VO2peak prediction and exercise prescription for pregnant women.
OBJECTIVE
The present study was designed to develop and validate a prediction equation for peak oxygen consumption VO2peak) using a progressive treadmill test and to refine the current target HR exercise guidelines for pregnancy (PARmed-X for Pregnancy).


METHODS
One hundred fifty-six women between 16 and 22 wk of gestation performed the test to volitional fatigue (peak exercise test). Data from every fourth subject were used to form the cross-validation group. The women were separated into two age groups; 20-29 (N = 60) and 30-39 (N = 96) yr of age and then further separated into fit (VO2peak at the top 25th percentile), unfit (VO2peak at the bottom 25th percentile), and active (between these two ranges). HR and VO2peak values were used in the regression equation to predict target HR ranges at 60 and 80% VO2peak.


RESULTS
The prediction equation (R2 = 0.72, R2adjusted = 0.71 and SEE = 2.7) was compared with cross validation (N = 39; P = 0.78). Fit women had a VO2peak > or = 27.2 mL.kg(-1).min(-1) and > or = 26.1 mL.kg.min for ages 20-29 and 30-39 yr, respectively, representing the top 25th percentile. Unfit women had a VO2peak of < or = 21.0 mL.kg(-1).min(-1) and < or = 19.6 mL.kg(-1).min(-1), respectively, representing the bottom 25th percentile. HR/VO2peak regression lines for each fitness level were used to generate the target HR zones in each age group.


CONCLUSIONS
This is the first study to provide a validated prediction equation of VO2peak for pregnant women using a progressive treadmill exercise test. The defined target HR zones based on age and the appropriate fitness levels can be used for exercise prescription in healthy pregnant women.
Mottola
Michelle F
MF
Exercise and Pregnancy Laboratory, School of Kinesiology, Faculty of Health Sciences, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario, Canada. mmottola@uwo.ca
Davenport
Margie H
MH
Brun
Chantale R
CR
Inglis
Stuart D
SD
Charlesworth
Sarah
S
Sopper
Maggie M
MM
D000328:Adult; D015444:Exercise; D005080:Exercise Test; D005260:Female; D005865:Gestational Age; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D010101:Oxygen Consumption / Q000502:physiology*; D011237:Predictive Value of Tests; D011247:Pregnancy / Q000502:physiology*; D012044:Regression Analysis; D018709:Statistics, Nonparametric