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TALK TEST AS A PRACTICAL METHOD TO ESTIMATE

EXERCISE INTENSITY IN HIGHLY TRAINED


COMPETITIVE MALE CYCLISTS
BRENT D. GILLESPIE, JAMES J. MCCORMICK, CHRISTINE M. MERMIER, AND ANN L. GIBSON
Exercise Science Division, Department of Health, Exercise, and Sports Sciences, University of New Mexico, Albuquerque, New
Mexico

ABSTRACT a practical method to gauge exercise intensity for highly trained


Gillespie, BD, McCormick, JJ, Mermier, CM, and Gibson, AL. Talk competitive cyclists similar to those in our study.
Test as a practical method to estimate exercise intensity in highly KEY WORDS ventilatory threshold, %HRmax, monitoring
trained competitive male cyclists. J Strength Cond Res 29(4): exercise, athletes
894–898, 2015—The Talk Test (TT) has been used to determine
exercise intensity among various population subgroups but not for
INTRODUCTION

O
competitive athletes. This study was designed to compare the
ventilatory threshold (VT) with the last positive (+/+), equivocal ne key to success is an athlete’s ability to perform
(+/2), and negative (2/2) stages of the TT for highly trained individual training regimens at specific exercise
cyclists. Twelve men (26.5 6 4.6 years, 71.9 6 7.6 kg) consented intensities to maximize physiological benefits
and completed the study, as approved by the university institu- and improve performance. Many athletes use
tional review board. A maximal graded exercise test was used to heart rate (HR) monitors to help guide their training and
_ O2 max: 65.9 6 6.9 maintain appropriate intensity levels. Although convenient,
identify VT, maximal aerobic capacity (V
21 21
monitoring intensity through HR and prescribed HR train-
ml$kg $min ), and maximal heart rate (HRmax: 187.3 6 11.3
ing zones are often not reliable for highly trained athletes,
b$min21). On a separate visit, the TT was administered using the
especially those exercising in hot environments similar to
same protocol. Participants were asked if they could speak com- what is experienced during our summer months, with an
fortably after a standard passage recitation. Response options average high temperature of 33.38 C in July. Referred to as
were: “Yes” (+/+), “I’m not sure” (+/2), or “No” (2/2). Variables cardiovascular drift, an increased HR response is seen while
at VT were compared with the last (+/+), (+/2), and (2/2) stages exercising at identical workloads in increased ambient
of TT through t-test with Bonferroni’s adjustment (0.05/3). Differ- temperatures as compared with cooler temperatures (6).
ences (p # 0.017) were found between variables at VT, as com- Therefore, finding alternative methods to help gauge exer-
pared with (+/+) TT (V_ O2: 32.9 6 7.7 ml$kg21$min21, %V _ O2max: cise intensity as core temperature rises is of benefit to both
21
49.9 6 9.9, heart rate [HR]: 128.7 6 18.7 b$min , %HRmax: athlete and coach alike.
68.6 6 7.9, rating of perceived exertion [RPE]: 11.1 6 1.1) and There are numerous training tools to help athletes gauge
_ O2: 44.4 6 7.5 ml$kg21$min21, %V _ O2max: 67.2 6 intensity, from the basic rating of perceived exertion (RPE)
(+/2) TT (V
chart to the more highly advanced and expensive power
7.5). There were no differences between RPE- and HR-based
meters. Although individual athletes prefer different meth-
variables at VT, as compared with (+/2) TT (RPE: 13.6 6 0.63,
ods, some are constrained by financial cost whereas others
HR: 147.1 6 17.2 b$min21, %HRmax: 78.5 6 7.4) or (2/2) TT prefer to take a more “organic” approach and keep their
(V_ O2: 48.8 6 7.8 ml$kg21$min21, %V _ O2max: 73.9 6 7.1, HR: training regime and tools simple. Therefore, validating the
21
155.6 6 13.6 b$min , %HRmax: 83.1 6 5.3, RPE: 14.8 6 use of the Talk Test (TT) for highly trained cyclists adds yet
0.90). We found that when the athlete could no longer speak another tool for the athlete to help gauge their exercise
comfortably, he was exercising at or near his VT; we con- intensity while training. Furthermore, many competitive
cluded that (2/2) TT estimated VT and can therefore provide teams ride in groups on open roads where one might have
another team member on either side. During long endurance
training rides, conversation between riders naturally occurs.
Address correspondence to Ann L. Gibson, alg@unm.edu. Therefore, knowledge of the TT provides yet another func-
29(4)/894–898 tional tool that riders can use. The TT can be a practical and
Journal of Strength and Conditioning Research simple method for determining exercise intensity, stating
Ó 2015 National Strength and Conditioning Association that if the “patient can just respond to conversation,” then
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the exercise intensity may be “just about right” (7). The TT 13.8 6 3.93 hours of training per week. The study was
has been shown to be an applicable method for predicting approved by the University of New Mexico’s Institutional
exercise intensity in cardiac patients (2,15), healthy vol- Review Board.
