Relationship Between the Face Scale for Rating of Perceived Exertion and Physiological Parameters in Older Adults and Patients with Atrial Fibrillation

2020 ◽  
Author(s):  
Satoshi Nashimoto ◽  
Shinichiro Morishita ◽  
Kazuki Hotta ◽  
Susumu Iida ◽  
Atsuhiro Tsubaki
Keyword(s):  
Atrial Fibrillation ◽  
Older Adults ◽  
Exercise Test ◽  
Perceived Exertion ◽  
Cardiopulmonary Exercise Testing ◽  
Physiological Parameters ◽  
Rating Of Perceived Exertion ◽  
Cardiopulmonary Exercise ◽  
Face Scale ◽  
The Face

Abstract Background: The Borg scale is used to determine exercise intensity in rehabilitation but can be difficult for older adults to understand. By contrast, face scale that are used to evaluate pain are much easier to understand thanks to the inclusion of illustrations. On the other hand, the prevalence of atrial fibrillation (AF) increases with age. We aimed to investigate the correlation between face scale for rating of perceived exertion (RPE) and various physiological parameters during cardiopulmonary exercise testing in older adults and AF patients. We also investigated the relationship between Face Scale and anaerobic threshold (AT).Methods: Patients were asked to perform a ramp cardiopulmonary exercise test with an incremental increase in work rate (WR) of 10 watts/min, using a stationary bicycle until maximum fatigue. We recorded participant responses using a face scale for RPE compared with WR, heart rate (HR), oxygen uptake (VO₂), and minute ventilation (VE) every minute during the exercise test. We determined the AT by the V-slope method.Results: We enrolled 90 sinus rhythm (SR) patients (74 men 16 women) and 22 AF patients. For SR men, SR women and AF, there were significant positive correlations between the face scale RPE and HR, VO₂, WR, and VE. There was no statistically significant differences difference in correlation coefficient between age and SR or AF. The cutoff value for AT of the Face Scale was “4” and it showed high sensitivity and specificity.Conclusions: These results suggest that the face scale can be used to determine the intensity of physical exercise equivalent to AT unaffected by age, gender, SR or AF.

scholarly journals Face scale rating of perceived exertion during cardiopulmonary exercise test

2018 ◽  
Vol 4 (1) ◽  
pp. e000474 ◽  
Author(s):  
Shinichiro Morishita ◽  
Atsuhiro Tsubaki ◽  
Satoshi Nashimoto ◽  
Jack B Fu ◽  
Hideaki Onishi
Keyword(s):  
Exercise Test ◽  
Perceived Exertion ◽  
Significant Positive Correlation ◽  
Cardiopulmonary Exercise Testing ◽  
Cardiopulmonary Exercise Test ◽  
Rating Of Perceived Exertion ◽  
Exercise Load ◽  
Cardiopulmonary Exercise ◽  
Face Scale ◽  
The Face

ObjectiveThis study aimed to investigate the correlation between the face scale and heart rate (HR), exercise load and oxygen uptake (V̇O2) during cardiopulmonary exercise testing.MethodsThis was a prospective, observational study of face scale rating of perceived exertion (RPE) and HR, exercise load and V̇O2during cardiopulmonary exercise testing. A total of 30 healthy college men and 21 healthy college women were included. Subjects performed a cardiopulmonary exercise test with ramps and an increment increase in workload of 20 W/min. We recorded the responses of subjects using a face scale for RPE, HR, exercise load and V̇O2every minute during the cardiopulmonary exercise test.ResultsIn men, there was a significant positive correlation between the face scale RPE and HR (ρ=0.856, p<0.01), exercise load (ρ=0.888, p<0.01) and V̇O2(ρ=0.878, p<0.01) during the cardiopulmonary exercise test. Similarly, in women, there was a significant positive correlation between the face scale RPE and HR (ρ=0.885, p<0.01), exercise load (ρ=0.908, p<0.01) and V̇O2(ρ=0.895, p<0.01) during the cardiopulmonary exercise tests.ConclusionThe face scale proposed in this study was related to physiological parameters, which suggests that it may be used to determine the intensity of exercise in healthy adults.

