[HN Gopher] Portable replacement for a $60k VO2 Max machine
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       Portable replacement for a $60k VO2 Max machine
        
       Author : paddlesteamer
       Score  : 73 points
       Date   : 2022-01-15 20:38 UTC (2 hours ago)
        
 (HTM) web link (www.instructables.com)
 (TXT) w3m dump (www.instructables.com)
        
       | hourislate wrote:
       | First comment on page.
       | 
       | >My wife is an Ironman as well (Muskoka, Tremblant and
       | Penticton). . She's been using Zwift since last year. Great way
       | to train btw and great idea but. My concern would be a collapsed
       | lung(s) if this wasn't calibrated correctly. To each their own,
       | but stressing your lungs and diaphragm this much isn't a great
       | idea.
       | 
       | In a lab they can at least make sure you don't hurt yourself.
        
         | 762236 wrote:
         | How would you get a collapsed lung from using this? And how
         | does its calibration influence whether you get a collapsed
         | lung? This device doesn't interfere with inspiration, and a
         | large breath of air inflates your alveoli.
        
           | jacquesm wrote:
           | Pulling a vacuum against your lung can break adhesion when
           | done from the lung cavity.
        
             | [deleted]
        
         | voisin wrote:
         | How could it cause one's lungs to collapse? Isn't the idea of
         | measuring VO2 max that a tight seal is formed and all input and
         | output is measured for O2 and CO2? It isn't pressurizing or
         | depressurizing.
        
           | jacquesm wrote:
           | It is pressurizing on output due to the flow through the
           | device, the same thing causes some underpressure when
           | breathing in.
           | 
           | But I doubt it is enough to draw a vacuum strong enough to
           | break adhesion. Still, better safe than sorry, it would be
           | good to read the instruction manual of a professional unit to
           | see what kind of failure modes they have listed there.
        
         | jacquesm wrote:
         | I see where you're coming from I assume that you are talking
         | about the device resistance when breathing in and you're
         | worried that the adhesion between the lung sac and the cavity
         | wall breaks.
         | 
         | You can pull a pretty good vacuum with just your lungs, so I'm
         | not overly worried about that. And pressure is not a problem
         | unless you have a weak spot in your lung.
         | 
         | But still, it's a good point to make and maybe the author could
         | measure the flow resistance in both directions and optimize for
         | that to ensure that it never becomes a problem, even in people
         | that might have a hidden defect.
        
       | aghilmort wrote:
       | very cool -- am an ultradistance athlete -- definitely could be a
       | Kickstarter!
        
       | toddm wrote:
       | I would happily pay a premium for this device - very nice work!
        
         | [deleted]
        
       | ghastmaster wrote:
       | The title should be changed to reflect the title used in the
       | article. "Accurate VO2 Max for Zwift and Strava"
       | 
       | Especially considering the following:
       | 
       | > Physiology labs that are normally used for testing VO2 max cost
       | upwards of $60,000 and are certainly not portable. They have
       | sensors that measure the same things only on a much finer level.
        
         | gurjeet wrote:
         | The person who wrote the article must've had a specific
         | audience in mind, so they chose one title.
         | 
         | The person who posted the article here must've had HN's
         | audience in mind, so they chose a different title.
         | 
         | Titles convey ultra-dense summary of the content, so there can
         | be many titles appropriate for any given article. The purpose
         | of the title is to attract _attention_ of the audience who the
         | title-writer thinks would find it most interesting.
         | 
         | The reason someone writes an article, or posts in a forum, is
         | to spread an idea, or a message, and have other like-minded
         | people, or people who may find the info useful, read it.
         | Exception: content written for commercial/monetary gains has no
         | goal other than grabbing eyeballs, to make more money.
         | 
         | So, yes, it's okay to edit titles, but only if they're
         | egregiously misleading, or inappropriate, or if there's a
         | better title to convey the summary and attract the attention of
         | folks in the said forum.
         | 
         | Context (as to why this request of yours triggered me):
         | https://news.ycombinator.com/item?id=25093563
        
           | ghastmaster wrote:
           | The OP here chose to use a title with an astounding monetary
           | figure in it. I was baited. I would not have read the article
           | if it had the original title. Strict adherence to the
           | guidelines would have saved me here.
           | 
           | Regarding your post, I am curious if "Google" was removed by
           | yourself(and later changed your mind) or the moderators?
        
       | csours wrote:
       | Neat! I've been thinking about this lately. If you had accurate
       | CO2 and O2 measurements, you could calculate how many milligrams
       | of fat you are burning during exercise.
        