unteers (3,7), and recreational athletes (10). Furthermore, Before testing, participants read the approved informed
the TT intensity has been demonstrated to fall within Amer- consent, including a detailed process of the procedures, risks,
ican College of Sports Medicine’s (ACSM) (1) suggested and benefits involved, participants rights to withdraw at
training range for healthy individuals (7,8) and can be anytime, and the care taken to fully ensure confidentially.
applied to the clinical setting for rehabilitation of cardiac Participants were provided an opportunity to ask questions
patients (9). and then gave written informed consent and completed
Currently, no literature examines whether the TT is an a health history questionnaire, training history survey, and
appropriate marker of exercise intensity among highly a Physical Activity Readiness Questionnaire (PAR-Q).
trained endurance athletes. Recalde et al. (10) demonstrated Descriptive data for the 12 participants are presented in
the use of the TT among recreational athletes (V_ O2peak: 50.9 Table 1. Inclusion criteria for participation required individ-
ml$kg21$min21), but questioned if their results could be uals to hold a USA Cycling road license (category 4 racer or
extended to serious athletes. Furthermore, Quinn and higher) or mountain bike license (category 2 racer or high-
Coons (8) raised concern that their healthy and physically er), rank in the 85th percentile or higher for aerobic capacity
active participant sample, with a maximal aerobic capacity as per ACSM standards for men in their age range (1), com-
in the 80th percentile with regard to age (V_ O2max: pete in at least 6 bike races per year, and engage in
52.1 ml$kg21$min21) per ACSM standards, was a limitation a minimum of 5 hours of training per week during the cur-
to their study. Therefore, the objective of this study was to rent racing season.
determine if the TT accurately gauges exercise intensity
Procedures
among competitive highly trained male cyclists.
On arrival at the exercise physiology laboratory for their first
As mentioned, studies (3,7,10) have shown that if the par-
test, subjects completed paperwork to ensure that they met
ticipant could either speak comfortably (positive TT) or not
the study requirements. Height (Tanita Stadiometer, Tokyo,
speak comfortably (negative TT), they were exercising just
Japan) and weight (Seca 884, Hamburg, Germany) were
below or above their ventilatory threshold (VT), respectively.
measured. Percent body fat was calculated as described by
When participants were unsure if speech was comfortable
Evans et al. (4) using a 3-site skinfold assessment (abdomen,
(equivocal TT), exercise intensity was at or near their VT.
thigh, and triceps). If 2 values of the same skinfold site dif-
Therefore, we hypothesized that outcomes at the 3 TT stages
fered by more than 1.0 mm, a third measurement was ob-
(positive, equivocal, and negative) for highly trained compet-
tained. The average of 2 values within 1.0 mm was used for
itive athletes would not differ from previous studies (3,7,10)
analysis. After anthropometric measurements, the subjects
and that VT would occur at the equivocal stage.
adjusted the cycle ergometer to fit their individual needs
and followed a self-selected warm-up at a comfortable resis-
METHODS tance. During this time, the RPE 6-20 scale and other stan-
Experimental Approach to the Problem dard testing procedure instructions were explained.
To test the validity of the TT in highly trained competitive Each subject was tested on 2 separate occasions on the
male cyclists, we performed 2 identical graded exercise tests same electronically braked cycle ergometer (Lode Excalibur
(GXT): a maximal aerobic capacity test with metabolic gas Sport, Gronigen, the Netherlands) using similar methodol-
collection to identify VT and a TT to identify points at ogy from previous research (7,8,10,15). Participants were
which speech became uncomfortable. The stationary cycle
configuration used by each subject during the GXT was
replicated for the TT, and the same technicians performed TABLE 1. Descriptive characteristics of the
all testing procedures. Consequently, the only difference sample (N = 12).*
between the GXT and TT was the collection of metabolic
Variable Mean 6 SD Range
gases during the GXT. The TT was administered at least 2
and no more than 7 days rest after the maximal GXT. Age (yr) 26.5 6 4.6 21–37
Height (cm) 180.0 6 5.0 168.9–186.4
Subjects Body mass (kg) 71.9 6 7.6 59.0–83.8
Subjects were recruited by flyer and word of mouth among Body fat (%) 9.6 6 2.5 6.8–13.9
the Albuquerque cycling community during the months of V_ O2max 65.9 6 6.9 56.5–78.3
late July and early August. This time of year represents the (ml$kg21$min21)
near end of the New Mexico road racing season and three HR max (b$min21) 187.3 6 11.3 162–206
quarters of the way through the New Mexico mountain bike *HR, heart rate.
season. At this point in the racing season, participants were
in top form when tested and self-reported an average of

