Abstract
The purpose of this study was to investigate walking economy in response to steady-state locomotion in adult males with Down syndrome (DS) and in healthy controls. Twelve participants with DS (34.5 ± 7.0 years) and 11 non-disabled controls (34.3 ± 8.7 years) performed submaximal (0% grade, 2.5 km h−1 for 8 min) and maximal treadmill tests with metabolic and heart-rate measurements. For submaximal walking, submaximal oxygen uptake (VO2) (9.1 vs. 9.5 mL kg−1 min−1), net VO2 (5.9 vs. 5.4 mL kg−1 min−1) were not different between the groups (P > 0.05). However, oxygen-pulse (6.6 vs. 8.6 mL/beat) was lower and relative work intensity (44.6 vs. 19.9% of max) was higher in individuals with DS compared to controls (P < 0.05). Findings indicate similar walking economy between groups. Nevertheless, participants with DS exercised at lower submaximal oxygen-pulse and higher percentage of VO2peak. Therefore, despite similar walking economy, participants with DS have lower cardiorespiratory function than controls for a given steady-state treadmill speed.
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Ammirati A, Marino B, Annicchiarico M, Ferraza A, Affinito V, Ragonese P (1991) Sindromi di Down senza cardiopatia congenita: E’ realmente normale l’anatomia eccocardiografica? G Ital Cardiol 21:55
Bergman B, Brooks B (1999) Respiratory exchange ratios during graded exercise in fed and fasted trained and untrained man. J Appl Physiol 86(2):479–487
Browning R, Kram R (2005) Energetic cost and preferred speed of walking in obese vs normal weight women. Obes Res 13:891–899. doi:10.1038/oby.2005.103
Cavanagh P, Williams K (1982) The effect of stride length variation on oxygen uptake during distance running. Med Sci Sports 14(1):30–35
Cavanagh P, Pollock M, Landa J (1977) A biomechanical comparison of elite and good distance runners. Ann N Y Acad Sci 301:328–345. doi:10.1111/j.1749-6632.1977.tb38211.x
Christensen E, Hansen O (1939) Repiratorisher quotient und O2-aufnahme. Skand Arch Physiol 81:180–189
Dubois D, Dubois E (1916) A formula to estimate the approximate surface area if height and weight be known. Arch Intern Med 17:863–871
Fernhall B, Otterstetter M (2003) Attenuated responses to sympathoexcitation in individuals with Down syndrome. J Appl Physiol 94:2158–2165
Fernhall B, Pitetti K (2001) Limitations to physical work in individuals with mental retardation. Clin Exerc Physiol 3:176–185
Fernhall B, Unnithan V (2002) Cardiovascular fitness as related to leg strength in adults with mental retardation. Med Sci Sports Exerc 27:423–428
Fernhall B, Millar A, Tymeson G, Burkett L (1990) Maximal exercise testing of mentally retarded adolescents and adults: reliability study. Arch Phys Med Rehabil 71(13):1065–1068
Fernhall B, Pitetti K, Rimmer J, McCubbin J, Rintala P, Millar A et al (1996) Cardiorespiratory capacity of individuals with mental retardation including Down syndrome. Med Sci Sports Exerc 28(3):366–371. doi:10.1097/00005768-199603000-00012
Friedlander A, Casazza G, Huie M, Horning M, Brooks G (1997) Endurance training alters glucose kinetics in response to the same absolute, but not the same relative workload. J Appl Physiol 82:1360–1369
Goran M, Fields D, Herd S, Weinsier R (2000) Total body fat does not influence maximal aerobic capacity. Int J Obes 24:841–848. doi:10.1038/sj.ijo.0801241
Guerra M, Roman B, Geronimo C, Violan M, Cuadrado E, Fernhall B (2000) Physical fitness levels of physically active and sedentary active individuals with Down syndrome. Adapt Phys Activ Q 17:310–321
