Background: The role of the perception of breathing effort in the regulation of performance of maximal exercise remains unclear.
Aims: To determine whether the perceived effort of ventilation is altered through substituting a less dense gas for normal ambient air and whether this substitution affects performance of maximal incremental exercise in trained athletes.
Methods: Eight highly trained cyclists (mean SD) maximal oxygen consumption (VO2max) = 69.9 (7.9) (mlO2/kg/min) performed two randomised maximal tests in a hyperbaric chamber breathing ambient air composed of either 35% O2/65% N2 (nitrox) or 35% O2/65% He (heliox). A ramp protocol was used in which power output was incremented at 0.5 W/s. The trials were separated by at least 48 h. The perceived effort of breathing was obtained via Borg Category Ratio Scales at 3-min intervals and at fatigue. Oxygen consumption (VO2) and minute ventilation (VE) were monitored continuously.
Results: Breathing heliox did not change the sensation of dyspnoea: there were no differences between trials for the Borg scales at any time point. Exercise performance was not different between the nitrox and heliox trials (peak power output = 451 (58) and 453 (56) W), nor was VO2max (4.96 (0.61) and 4.88 (0.65) l/min) or maximal VE (157 (24) and 163 (22) l/min). Between-trial variability in peak power output was less than either VO2max or maximal VE.
Conclusion: Breathing a less dense gas does not improve maximal performance of exercise or reduce the perception of breathing effort in highly trained athletes, although an attenuated submaximal tidal volume and VE with a concomitant reduction in VO2 suggests an improved gas exchange and reduced O2 cost of ventilation when breathing heliox.
- ANOVA, analysis of variance
- COPD, chronic obstructive pulmonary disease
- CR10, Category-Ratio Scale
- FiO2, fractional inspired oxygen
- PAV, pressure-assisted ventilation
- RPE15, 15-point rating of perceived exertion
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Funding for this study was provided by the Beatrix Waddell Scholarship Fund, the Lowenstein Scholarship Trust and the Harry Crossley Staff Research Fund, all of the University of Cape Town; the National Research Foundation and the Medical Research Council of South Africa; and Discovery Health Pty Ltd.
Competing interests: None declared.