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1.
Abstract

It has been shown that the critical power (CP) in cycling estimated using a novel 3-min all-out protocol is reliable and closely matches the CP derived from conventional procedures. The purpose of this study was to assess the predictive validity of the all-out test CP estimate. We hypothesised that the all-out test CP would be significantly correlated with 16.1-km road time-trial (TT) performance and more strongly correlated with performance than the gas exchange threshold (GET), respiratory compensation point (RCP) and V?O2 max. Ten club-level male cyclists (mean±SD: age 33.8±8.2 y, body mass 73.8±4.3 kg, V?O2 max 60±4 ml·kg?1·min?1) performed a 10-mile road TT, a ramp incremental test to exhaustion, and two 3-min all-out tests, the first of which served as familiarisation. The 16.1-km TT performance (27.1±1.2 min) was significantly correlated with the CP (309±34 W; r=?0.83, P<0.01) and total work done during the all-out test (70.9±6.5 kJ; r=?0.86, P<0.01), the ramp incremental test peak power (433±30 W; r=?0.75, P<0.05) and the RCP (315±29 W; r=?0.68, P<0.05), but not with GET (151±32 W; r=?0.21) or the V?O2 max (4.41±0.25 L·min?1; r=?0.60). These data provide evidence for the predictive validity and practical performance relevance of the 3-min all-out test. The 3-min all-out test CP may represent a useful addition to the battery of tests employed by applied sport physiologists or coaches to track fitness and predict performance in atheletes.  相似文献   

2.
This study investigated the effect cadence has on the estimation of critical power (CP) and the finite work capacity (W?) during the 3-minute all-out cycling test. Ten participants completed 8 tests: 1) an incremental test to calculate gas exchange threshold (GET), maximal aerobic power (MAP) and peak oxygen uptake (V?O2peak), 2–4) three time-to-exhaustion tests at 80, 100 and 105% MAP to calculate CP and W?, 5–7) four 3-minute all-out tests to calculate end power (EP) and work done above EP (WEP) using cadences ranging from preferred ?5 to preferred +10 rev·min?1 to set the fixed resistance. Significant differences were seen between CP and EP-preferred (267.5 ± 22.6 W vs. 296.6 ± 26.1 W, P < 0.001), CP and EP?5 (267.5 ± 22.6 W vs. 303.6 ± 24.0 W, P < 0.001) and between CP and EP+5 (267.5 ± 22.6 W vs. 290.0 ± 28.0 W, P = 0.002). No significant differences were seen between CP and EP+10 (267.5 ± 22.6 W vs. 278.1 ± 30.9 W, P = 0.331). Significant differences were seen between W? and WEP at all tested fixed resistances. EP is reduced when cycling at higher than preferred cadences, providing better estimates of CP.  相似文献   

3.
ABSTRACT

Introduction: High-Intensity Interval Training (HIIT) and Constant-Intensity Endurance Training (CIET) improves peak oxygen uptake (V?O2) similarly in adults; but in children this remains unclear, as does the influence of maturity. Methods: Thirty-seven boys formed three groups: HIIT (football; n = 14; 14.3 ± 3.1 years), CIET (distance runners; n = 12; 13.1 ± 2.5 years) and a control (CON) group (n = 11; 13.7 ± 3.2 years). Peak V?O2 and gas exchange threshold (GET) were determined from a ramp test and anaerobic performance using a 30 m sprint pre-and-post a three-month training cycle. Results: The HIIT groups peak V?O2 was significantly higher than the CON group pre (peak V?O2: 2.54 ± 0.63 l·min-1 vs 2.03 ± 0.53 l·min-1, d = 0.88; GET: 1.41 ± 0.26 l·min-1 vs 1.13 ± 0.29 l·min-1, d = 1.02) and post-training (peak V?O2: 2.63 ± 0.73 l·min-1 vs 2.08 ± 0.64 l·min-1, d = 0.80; GET: 1.32 ± 0.33 l·min-1 vs 1.15 ± 0.38 l·min-1, d = 0.48). All groups showed a similar magnitude of change during the training (p > 0.05). Conclusion: HIIT was not superior to CIET for improving aerobic or anaerobic parameters in adolescents. Secondly, pre- and post-pubertal participants demonstrated similar trainability.  相似文献   

4.
ABSTRACT

Purpose: To validate and compare a novel model based on the critical power (CP) concept that describes the entire domain of maximal mean power (MMP) data from cyclists.

