• 专利附录
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    • 专利摘要:
    Sensor, device, system and non-invasive method to determine exercise parameters during the performance of a physical exercise. Non-invasive sensor (1) in the form of a ring for determining blood oxygen saturation and the heart rate of an individual who performs physical exercise comprising a signal emitter for transmission through the tissue and the arterial blood volume of the finger of the patient. Individual, a receiver of the transmitted signals and a first communication unit (4) that wirelessly sends these signals to a second communication unit (9) of a remote electronic device (7). In the device (7), the maximum lactate concentration is determined in the case of a progressive and intense exercise and the training heart rate interval from the value of the oxygen desaturations of the arterial blood volume. The invention also relates to a system comprising a sensor (1) and a device (7) as well as to the method for determining work zones by means of said system. (Machine-translation by Google Translate, not legally binding)
    公开号:ES2640832A1
    申请号:ES201630398
    申请日:2016-04-01
    公开日:2017-11-06
    发明作者:María Luisa DOTOR CASTILLA；Pilar MARTÍN ESCUDERO；Mercedes GALINDO CANALES；Francisco MIGUEL TOBAL；Romano Giannetti；Álvaro SÁNCHEZ MIRALLES；Sonnia María LÓPEZ SILVA
    申请人:Universidad Pontificia De Comillas；Comillas Pontificia, University of；Consejo Superior de Investigaciones Cientificas CSIC；Universidad Complutense de Madrid；
    IPC主号:
    专利说明:

    allow quantifying a series of parameters that provide information about the behavior of cardiovascular and respiratory systems, and energy metabolism during physical exercise. These parameters are very useful and applied in different areas of medicine such as cardiology, pulmonology, sports medicine or occupational medicine.
    The stress test consists of the realization of a physical exercise of progressive and intense type, that is, the one whose intensity increases progressively until the individual reaches the maximum effort, while certain parameters are monitored. For this, different ergometer devices are used, such as a treadmill or a cycle ergometer, choosing among them the most suitable for each individual according to the type of sport they usually practice. Throughout the entire stress test, different variables are collected, both from the gas analyzer (respiratory records), and from the electrocardiograph (heart rates). Through the respiratory registers, the variations of the energy metabolism are determined since they are related to the production of different metabolites, among which lactate is found. In the respiratory records during a stress test, two significant changes are normally detected, the first, known as aerobic threshold or first ventilatory threshold related to the beginning of a slight increase in lactate in blood; and the second known, as anaerobic threshold or second ventilatory threshold, related to a greater increase in blood lactate concentration.
    By knowing when the first and second ventilatory threshold of the individual is set, and the heart rate value measured at the same moment of the first and 25 second threshold, a work zone and / or training zones limited by these points (training zone between start and first threshold, for example), as well as other parameters such as the speed or the load given at the time of appearance of said ventilatory thresholds, different training guidelines can be established to improve the physical conditions of the individual. These guidelines are normally based on the heart rate values obtained from the correlation between the different parameters measured in the stress test, since, of all of them, it is the most affordable to measure outside the laboratory. (Lopez Chicharro J, Legido Maple J. Anaerobic threshold: physiological bases and applications: Interamerican; 1991).
    Another of the known methods for determining training guidelines for the improvement of the physical performance of an individual is through invasive analysis of blood lactate concentration (Simon J, Young J, Gutin B, Blood D, Case R. Lactate accumulation relative to the anaerobic and respiratory compensation thresholds. Journal of Applied 5 Physiology. 1983; 54 (1): 13-7). This method is mainly based on taking samples of the individual's peripheral blood periodically, while it performs an incremental intensity stress test and so on! determine the evolution of the lactate concentration in a certain volume of blood during the test. With the temporary record of said evolution, significant changes or jumps in the values of the
    10 lactate concentration established by lactic thresholds, which in turn are related to ventilatory thresholds. However, it is a bloody test, which requires a puncture on the finger or ear pulp, with the consequent discomfort for the individual.
    15 But each method has its disadvantages. The non-invasive method of gas analysis should be carried out in an effort laboratory and therefore with a high cost, which makes it mainly used by individuals who do sports professionally. In addition, due to its large dimensions and not being portable, it cannot be used in real training conditions at the foot of the track or in the field test. The method
    Invasive analysis of the lactate concentration is a bloody test that requires several punctures in the pulp of the finger or ear, with the consequent discomfort for the individual and also sometimes requires interrupting the rate of physical exercise , especially if it is done while the individual runs.
    25 Due to these problems, in practice the most widely used method for training is the control of cardiological variables, especially the heart rate of the individual. Knowing the heart rate and the age of the individual, or athlete, you can estimate which is the best or optimal heart rate for training. It is, however, a non-individualized and inaccurate method.