VOLUME 29 | NUMBER 4 | APRIL 2015 | 895

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Talk Test for Highly Trained Cyclists

instructed to refrain from alcohol and caffeine consumption not collected. Because of scheduling constraints, time of day
24 hours before testing, come well hydrated, and avoid vig- was not standardized. Before testing, participants were asked
orous exercise 48 hours before testing, thus standardizing the to read a standard passage (The Pledge of Allegiance) to
2 trials among our sample. The GXT test started at a work- provide a baseline example of comfortable speech. This com-
load of 60 W and increased 30 W every minute to volitional mon passage was used in previous studies (7,8,10,15) and
fatigue. Three participants followed a 35 W$min21 incre- taped to the wall for reference. Subjects adjusted the cycle
ment because of higher perceived training status by re- ergometer to their configuration used during the initial GXT
searchers. Subjects pedaled at a self-selected cadence of and began a self-selected warm-up at a comfortable resis-
approximately 90 RPM. Heart rate and RPE were recorded tance. During this time, standard testing instructions were
at the end of each minute. Subjects were encouraged to explained to the participant. The TT started at a workload
exercise until: (a) they believed that they could no longer of 60 W and followed the identical incremental increase used
continue, (b) their cadence dropped below 50 RPM because during the respective GXT. Forty-five seconds into each
of fatigue, or (c) they had adverse symptoms related to the stage, subjects were asked to recite the passage; additionally,
testing. After data collection, subjects performed an active HR and RPE were recorded at this time. The subjects were
cool-down against a reduced workload for at least 5 minutes. then asked, “Can you speak comfortably?” Allowable answers
The criteria used to identify achievement of maximal were: “Yes,” indicating a positive (+/+) TT, “I am not sure,”
exertion included: (a) a respiratory exchange ratio (RER) indicating an equivocal (+/2) TT, or “No,” indicating a neg-
.1.1, (b) plateau in V_ O2 #150 ml$min21, and (c) an RPE of ative TT result. In accordance with methodology from pre-
$17. Heart rate (610 b$min21 of 220-age) was omitted from vious research (7,8,10,15), the test was terminated when the
our criteria for a maximal test, as research has demonstrated subject could no longer speak comfortably and failed the TT
lower HRmax values in aerobically trained individuals (2/2). The subjective response to the question “Can you
(13,16). Furthermore, the common HRmax prediction equa- speak comfortably?” was recorded and matched with that
tion (220-age) seems to have very little scientific worth, stage’s HR and RPE. The highest stage at which the subject
despite its common use (12). Metabolic gas exchange was indicated positive response (+/+), equivocal response (+/2),
measured using open circuit spirometry (Parvo Medics and negative response (2/2) was subsequently coded as the
TrueOne 2400, Sandy, UT), and the analyzer was calibrated last positive, last equivocal, and last negative stages, respec-
to manufacturer’s specifications before each test. Heart rate tively. An active cool-down was performed after the test.
was monitored through radio telemetry (Polar PS1, Polar
Electro-Oy, Kempele, Finland) integrated to the metabolic Statistical Analyses
cart. Maximal oxygen consumption (V_ O2max) was defined as To investigate the ability of the TT to accurately estimate
the highest value achieved using an 11-breath running aver- VT, our variables of interest (V_ O2, % V_ O2max, HR, %HRmax,
age. Ventilatory threshold was determined using the ventila- and RPE) corresponding to VT were compared with the last
tory equivalent method (11). Subsequently, the %V_ O2max positive (+/+), last equivocal (6), and negative (2/2)
and %HRmax associated with VT was computed by dividing stages of TT through a Student’s t-test. Given the multiple
the V_ O2 and HR associated with VT by the respective value comparisons, a Bonferroni’s adjustment (0.05/3) was applied
attained at the point of maximal exertion. and statistical significance, consequently, was set at p # 0.017
The TT took place 2–7 days after the GXT and followed (SPSS Statistics 17.0; IBM, Armonk, NY, USA). Pearson’s
identical pretesting instructions and testing procedures, with product-moment correlation was used to correlate HR and
the only difference being that respiratory gas exchange was RPE responses from protocol onset through VT and TT.