Methods: An omni-domain power-duration (OmPD) model was derived whereby the rate of W? expenditure is bound by maximum sprint power and the power at prolonged durations declines from CP log-linearly. The three-parameter CP (3CP) and exponential (Exp) models were likewise extended with the log-linear decay function (Om3CP and OmExp). Each model bounds W? using a different nonconstant function, W?eff (effective W?). Models were fit to MMP data from nine cyclists who also completed four time-trials (TTs).

Results: The OmPD and Om3CP residuals (4 ± 1%) were smaller than the OmExp residuals (6 ± 2%; P < 0.001). W?eff predicted by the OmPD model was stable between 120–1,800 s, whereas it varied for the Om3CP and OmExp models. TT prediction errors were not different between models (7 ± 5%, 8 ± 5%, 7 ± 6%; P = 0.914).

Conclusion: The OmPD offers similar or superior goodness-of-fit and better theoretical properties compared to the other models, such that it best extends the CP concept to short-sprint and prolonged-endurance performance.  相似文献   

5.
ABSTRACT

This study assessed the intra-individual reliability of oxygen saturation in intercostal muscles (SmO2-m.intercostales) during an incremental maximal treadmill exercise by using portable NIRS devices in a test-retest study. Fifteen marathon runners (age, 24.9 ± 2.0 years; body mass index, 21.6 ± 2.3 kg·m?2; V?O2-peak, 63.7 ± 5.9 mL·kg?1·min?1) were tested on two separate days, with a 7-day interval between the two measurements. Oxygen consumption (V?O2) was assessed using the breath-by-breath method during the V?O2-test, while SmO2 was determined using a portable commercial device, based in the near-infrared spectroscopy (NIRS) principle. The minute ventilation (VE), respiratory rate (RR), and tidal volume (Vt) were also monitored during the cardiopulmonary exercise test. For the SmO2-m.intercostales, the intraclass correlation coefficient (ICC) at rest, first (VT1) and second ventilatory (VT2) thresholds, and maximal stages were 0.90, 0.84, 0.92, and 0.93, respectively; the confidence intervals ranged from ?10.8% – +9.5% to ?15.3% – +12.5%. The reliability was good at low intensity (rest and VT1) and excellent at high intensity (VT2 and max). The Spearman correlation test revealed (p ≤ 0.001) an inverse association of SmO2-m.intercostales with V?O2 (ρ = ?0.64), VE (ρ = ?0.73), RR (ρ = ?0.70), and Vt (ρ = ?0.63). The relationship with the ventilatory variables showed that increased breathing effort during exercise could be registered adequately using a NIRS portable device.  相似文献   

6.
This study examined if short-duration record power outputs can be predicted with the Anaerobic Power Reserve (APR) model in professional cyclists using a field-based approach. Additionally, we evaluated if modified model parameters could improve predictive ability of the model. Twelve professional cyclists (V?O2max 75 ± 6 ml?kg?1?min?1) participated in this investigation. Using the mean power output during the last stage of an incremental field test, sprint peak power output and an exponential constant describing the decrement in power output over time, a power-duration relationship was established for each participant. Record power outputs of different durations (5 to 180 s) were collected from training and competition data and compared to the predicted power output from the APR model. The originally proposed exponent (k = 0.026) predicted performance within an average of 43 W (Standard Error of Estimate (SEE) of 32 W) and 5.9%. Modified model parameters slightly improved predictive ability to a mean of 34–39 W (SEE of 29 – 35 W) and 4.1 – 5.3%. This study shows that a single exponent model generally fits well with the decrement in power output over time in professional cyclists. Modified model parameters may contribute to improving predictability of the model.  相似文献   