       | savant_penguin wrote:
       | Sometimes I wonder if the way to bypass the insane regulations
       | around medical devices is to just publish them online for anyone
       | to build themselves.
       | 
       | Sure I won't have the minutes detail of million dollar medical
       | equipment, but maybe I don't need all that precision, or maybe
       | that's better than having no access at all to the measurements at
       | all
        
         | user48289223 wrote:
         | I think this would really be great. The extra regulations of
         | the FDA are showing to be more and more of a burden as years go
         | on (let's not get into their corruption). Something like a chip
         | and a device sold separately but trivially put together. I
         | myself ran into this problem when trying to buy a blood lactate
         | meter as an American, which can be trivially purchased all
         | across Europe and Asia.
        
           | yeetaccount4 wrote:
           | It's ironic that a lot of their approval process amounts to
           | filling out paperwork without any verification or testing on
           | their part.
           | 
           | Source: I know people.
        
         | csdvrx wrote:
         | We need a currently "missing" network effect that cheap 3d
         | printer supporting everything from more flexible plastics to
         | metal will eventually provide.
        
           | nexuist wrote:
           | Wake me up when we can 3D print pills and I can craft the
           | perfect Tylenol or 5 hour energy from some React app. Now
           | that'll be a medical revolution!
        
         | NationalPark wrote:
         | What are the devices you have in mind? It doesn't seem like the
         | intersection between "people with biomedical engineering
         | skills" and "people who need treatment limited by the expense
         | of the equipment" would be that large. I suppose I can imagine
         | a sort of shadow economy of cheap medical treatment on home-
         | built equipment, but surely the providers would be uninsurable
         | and sued into oblivion at the first mistake.
        
           | guelo wrote:
           | Ones that immediately comes to my mind are ultrasound,and
           | hearing aids. If they were unregulated there would be cheap
           | OTC devices available.
        
             | complexworld wrote:
             | I work on a handheld ultrasound device that attached to a
             | phone or a tablet. It is much easier to use than
             | traditional ultrasound machines, because of the attention
             | paid to the UX off the app, and the familiar smartphone UI.
             | 
             | That being said I will haven't learned how to use it in a
             | meaningful way myself. Getting a good image, and then
             | interpreting the 2d video stream requires training!
             | 
             | Making ultrasound easy enough for non specialists to use
             | will require an AI that guides the user and interprets the
             | images. I'm not convinced skipping FDA approval would be a
             | good idea in this case.
        
               | j-bos wrote:
               | At least in the US, there's a fair amount of immigrant
               | medical professionals who have the training, often the
               | experience, but not the licensing.
        
         | pkaye wrote:
         | What are the insane aspects of the regulations?
        
           | hprotagonist wrote:
           | Most of them are written in blood.
        
       | trentnix wrote:
       | This is really great. For those who aren't familiar with what
       | these machines can do, the calculation of an athlete's Vo2 max
       | really isn't all that useful. However, a breakdown of the fat and
       | carbohydrate calories burned at various efforts can be incredibly
       | useful for helping an athlete learn how to fuel correctly for
       | performance over distance.
       | 
       | I'm not a physiologist or physician (and I'm sure what I'm about
       | to say may be max cringe to the bonafide experts that are
       | around), but my basic understanding is that when expending
       | effort, you burn calories from fat stores and from glycogen
       | stores. Glycogen stores store around 2000 calories, and expending
       | one's glycogen stores results in hitting "the wall" - your body
       | simply doesn't have any fuel to proceed. Your fat stores, on the
       | other hand, provide access to tens of thousands of calories.
       | 
       | People are generally fat-inefficient - any effort immediately
       | biases towards consumption of glycogen. And when you're out,
       | that's it. Your day is done. So knowing the rate you're burning
       | carbohydrate calories can inform an athlete how often and how
       | much to fuel.
       | 
       | Some people are born "fat-efficient", meaning they can access
       | their fat stores easier. Fat efficiency can also be improved
       | through low-intensity endurance training with improved diet. So
       | athletes will periodically do a VO2 test to stay in-tune with how
       | their body is using the fuel sources available to it.
       | 
       | Many years ago I did an Ironman (Couer d'Alene) and a Vo2 test
       | indicated I needed to _aggressively_ consume calories (at the
       | effort I was planning to ride) on the bike. After all, you have
       | to get off the bike nutritionally prepared and hydrated to run a
       | marathon. So that 's what I did, and I had a good day considering
       | I really wasn't all that fit.
       | 
       | Endurance and ultradistance events aren't really tests of
       | toughness. They are science experiments. It's all about figuring
       | out how to take one's fitness and stretch it over the distance of
       | the event.
       | 
       | One additional note - there are machines much less expensive than
       | 60k available, but they are still pretty expensive (in the
       | thousands).
        
         | ssl232 wrote:
         | A friend of mine does keto and after running a marathon
         | reported that they did not experience "the wall". Presumably
         | this is because they were using fat to begin with, not after
         | mile 15 or whatever.
        
         | soperj wrote:
         | Just a note, it's probably "Coeur d'Alene"
        
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       (page generated 2022-01-15 23:00 UTC)