次最大強度運動檢測之移動式步行與原地式蹬階測驗研究分析

藉次強度運動測試預測最大攝氧量成為近年快速發展主流趨勢，本文選取美國胸科學會六分鐘步行測驗及蹬階測驗進行探究。不論在醫學上健康評估或是作為運動訓練，步行測驗與蹬階測驗都具有際應用參考價值。本文收集大量文獻對步行及蹬階兩項檢測分別就歷史發展、心肺功能之預測效能、運動測驗結果之影響因素進行探究。依據6MWD和蹬階指數能有效預測VO_2max。蹬階測驗運動強度明顯高於6MWT，甚至達到CPETVO_2max的85%。最後得出結論，蹬階測驗隨階高升高體能指數下降，但更大的運動強度使VO_2max預估值更精準還有待研究。蹬階測驗達到中高運動強度對體能不佳者存在安全隱患，建議進行測驗時需醫學監督介入。兩項測驗均為次強度運動測試，但運動後疲勞指數和心率波動情況均不相同，兩者不可相互取代。在日後進行運動檢測時學者們還需要針對不同受測人群來選擇適合的運動檢測方案。

關鍵字

最大攝氧量；六分鐘步行測驗；蹬階測驗；心肺適能

並列摘要

In recent years, the main trend of rapid development is to predict VO2max by sub intensity exercise test. This paper selects six minute walk test and step test of American Thoracic Society to explore. Both walking test and step test are valuable for clinical health assessment and exercise training. In this paper, a large number of literatures were collected to explore the historical development, the predictive effectiveness of cardiopulmonary function, and the influencing factors of exercise test results. The maximum oxygen uptake can be predicted effectively according to the walking distance of 6MWT and Physical Efficiency Index. Anthropometric data explanation for 20 to 78% of the variation in walking distance of 6MWT. The exercise intensity of step test was significantly higher than 6MWT, even 85% of the maximum oxygen uptake of CPET. Final，the physical index of step test decreases with the increase of step height, but it is still to be studied that the more accurate prediction value of maximum oxygen uptake will be obtained for higher exercise intensity. The exercise of pedaling test has some hidden danger to the subjects who are not fit well when the exercise reaches medium and high intensity. It is suggested that medical supervision should be involved in the step test. Although the in-situ step test and the mobile walking test are sub intensity exercise tests, the fatigue index and heart rate fluctuation after exercise are different, and they can not be replaced each other. In the future, the scholars need to choose the appropriate motion detection scheme for different subjects and experimental purposes.

並列關鍵字

Maximum Oxygen Consumption ； 6-minute Walking Test ； Step Test ； Cardiorespiratory Fitness

參考文獻

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories (2002). ATS statement: guidelines for the six-minute walk test. American journal of respiratory and critical care medicine, 166(1), 111–117. https://doi.org/10.1164/ajrccm.166.1.at1102

Albert, C. M., Mittleman, M. A., Chae, C. U., Lee, I. M., Hennekens, C. H., & Manson, J. E. (2000). Triggering of sudden death from cardiac causes by vigorous exertion. The New England journal ofmedicine, 343(19), 1355–1361. https://doi.org/10.1056/NEJM200011093431902

Bourahli, M. K., Bougrida, M., Martani, M., Mehdioui, H., & Saad, H. B., (2016). 6-Min walk-test data in healthy North-African subjects aged 16-40 years. Egypt J Chest Dis Tuberc, 65(1)，349-360. https://doi.org/10.1016/j.ejcdt.2015.08.003

Bohannon, R. W., Bubela, D. J., Wang, Y. C., Magasi, S. S., & Gershon, R. C. (2015). Six-Minute Walk Test Vs. Three-Minute Step Test for Measuring Functional Endurance. Journal of strength and conditioning research, 29(11), 3240–3244. https://doi.org/10.1519/JSC.0000000000000253

Butland, R. J., Pang, J., Gross, E. R., Woodcock, A. A., & Geddes, D. M. (1982). Two-, six-, and 12-minute walking tests in respiratory disease. British medical journal (Clinical research ed.), 284(6329), 1607–1608. https://doi.org/10.1136/bmj.284.6329.1607

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次最大強度運動檢測之移動式步行與原地式蹬階測驗研究分析

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