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    A few years ago, trainers and physiologists determined the heart rate inaccurately by taking the pulse manually on the lateral faces of the neck (carotid pulse) or on the inner lateral face of the wrists (radial pulse). However, to perform this maneuver you have to stop physical exercise and, for at least
    30 seconds, count the arterial pulsations.
    Currently, the most reliable system for determining heart rate is an electrocardiographic record (ECG) with 12 leads, however, its use is only limited to the laboratory. For example, the method described in patent EP0785748B1 determines the threshold values for the energy metabolism of an individual based on the ECG measurement, where they analyze the signal to obtain the pulse and respiratory rate.
    This is why pulsometers have been developed that allow immediate determination of the heart rate of the individual who carries them (Achten, J., & Jeukendrup, AE (2003). Heart rate monitoring. Sports medicine, 33 (7), 517-538).
    The pulsometer is an electronic device that primarily measures heart rate (beats per minute) in real time. Heart rate monitors are also called 15 heart rate monitors. More specifically, heart rate monitors comprise a wrist watch and a band. Specifically, the measurement of the heartbeat is performed through a sensor located in said band that the individual has to put on the chest, thus detecting either changes in volume or pressure of the chest, or the electrical signals produced by the heart with a method similar to those of an electrocardiograph with at least one derivation. With this measurement and, based on values estimated in tables and obtained based on mathematical calculations that take into account the age of the individual, trainers, physical trainers and individuals can estimate the optimal heart rate for running or exercising physical.
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    The use of the heart rate monitor is always recommended, since for sports enthusiasts it is a simple way to keep the pulse rate within the limits recommended by the heart rate monitor itself. While for individuals who are professional athletes it becomes almost essential, in order to know if they are working in the intervals of cardiac frequencies that the coach has demanded from them, and that are normally established from the results of the effort that has been made in the laboratory.
    Additionally, the use of the heart rate monitor is also recommended for people with
    heart problems or those who have suffered an arrhythmia, myocardial infarction or similar problems, and who have begun to perform physical exercise prescribed every day as a method of recovery therapy. These people should wear the heart rate monitor because it helps them to know if they keep the heart at the pulsations 5 recommended by the doctor, getting an improvement without risk.
    It should be noted that during training sessions where several people who use pulsometers coincide, it is essential that the information between each band and its clock is coded to avoid interference. It is also known that these pulsometers can sometimes be annoying for the individual since the bands must be placed around the chest, especially in female athletes.
    Additionally, in some cases, electrical interference can be generated in the measurements of the band with metal parts that can go on the clothes, as is the case of 15 fasteners with metal parts such as rings. Also, electrical interference has been indicated in the measurements of the band due to the appearance of sweat during the performance of the exercise and interference in the sending of the data to the wristwatch.
    There are also other non-invasive methods to determine training zones, 20 such as those described in US6554776B1, where the working heart rate is determined by respiratory flow measurements; or that described in US7993268B2, where the thresholds are determined by measuring acidosis in real time with respiratory methods. Also, the one described in US2009024413A1 is known where the anaerobic threshold is determined from multiple 25 pH measurements by means of multiple spectral registers, applying various mathematical equations, and the rate of oxygen consumption based on the tissue spectrum .
    However, these methods have not been imposed in daily training given the complexity of the measure in almost all of them.
    In recent years, other systems for determining heart rate, or heart rate, have been developed using photoplethysmography (PPG) and pulse oximetry, or pulse oximetry, as well as other indicators using optical spectroscopy
    (NIRs)
    For example, US2006234386A1 describes the use of NIRS, where they use infrared wavelengths between 1550 and 1700 nm, and even longer lengths 5 to measure lactate levels and in US2013096403A1, where a method for determining the threshold is described of training, oxygenation of muscle tissues, lactic threshold and other parameters during physical exercise.
    Today, there are many commercial houses that have developed 10-pulse oximeters, being today in the usual use in the daily clinical practice of all hospitals worldwide.
    More specifically, a pulse oximeter, or pulse oximeter, is a medical device that indirectly measures the oxygen saturation of the individual's blood by detecting 15 photoplestimographic signals, through emitters that emit light at least two different wavelengths. and a receiver that receives the light modified by its passage through the tissues and that have reflected or transmitted it. Thus, through the analysis, through mathematical algorithms, of the variations of the light received by the receiver, various physiological variables are obtained, such as the cardiac pulse (equivalent to the cardiac frequency), or the oxygen saturation of the individual .
    These pulse oximeters are usually placed on an individual's finger and comprise a pair of small light emitting diodes (LEDs) facing a photodiode and separated by a portion of the individual's body (finger). One of the LEDs is 25 red, with a wavelength of 660 nm, and the other is infrared, with wavelengths of 905, 910, or 940 nm. The absorption that occurs from the light of these wavelengths is different, since the oxygenated and deoxygenated component of the hemoglobin present in the blood absorbs it differently, so that of the relationship between the absorption of red light and infrared can be calculated the difference in concentration between oxyhemoglobin and deoxyhemoglobin and therefore the values of oxygen saturation in blood.
