scholarly journals Relation between body mass index, forced expiratory volume in one second and 6 minute walk test in stable COPD patients

Author(s):  
Bhaskar Kakarla ◽  
Rajendra Boddula ◽  
Paramjyothi Gongati
2019 ◽  
Vol 47 (6) ◽  
pp. 522-531
Author(s):  
Natalie A Smith ◽  
Marijka Batterham ◽  
Gregory E Peoples ◽  
Mark A Shulman

The clinical and functional characteristics of patients with severe obesity who present for non-bariatric surgery have rarely been described. For this study, 293 such patients (mean body mass index 42 kg/m2) were investigated using their medical records, a 6-minute walk test, N-terminal pro B-type natriuretic peptide measurement, and the World Health Organization Disability Assessment Schedule 2.0 measure of disability. Cardiorespiratory disease and diabetes were common, with blood tests revealing a high probability of additional unexpected and undiagnosed renal and cardiac disease in a significant proportion of patients. One-third of patients had natriuretic peptide values that identify early left ventricular dysfunction in the community, with 16% above a value described as useful in predicting adverse outcomes for elective surgical patients. Only 10% of patients walked a distance within 10% of that predicted in six minutes, and 22% did not complete the test. Over one-third of patients (34%) had a clinically significant level of disability, with those unable to walk for six minutes describing higher levels of disability. Functional capacity as measured by the 6-minute walk test was significantly lower than would be expected from age, gender, and weight alone, and was related to age and degree of disability but not body mass index. We describe a severely obese population presenting for non-bariatric surgery who had significant levels of comorbid disease, functional impairment, and disability that were not apparent on routine preoperative assessment.


2018 ◽  
Vol 200 ◽  
pp. 155-159 ◽  
Author(s):  
Majid Jalili ◽  
Farzad Nazem ◽  
Akbar Sazvar ◽  
Kamal Ranjbar

2014 ◽  
Vol 146 (5) ◽  
pp. S-988
Author(s):  
Jeffrey Juneau ◽  
Sudha Kodali ◽  
Talha A. Malik ◽  
Brendan M. McGuire ◽  
Winnie C. Tsai ◽  
...  

2010 ◽  
Vol 25 (6) ◽  
pp. 535-540 ◽  
Author(s):  
Marcos Vinícius Cataneo Pancieri ◽  
Daniele Cristina Cataneo ◽  
Jair Cortez Montovani ◽  
Antonio José Maria Cataneo

PURPOSE: To assess whether the tests - Forced Expiratory Volume at one second (FEV1), 6-minute walk test (6MWT) and stair-climbing test (SCT) showed proportional changes after the resection of functioning lung. METHODS: Candidates for pulmonary resection were included. Spirometry, 6MWT and SCT were performed preoperatively (pre) and at least 3 months after surgery (pos). SCT was performed on a staircase with a total ascent height of 12.16m. The time taken to climb the total height the fastest possible was defined as stair-climbing time (SCt). Number of functioning segments lost, was used to calculated predicted postoperative (ppo) tests values. Pre, ppo and pos values for each test were compared. Data were analyzed by repeated-measure ANOVA with significance level set at 5%. RESULTS: A total of 40 patients were enrolled. Pulmonary resection results ranged from gain of 2 functioning segments to loss of 9. Pre, ppo and pos values were the following: preFEV1 = 2.6±0.8L, ppo FEV1 =2.3±0.8L, and pos FEV1=2.3±0.8L, (pre FEV1 > ppo FEV1 = pos FEV1); pre6MWT = 604±63m, ppo6MWT= 529±103m, pos6MWT= 599±74m (pre6MWT = pos6MWT > ppo6MWT); preSCt = 32.9±7.6s, ppoSCt = 37.8±12.1s, posSCt = 33.7±8.5s (preSCt = posSCt < ppoSCt). CONCLUSION: In our group of patients, pulmonary resection led to loss of lung function measured by spirometry, but not to exercise capacity measured by stair-climbing and walk tests.


2021 ◽  
pp. 106542
Author(s):  
Marie Waatevik ◽  
Bente Frisk ◽  
Francisco Gómez Real ◽  
Jon Andrew Hardie ◽  
Per Bakke ◽  
...  

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