Objective  To explore the differences in cardiopulmonary endurance between different genders and constitutions based on the constitution theory of traditional Chinese medicine.

Methods  Standardized training students at Nanping People's Hospital from July 2023 to April 2024 were selected to evaluate the constitution of traditional Chinese medicine and carry out cardiopulmonary exercise tests. Differences in VO_2peak and other indicators among different genders and constitutions were analyzed.

Results  A total of 67 students were included, among which 20 were males (29.85%) and 47 were females (70.15%). There were 21 cases (31.34%) of balanced constitution and 46 cases (68.66%) of biased constitution. The VO_2peak of male students [1.97(1.68, 2.27)] was higher than that of female students [1.38(1.17, 1.52)], and the difference was statistically significant (P<0.05). The VO_2peak of the balanced group [1.57(1.32, 1.88)] was higher than that of the biased group [1.48(1.19, 1.72)], but the difference was not statistically significant (P>0.05). The VO_2peak of male and female students in the biased constitution group was higher than that of the balanced constitution group, but the difference was not statistically significant (P>0.05). Among different types of biased constitution, VO_2peak of phlegm-dampness constitution and damp-heat constitution were higher.

Conclusion  The traditional Chinese medicine constitution of the students is mainly biased, and there are differences in VO_2peak between different genders. The VO_2peak value of the gentleness students is higher than that of the biased  students.

1.王琦. 中医体质学说的研究展望[J]. 中医药学刊, 2002, 20(2): 137, 140. [Wang Q. Research prospect of TCM constitution theory[J]. Chinese Archives of Traditional Chinese Medicine, 2002, 20(2): 137, 140.] DOI: 10.3969/j.issn.1673-7717.2002.02. 004.

2.Thompson PD, Arena R, Riebe D, et al. ACSM's new preparticipation health screening recommendations from ACSM's guidelines for exercise testing and prescription, ninth edition[J]. Curr Sports Med Rep, 2013, 12(4): 215-217. DOI: 10.1249/JSR. 0b013e31829a68cf.

3.Wadey CA, Weston ME, Dorobantu DM, et al. The role of cardiopulmonary exercise testing in predicting mortality and  morbidity in people with congenital heart disease: a systematic review and Meta-analysis[J]. Eur J Prev Cardiol, 2022, 29(3): 513-533. DOI: 10.1093/eurjpc/zwab125.

4.中华中医药协会. 中医体质分类与判定(ZYYXH/T157-2009) [J]. 世界中西医药结合杂志, 2009, 4(4): 303-304. [China Association of Chinese Medicine. Classification and determination of TCM constitution (ZYYXH/T157-2009)[J]. World Journal of Integrated Traditional and Western Medicine, 2009, 4(4): 303-304.] https://d.wanfangdata.com.cn/periodical/Ch9QZXJpb2RpY2FsQ0hJTmV3UzIwMjUwMTA0MTcwMjI2EhJzanp4eWpoenoyMDA5MDQwMzEaCHJ3dmZzZHpn.

5.中华医学会心血管病学分会, 中国康复医学会心肺预防与康复专业委员会, 中华心血管病杂志编辑委员会. 心肺运动试验临床规范应用中国专家共识[J]. 中华心血管病杂志, 2022, 50(10): 973-986. [Chinese Society of Cardiology, Cardiopulmonary Prevention and Rehabilitation Committee of Chinese Rehabilitation Medical Association, Editorial Board of Chinese Journal of Cardiovascular Diseases. Chinese expert consensus on standardized clinical application of cardiopulmonary exercise testing[J]. Chinese Journal of Cardiology, 2022, 50(10): 973-986.] DOI: 10.3760/cma.j.cn112148-20220316-00180.

6.王琦, 朱燕波. 中国一般人群中医体质流行病学调查——基于全国9省市21948例流行病学调查数据[J]. 中华中医药杂志, 2009, 24(1): 7-12. [Wang Q, Zhu YB. Epidemiological investigation of constitutional types of Chinese medicine in general population:base on 21,948 epidemiological investigation data of nine provinces in China[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2009, 24(1): 7-12.] DOI: CNKI:SUN:BXYY.0.2009-01-004.

7.冯娟, 宫玉艳, 李好勋, 等. 全国五省市一般人群中医体质流行病学调查[J]. 中华中医药杂志, 2016, 31(11): 4722-4725. [Feng J, Gong YY, Li HX, et al. Epidemiological investigation of TCM constitution types in general population from five provinces in China[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2016, 31(11): 4722-4725.] DOI: CNKI:SUN:BXYY.0.2016-11-100.

