Identifying time-varying dynamics of heart rate and oxygen uptake from single ramp incremental running tests.

Objective. The fact that ramp incremental exercise yields quasi-linear responses for pulmonary oxygen uptake (V˙O2) and heart rate (HR) seems contradictory to the well-known non-linear behavior of underlying physiological processes. Prior research highlights this issue and demonstrates how a balancing of system gain and response time parameters causes linearV˙O2responses during ramp tests. This study builds upon this knowledge and extracts the time-varying dynamics directly from HR andV˙O2data of single ramp incremental running tests. Approach. A large-scale open access dataset of 735 ramp incremental running tests is analyzed. The dynamics are obtained by means of 1st order autoregressive and exogenous models with time-variant parameters. This allows for the estimates of time constant ( τ ) and steady state gain (SSG) to vary with work rate. Main results. As the work rate increases, τ -values increase on average from 38 to 132 s for HR, and from 27 to 35 s forV˙O2. Both increases are statistically significant ( p < 0.01). Further, SSG-values decrease on average from 14 to 9 bpm (km·h -1 ) -1 for HR, and from 218 to 144 ml·min -1 forV˙O2( p < 0.01 for decrease parameters of HR andV˙O2). The results of this modeling approach are line with literature reporting on cardiorespiratory dynamics obtained using standard procedures. Significance. We show that time-variant modeling is able to determine the time-varying dynamics HR andV˙O2responses to ramp incremental running directly from individual tests. The proposed method allows for gaining insights into the cardiorespiratory response characteristics when no repeated measurements are available.