    In turn, as the light signals that reach the photodiode are modulated in intensity
    by the heartbeat, since blood reaches pulses to all parts of the human body,
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    the value of the heart pulse can be obtained at each moment, equivalent to the heart rate measured by an electrocardiograph.
    In this way, the pulse oximeters measure the heart rate and the saturation of oxygen, and its variation in each moment. These devices can be used in the monitoring of the physical state of the individual while he develops the stress tests to obtain fundamental information on the physical performance of the individual, making them an instrument in sports medicine. However, its low reliability is known especially from about 150 beats per minute since 10 when the exercise becomes more intense or the individual moves, or gestures quickly, for example during a sprint, the signals of these systems are They become very loud.
    DESCRIPTION OF THE INVENTION
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    In a first aspect of the present invention, a non-invasive sensor for determining the saturation of oxygen in blood, and the heart rate of an individual is described. Said non-invasive sensor comprises an anatomically circular body, such as a flexible band, ring or an anatomical ring intended to be placed around the base of an individual's finger, and which in turn houses:
    • a transmitter to emit first signals of wavelength between 630 and 940 nm, on the tissue surrounding the blood volume of the finger;
    • a receiver to receive corresponding second signals with a transmission of the first signals through the tissue and the blood volume; Y
    25 a first communication unit configured to receive by cable the
    second signals from the receiver and transmit them wirelessly.
    More specifically, the emitter comprises a first and a second light generator, wherein said first and second light generator generate quasi-monochromatic lights, preferably by at least one LED diode, or monochromatic preferably by at least one laser diode, or by other quasi-monochromatic or monochromatic light generators, or a combination of the above.
    The first light generator can emit a wavelength signal A below
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    800 nm, preferably between 630 and 780 nm; and the second light generator emits a signal B above 800 nm, preferably between 850 and 940 nm.
    Preferably, the emitter comprises a first and a second light generator that emit alternately (when turned on A is off B and vice versa),
    • continuously a signal A whose wavelength is 630 or 660 nm, and a signal B whose wavelength is 850, 880, 905, 910 or 940 nm, or
    • Quasi-monochromatic or monochromatic in form a signal A whose wavelength is 630 or 660 nm and a signal B whose wavelength is 850, 880, 905, 910 or 940 nm.
    These specific wavelengths allow the non-invasive sensor to be used reliably by individuals of any race and / or skin type.
    Meanwhile, the receiver comprises at least one signal sensitive photodetector of wavelengths of the optical spectrum between 600 and 1000 nm, wherein preferably the photodetector is sensitive to signals of wavelength between 630 and 940 nm.
    The sensor may include a pulse oximeter that detects the second signals.
    In a second aspect of the invention we have a remote electronic device, portable by an individual who carries on his finger the non-invasive sensor to determine the training heart rate range of the individual in which the remote electronic device comprises:
    • a second communication unit to receive the second signals from the first wireless communication unit of the non-invasive sensor,
    • a processing unit, to determine:
    or from the second signals, the heart rate, the oxygen saturation of the arterial blood volume, and the maximum lactate concentration in the case of the realization of a progressive and intense physical exercise; Y
    or the training heart rate interval that defines a zone
    of work for the individual during physical exercise, in
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    where said frequency range is obtained from the value of the oxygen desaturations of the blood volume of the individual during the exercise, and
    • a first interface to visually or auditively represent at least oxygen saturation or maximum lactate concentration if a progressive and intense exercise has been performed.
    Before starting the exercise, you can take a baseline value of the individual, also called at rest, of blood oxygen saturation as well as other parameters
    Preferably, said remote electronic device is a smart watch and / or a portable telephone.
    In a third aspect of the present invention, a non-invasive system is described which includes the non-invasive senor and the remote electronic device for, from the oxygen saturation in blood and the heart rate of an individual, to determine training zones for an individual (which may be the heart rate range of specific training for physical exercise). Typically, this work zone is consistent with a range of training heart rates linked to the interval between the values of a first ventilatory threshold and / or a second ventilatory threshold that represent the individual's energy metabolism. It should be noted that in the present invention the heart rate range of specific training for a given training zone and blood lactate concentration are obtained indirectly by the relative values of oxygen saturation.
    The system allows different physical training zones to be established and correlated with the ventilatory thresholds through the instant measurement of oxygen saturation in blood, based especially on oxygen desaturations (or changes in the rate of oxygen desaturation) during physical exercise
    The determined work area is specific to each athlete or individual who exercises, according to the desaturation of oxygen and correlated heart rates of
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    each person and in each specific exercise.