7.
Abstract

In this study, we examined fat oxidation rates during exercise in obese pubescent boys. Three groups of pubescent boys (16 pre-pubescent, Tanner's stage I; 16 pubescent, Tanner's stage III; and 14 post-pubescent, Tanner's stage V) performed a graded test on a leg cycle ergometer. The first step of the test was fixed at 30 W and power was gradually increased by 20 W every 3.5 min. Oxygen consumption ([Vdot]O2) and carbon dioxide production ([Vdot]CO2) were determined as the means of measurements during the last 30 s of each step, which allowed us to calculate fat oxidation rates versus exercise intensity. Between 20 and 50% of peak oxygen consumption ([Vdot]O2peak), fat oxidation rate in relative values (mg · min?1 · kg FFM?1) decreased continuously with pubertal development. In the same way, the maximum rate of fat oxidation occurred at a lower percentage of [Vdot]O2peak (pre-pubescent: 49.47 ± 1.62%; pubescent: 47.43 ± 1.26%; post-pubescent: 45.00 ± 0.97%). Our results confirm that puberty is responsible for a decrease in fat free mass capacities to use fat during exercise. The results suggest that post-pubescent obese boys need to practise physical activity at a lower intensity than pre-pubescent boys to enhance lipolysis and diminish adipose tissue and the consequences of obesity.  相似文献   

8.
Abstract

Graded exercise tests are commonly used to assess peak physiological capacities of athletes. However, unlike time trials, these tests do not provide performance information. The aim of this study was to examine the peak physiological responses of female outrigger canoeists to a 1000-m ergometer time trial and compare the time-trial performance to two graded exercise tests performed at increments of 7.5 W each minute and 15 W each two minutes respectively. 17 trained female outrigger canoeists completed the time trial on an outrigger canoe ergometer with heart rate (HR), stroke rate, power output, and oxygen consumption ([Vdot]O2) determined every 15 s. The mean (± s) time-trial time was 359 ± 33 s, with a mean power output of 65 ± 16 W and mean stroke rate of 56 ± 4 strokes · min?1. Mean values for peak [Vdot]O2, peak heart rate, and mean heart rate were 3.17 ± 0.67 litres · min?1, 177 ± 11 beats · min?1, and 164 ± 12 beats · min?1 respectively. Compared with the graded exercise tests, the time-trial elicited similar values for peak heart rate, peak power output, peak blood lactate concentration, and peak [Vdot]O2. As a time trial is sport-specific and can simultaneously quantify sprint performance and peak physiological responses in outrigger canoeing, it is suggested that a time trial be used by coaches for crew selection as it doubles as a reliable performance measure and a protocol for monitoring peak aerobic capacity of female outrigger canoeists.  相似文献   

9.
Purpose: To determine the accuracy of critical power (CP) and W? (the curvature constant of the power-duration relationship) derived from self-paced time-trial (TT) prediction trials using mobile power meters to predict 16.1-km road cycling TT performance. This study also aimed to assess the agreement between functional threshold power (FTP) and CP.

Methods: Twelve competitive male cyclists completed an incremental test to exhaustion, a FTP test and 4–5 self-paced TT bouts on a stationary bike within the lab, and a 16.1 km road TT, using mobile power meters.

Results: CP and W? derived from the power-duration relationship closely predicted TT performance. The 16.1-km road TT completion time (26.7 ± 2.2 min) was not significantly different from and was significantly correlated with the predicted time-to-completion (27.5 ± 3.3 min, r = 0.89, P < 0.01). CP and FTP were not significantly different (275 ± 40 W vs. 278 ± 42 W, P > 0.05); however, the limits of agreement between CP and FTP were 30 to -36 W.

Discussion: The findings of this study indicate that CP and W? determined using mobile power meters during maximal, self-paced TT prediction trials can be used to accurately predict 16.1-km cycling performance, supporting the application of the CP and W? for performance prediction. However, the limits of agreement were too large to consider FTP and CP interchangeable.  相似文献   


10.
The aims of the study were to describe the physiological profile of a 65-km (4000-m cumulative elevation gain) running mountain ultra-marathon (MUM) and to identify predictors of MUM performance. Twenty-three amateur trail-runners performed anthropometric evaluations and an uphill graded exercise test (GXT) for VO2max, ventilatory thresholds (VTs), power outputs (PMax, PVTs) and heart rate response (HRmax, HR@VTs). Heart rate (HR) was monitored during the race and intensity was expressed as: Zone I (VT2) for exercise load calculation (training impulse, TRIMP). Mean race intensity was 77.1%±4.4% of HRmax distributed as: 85.7%±19.4% Zone I, 13.9%±18.6% Zone II, 0.4%±0.9% Zone III. Exercise load was 766±110 TRIMP units. Race time (11.8±1.6h) was negatively correlated with VO2max (r = ?0.66, P <0.001) and PMax (r = ?0.73, P <0.001), resulting these variables determinant in predicting MUM performance, whereas exercise thresholds did not improve performance prediction. Laboratory variables explained only 59% of race time variance, underlining the multi-factorial character of MUM performance. Our results support the idea that VT1 represents a boundary of tolerable intensity in this kind of events, where exercise load is extremely high. This information can be helpful in identifying optimal pacing strategies to complete such extremely demanding MUMs.  相似文献   