TABLE 2. Variables of interest at various stages.*†

Variable At VT At Last (+/+) At Last (+/2) At (2/2)

V_ O2 (ml$kg21$min21) 49.9 6 6.0 32.9 6 7.7z 44.4 6 7.5z 48.8 6 7.8


% V_ O2max 75.8 6 5.2 49.9 6 9.9z 67.2 6 7.5z 73.9 6 7.1
HR (b$min21) 159.5 6 14.9 128.7 6 18.7z 147.1 6 17.2 155.6 6 13.6
%HRmax 85.2 6 7.1 68.6 6 7.9z 78.5 6 7.4 83.1 6 5.3
RPE 15.1 6 1.7 11.1 6 1.1z 13.6 6 0.63 14.8 6 0.90

*HR = heart rate; HRmax = maximal heart rate; VT = ventilatory threshold; RPE = rating of perceived exertion.
†(+/+) indicates positive TT when subject could speak comfortably, (+/2) indicates equivocal TT when subject was unsure if
speech was comfortable, and (2/2) indicates a negative TT when subject could no longer speak comfortably.
zSignificant (p # 0.017) difference vs. at VT.

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RESULTS sample (Table 2). Dehart-Beverley et al. (3) found that par-
All subjects tolerated the trials without incident. Mean ticipants were exercising at their VT at the equivocal stage
outcome variables at VT and the last positive (+/+), last (+/2) of the TT. Similar findings consistent with these are
equivocal (+/2), and negative (2/2) stages of the TT are seen in other studies (7,8,10) but are not supported by
presented in Table 2. V_ O2, %V_ O2max, HR, %HRmax, and our results.
RPE were significantly higher (p # 0.017) at VT as compared Although our findings differ from previous studies, it is
with (+/+) stage. V_ O2 and %V_ O2max were significantly critical to note that our sample had an average maximal
higher at VT as compared with (+/2). Compared with aerobic capacity of 65.9 6 6.9 ml$kg21$min21, VT occurred
the values at VT, no differences existed among HR, % near 76% V_ O2max, and all were competitive USA Cycling
HRmax, and RPE at (+/2) or for any variable at (2/2). licensed racers. Two of our subjects were above the 95th
Heart rate (r = 0.93) and RPE (r = 0.89) from the 2 cycling percentile cutoff criterion (56.2 ml$kg21$min21), and the
trials (recorded at identical stages) were strongly correlated. other 10 were above the 99th percentile cutoff criterion
(61.2 ml$kg21$min21) for their age range as per ACSM
standards (1). The participants in other studies had a similar
DISCUSSION average age, body mass, and height as ours but lower
The aim of this study was to evaluate whether the TT is an V_ O2peak values (50.8 ml$kg21$min21 (10) and 52.1
appropriate method to estimate exercise intensity for highly ml$kg21$min21 (8)).
trained competitive male cyclists. The results from our Although our results do not support those from previous
sample of highly fit male endurance cyclists suggest that studies, we believe our results to be accurate and valid when
the TT can be used to estimate exercise intensity. We found considering the differences in aerobic capacity between
that when the cyclist can speak comfortably (+/+), he is samples. Very often in training and racing situations athletes
exercising below his VT. When initial signs of uncomfortable push themselves into a zone of severe discomfort to
speech are clearly present (2/2), the athlete is exercising at maximize performance and results. Although not a direct
or very near his VT. question on our pretest survey, it is highly likely that our
The equivocal stage (+/2) presents more uncertainty. sample reaches maximal or near maximal efforts on a regular
According to our results, significant differences existed basis during high-intensity training bouts and racing. Thus,
between V_ O2 and %V_ O2max at this TT stage as compared maximal efforts for our highly trained sample were likely
with VT, whereas no significant differences existed for HR, a more frequent occurrence than maximal efforts in the
%HRmax, and RPE. Previous findings regarding the TT samples represented in previous studies (3,7,8,10). Because of
have demonstrated that HR response is unaffected by reci- differences in training status, it is likely that the discomfort
tation of the passage during exercise (3). Although we asked level perceived by our sample at the same relative workload
participants to follow pretesting guidelines, we could not is lower than that of the healthy participants and recreational
guarantee adherence to them for the 2 tests. Heart rate athletes from previous studies. Therefore, it is logical to