    Additionally, the first and / or the second communication unit can wirelessly transmit a fourth signal to and / or from a third communication unit comprised in the cloud. This third communication unit is linked to a second storage unit also included in the cloud to store the fourth signal comprising the second and / or the third signal. In said cloud at least the historical data of the second and / or the third signal is stored so that the individual can consult them privately from any device with internet connection.
    In a fourth aspect of the present invention, a non-invasive method is described for, from the saturation of blood oxygen and the heart rate of an individual, to determine a heart rate range capable of corresponding to a training zone for the individual during the physical exercise through the system described above. More specifically, the method comprises the following stages:
    • place the non-invasive sensor on the individual's finger,
    • emit, through the transmitter, first signals of wavelength between 630 and 940 nm, over the area of contact with the finger,
    • receive, through the receiver, corresponding second signals with a transmission of the first signals through the tissue and the blood volume of the illuminated finger area,
    • transmit, by wiring, these second signals to the first communication unit,
    • transmit, through the first communication unit, these second signals wirelessly,
    • receive, through the second communication unit, these second signals wirelessly,
    • transmit, by wiring, these second signals to the data processing unit,
    • determine, from said second signals and through said data processing unit, the oxygen saturation of an arterial blood volume,
    heart rate and increased blood lactate concentration of the individual at the end of the exercise;
    • determine, by means of said data processing unit and during the exercise, the specific training zone or interval of
    5 heart rates that limit them; Y
    • visually or auditively represent, through the first interface, the corresponding training heart rate range with a work area for the individual, metabolic interval in which physical exercise is carried out or the maximum lactate level of the exercise.
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    The determination of the training zones is made from the variations in the oxygen saturation detected.
    It should be noted that when the individual is at rest, said control unit calculates a parameter corresponding to the level of baseline oxygen saturation in arterial blood that corresponds to a baseline reference of the lactate concentration in the blood volume.
    Additionally, by establishing the range of heart rate values specified 20 by the data processing unit, three training zones for physical work can be distinguished. These training areas comprise a first aerobic work zone, a second aerobic-anaerobic zone of medium work and a third anaerobic zone of maximum work from that. The passage between the first and the second training zone is detected by a first decrease in the level of oxygen saturation in blood or desaturation. The passage between the second and third
    Training zone is detected again by a second decrease in the level of saturation or desaturation. Both desaturations are related respectively to the first and second ventilatory threshold, and in turn, to a first and second increase in the concentration of lactate in the blood volume.
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    Preferably, the determination of the heart rate is carried out by a method described in the Spanish patent ES2276594. Where said method processes photoplethysmographic signals to determine the heart rate of the individual.
    Preferably, the determination of blood oxygen saturation is performed in the control unit by pulse oximetry of the second signals.
    When, the processing unit knows the oxygen saturation in blood and the value of the individual's heart rate or heart rate, it can determine the first and second ventilatory threshold according to the variations of oxygen saturation in the arterial blood volume and relates them With the production of lactate the aerobic and / or anaerobic work areas, which take place in an individual during the realization of progressive and intense physical exercise.
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    The processing unit can determine the blood oxygen saturation values calculated at each moment, and compare them with the baseline value, to calculate their variations over time and determine the desaturations that appear. At the same time, it obtains the values of the heart rate of the individual in those 15 instants, being able to determine what values of cardiac pulse we have in the moments in which the desaturations are registered. This process is equivalent to setting the first and second ventilatory threshold or the lactic thresholds that determine the different metabolic states or training zones, which take place in an individual during the realization of progressive and intense physical exercise.
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    Preferably, the processing unit establishes training zones comprising a first aerobic training zone to adapt the individual to exercise, which comprises baseline oxygen saturation values, a second aerobic-anaerobic transition training zone comprising desaturations between 1 and 3% and a third zone of maximum anaerobic training that includes desaturations greater than 3%, and which empirically have been identified with significant jumps in blood lactate concentrations.
    That is, when the saturation of oxygen in the blood volume decreases between 30% and 3%, the control unit detects that the individual is very close to
    first ventilatory threshold, and when the oxygen saturation in the blood volume decreases more than 3%, the control unit detects that the individual is very close to the second ventilatory threshold and is able to notify the individual through the first or The second interface. Finally, the control unit calculates the increase in
    the concentration of lactate from the calculation of the desaturation rate, or the decrease in oxygen saturation in the blood volume of the individual.
    In this way, the individual can establish a training plan that is being monitored based on the values of the heart rate, or heart rate, correlated at all times with the variations in oxygen saturation in their blood, obtaining a system and a High precision method in the measurement of heart rate and oxygen saturation in arterial blood that can be calculated personally for each individual in a more precise way their training heart rate range.