11.
Abstract

The purpose of this study was to compare submaximal physiological responses and indices of mechanical efficiency between asynchronous and synchronous arm ergometry. Thirteen wheelchair-dependent trained athletes performed eight steady-state incremental bouts of exercise (0 to 140 W), each lasting 4 min, using synchronous and asynchronous arm-cranking strategies. Physiological measures included oxygen uptake ([Vdot]O2), heart rate, and blood lactate concentration. The power outputs corresponding to fixed whole blood lactate concentrations of 2.0 to 4.0 mmol · l?1 were calculated using linear interpolation. Mechanical efficiency indices – gross efficiency, net efficiency, and work efficiency – were also calculated. An analysis of variance with repeated measures was applied to determine the effect of crank mode on the physiological parameters. Oxygen uptake was on average 10% lower (P < 0.01), and both net efficiency (P < 0.01) and gross efficiency (P < 0.01) were higher, during the asynchronous strategy at both 60 and 80 W (gross efficiency: 16.9 ± 2.0% vs. 14.7 ± 2.4% and 17.5 ± 1.8% vs. 15.9 ± 2.6% at 60 and 80 W respectively). There were no differences in heart rate, blood lactate concentration or power output at either of the blood lactate reference points between the asynchronous and synchronous strategies (P > 0.05). In conclusion, test specificity is an important consideration. If a synchronous strategy is to be adopted, it is likely to result in lower efficiency than an asynchronous strategy. The exercise testing scenario may help dictate which method is ultimately chosen.  相似文献   

12.
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13.
This study compared the responses of two priming exercises of similar fatigue on the adjustment of the oxygen uptake time constant (τV?O2) in cycling. Ten healthy young adults (25 ± 3 yr) performed: three step transitions from a 20-W baseline to the power output (PO) below the gas exchange threshold (MOD, MODPRE); a 3-min bout (P3MIN) at 90% of peak PO (POpeak), followed by MOD (MOD3MIN); and a 6-min bout (P6MIN) at 80% of POpeak, followed by MOD (MOD6MIN). The O2 supply-to-O2 demand ([HHb]/V?O2) ratio was calculated for MODPRE, MOD3MIN, and MOD6MIN. Neuromuscular fatigue was measured isometrically pre- and post-priming exercise. Reductions in maximal voluntary contraction (?29 ± 6 vs ?34 ± 7%) and high-frequency doublet amplitude (?48 ± 13 vs ?43 ± 11%) were not significantly different between P3MIN vs P6MIN, suggesting similar fatigue. τV?O2 for MOD3MIN and MOD6MIN were similar, being ~25% smaller than MODPRE. The [HHb]/V?O2 ratio was significantly greater in MODPRE (1.13 ± 0.12) compared to MOD3MIN (1.02 ± 0.04) and MOD6MIN (1.02 ± 0.04). This study showed that priming exercise of shorter duration and higher intensity, was sufficient to accelerate V?O2 kinetics similarly to that observed subsequent to P6MIN when the muscle fatigue was similar.  相似文献   

14.
Purpose: The purpose of this study was to determine if anaerobic performance as measured by the Wingate is decremented in elite female athletes when fraction of inspired oxygen is decreased from 20.9% to 10%. Method: Nine collegiate female soccer players (Mweight = 63.2 ± 10 kg, Mheight = 164 ± 4.7 cm, Mage = 18.6 ± 0.5 year) performed 1 Wingate test under each condition separated by at least 24 hr. Oxygen consumption was measured breath by breath using a Sensor-Medics metabolic cart. Postexercise blood lactates were measured using the finger-stick method. During normoxic and hypoxic (10% inspired oxygen [O2]) conditions, participants inhaled air from a 300-L weather balloon during the 30-s test. Results: Peak power, minimum power, average power, postexercise blood lactate, preexercise and postexercise blood O2 saturation, and total O2 consumed during exercise and during recovery were not statistically different between conditions. However, the Fatigue Index and peak ventilation were significantly greater during hypoxia than normoxia (35 ± 11% vs. 27 ± 9% &; 91.6 ± 14.2 L/min vs. 75.2 ± 11.1 L/min, respectively, p < .05, Cohen's d = ? 0.80 and ? 1.29, respectively). Ventilation was elevated during hypoxia within 5 s of beginning the Wingate and remained elevated throughout exercise. This increased ventilation was sufficient to maintain oxygen consumption during exercise. Conclusion: Under hypoxic conditions, the ventilatory response to the Wingate test is perhaps more important than aerobic capacity per se in determining whether or not Wingate performance is decremented.  相似文献   

