Conconi Test
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Conconi Test
The Conconi Test is a sports medicine test intended to measure an individual's maximum anaerobic and aerobic threshold heart rates. The test measures a person's heart rates at different loads (e.g. faster speeds on a treadmill). The points are plotted on a graph with heart rate on one axis and power (or some correlated measurement such as running speed) on the other axis; the graph's deflection point indicates the aerobic threshold. The heart rate increases (approximately) linearly up to the deflection point, where the heart rate reaches AT (also known as LT, lactate threshold, in more modern nomenclature). The test continues for a while, under increasing load, until the subject has gone well past the anaerobic threshold. Accuracy Two studies from the mid 90s showed the Conconi test to be inaccurate and impractical in assessing the anaerobic threshold, while other recent studies are disputing or have disputed this contention, and still others proposed modifications to impro ...
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Sports Medicine
Sports medicine is a branch of medicine that deals with physical fitness and the treatment and prevention of injuries related to sports and exercise. Although most sports teams have employed team physicians for many years, it is only since the late 20th century that sports medicine emerged as a distinct field of health care. In some countries, sports medicine (or sport and exercise medicine) is a recognized medical specialty (with similar training and standards to other medical specialties). In the majority of countries where sports medicine is recognized and practiced, it is a physician (non-surgical) specialty, but in some (such as the USA), it can equally be a surgical or non-surgical medical specialty, and also a specialty field within primary care. In other contexts, the field of sports medicine encompasses the scope of both medical specialists and also allied health practitioners who work in the field of sport, such as physiotherapists, athletic trainers, podiatrists and ...
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Anaerobic Threshold
Lactate inflection point (LIP), is the exercise intensity at which the blood concentration of lactate and/or lactic acid begins to increase rapidly. It is often expressed as 85% of maximum heart rate or 75% of maximum oxygen intake. When exercising at or below the lactate threshold, any lactate produced by the muscles is removed by the body without it building up. The onset of blood lactate accumulation (OBLA) is often confused with the lactate threshold. With an exercise intensity higher than the threshold the lactate production exceeds the rate at which it can be broken down. The blood lactate concentration will show an increase equal to 4.0mM; it then accumulates in the muscle and then moves to the bloodstream. Regular endurance exercise leads to adaptations in skeletal muscle which raises the threshold at which lactate levels will rise. This is mediated via activation of PGC-1α, which alters the isoenzyme composition of the LDH complex and decreases the activity of the lactat ...
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Aerobic Threshold
Lactate inflection point (LIP), is the exercise intensity at which the blood concentration of lactate and/or lactic acid begins to increase rapidly. It is often expressed as 85% of maximum heart rate or 75% of maximum oxygen intake. When exercising at or below the lactate threshold, any lactate produced by the muscles is removed by the body without it building up. The onset of blood lactate accumulation (OBLA) is often confused with the lactate threshold. With an exercise intensity higher than the threshold the lactate production exceeds the rate at which it can be broken down. The blood lactate concentration will show an increase equal to 4.0mM; it then accumulates in the muscle and then moves to the bloodstream. Regular endurance exercise leads to adaptations in skeletal muscle which raises the threshold at which lactate levels will rise. This is mediated via activation of PGC-1α, which alters the isoenzyme composition of the LDH complex and decreases the activity of the lacta ...
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Heart Rate
Heart rate (or pulse rate) is the frequency of the heartbeat measured by the number of contractions (beats) of the heart per minute (bpm). The heart rate can vary according to the body's physical needs, including the need to absorb oxygen and excrete carbon dioxide, but is also modulated by numerous factors, including, but not limited to, genetics, physical fitness, stress or psychological status, diet, drugs, hormonal status, environment, and disease/illness as well as the interaction between and among these factors. It is usually equal or close to the pulse measured at any peripheral point. The American Heart Association states the normal resting adult human heart rate is 60–100 bpm. Tachycardia is a high heart rate, defined as above 100 bpm at rest. Bradycardia is a low heart rate, defined as below 60 bpm at rest. When a human sleeps, a heartbeat with rates around 40–50 bpm is common and is considered normal. When the heart is not beating in a regular pattern, this is ref ...
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Aerobic Threshold
Lactate inflection point (LIP), is the exercise intensity at which the blood concentration of lactate and/or lactic acid begins to increase rapidly. It is often expressed as 85% of maximum heart rate or 75% of maximum oxygen intake. When exercising at or below the lactate threshold, any lactate produced by the muscles is removed by the body without it building up. The onset of blood lactate accumulation (OBLA) is often confused with the lactate threshold. With an exercise intensity higher than the threshold the lactate production exceeds the rate at which it can be broken down. The blood lactate concentration will show an increase equal to 4.0mM; it then accumulates in the muscle and then moves to the bloodstream. Regular endurance exercise leads to adaptations in skeletal muscle which raises the threshold at which lactate levels will rise. This is mediated via activation of PGC-1α, which alters the isoenzyme composition of the LDH complex and decreases the activity of the lacta ...
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Lactate Threshold
Lactate inflection point (LIP), is the exercise intensity at which the blood concentration of lactate and/or lactic acid begins to increase rapidly. It is often expressed as 85% of maximum heart rate or 75% of maximum oxygen intake. When exercising at or below the lactate threshold, any lactate produced by the muscles is removed by the body without it building up. The onset of blood lactate accumulation (OBLA) is often confused with the lactate threshold. With an exercise intensity higher than the threshold the lactate production exceeds the rate at which it can be broken down. The blood lactate concentration will show an increase equal to 4.0mM; it then accumulates in the muscle and then moves to the bloodstream. Regular endurance exercise leads to adaptations in skeletal muscle which raises the threshold at which lactate levels will rise. This is mediated via activation of PGC-1α, which alters the isoenzyme composition of the LDH complex and decreases the activity of the lactat ...
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Anaerobic Exercise
Anaerobic exercise is a type of exercise that breaks down glucose in the body without using oxygen; ''anaerobic'' means "without oxygen". In practical terms, this means that anaerobic exercise is more intense, but shorter in duration than aerobic exercise. The biochemistry of anaerobic exercise involves a process called glycolysis, in which glucose is converted to adenosine triphosphate (ATP), which is the primary source of energy for cellular reactions. This type of exercise leads to a buildup of lactic acid. Anaerobic exercise may be used to help build endurance, muscle strength, and power. Metabolism Anaerobic metabolism is a natural part of metabolic energy expenditure. Fast twitch muscles (as compared to slow twitch muscles) operate using anaerobic metabolic systems, such that any use of fast twitch muscle fibers leads to an increased anaerobic energy expenditure. Intense exercise lasting upwards of four minutes (e.g. a mile race) may still have considerable anaerobi ...
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Cardiac Stress Test
A cardiac stress test (also referred to as a cardiac diagnostic test, cardiopulmonary exercise test, or abbreviated CPX test) is a cardiological test that measures the heart's ability to respond to external stress in a controlled clinical environment. The stress response is induced by exercise or by intravenous pharmacological stimulation. Cardiac stress tests compare the coronary circulation while the patient is at rest with the same patient's circulation during maximum cardiac exertion, showing any abnormal blood flow to the myocardium (heart muscle tissue). The results can be interpreted as a reflection on the general physical condition of the test patient. This test can be used to diagnose coronary artery disease (also known as ischemic heart disease) and assess patient prognosis after a myocardial infarction (heart attack). Exercise-induced stressors are most commonly either exercise on a treadmill or pedalling a stationary exercise bicycle ergometer. The level of stress ...
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