    DESCRIPTION OF THE DRAWINGS
    To complement the description that is being made and in order to help a better understanding of the characteristics of the invention, according to a preferred example of practical realization thereof, an integral set of said description is accompanied by a set of Drawings where the following has been illustrated and not limited to:
    20 Figure 1.- Shows the identification of the different parts of the system.
    Figure 2a.- Shows a cross-sectional view of the non-invasive sensor (ring), dividing it into two halves across the width of the ring.
    25 Figure 2b.- Shows a view of the longitudinal section of the non-invasive sensor (ring), dividing it into two similar halves.
    Figure 3.- Shows a graph of the typical form of the variation of oxygen saturation (SpO2), cardiac pulse (PC) and blood lactate concentration.
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    Figure 4.- Shows a graph of the correlation between the lactate concentration and the oxygen saturation obtained with a pulse oximeter (SpO2).
    Figure 5.- Shows a graph of the lactate increase according to the slope of the
    decrease in oxygen saturation.
    PREFERRED EMBODIMENT OF THE INVENTION
    5 In a preferred embodiment of the invention as shown in Figures 1, 2a, and
    2b, the non-invasive system, which comprises a non-invasive sensor (1) and a remote electronic device (7), determines the heart rate or heart rate and blood oxygen saturation of an individual to establish three training zones defined by two specific values of heart rate or heart rate or / and 10 saturation of blood oxygen for said individual during the exercise
    physical.
    This system establishes specific training zones from the identification of oxygen desaturations, which have been measured in an arterial blood volume 15 flowing through a palmar digital artery itself (6) of a finger (5) of the individual.
    More specifically, the non-invasive sensor (1) determines the saturation of oxygen in an arterial blood volume, and the heart rate of the individual. This non-invasive sensor (1) comprises an anatomical ring intended to be placed adjacent to the tissue 20 surrounding the blood volume of an individual's finger (5), and which in turn houses, an emitter to emit first signals, a receiver for receive second signals, a first communication unit (4) configured to receive the second signals from the receiver by cable and transmit them wirelessly and a battery to power them electrically.
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    More specifically, the emitter comprises a first and a second LED (2, 2 '), where the first LED (2) emits a wavelength signal of 630 or 660 nm, and the second LED (2' ) emits a signal of 850, 880, 905, 910 or 940 nm on the tissue surrounding the blood volume of the finger (5).
    The receiver comprises a photodetector (3) sensitive to signals of wavelength between 600 and 1000 nm, to receive the corresponding signals with a transmission of the first signals through the tissue and the blood volume.
    Preferably, the transmitter and the receiver are facing or almost facing each other, so that the signal emitted by the transmitter is propagated primarily by transmission by the finger (5) interacting with the tissue and at least one own palmar digital artery (6 ) of said finger (5).
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    The remote electronic device (7) comprises a second communication unit (9) for receiving the second signals from the first communication unit (4) wirelessly, a processing unit (10), to determine, from the second signals, oxygen saturation (SpO2), heart rate (PC), and the increase in the lactate concentration of the individual at the end of the physical exercise as long as this
    The latter has been done by increasing its intensity progressively over time. The processing unit (10) may determine the PC1 and PC2 values as long as the corresponding saturation values are SpO2b-1% and SpO2b-3% respectively, and SpO2b being the baseline (at rest) value of oxygen saturation 15 before starting to do the physical exercise. PC1 and PC2 will be the heart rate values that define the work area for the individual. A first interface (8) that visually or auditively represents at least the value of oxygen saturation, the heart rate (or heart rate) and, if applicable, the heart rate values corresponding to PC1 and PC2 that determine the zone of work, and the increase of the 20 lactate concentration of the individual when the physical exercise is finished.
    Additionally, this remote electronic device (7) comprises a global positioning unit, not shown, to determine its location in the world, and a storage unit, not shown, linked to the processing unit 25 (10) and the unit global positioning, to store at least the saturation of
    oxygen, training zones, the increase in blood lactate of the individual or location in the world of the remote electronic device (7).
    Preferably, the second communication unit (9) wirelessly transmits at 30 the first communication unit (4) a third signal comprising: the oxygen saturation, current heart rate, the increase in the lactate concentration of the individual and / or the adequate heart rate / s for physical exercise in the work area, and the non-invasive sensor (1) comprises a second interface capable of representing at least third signal visually, or auditively.
    More specifically, this second interface comprises, on its external face, to facilitate its visualization by the individual, colored witnesses, where if one of these witnesses emits a green light indicates that the individual is at rest or in the 5-phase heating or pre-effort, or that basal values of saturated oxygen are being measured. If one of these witnesses emits a yellow light it means that the individual is exercising without exceeding the second ventilatory threshold (without reaching the PC2 value), and if one of these witnesses emits a red light indicates that he has exceeded the second ventilatory threshold (values heart rate greater than PC2).
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    In this preferred embodiment, the correlation between oxygen saturation in the digital finger artery (5) of the user and their blood lactate concentration has been obtained from the following laboratory study with more than 21 individuals of different ages, conditions Physical, sex and race.