15.
Abstract

The purpose of this study was to establish whether critical power, as traditionally determined from the performance of three constant-load tests to exhaustion, is attained at the end of a 90-s all-out test in children. Sixteen healthy children (eight males and eight females; mean age 12.3 years, sx  = 0.1; body mass 39.6 kg, sx  = 1.8; peak [Vdot]O2 2.0 litres · min?1, sx  = 0.1) completed an incremental test to exhaustion to determine peak oxygen uptake (peak [Vdot]O2), three separate constant-load tests to exhaustion to calculate critical power, and an isokinetic 90-s all-out test. The end power of the 90-s test averaged over the last 10 s (140 W, sx  = 8) was significantly higher than critical power (105 W, sx  = 6; t = 6.8; P < 0.01), yet the two parameters were strongly correlated (r = 0.74; P < 0.01). After 60 s, there were no further reductions in power output during the 90-s test (P < 0.0001). In conclusion, at the end of a 90-s all-out test, children are able to produce power outputs well above critical power. This suggests that 90 s is not long enough to completely exhaust the anaerobic work capacity in children.  相似文献   

16.
Abstract

Maximal oxygen uptake ([Vdot]O2max) is considered the optimal method to assess aerobic fitness. The measurement of [Vdot]O2max, however, requires special equipment and training. Maximal exercise testing with determination of maximal power output offers a more simple approach. This study explores the relationship between [Vdot]O2max and maximal power output in 247 children (139 boys and 108 girls) aged 7.9–11.1 years. Maximal oxygen uptake was measured by indirect calorimetry during a maximal ergometer exercise test with an initial workload of 30 W and 15 W · min?1 increments. Maximal power output was also measured. A sample (n = 124) was used to calculate reference equations, which were then validated using another sample (n = 123). The linear reference equation for both sexes combined was: [Vdot]O2max (ml · min?1) = 96 + 10.6 · maximal power + 3.5 · body mass. Using this reference equation, estimated [Vdot]O2max per unit of body mass (ml · min?1 · kg?1) calculated from maximal power correlated closely with the direct measurement of [Vdot]O2max (r = 0.91, P <0.001). Bland-Altman analysis gave a mean limits of agreement of 0.2±2.9 (ml · min?1 · kg?1) (1 s). Our results suggest that maximal power output serves as a good surrogate measurement for [Vdot]O2max in population studies of children aged 8–11 years.  相似文献   

17.
Abstract

Mountain biking is a popular recreational pursuit and the physiological demands of cross-country style riding have been well documented. However, little is known regarding the growing discipline of gravity-assisted downhill cycling. We characterised the physiological demands of downhill mountain biking under typical riding conditions. Riding oxygen consumption ([Vdot]O2) and heart rate (HR) were measured on 11 male and eight female experienced downhill cyclists and compared with data during a standardised incremental to maximum ([Vdot]O2max) exercise test. The mean [Vdot]O2 while riding was 23.1 ± 6.9 ml · kg?1 · min?1 or 52 ± 14% of [Vdot]O2max with corresponding heart rates of 146 ± 11 bpm (80 ± 6% HRmax). Over 65% of the ride was in a zone at or above an intensity level associated with improvements in health-related fitness. However, the participants’ heart rates and ratings of perceived exertion were artificially inflated in comparison with the actual metabolic demands of the downhill ride. Substantial muscular fatigue was evident in grip strength, which decreased 5.4 ± 9.4 kg (5.5 ± 11.2%, P = 0.03) post-ride. Participation in downhill mountain biking is associated with significant physiological demands, which are in a range associated with beneficial effects on health-related fitness.  相似文献   

