UNIVERSITY OF WISCONSIN-LA CROSSE Graduate Studies THE EFFECTIVENESS OF THE ELLIPTIGO AS AN EXERCISE MODALITY IN HEALTHY ADULTS A Manuscript Style Thesis Submitted in Partial Fulfillment of the Requirements for the degree of Master of Science in Clinical Exercise Physiology Nicole M. Rendler College of Science and Health Clinical Exercise Physiology December, 2015 THE EfFECTIVE;;l:ss or TllE ELLIPTIGO AS AN EXERCTSE MODALITY IN 1-IEALTllY ADl1LTS By: Nicole f{endler We recon1n1end acceptance of this thesis in partial fulfilln1cnt of the candidate's requircn1cnts for the degree of Nlaster of Science in ('lini(;a] l~xercise Physiology. ·rhe candidate has con1pleted the oral de!ense of the thesis. - -~J ; 1./ i' Date , Scot! Date 'fhe.s· ('01nn1ittce rv1('n1bcr 'Thesis accept~d Steven Si111pson. Graduate Studies Director ABSTRACT Rendler, N.M. The effectiveness of the ElliptiGO as an exercise modality in healthy adults. MS in Clinical Exercise Physiology, December 2015, 38pp. (J. Porcari) The ElliptiGO is a hybrid between a bicycle and an elliptical cross-trainer and is meant to be used outdoors. The purposes of this study were to 1) to determine the relative exercise intensity of exercise on the ElliptiGO, and 2) to determine if this intensity fell within ACSM guidelines for improving respiratory fitness. Subjects included 7 male (23.6 ± 3.8 years old) and 9 female (23.2 ± 1.0) active adults. All subjects completed two exercise tests. Tests included a 30-minute self-selected exercise bout on the ElliptiGO, and a graded maximal exercise test on the treadmill. It was found that heart rate averaged 84% of % maximal HR and VO averaged 75% of VO max during the ElliptiGO workout. 2 2 Males burned significantly more kcal/min than females (14.5kcal/min vs 11.5kcal/min). Based on these results, exercising at a self-selected intensity on an ElliptiGO provides a moderate intensity workout that meets the current ACSM guidelines for improving aerobic fitness and body composition iii ACKNOWLEDGEMENTS I would first like to thank the University of Wisconsin-La Crosse for allowing me to use the 400 meter outdoor track in Roger Harring stadium to conduct my ElliptiGO research. Without the university’s flexibility, this study would not have gone as smoothly as it did. I would also like to extend my gratitude towards Dr. John Porcari, Dr. Jeff Steffen, and Scott Doberstein. Their guidance and support made this entire process very worthwhile, and they pushed me to be the best researcher that I can be. I also owe much of my gratitude to Chris Dodge due to his uncanny ability to fix any problem I had with my equipment, and his wonderful demeanor when I needed his assistance during testing. I would like to thank my wonderful classmates and volunteer participants for helping me with my study, whether it was participating in it or assisting with some of the testing. Their willingness to commit and be flexible for something that was not their main priority means a lot to me and certainly made my study much more enjoyable. Last but not least, I would like to thank my wonderful parents and family. The sacrifices they have made for me to be here and accomplish something like this is truly amazing and I cannot thank them enough for being there every step of the way. iv TABLE OF CONTENTS PAGE ABSTRACT……………………………………………………………………………...iii ACKOWLEDGEMENTS………………………………………………………………...iv LIST OF APPENDICES………………………………………………………………….v INTRODUCTION………………………………………………………………………...1 METHODS………………………………………………………………………………..3 Procedures………………………………………………………………………....4 STATISTICAL PROCEDURES………………………………………………………….5 RESULTS………………………………………………………………………………....6 Table 1. Descriptive characteristics of the subject population…………………....6 Table 2. Responses to the 30-minute exercise bout on the ElliptiGO…………….7 Figure 1. Average percent of HRmax maintained during each minute of exercise on the ElliptiGO……………………………………………….8 Figure 2. Average percent of VO max maintained during each minute of 2 exercise using the ElliptiGO………………………………………...….9 DISCUSSION………………………………………………….………………………...10 REFERENCES…………………………………………….…………………………….15 APPENDICES……………………….…………………………………………………..16 A. Informed Consent…………………………………...………………………..17 B. Review of Literature…………………………………………………………..20 v INTRODUCTION Engaging in habitual aerobic exercise has been shown to have many health and wellness benefits. These benefits include a decreased risk of developing coronary artery disease (CAD), an increase in maximal oxygen uptake (VO max), decreased resting heart 2 rate (HR) and blood pressure, improvement in body composition, improved glucose tolerance, and a better sense of overall well-being (ACSM, 2010). The American College of Sports Medicine (ACSM) has set forth guidelines recommending that adults engage in a minimum of 150 minutes of aerobic activity per week (ACSM, 2010). The exercise should be conducted at 64-94% of maximal HR or 40- 85% of VO max. This can be divided up into 30-minute bouts of moderate intensity 2 activity five