Cited by 8Cardiovascular and exercise physiologySports Performance and TrainingMuscle metabolism and nutrition

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Agreement between Ventilatory Thresholds and Bilaterally Measured Vastus Lateralis Muscle Oxygen Saturation Breakpoints in Trained Cyclists: Effects of Age and Performance

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Abstract

This study focused on comparing metabolic thresholds derived from local muscle oxygen saturation (SmO2) signals, obtained using near-infrared spectroscopy (NIRS), with global pulmonary ventilation rates measured at the mouth. It was conducted among various Age Groups within a well-trained cyclist population. Additionally, the study examined how cycling performance characteristics impact the discrepancies between ventilatory thresholds (VTs) and SmO2 breakpoints (BPs). Methods: Junior (n = 18) and Senior (n = 15) cyclists underwent incremental cycling tests to assess their aerobic performance and to determine aerobic (AeT) and anaerobic (AnT) threshold characteristics through pulmonary gas exchange and changes in linearity of the vastus lateralis (VL) muscle SmO2 signals. We compared the relative power (Pkg) at ventilatory thresholds (VTs) and breakpoints (BPs) for the nondominant (ND), dominant (DO), and bilaterally averaged (Avr) SmO2 during the agreement analysis. Additionally, a 30 s sprint test was performed to estimate anaerobic performance capabilities and to assess the cyclists’ phenotype, defined as the ratio of P@VT2 to the highest 5 s sprint power. Results: The Pkg@BP for Avr SmO2 had higher agreement with VT values than ND and DO. Avr SmO2 Pkg@BP1 was lower (p < 0.05) than Pkg@VT1 (mean bias: 0.12 ± 0.29 W/kg; Limits of Agreement (LOA): −0.45 to 0.68 W/kg; R2 = 0.72) and mainly among Seniors (0.21 ± 0.22 W/kg; LOA: −0.22 to 0.63 W/kg); there was no difference (p > 0.05) between Avr Pkg@BP2 and Pkg@VT2 (0.03 ± 0.22 W/kg; LOA: −0.40 to 0.45 W/kg; R2 = 0.86). The bias between two methods correlated significantly with the phenotype (r = −0.385 and r = −0.515 for AeT and AnT, respectively). Conclusions: Two breakpoints can be defined in the NIRS-captured SmO2 signal of VL, but the agreement between the two methods at the individual level was too low for interchangeable usage of those methods in the practical training process. Older cyclists generally exhibited earlier thresholds in muscle oxygenation signals compared to systemic responses, unlike younger cyclists who showed greater variability and no significant differences in this regard in bias values between the two threshold evaluation methods with no significant difference between methods. More sprinter-type cyclists tended to have systemic VT thresholds earlier than local NIRS-derived thresholds than athletes with relatively higher aerobic abilities.

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Figure 1 Four different types of signal slope change combinations and breakpoints, where plot (C) represents typical sloping pattern and (A,B,D) are atypical; the scales of axes are normalised for individual ranges in SmO2 (nSmO2) detected during the test (Min SmO2 to Max SmO2) and for incremental test duration (start of the first step to the end of exercise) to time (nTime) scale. First breakpoint (BP1) and second breakpoint (BP2).
Figure 1 Four different types of signal slope change combinations and breakpoints, where plot (C) represents typical sloping pattern and (A,B,D) are atypical; the scales of axes are normalised for individual ranges in SmO2 (nSmO2) detected during the test (Min SmO2 to Max SmO2) and for incremental test duration (start of the first step to the end of exercise) to time (nTime) scale. First breakpoint (BP1) and second breakpoint (BP2).CC BY · PubMed Central
Figure 2 Regression and Bland Altman plots were used to illustrate the relationships (A) and correspondence (B) between the timing of SmO2 signal breakpoints (BPs) for typical (types C and D for BP1; A and C for BP2) and atypical (types A and B for BP1; B and D for BP2) slope changes. These plots were particularly focused on instances where opposing directions of slope changes were observed in the contralateral VL muscles, with the difference being calculated as typical minus atypical.
Figure 2 Regression and Bland Altman plots were used to illustrate the relationships (A) and correspondence (B) between the timing of SmO2 signal breakpoints (BPs) for typical (types C and D for BP1; A and C for BP2) and atypical (types A and B for BP1; B and D for BP2) slope changes. These plots were particularly focused on instances where opposing directions of slope changes were observed in the contralateral VL muscles, with the difference being calculated as typical minus atypical.CC BY · PubMed Central
Figure 3 Bland Altman and regression plots between relative power (W/kg) values of VT1 and originally measured SmO2 BP1 of ND side (section A) and DO side (B); average value of ND and DO side (C) and relationship between power values of ND- and DO-side SmO2 BP1 (D).
Figure 3 Bland Altman and regression plots between relative power (W/kg) values of VT1 and originally measured SmO2 BP1 of ND side (section A) and DO side (B); average value of ND and DO side (C) and relationship between power values of ND- and DO-side SmO2 BP1 (D).CC BY · PubMed Central
Figure 4 Bland Altman and regression plots between power values of VT2 and SmO2 BP2 of ND side (A) and DO side (B); average value of ND and DO side (C) and relationship between power values of ND- and DO-side SmO2 BP2 (D).
Figure 4 Bland Altman and regression plots between power values of VT2 and SmO2 BP2 of ND side (A) and DO side (B); average value of ND and DO side (C) and relationship between power values of ND- and DO-side SmO2 BP2 (D).CC BY · PubMed Central
Figure 5 Regression plots representing associations between selected cycling performance characteristics (plot (A) relative VO2@VT2 and plot (B) cyclists’ typology) and bias value between relative power at VT2 and BP2 of SmO2 (average of ND and DO leg).
Figure 5 Regression plots representing associations between selected cycling performance characteristics (plot (A) relative VO2@VT2 and plot (B) cyclists’ typology) and bias value between relative power at VT2 and BP2 of SmO2 (average of ND and DO leg).CC BY · PubMed Central

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Metadata

Authors
Reinpõld, K., Rannama, I., & Port, K.
Affiliations
Tallinn University (EE)
Corresponding author
Reinpõld, Karmen
Venue
Sports
Publisher
MDPI AG
Published
2024-01-28
Volume
12
Issue
2
Pages
40
ISSN
2075-4663 (ISSN-L)
OpenAlex
W4391309133
Cited by
8
References
67
Citations by year
2026: 3 · 2025: 4 · 2024: 1
FWCI
4.00
Type
journal article
Language
en
Open access
Locations
  • Sports (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
  • Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
Keywords
ventilatory threshold, vastus lateralis, near-infrared spectroscopy, trained cyclists, aerobic threshold, anaerobic threshold, age differences, cycling performance, sprint power, measurement agreement, incremental cycling test, muscle oxygenation, pulmonary gas exchange, limits of agreement

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CoChat. (2026). Citation check: Agreement between Ventilatory Thresholds and Bilaterally Measured Vastus Lateralis Muscle Oxygen Saturation Breakpoints in Trained Cyclists: Effects of Age and Performance. https://app.cochat.ai/papers/10.3390/sports12020040
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Reinpõld, K., Rannama, I., & Port, K. (2024). Agreement between Ventilatory Thresholds and Bilaterally Measured Vastus Lateralis Muscle Oxygen Saturation Breakpoints in Trained Cyclists: Effects of Age and Performance. Sports. https://doi.org/10.3390/sports12020040