18.
This study investigated (i) whether the accumulated oxygen deficit (AOD) and curvature constant of the power–duration relationship (W′) are different during constant work-rate to exhaustion (CWR) and 3-min all-out (3MT) tests and (ii) the relationship between AOD and W′ during CWR and 3MT. Twenty-one male cyclists (age: 40 ± 6 years; maximal oxygen uptake [V?O2max]: 58 ± 7 ml · kg?1 · min?1) completed preliminary tests to determine the V?O2–power output relationship and V?O2max. Subsequently, AOD and W′ were determined as the difference between oxygen demand and oxygen uptake and work completed above critical power, respectively, in CWR and 3MT. There were no differences between tests for duration, work, or average power output (P ≥ 0.05). AOD was greater in the CWR test (4.18 ± 0.95 vs. 3.68 ± 0.98 L; P = 0.004), whereas W′ was greater in 3MT (9.55 ± 4.00 vs. 11.37 ± 3.84 kJ; P = 0.010). AOD and W′ were significantly correlated in both CWR (P < 0.001, r = 0.654) and 3MT (P < 0.001, r = 0.654). In conclusion, despite positive correlations between AOD and W′ in CWR and 3MT, between-test differences in the magnitude of AOD and W′, suggest that both measures have different underpinning mechanisms.  相似文献   

19.
Abstract

The aim of this study was to compare the lactate indices provided by single- and double-breakpoint models with lactate thresholds obtained with conventional methods. Arterial samples for the determination of lactate concentrations were drawn from eight participants at rest and every minute during a ramp test (15 W · min?1) on a cycle ergometer. Lactate thresholds were determined from a blood lactate concentration equal to 4 mM (LT4), from an increase of 1 mM above the resting level (Δ1 mM), and from indirect methods using ventilatory parameters. Other indices were computed from the modelling of the lactate curve using an exponential function (LSI), a polynomial function (Dmax), a semi-log model (SLog), a parabola plus delay model (Mod P), and a two-breakpoint model (Mod M). Mod P and Mod M showed poor agreement with the other methods. LT4, Dmax, LSI, and respiratory exchange ratio equal to 1 were correlated with each other (0.81 ≤ R ≤ 0.92) and their mean differences ranged from 2.8 to 15 W, with limits of agreement within the range ± 24.6 to ± 42.4 W. These results question the interest in breakpoints models to detect lactate thresholds, knowing that LT4, LSI, Dmax, and respiratory exchange ratio equal to 1 provide indices that occur at similar power outputs.  相似文献   

20.
This study compared the effects of 12-week sprint interval training (SIT), high-intensity interval training (HIIT), and moderate-intensity continuous training (MICT) on cardiorespiratory fitness (V?O2peak), body mass and insulin sensitivity in overweight females. Forty-two overweight women (age 21.2 ± 1.4 years, BMI 26.3 ± 2.5 kg·m?2) were randomized to the groups of SIT (80 × 6-s sprints + 9-s rest), and isoenergetic (300KJ) HIIT (~9 × 4-min cycling at 90% V?O2peak + 3-min rest) and MICT (cycling at 60% V?O2peak for ~ 61-min). Training intervention was performed 3 d·week?1 for 12 weeks. After intervention, all three groups induced the same improvement in V?O2peak (~ +25%, p < 0.001) and a similar reduction in body mass (~ – 5%, p < 0.001). Insulin sensitivity and fasting insulin levels were improved significantly on post-training measures in SIT and HIIT by ~26% and ~39% (p < 0.01), respectively, but remain unchanged in MICT. In contrast, fasting glucose levels were only reduced with MICT (p < 0.01). The three training strategies are equally effective in improving V?O2peak and reducing body mass, however, the SIT is time-efficient. High-intensity training (i.e. SIT and HIIT) seems to be more beneficial than MICT in improving insulin sensitivity.

Abbreviations: BMI: body mass index; CVD: cardiovascular disease; HIEG: hyperinsulinaemic euglycaemic glucose; HIIT: high-intensity interval training; HOMA-IR: homeostasis model assessment of insulin resistance; HR: heart rate; MICT: moderate-intensity continuous training; RPE: ratings of perceived exertion; SIT: sprint interval training; T2D: type 2 diabetes; V?O2peak: peak oxygen consumption  相似文献   


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