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    The following aspects were included in the study protocol:
    a) An anamnesis by interview.
    b) A physical exploration: cardiovascular, pulmonary. Taking blood pressure and measuring weight and height of the individual.
    20 c) Preparation of the individual, prior to the study.
    d) Incremental maximum direct stress test on an ergometric bicycle with an electromagnetic brake or cycloergometer, with continuous electrocardiographic monitoring, together with determination of exhaled gases respiration a respiration, together with the realization of a pulse oximeter in continuous recording, as well as various temperature taps, blood pressure and lactate intake
    Invasive every 1.5 minutes.
    Stress test
    30 Once the individual was prepared, and before the start of the stress test in cycloergometer, the baseline data was taken at rest for one minute, to continue with a 3-minute warm-up in the cycle ergometer with a load of 25 W and a pedaling rate of 60 revolutions per minute (rpm), after which the stress phase begins at 50 W, increasing 25 W every minute,
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    during which the individual must maintain a pedaling rate between 60 and 70 rpm, until one of the following situations occurs: that the individual reaches the exhaustion, that he wishes to stop the test, when criteria of maximality are met or Appreciate any data that is a test interruption criterion. Recovery begins from the first minute, continuing the individual pedaling at 60 rpm and with a load equal to half of the maximum reached in the effort phase during the first minute of recovery, of 50 W in the two subsequent minutes and of 25W from minute 4.
    At the time of the start of the cycloergometer test, the time begins to be timed, while the pulse oximeter and ergospirometer (continuous ECG monitoring set, and real time gas analyzer) start measuring.
    Blood pressure and temperature measurements were made every two minutes throughout the stress phase of the test.
    The same effort protocol was followed for each and every individual. The only difference between the test performed by each individual, was the level of effort achieved (status) by each of them, which varied depending on the physical capacity of each individual.
    Lactate intake
    During the maximum stress test in the cycloergometer, a micro-sample of blood from the pulp of one of the fingers of the individual's hand, preferably the left, was extracted for lactate determination. The shots were taken before the start of the test (during the rest period) and later, during the effort phase, every 1.5 minutes, when maximum effort is reached and during the recovery phase every 1.5 minutes, until 8 minute of it.
    Two identical devices were used for blood lactate analysis, interleaved in time, in order to analyze the samples every minute and a half.
    Of these 21 tests, the first 10 were dedicated to optimizing the measurement system and the test procedure; these tests were successive approximations to the
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    optimal test conditions, and were not taken into account in the analysis we present below so as not to increase the parameters at stake uncontrollably, although they can be used as a control group for the results obtained.
    Analysis of the measures and correlations
    It is evident that there are many variations between individual and individual at the time of testing, from the individual's genetic conditions, physical level, mood to environmental conditions varying by temperature, humidity, etc. However, the great majority of the tests have characteristics that reproduce a typical sequential form in all the parameters that have been measured. This allows us to evaluate in a general way all the tests, looking at the repetitive critical points in most cases in order to correlate the different parameters measured according to the changes observed in them.
    The typical form of the variation of oxygen saturation (SpO2), cardiac pulse (or heart rate) and blood lactate concentration as a physiological response to stress can be seen in Figure 3 representing a typical case (Measure P19 ).
    We have represented with a continuous line the oxygen saturation values and with open circles the measured lactate values every minute during the stress test. The heart rate values are represented by black circles. These curves show the behavioral changes of these parameters. Based simply on a visual assessment, significant slope changes can be seen in both lactate and saturation. It is observed that these changes coincide in time in both curves (the correlation between both curves is indicated with a first and a second discontinuous and vertical fine line that crosses both the oxygen saturation values and the lactate values). Thus, three training zones are clearly differentiated: the first training zone, the second training zone and the third training zone, indicated respectively in Figure 3 as I, II and III, which mean metabolic changes in the individual.
    In turn in this figure 3, the first ventilatory threshold is indicated by a
    first vertical short line on the reference VT1, and the second ventilatory threshold
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    by means of a second vertical short line on the reference VT2.
    In the zone defined as the first training zone (I), the measure of saturation, although its variability is large, no net variability is observed, that is, in 5 medium terms the oxygen saturation neither rises nor falls, and maintains at a level that
    It depends on each individual and corresponds to a baseline level. In turn, in this first training zone, it is observed that the lactate level is also maintained around a baseline level.
    10 Therefore, we can think that in this time interval the oxygen consumed is that provided by respiration. There is no relevant production of lactate, and it does not accumulate in the blood.
    In the second training zone (II), oxygen saturation begins to drop from
    15 quite clearly and clearly correlated with a slight production of lactate and with the
    First ventilatory threshold (VT1). In all cases it has been observed that in this second training zone the lactate level does not exceed 4-5 mmol / l, values similar to those described in publications of physiological studies.
