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Quark

Manufactured by Cosmed
Sourced in Italy, United States

Quark is a versatile lab equipment product designed for a range of applications. It is a compact, high-performance device that can be used for various analytical tasks. Quark's core function is to provide accurate and reliable data measurements, making it a valuable tool for researchers and scientists in various fields.

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28 protocols using quark

1

Maximal Oxygen Uptake and Aerobic Power

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In the week preceding the study (∼7 days), V˙O2max and MAP were assessed via an incremental cycle test performed on an electronically braked cycle ergometer (Excalibur Sport, Lode, Groningen, Netherlands) as previously described (Impey et al., 2015 (link)). Briefly, following a 10‐min warm‐up at 100 W, workload was increased in 30 W increments ever 2 min until volitional failure. Breath‐by‐breath oxygen uptake (V˙O2) and carbon dioxide uptake (V˙CO2) were obtained throughout the exercise using an online gas analysis system (Quark, Cosmed, Rome, Italy). End‐point criteria for V˙O2max being achieved were: (1) heart rate within 10 beats min−1 of age‐predicted maximum, (2) respiratory exchange ratio >1.1, and (3) plateau of oxygen consumption despite increased workload. MAP was calculated as per Hawley & Noakes (1992 (link)).
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2

Graded Treadmill Test for Aerobic Capacity

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A peak exertion, clinician-supervised graded treadmill stress test was performed with indirect calorimetry (Quark, Cosmed USA, Chicago, IL), as previously described,14 (link) to assess cardiac function and aerobic capacity (VO2peak). Tests were terminated at the subject’s request or when criteria set forth by American College of Sports Medicine were met.15 Subjects were allowed handrail support, but were instructed to minimize handrail use to that necessary to maintain balance. VO2peak was defined as the highest oxygen consumption value obtained in the last minute of exercise. Peak aerobic testing was determine preintervention and repeated after 24 weeks of intervention (postintervention).
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3

Postprandial energy metabolism in PKU

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At fasting status, rate of oxygen (V ̇O2) consumption and carbon dioxide production (V ̇CO2) were measured using indirect calorimetry (Quark, COSMED, Italy). Participants then were provided with a PKU-type breakfast (e.g. low-protein bread, jam and low-protein cookies) containing 395 kcals for children and 490 kcals for adults. The Control group received a similar breakfast based on normal foods with calorific content and weight matched to that of the PKU group. Postprandial measurements of VO2 and VCO2 were performed for a period of 90 minutes. Fasting and postprandial respiratory exchange ratio (RER), FOx, CHOOx and RMR were calculated using the Frayn equations( 5) and DIT as percentage increment in energy expenditure above RMR.
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4

Resting Energy Expenditure Assessment

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Indirect calorimetry was performed using an open canopy system (Quark, Cosmed, Rome, Italy). Subjects were placed under the canopy while resting in bed in a thermally neutral environment. This was combined with resting heart rate (HR) recording using an integrated fingertip pulse meter (ipod, Nonin Medical Inc., Plymouth, MN). Subjects were told to close their eyes and try to sleep, refrain from fidgeting, and not to perform any type of activity (i.e., watching TV or reading). The duration of the test was between 30 min to assure a minimal steady state of 20 min with the first 10 min of data discarded. Oxygen consumption (V̇O2) and carbon dioxide production (V̇CO2) were recorded every 10 s (Omnia software, Cosmed) and used for the computation of respiratory exchange ratio (RER=V̇CO2/V̇O2) also known as respiratory quotient at rest. Resting energy expenditure (EE) was calculated using Weir's equation: REE = [(3.9 × V̇O2) + (1.1 × V̇CO2)] [19 (link)]. Systemic rate of fat oxidation (Fat-ox) and carbohydrate oxidation (CHO-ox) were computed as previously described [20 (link)]. Protein oxidation rates were not measured based on the assumption that the amount of protein oxidized are quantitatively negligible compared to glucose and fatty acid oxidation [21 (link)].
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5