A Comparison of Cardiopulmonary Exercise Testing and Field Walking Tests in Community-Dwelling Older Adults With Mild-to-Moderate Alzheimer’s Dementia

2020 ◽  
Vol 28 (6) ◽  
pp. 911-919
Author(s):  
Dereck L. Salisbury ◽  
Fang Yu
Keyword(s):  
Older Adults ◽  
Exercise Testing ◽  
Cardiopulmonary Exercise Testing ◽  
Alzheimer’S Dementia ◽  
Community Dwelling ◽  
Rating Of Perceived Exertion ◽  
Walking Distance ◽  
Walk Test ◽  
Alzheimer's Dementia ◽  
Cardiopulmonary Exercise

The purpose of this study was to investigate the relationships among peak exercise parameters on 6-min walk test, shuttle walk test, and laboratory-based cardiopulmonary exercise testing in persons with Alzheimer’s dementia. This study is a cross-sectional analysis of the baseline data of 90 participants (age 77.1 [6.6] years, 43% female) from the FIT-AD trial. Cardiopulmonary exercise testing produced significantly higher peak heart rate (118.6 [17.5] vs. 106 [22.8] vs. 106 [18.8] beats/min), rating of perceived exertion (16 [2.1] vs. 12 [2.3] vs. 11 [2.1]), and systolic blood pressure (182 [23.7] vs. 156 [18.9] vs. 150 [16.9] mmHg) compared with the shuttle walk test and 6-min walk test, respectively. Peak walking distance on shuttle walk test (241.3 [127.3] m) and 6-min walk test (365.0 [107.9] m) significantly correlated with peak oxygen consumption (17.1 [4.3] ml·kg−1·min−1) on cardiopulmonary exercise testing (r = .449, p ≤ .001 and r = .435, p ≤ .001), respectively, which is considerably lower than what is seen in older adults and persons with cardiopulmonary diseases.

scholarly journals Cardiopulmonary exercise testing for the measurement of maximal oxygen uptake in people with cancer-related fatigue: a retrospective analysis

2020 ◽  
Author(s):  
Rosemary Twomey ◽  
Colin Lavigne ◽  
Tristan Martin ◽  
S. Nicole Culos-Reed ◽  
Guillaume Y. Millet
Keyword(s):  
Oxygen Uptake ◽  
Maximal Oxygen Uptake ◽  
Perceived Exertion ◽  
Cardiopulmonary Exercise Testing ◽  
Cardiopulmonary Exercise Test ◽  
Cycle Ergometer ◽  
Gas Analysis ◽  
Rating Of Perceived Exertion ◽  
Recent Analysis ◽  
Cardiopulmonary Exercise

Purpose: The measurement of cardiorespiratory fitness (maximal oxygen uptake) using a cardiopulmonary exercise test (CPET) has several applications in oncology. A recent analysis reported that in people with cancer, the vast majority of CPETs are discontinued before the attainment of a plateau in oxygen uptake (V̇O2) or secondary criteria. The objective of this study was to describe the attainment of a V̇O2 plateau and secondary criteria from CPET in a sample of people with cancer-related fatigue.Methods: This was a retrospective and exploratory analysis of data from 51 participants who completed a CPET as part of baseline testing for a clinical trial. The CPETs were conducted in a single laboratory by the same lead experimenter, using a cycle ergometer, standard ramp protocol and breath-by-breath gas analysis. The incidence of a V̇O2 plateau was compared for ∆V̇O2 of ≤150 ml·min-1 and a more conservative ∆V̇O2 of ≤50 ml·min-1. Independent groups dichotomized using the latter criterion were compared, including for the attainment of common secondary criteria for heart rate, rating of perceived exertion and the respiratory exchange ratio.Results: A plateau in V̇O2 was observed in 100% of tests using a criterion of ∆V̇O2 ≤150 mL·min-1, and this was reduced to 57% using a more conservative criterion of ∆V̇O2 ≤50 mL·min-1. There were no differences in the attainment of secondary criteria (or any other variable) between groups dichotomized using observation of a V̇O2 plateau.Conclusion: The validity of classic plateau criteria (∆V̇O2 ≤150 mL·min-1) to verify V̇O2max in people diagnosed with cancer is questionable (100% attainment in the present study, 57% attainment with a more conservative definition of a V̇O2 plateau). Comparing our data with previous reports, we suggest that exercising maximally to elicit V̇O2max may be more tolerable in this population using a standard ramp protocol, recumbent cycle ergometer and facemask.