    20 This correlation, weak decrease in oxygen saturation and mild lactate rise could be due to the fact that in this second training zone the oxygen breathed for the required effort is no longer sufficient, and the lactic anaerobic metabolic pathway is activated in a small percentage, which It produces lactate.
    25 The third training zone (III) begins with a significant change in the slope of oxygen saturation, qualitatively coinciding with the appearance of the second ventilatory threshold (VT2) and in turn with the sudden rise in lactate concentration. Therefore, we have here again a correlation between the parameters.
    30 It is in this third training zone when the oxygen consumption required to continue increasing the physical effort is such that lactate production is triggered, producing blood concentrations above 4-5 ml / l. And the oxygen consumption is so high, that the saturation at the peripheral level suffers, manifesting itself in a deep desaturation and change in the slope of the descent of the saturation of
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    oxygen.
    In summary, a correlation between the slope changes of the oxygen saturation descent curve (changes in saturation or desaturation velocity), the appearance of the ventilatory thresholds and the increasing rise in lactate production is demonstrated.
    The correlation between lactate concentration and SpO2 is also demonstrated, as can be seen in fig. 4. In this fig. 4 The lactate and oxygen saturation values for all individuals are represented, taken three specific times: one before the first inflection point of the oxygen saturation diagram (basal saturation), another around the second ventilatory threshold (second point of inflection), and one last point around the maximum of the stress test, which does not always coincide with the maximum value of the lactate concentration.
    The points are scattered around the regression curve (expression of it in the head of the graph) for high lactate values (very dependent on each individual). It seems that it is possible to predict not the value of lactate absolutely (note that the uncertainty of the point cloud is relatively large), but if the lactate is in one or other of the three well-determined areas:
    • Basal saturation value: lactate about 1 mmol / l,
    • Saturation values between 1% and 3%: lactate up to 4.5 ± 1.5 mmol / l
    • Saturation values> 3%: very high lactate values and little predictable (they are very dependent on each individual).
    Correlation between the rate of variation of oxygen saturation and the maximum value of lactate detected in blood.
    We assume that the faster oxygen is spent in the blood, the more lactate will be produced in the third training zone (anaerobic phase), already demonstrated in several previous works. It has been shown that blood lactate increases significantly above the second ventilatory threshold (VT2) and that lactate may be affected by physical status, training and blood oxygen content.
    The increase in the concentration of lactate measured in each maximum stress test as a function of the slope of the decrease in oxygen saturation is represented, in Figure 5. The values obtained from the linear regression 5 performed with the experimental values of the different athletes.
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    1. - Non-invasive sensor (1) for determining the oxygen saturation in blood and the heart rate of an individual, characterized in that said non-invasive sensor (1) comprises an anatomically circular body, such as a flexible band, ring or anatomical ring, intended to be placed adjacent to the tissue surrounding an arterial blood volume, representative of the oxygen saturation of the arterial blood, of a finger (5) of the individual, and which in turn houses:
    • a transmitter to emit first signals of wavelength between 630 and 940 nm, on the tissue surrounding the blood volume of the finger (5);
    • a receiver to receive second signals of corresponding wavelength between 600 and 1000 nm with a transmission of the first signals through at least the tissue and arterial blood volume; Y
    • a first communication unit (4) configured to receive the second signals from the receiver by cable and transmit them wirelessly.
    2. - Non-invasive sensor (1), according to claim 1, characterized in that the transmitter comprises a first and a second signal generator, wherein said first and second signal generator generate quasi-monochromatic or monochromatic lights, and are selected among: LED diodes (2, 2 '), laser diodes, other quasi-monochromatic or monochromatic light generators, or a combination of the above.
    3. - Non-invasive sensor (1), according to claim 2, characterized in that the first and a second signal generator are LED diodes (2, 2 '), wherein the first LED (2) emits a signal of length wave between 630 and 780 nm; and the second LED (2 ′) emits a signal between 850 and 940 nm.
    4. - Non-invasive sensor (1), according to claim 1, characterized in that the transmitter comprises a first and a second signal generator that emits alternately:
    • a signal A whose wavelength is 630 or 660 nm, and a signal B whose wavelength is 850, 880, 905, 910 or 940 nm, or
    • in a quasi-monochromatic or monochromatic way a signal whose length of
    wave is 630 or 660 nm and a signal B whose wavelength is 850, 880, 905,
    2. 3
    权利要求:
    Claims (13)
    [1]
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    910 or 940 nm.
    [5]
    5. - Non-invasive sensor (1), according to revindication 1, characterized in that the transmitter and receiver are facing each other, so that the signal emitted by the transmitter is propagated primarily by transmission by the finger (5) crossing at least the tissue and an own palmar digital artery (6) that contains the arterial blood volume.