8.李硕, 苏诗娜, 朴胜华, 等. 广州市大学生中医体质调查分析[J]. 中华中医药杂志, 2017, 32(4): 1833-1835. [Li S, Su SN, Piao SH, et al. Analysis on TCM constitutions investigation of college students in Guangzhou[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2017, 32(4): 1833-1835.] DOI: CNKI:SUN:BXYY.0.2017-04-123.

9.李丹, 沈昕平, 王宝华. 浅析大学生的心肺耐力训练 [J]. 运动, 2011, (11): 126-127. [Li D, Shen XP, Wang BH. Analysis of college students' cardiopulmonary endurance training[J]. Sport, 2011, (11): 126-127.] DOI: 10.3969/j.issn.1674-151x.2011.10. 064.

10.Mazaheri R, Schmied C, Niederseer D, et al. Cardiopulmonary exercise test parameters in athletic population: a review[J]. J Clin Med, 2021, 10(21): 5073. DOI: 10.3390/jcm10215073.

11.Herdy AH, Ritt LE, Stein R, et al. Cardiopulmonary exercise test: background, applicability and interpretation[J]. Arq Bras Cardiol, 2016, 107(5): 467-481. DOI: 10.5935/abc.20160171.

12.陈丽, 郭彩盈, 黄江, 等. 健康成年人心肺耐力VO_(2max)实测值分析[J]. 四川体育科学, 2023, 42(1): 47-50, 64. [Chen  L, Guo CY, Huang J, et al. Analysis of measured values of cardiopulmonary endurance VO_(2max) in healthy adults[J]. Sichuan Sports Science, 2023, 42(1): 47-50, 64.] DOI: 10.13932/j.cnki.sctykx.2023.01.09.

13.Dun Y, Olson TP, Li C, et al. Characteristics and reference values for cardiopulmonary exercise testing in the adult Chinese population-the Xiangya hospital exercise testing project (the X-ET project)[J]. Int J Cardiol, 2021, 332: 15-21. DOI: 10.1016/j.ijcard.2021.03.013.

14.Ong KC, Loo CM, Ong YY, et al. Predictive values for cardiopulmonary exercise testing in sedentary Chinese adults[J]. Respirology, 2002, 7(3): 225-231. DOI: 10.1046/j.1440-1843. 2002.00393.x.

15.Itoh H, Taniguchi K, Koike A, et al. Evaluation of severity of heart failure using ventilatory gas analysis[J]. Circulation, 1990, 81(1  Suppl): II31-II37. https://pubmed.ncbi.nlm.nih.gov/2295150/

16.Hsi WL, Lan C, Lai JS. Normal standards for cardiopulmonary responses to exercise using a cycle ergometer test[J]. J Formos Med Assoc, 1998, 97(5): 315-322. https://pubmed.ncbi.nlm.nih.gov/9610054/

17.刘艳骄, 王琦. 历代医家对肥胖人痰湿体质的认识[J]. 山东中医学院学报, 1992, 16(6): 43-45. [Liu YJ, Wang Q. Ancient physicians' understanding of phlegm-dampness constitution of obese people[J]. Journal of Shandong University of Traditional Chinese Medicine, 1992, 16(6): 43-45.] DOI: 10.16294/j.cnki. 1007-659x.1992.06.023.

18.黄荔媛. 痰湿质与平和质人群运动心肺储备功能差异性研究 [D]. 沈阳: 辽宁中医药大学, 2023. [Huang LY. Study on the difference of cardiopulmonary reserve function between phlegm-dampness constitution and gentleness constitution[D]. Shenyang: Liaoning University of Traditional Chinese Medicine, 2023.] DOI: 10.27213/d.cnki.glnzc.2023.000169.

19.李跃. 病弱者的运动与心血管疾病[J]. 山东体育科技, 1985, (1): 86-88. [Li Y. Exercise and cardiovascular disease in the weak[J]. Shandong Sports Science & Technology, 1985, (1): 86-88.] DOI: 10.14105/j.cnki.1009-9840.1985.01.027.

20.李英帅. 中医湿性体质研究现状与发展路向[J]. 广东医学, 2024, 45(12): 1506-1510. [Li YS. Current status and development directions of research on dampness-prone constitution in traditional Chinese medicine[J]. Guangdong Medical Journal, 2024, 45(12): 1506-1510.] DOI: 10.13820/j.cnki.gdyx.20243178.