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State-of-the-Art Performance Diagnostics: Spiroergometry at AIVA in Berlin

At AIVA in Berlin, we use spiroergometry – also known as ergospirometry – to measure the performance and function of your heart, lungs and metabolism under physical stress. The examination therefore goes beyond preventive spirometry. This highly specialised procedure was originally used primarily in sports medicine to help competitive athletes manage their training. Today, spiroergometry is an indispensable tool for internal medicine and pneumological diagnostics. In Berlin, we carry out the comprehensive examination using the innovative Quark RMR from COSMED and we also offer further services for detailed diagnostics as part of our check-up programme.

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Performance test under stress: Spiroergometry provides valuable information about your fitness.

The Concept Behind Spiroergometry

Spiroergometry is used to test the resilience of your lungs and cardiovascular system. In addition to the ECG and respiratory activity, we also measure the oxygen and carbon dioxide content of your breath (i.e. the so-called respiratory gases) under physical stress. Cardiovascular parameters (ECG, blood pressure, pulse) and pulmonary parameters (including vital capacity, one-second capacity) are simultaneously recorded under the observation of our specialists in Berlin. We can also determine the optimum aerobic and anaerobic threshold – the highest intensity of exertion that maintains the balance between the formation and breakdown of lactate.

These values provide information about the maximum performance that can be achieved under stress. The organs involved, such as the lungs, heart and muscles, can also be analysed during the measurement

Spiroergometry at AIVA in Berlin with state-of-the-art equipment.

The Procedure for Spiroergometry at AIVA in Berlin

Your doctor at AIVA will ask you in advance about your current state of health, any complaints, your current training routine and your goals. Data such as blood pressure and pulse rate are recorded at rest before the measurement begins. The spiroergometry test itself is carried out on a bicycle or treadmill at our clinic in Berlin. The load is increased slowly and our specialists will continuously monitor you to ensure there is no overload.

For spiroergometry, we use the innovative Quark RMR from COSMED, a state-of-the-art device for measuring metabolic data. The values are recorded by indirect calorimetry (measurement of heat energy). At the same time, the COSMED VO2Max device measures the maximum oxygen uptake during exercise, which is a crucial value for improving performance, especially for ambitious athletes. Outside the field of sport and fitness, VO2Max is also an important value for assessing physical condition and an important longevity indicator.

The Importance of VO2Max for Health, Fitness and Longevity

VO2Max is the single strongest predictor of overall health and longevity. Studies show that having an above-average VO2Max value in middle age not only increases life expectancy, but also significantly improves quality of life. A high VO2Max value is closely linked to good mobility, resilience and vitality in old age.

The aim is therefore to optimise the VO2Max value in a targeted manner – every increase counts. An improvement of just 3.5 ml/kg/min significantly reduces the risk of cardiovascular disease. By tailoring your training to optimise your VO2Max value, for example through interval training, you are actively working towards a longer, more vital life by optimising

cellular energy production (mitochondrial function),

cardiac performance,

lung capacity,

and muscle metabolism.

VO2Max is therefore the most important gauge of physical health that you can affect directly. Spiroergometry at AIVA in Berlin provides the data you need to optimise your training and realise your biological potential.

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The Five VO2Max Training Zones

A common methodology for increasing maximum oxygen uptake specifically is the five-zone model. The five training zones are:

  • Zone 1: Aerobic fat burning (recovery zone)
  • Zone 2: Aerobic carbohydrate burning
  • Zone 3: Fast running
  • Zone 4: Interval training
  • Zone 5: VO2max (intensive interval training)

Spiroergometry by our experts in Berlin provides information about the training zones and heart rates at which you should ideally train in order to increase your VO2Max value – not only with regard to your current training goals, but also for your health and vitality into old age.

Advantages of Spiroergometry in Competitive Sports

At our Berlin institute, sports and fitness enthusiasts in particular take advantage of the comprehensive spiroergometry service, as the provided data can be analysed to create an optimised training plan. Determining the VO2Max value and the aerobic and anaerobic thresholds allows a targeted control of the training stimulus in order to avoid overloading while still training as efficiently as possible. Further advantages for athletes include:

  • Early detection of performance blockages: Spiroergometry at AIVA in Berlin makes it possible to diagnose cardiopulmonary or metabolic restrictions at an early stage.
  • Training monitoring: Regular spiroergometry over a longer period of time provides information on training progress and optimal regeneration phases.
  • Injury prevention: Thanks to the results of the stress test, training sessions can be planned to prevent overloading and potential injuries.

Why Not Only Athletes Benefit from Spiroergometry

At AIVA in Berlin, spiroergometry is much more than just a diagnostic tool for sports medicine. As an important part of our comprehensive check-ups, it also helps detect pathological changes, such as the onset of heart failure or respiratory restrictions, at an early stage. The measurement is therefore also regularly recommended as a preventive examination to help avoid serious illnesses, even if there are no current symptoms. Health issues where spiroergometry can provide clarity include:

  • Unclear dyspnoea on exertion: difficulty breathing or shortness of breath on exertion
  • Unclear reduction in performance: a drop in performance for no apparent reason
  • Unexplained breathlessness: difficulty breathing, even without exertion
  • Metabolic disorders: altered metabolic and regulatory processes
  • Cardiovascular complaints: high blood pressure or tachycardia

Spiroergometry – Our Services

You can book a spiroergometry test with our team of specialists in Berlin as an individual service for €300. The measurement takes around 90 minutes. If you would like a more detailed check-up, our comprehensive PREMIUM Check-up is the ideal option. This includes spiroergometry as well as many other services.

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    Especially for athletes, we recommend Spiroergometry with Lactate Measurement for €350 or the comprehensive Competitive Sports Check-up Including Spiroergometry, priced at €420 and taking around 150 minutes. We look forward to getting to know you and will be happy to answer any questions you may have.

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