can vary based on psychological status and other variables expect that the point at which a highly trained athlete per-
(5,14). Additionally, the point of our research was to find an ceives speech to be uncomfortable would occur at a later
alternative to HR that can be used to monitor exercise inten- point in the exercise test compared with sedentary and
sity for highly trained competitive cyclists. Therefore, healthy individuals. This different perception of discomfort
although HR variables between the equivocal TT stage among highly trained athletes compared with a normal sam-
and VT were not significantly different, we conclude that, ple helps explain why our subjects’ VT fell within the neg-
because V_ O2 at the equivocal (+/2) stage was on average 5.5 ative (2/2) stage of the TT, whereas previous research
ml$kg21$min21 lower than VT, then at the point the cyclist showed the VT to occur during the equivocal (+/2) stage.
was uncertain if speech was comfortable, he is most likely Future research with a larger sample of similarly trained
exercising below his VT. athletes is needed to confirm our findings regarding the
Our results do not support our hypothesis that VT would differences between equivocal (+/2) and negative (2/2)
occur at the equivocal stage of the TT and also differed from stages of the TT in relation to VT. Comparing the TT at
results of previous studies (3,7,8,10). Dehart-Beverley et al. (3) different altitudes would be of future interest. A large portion
found that when healthy regular exercisers could comfort- of TT research has been conducted at an elevation of 204 m
ably respond (+/+) to exercise, they were at approximately in La Crosse, Wisconsin, and our studies were performed at
75% of their V_ O2peak and 85% of HRpeak. When their par- an elevation of 1,572 m. To help expand results to additional
ticipants were unsure if speech was comfortable (+/2), they populations, highly trained athletes should be drawn from
were exercising at 79% and 88% of V_ O2peak and HRpeak, other endurance sports, not just cycling. Additionally,
respectively. When their participants could no longer speak research with highly trained female athletes is needed to
comfortably (2/2), they were exercising at approximately expand our understanding of the TT for both sexes. Further-
87% and 92% of V_ O2peak and HRpeak, respectively. These more, the TT should be investigated as to its validity and
data at all 3 stages of the TT are higher than those from our accuracy as a means of exercise prescription among highly

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Talk Test for Highly Trained Cyclists

trained athletes. Finally, standardizing both tests to the same and Dr. Gibson’s dedication, guidance, and countless time
time of day should be used, as that was a limitation in our devoted throughout the entire study process.
study because of equipment and technician availability.
REFERENCES
PRACTICAL APPLICATIONS
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Coaches and athletes can draw from our results to help Exercise Testing and Prescription. Philadelphia, PA: Lippincott
monitor exercise intensity in those with characteristics Williams and Wilkins, 2010.
similar to our sample. Using the ventilatory equivalents 2. Brawner, C, Vanzant, M, Ehrman, J, Foster, C, Porcari, J, Kelso, A,
and Keteyian, J. Guiding exercise using the Talk Test among patients
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increase in ventilatory equivalent of oxygen, which is defined
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near the lactate threshold. Fatigue occurs more quickly if Arngrimsson, SA. Skinfold prediction equation for athletes
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Funding and equipment was provided by the University of 12. Robergs, RA and Landwehr, R. The Surprising History of the
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New Mexico’s Exercise Science Department. We sincerely
13. Saldanha, PH, Zavorsky, GS, and Montgomery, DL. Maximum
thank all subjects who kindly devoted their time and energy heart rate decreases after 7 weeks of intense training. Can J Appl
for testing. This research was made possible by the Univer- Physiol 22: 52, 1997.
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