Cardio respiratory response: Validation of new modifications of Bruce protocol for exercise testing and training in elite Saudi triathlon and soccer players.

The Bruce protocol is the traditional method used to assess maximal fitness level, although it may have limitations, such as its short duration and large work rate increases, with very high levels of exertion that consist of speed/incline combinations. Modifications have been added to elicit similar maximal fitness achievements. The authors of this experimental trial have proposed a new treadmill protocol that allows optimal test duration in conjunction with peak oxygen consumption 'VO2max', and with appropriate patient comfort and safety during both exercise testing and training.

Subjects: Twenty-two elite Saudi players, comprising eleven Saudi triathlon athletes, and eleven Saudi elite soccer players, BMI, body fat mass percentage, body fat free mass percentage. cardiovascular parameter; including, absolute and relative "VO2max" as well as maximal heart rate "HR max", were assessed during a graded treadmill running modified protocol, using a Quark Cardio Pulmonary Exercise Testing Unit (CPET).

Results: Descriptive statistics were used to obtain the anthropometric characteristics, including comparisons between the means, independent sample T -test and a regression analysis, to test the association of the protocol duration and the corresponding, dependent variables.

Conclusions clinical relevance: It is often difficult to achieve a high cardiorespiratory response, VO2max, without an association to high values of HR max, and peak perceived exertion. This may lead to cardiovascular risk. Our new modifications can provide a practical, valid alternative protocol to be used comfortably both during exercise testing and training, rather than performance testing only, to achieve high VO2max with minimal cardiovascular stress.