Comprehensive Cardiorespiratory and Body Composition Assessment

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Cardiorespiratory fitness was assessed by measuring oxygen consumption during maximum exercise effort on a treadmill (ACSM, 2014). Work rate was increased by speed and grade until the subject reached voluntary exhaustion, maximum aerobic capacity, or safety criteria defined by the American College of Sports Medicine (ACSM, 2014). VO2peak was measured by indirect calorimetry (Quark, Cosmed USA, Chicago, IL) and defined as the highest oxygen consumption value obtained in the last 30‐sec increment.
Subjects had fat mass, lean tissue mass, and bone mineral content determined by dual‐energy X‐ray absorptiometry (DXA) (Prodigy, LUNAR Radiation Corp., Madison, WI). Fat‐free mass (FFM) was defined as the sum of lean tissue mass and bone mass. Mid‐thigh muscle cross‐sectional area and subcutaneous fat area were determined from a single mid‐thigh computed tomography (CT) slice; abdominal visceral fat (VAT) and subcutaneous abdominal fat were determined at a single abdominal slice at the lumbar spine L4‐L5 level (Medical Imaging Processing Analysis and Visualization software (MIPAV), version 7.0.0). Muscle attenuation (intramuscular fat) by CT was measured in Hounsfield units (Ryan and Harduarsingh‐Permaul 2014).
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6

Measurement of Peak Oxygen Consumption

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Peak oxygen consumption (VO2peak) was measured by indirect calorimetry (Quark, Cosmed USA, Chicago, IL) during a graded treadmill exercise test on a motorized treadmill. Subjects walked at a constant velocity with the grade initially set to 0% and increasing 4% after the first 2 minutes and 2% every 2 min thereafter to volitional exhaustion, as reported previously (Ivey et al., 2007 (link); Prior et al., 2009 (link)). Tests were terminated at the subject’s request or according to criteria set forth by American College of Sports Medicine (Pescatello et al., 2014 ). Subjects were allowed handrail support but were instructed to minimize handrail use to that necessary to maintain balance. VO2peak was defined as the highest oxygen consumption value obtained in the last minute of exercise.
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7

Screening Protocol for T2D Subjects

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This manuscript builds on data from two different studies, both including subjects with T2D (25 (link)). Exclusion criteria were pregnancy, smoking, contraindication to increased levels of physical activity (26 (link)), insulin dependence, and evidence of thyroid, liver, lung, heart, or kidney disease. All subjects underwent a screening consisting of a medical interview and examination, an oral glucose tolerance test (OGTT), a walking VO2peak test with indirect calorimetry (Cosmed K4B2, Rome, Italy) and a familiarization VO2max test performed on a treadmill (Katana Sport, Lode, Groningen, the Netherlands) with indirect calorimetry (Cosmed Quark, Rome, Italy) as previously described (22 (link), 27 (link)). Written and informed consent was obtained from all research participants before any investigations were performed and the studies were approved by the Ethical Committee of the Capital Region of Denmark (H-6-2014-043 and H-1-2013-116) and registered at www.ClinicalTrials.gov (NCT02320526) and (NCT02089477).
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8

Cardiorespiratory Fitness Assessment via VO2max

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Cardiorespiratory fitness was determined by assessing V O2max during a graded treadmill test with indirect calorimetry (Quark, Cosmed USA). Exercise tests were conducted utilizing a protocol we have used numerous times previously in older athletes, and included standard ECG monitoring (Rogers et al., 1990 (link); Brooks et al., 1996 ). The exercise test continued until maximal effort or exhaustion was achieved. For exercise tests to be considered maximal, participants had to reach both a plateau in V O2max with increasing workload and a respiratory exchange ratio >1.1. The highest V O2 attained during the test was recorded as V O2max. The maximal exercise test was conducted several hours after the baseline MRI scan.
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9

Measuring Maximal Oxygen Uptake

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O2max was measured by indirect calorimetry (Quark, Cosmed USA, Chicago, Ill., USA) during a constant-speed treadmill protocol with 2% increases in incline every 2 min until exhaustion as previously described (Prior et al. 2014 (link)). O2max was defined as the highest oxygen consumption (O2) value obtained for a 30-s increment. O2 was considered maximum if the following standard criteria were met: respiratory exchange ratio > 1.10 or a plateau in O2 with an increase in workload.
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10

Maximal Cardiopulmonary Exercise Test

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On the third testing day, participants performed a maximal cardiopulmonary exercise test (CPET) to assess gas exchange parameters (Quark; Cosmed, Rome, Italy) and advise training intensities (Heine et al., 2014; van den Akker et al., 2015) . For the CPET, an electrically braked cycle ergometer (Lode Corival) was used, with a ramp-protocol at 25 W + 10 W/min in women, and 25 W + 15 W/min in men. The following outcomes were included: peak workload (W), peak oxygen uptake (VO 2 peak), and peak heart rate (expressed as the percentage of the age-predicted maximal heart rate). In addition, three supplemental outcomes were selected to represent the tri-axel cardiopulmonary system (Wasserman et al., 2011) , namely the peak O 2 pulse, the min ventilation/carbon dioxide slope, and the VO 2 /work rate slope.
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