    [6]
    6. - Remote electronic device (7), portable by an individual carrying on his finger (5) the non-invasive sensor (1) described in any one of claims 1 to 5, to determine the training heart rate range of the individual characterized in that the remote electronic device (7) comprises:
    • a second communication unit (9) for receiving the second signals from the first communication unit (4) wirelessly of the non-invasive sensor described in any of claims 1 to 5,
    • a processing unit (10), to determine:
    or from the second signals, the heart rate, the oxygen saturation of the arterial blood volume, and the maximum lactate concentration in the case of the realization of a progressive and intense physical exercise; Y
    or the training heart rate interval that defines a work zone for the individual during physical exercise, where said frequency range is obtained from the value of oxygen desaturations of the individual's blood volume during the performance. of physical exercise, and
    • a first interface (8) to visually or auditively represent at least oxygen saturation or maximum lactate concentration if a progressive and intense exercise has been performed.
    [7]
    7. - Remote electronic device (7), according to claim 6, characterized in that additionally the remote electronic device (7) comprises a global positioning unit for determining its location in the world.
    [8]
    8. - Remote electronic device (7), according to claim 6 or 7, characterized in that
    additionally the remote electronic device (7) comprises a first unit of
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    storage to store at least the oxygen saturation during the whole time in which the physical exercise is performed, the maximum lactate concentration if a progressive and intense exercise has been carried out, work zone, the individual's heart rate or localization in the world of remote electronic device (7).
    [9]
    9. - Non-invasive system to determine, from the saturation of oxygen in the blood and the heart rate, at least one training zone for the individual during physical exercise based on the desaturation measurements characterized by the system comprising :
    • the non-invasive sensor (1) described in any one of claims 1 to 5; Y
    • the remote electronic device (7) described in any one of claims 6 to 8.
    [10]
    10. - Non-invasive system, according to claim 9, characterized in that the second communication unit (9) transmits wirelessly to the first communication unit (4) a third signal comprising: oxygen saturation, instantaneous heart rate, the lactate concentration of the individual and / or the training heart rate.
    [11]
    11. - Non-invasive system, according to claim 10, characterized in that the non-invasive sensor (1) comprises a second interface capable of representing at least a third signal visually or audibly.
    [12]
    12. - Non-invasive system, according to claim 10, characterized in that:
    • the first and / or second communication unit (9) wirelessly transmits and / or receives a fourth signal to and / or from a third communication unit comprised in the cloud,
    • the third communications unit is linked to a second storage unit comprised in the cloud to store the fourth signal, and
    • said fourth signal comprises the second and / or the third signal.
    [13]
    13. - A non-invasive method to determine the work area for an individual
    by the non-invasive system described in any one of claims 9 to
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    11, characterized in that it comprises:
    • place the non-invasive sensor (1) on the individual's finger (5),
    • emit, by the emitter, first signals of wavelength between 630 and 940 nm, on the tissue surrounding the blood volume of the finger (5),
    • receive, through the receiver, corresponding second signals with a transmission of the first signals through at least the tissue and the blood volume,
    • transmit, by wiring, these second signals to the first communication unit (4),
    • transmit, through the first communication unit (4), these second signals wirelessly,
    • receive, through the second communication unit (9), these second signals wirelessly,
    • transmit, by wiring, these second signals to the data processing unit (10),
    • determine, from said second signals and through said data processing unit (10), the oxygen saturation of an arterial blood volume, the heart rate and the maximum blood lactate concentration of the individual at the end of the exercise,
    • determining, by said data processing unit (10), a training heart rate range for the training objectives of the individual during the physical exercise so that at least one frequency range is established, and
    • visually or auditively represent, by means of the first interface (8), the corresponding training heart rate interval with a work zone for the individual, metabolic interval in which the physical exercise or the maximum lactate level of the individual develops.
    [14]
    14.- Non-invasive method, according to revindication 13, characterized in that when the individual places the non-invasive sensor (1) on the finger (5) and is at rest, before beginning the physical exercise, said processing unit calculates the level of basal oxygen saturation to obtain a baseline reference.
    [15]
    15. - Non-invasive method, according to claim 13 or 14, characterized in that the work zone, determined by the data processing unit (10), establishes three specific work zones to develop different physical abilities of the individual.
    5
    [16]
    16. - Non-invasive method, according to claim 13, characterized in that the work zones comprise a first aerobic work zone of adaptation to the exercise, characterized by basal values of oxygen saturation, a second aerobic-anaerobic transition work zone characterized by desaturations between 1 and
    10 3% and a third maximum anaerobic work zone characterized by desaturations
    greater than 3%.
    image 1
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    WO2017168029A1|2017-10-05|
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    引用文献:
    公开号 | 申请日 | 公开日 | 申请人 | 专利标题
    US6736759B1|1999-11-09|2004-05-18|Paragon Solutions, Llc|Exercise monitoring system and methods|
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