Menz H, Lord S, Fitzpatrick R (2003) Age-related differences in walking stability. Age Ageing 32:137–142. doi:10.1093/ageing/32.2.137
Morgan D, Craib M (1992) Physiological aspects of running economy. Med Sci Sports Exerc 24(4):456–461
Parker A, Bronks R, Synder C Jr (1985) Walking patterns in Down’s syndrome. J Ment Defic Res 30:317–330
Pitetti K, Boneh S (1995) Cardiovascular fitness as related to leg strength in adults with mental retardation. Med Sci Sports Exerc 27:423–428. doi:10.1249/00005768-199503000-00020
Pollock M (1977) Submaximal and maximal work capacity of elite distance runners. Part I: Cardiorespiratory aspects. Ann N Y Acad Sci 301:310–322. doi:10.1111/j.1749-6632.1977.tb38209.x
Rosengren K, McAuley E, Mihalko S (1998) Gait adjustments in older adults: activity and efficacy influences. Psychol Aging 13:375–386. doi:10.1037/0882-7974.13.3.375
Rosenquist G, Sweeney L, Amsel J, McAllister H (1974) Enlargement of the membranous ventricular septum: an internal stigma of Down’s syndrome. J Pedod 85:490–493. doi:10.1016/S0022-3476(74)80450-6
Rubin S, Rimmer J, Chicoine B, Braddock D, McGuire E (1998) Overweight prevalence in persons with Down syndrome. Ment Retard 36:175–181. doi:10.1352/0047-6765(1998)036<0175:OPIPWD>2.0.CO;2
Smith B, Ulrich B (2008) Early onset of stabilizing strategies for gait and obstacles: older adults with Down syndrome. Gait Posture 28:448–455. doi:10.1016/gaitpost.2008.02.002
Smith B, Kubo M, Black D, Holt K, Ulrich B (2007) Effect of practice of a novel-task walking on a treadmill: preadolescents with and without Down syndrome. Phys Ther 87:766–777. doi:10.2522/ptj.2007.87.2.232
Spyropoulos P, Pisciotta J, Pavlou K, Cairns M, Simon S (1991) Biomechanical gait analysis in obese men. Arch Phys Med Rehabil 72:1065–1070
Stanish H, Draheim C (2005) Walking habits of adults with mental retardation. Ment Retard 43:421–427. doi:10.1352/0047-6765(2005)43[421:WHOAWM]2.0.CO;2
Thomas D, Fernhall B, Grant H (1999) Changes in running economy during a 5-km run in trained men and women runners. J Strength Cond Res 13(2):456–461. doi:10.1519/1533-4287(1999)013<0162:CIREDA>2.0.CO;2
Wasserman K, Hansen J, Sue D, Stringer W, Whipp B (2005a). Measurements during integrative cardiopulmonary exercise testing. In: Principles of exercise testing and interpretation—including pathophysiology and clinical applications, 4th edn. Lippincott Williams & Wilkins, Philadelphia, pp 90–92
Wasserman K, Hansen J, Sue D, Stringer W, Whipp B (2005b) Normal values. In principles of exercise testing and interpretation—including pathophysiology and clinical applications, 4th edn. Lippincott Williams & Wilkins, Philadelphia, pp 161–182
Whipp B (1971) Rate constant for the kinetics of oxygen uptake during light exercise. J Appl Physiol 30(2):261–263
Whitt-Glover M, O’Neill K, Stettler N (2006) Physical activity patterns in children with and without Down syndrome. Pediatr Rehabil 9:158–164. doi:10.1080/13638490500353202
Winter D (1990). Mechanical work, energy, and power. In: Biomechanics and motor control of human movement, 2nd edn. Wiley, New York, pp 103–139
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This study was supported by a grant from the Center of Human Performance from the Human Kinetics Faculty in Lisbon, Portugal.
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Mendonça, G.V., Pereira, F.D. & Fernhall, B. Walking economy in male adults with Down syndrome. Eur J Appl Physiol 105, 153–157 (2009). https://doi.org/10.1007/s00421-008-0884-6
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DOI: https://doi.org/10.1007/s00421-008-0884-6