Information leaflet and consent form Vo2 max jan 2016.pdf

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Title: A comparison of common equations used to predict
maximal VO2 consumption
Lead Investigator: Ms Ann Monaghan

Principal Investigator: Dr John Gormley

Study Information: This study aims to look at the validity of equations used to predict VO2 max. As a participant, you are
required to attend one testing session in St James’s Hospital. Testing involves assessing body composition and
cardiorespiratory fitness by means of assessing breath gases during a graded exercise test to exhaustion on a treadmill.
Once testing is completed, your fitness and body composition analysis results will be provided in the form of an
individualised health report and you will be given an opportunity to discuss these results with the research team. During the
testing, there is a risk of experiencing chest pain, dizziness, nausea or difficulty breathing while exercising intensely. If this
occurs, testing will be stopped immediately and the investigators will assess your condition. If further care is required due to
an adverse event, you will be transported to the nearest hospital facility for further care.
All data collected with be coded with numerical ID to maintain participant confidentiality.
Participation is entirely voluntary and consent can be withdrawn at any stage of testing.
This study and this consent form have been explained to me. A member of the research team has answered all my questions
to my satisfaction. I believe I understand what will happen if I agree to be part of this study. I have read, or had read to me,
this consent form. I have had the opportunity to ask questions and all my questions have been answered to my satisfaction. I
freely and voluntarily agree to be part of this research study, though without prejudice to my legal and ethical rights. I have
received a copy of this agreement.
PARTICIPANT’S NAME: _______________________________________________________________
PARTICIPANT’S SIGNATURE: __________________________________________Date: ___________
Date on which the participant was first furnished with this form: __________________
Where the participant is capable of comprehending the nature, significance and scope of the consent required, but is
physically unable to sign written consent, signatures of two witnesses present when consent was given by the participant to
a registered medical practitioner treating him or her for the illness.
NAME OF 1st WITNESS: _______________________________SIGNATURE:_______________________
NAME OF 2ND WITNESS: _____________________________SIGNATURE: _______________________
Statement of investigator’s responsibility: I have explained the nature, purpose, procedures, benefits, risks of, or
alternatives to, this research study. I have offered to answer any questions and fully answered such questions. I believe that
the participant understands my explanation and has freely given informed consent .

Investigator signature:_____________________________________ Date: ______________________