days per week or 20-minute bouts of vigorous activity on three days of the week (ACSM, 2010). According to a self-reported study from the Center for Disease Control and Prevention (CDC), only one in five adults (20%) are meeting these recommendations for aerobic fitness ("How Much Physical Activity Do Adults Need?" Centers for Disease Control and Prevention). That statistic seems odd given the fact that there are many different avenues for people to engage in physical activity, especially aerobic exercise. There are traditional activities such as running, walking, cycling, swimming, as well as relatively newer modes of exercise. For well over a decade, elliptical cross-trainers have increased in popularity. The most common reason for this is, that unlike running and walking, an elliptical cross- trainer produces less stress to the lower extremities since it provides more stability for the 1 ankle, knee and hips as compared to walking or running (Burnfield, Shu, Buster & Taylor 2010). Brown, Cook, Krueger and Heelan (2010) found that there were no mode-related differences with regard to VO max, maximal HR, or energy expenditure between running 2 and elliptical exercise when exercising at the same rating of perceived exertion (RPE). Similarly, Dalleck and Kravitz (2006) found no differences in maximal HR or VO max, 2 or the HR/VO relationships between using an elliptical cross-trainer and treadmill 2 running. A new piece of elliptical equipment, known as the ElliptiGO (ElliptiGO LLC, San Diego, CA), came on the market in 2010 (Outdoor Elliptical Bikes - ElliptiGO). The ElliptiGO is a hybrid between a bicycle and an elliptical cross-trainer. It has a motion similar to an elliptical but is steered like a bicycle, and is meant to be used outdoors. The manufacturers claim that it mimics running, but without the impact. Testimonials claim that it produces the same, and sometimes higher, HR and energy expenditure responses than running. To our knowledge, there has been no scientific research conducted on the ElliptiGO to document the intensity of an ElliptiGO workout. Therefore, the purposes of this study were 1) to determine the relative exercise intensity and energy cost of exercise on the ElliptiGO, and 2) to determine if these values fall within ACSM guidelines for improving respiratory fitness and body composition. 2 METHODS Subjects for this study included 16 apparently healthy adults from the greater La Crosse, WI area. Subjects were between 18-45 years of age and had previous experience using elliptical cross-trainers. Subjects were required to be physically active (a least 150 minutes of aerobic activity per week), and have no orthopedic or cardiovascular contraindications in order to participate in this study. Each subject completed a Physical Activity Readiness Questionnaire (PAR-Q, Canadian Society for Exercise Physiology, 2002) prior to participation. Each subject was provided with and completed written informed consent before beginning this study. This study was approved by the University of Wisconsin-La Crosse (UWL) Institutional Review Board for the Protection of Human Subjects prior to initiation. 3 PROCEDURES Each subject completed three, 15-20 minute habituation sessions on the ElliptiGO in order to become more proficient in its use. Each subject then completed one 30-minute exercise session on the ElliptiGO and a graded maximal exercise test on the treadmill. The graded exercise test was completed using the modified Balke protocol. Subjects walked on a treadmill at a constant walking speed and grade of the treadmill was increased 2.5% every two minutes until volitional fatigue. During the test subjects wore a Polar heart rate monitor (Polar Electro, Kempele, Finland) and were hooked up to an OxyconTM Mobile Device (CareFusion Corporation San Diego, CA) to measure expired air and metabolic responses. At the end of each stage, RPE was assessed using the 6-20 Borg Scale. All maximal exercise tests were conducted in the Human Performance Laboratory in Mitchell Hall on the UWL campus. Subjects also completed one 30-minute exercise session on the ElliptiGO once they were deemed proficient by the primary investigator. During this session subjects exercised on the ElliptiGO at a self-selected pace. Heart rate was recorded each minute using a Polar monitor and VO was again measured continuously using the OxyconTM 2 Mobile Device (CareFusion Corporation San Diego, CA). Session RPE was assessed at the end of the exercise session using the Borg Scale. Testing was done on a 400-meter outdoor track on the UWL campus (Roger Harring Stadium at Veterans Memorial Field Sports Complex). 4 STATISTICAL ANALYSIS Statistical descriptive statistics were used to characterize the subject population and to quantify responses during the ElliptiGO exercise session. Independent t-tests were used to compare the responses between males and females. Alpha was set at .05 to determine statistical significance. 5
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