgm 2-1/2kp 900kgm 3kp Figure 7 Cycle ergometer protocol used for Ramp Test (men) (Golding, et al, 1989). 41 150kgm 1/2kp HR<90 HR=90-105 600kgm 2kp 900kgm 3kp 300kgm 1kp 450kgm 1-1/2kp HR<120 HR>135 HR=120-135 1050kgm 3-1/2kp HR>105 750kgm 2-1/2kp HR<120 HR>135 HR=120-135 900kgm 3kp 600kgm 2kp 750kgm 2-1/2kp HR<120 HR>135 HR=120-135 750kgm 2-1/2kp 450kgm 1-1/2kp 600kgm 2kp Figure 8 Cycle ergometer protocol used for Ramp Test (women) (Golding et al., 1989). Summary After an overview of the previous related literatures and theories, the main concepts were focused on the physical fitness and measurement of maximal oxygen consumption (VO2 max). There were several definitions of the physical fitness and methods of measurements of the maximal oxygen consumption. However, as a number of simple and feasible developed tests of maximal oxygen consumption (VO2 max). There is still a lack of specific data of the results from the different evaluation to compare it with one of standard of evaluation considered. As a result, this study compared four of tests with the standard result considered. Therefore, the next chapter presented the research design, methodology, data collection and data analysis.
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