scholarly journals Ventilatory compensation during the incremental exercise test is inversely correlated with air trapping in COPD

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1661
Author(s):  
Rottem Kuint ◽  
Neville Berkman ◽  
Samir Nusair
Keyword(s):  
Gas Exchange ◽  
Exercise Testing ◽  
Exercise Test ◽  
Cardiopulmonary Exercise Testing ◽  
Incremental Exercise ◽  
Peak Exercise ◽  
Air Trapping ◽  
Incremental Exercise Test ◽  
Cardiopulmonary Exercise ◽  
Copd Patients

Background: Air trapping and gas exchange abnormalities are major causes of exercise limitation in chronic obstructive pulmonary disease (COPD). During incremental cardiopulmonary exercise testing, actual nadir values of ventilatory equivalents for carbon dioxide (V E/VCO 2) and oxygen (V E/VO 2) may be difficult to identify in COPD patients because of limited ventilatory compensation capacity. Therefore, we aimed in this exploratory study to detect a possible correlation between the magnitude of ventilation augmentation, as manifested by increments in ventilatory equivalents from nadir to peak exercise values and air trapping, detected with static testing.    Methods: In this observational study, we studied data obtained previously from 20 COPD patients who, during routine follow-up, underwent a symptom-limited incremental exercise test and in whom a plethysmography was obtained concurrently. Air trapping at rest was assessed by measurement of the residual volume (RV) to total lung capacity (TLC) ratio (RV/TLC). Gas exchange data collected during the symptom-limited incremental cardiopulmonary exercise test allowed determination of the nadir and peak exercise values of V E/VCO 2 and V E/VO 2, thus enabling calculation of the difference between peak exrcise value and nadir values of  V E/VCO 2 and V E/VO 2, designated ΔV E/VCO 2 and ΔV E/VO 2, respectively. Results: We found a statistically significant inverse correlation between both ΔV E/VCO 2 (r = -0. 5058, 95% CI -0.7750 to -0.08149, p = 0.0234) and ΔV E/VO 2 (r = -0.5588, 95% CI -0.8029 to -0.1545, p = 0.0104) and the degree of air trapping (RV/TLC). There was no correlation between ΔV E/VCO 2 and forced expiratory volume in the first second, or body mass index.  Conclusions: The ventilatory equivalents increment to compensate for acidosis during incremental exercise testing was inversely correlated with air trapping (RV/TLC).

scholarly journals Perceived exertion and energy expenditure during physical activities in healthy young people and older adults

Folia Medica ◽  
2021 ◽  
Vol 63 (4) ◽  
pp. 502-510
Author(s):  
Oyéné Kossi ◽  
Justine Lacroix ◽  
Maxence Compagnat ◽  
Jean Christophe Daviet ◽  
Stéphane Mandigout
Keyword(s):  
Older Adults ◽  
Young People ◽  
Energy Expenditure ◽  
Perceived Exertion ◽  
Cross Sectional Study ◽  
Rating Of Perceived Exertion ◽  
Treadmill Running ◽  
Single Session ◽  
Cross Sectional ◽  
Healthy Young People

Aim: To test the validity of Borg&rsquo;s 6&ndash;20 rating of perceived exertion scale in assessing the exertion intensity over a multi-activity session in young and older adults.Materials and methods: This cross-sectional study included 56 healthy participants. All participants underwent a single session of activities including working on a computer, treadmill walking, biking, and treadmill running. Results: Results showed a non-significant correlation between the overall perceived exertion and energy expenditure in young people (Rho=&minus;0.05, p=0.75) and in older adults (Rho=&minus;0.05, p=0.78) for the whole session. However, results showed that older adults perceived significantly higher exertion compared to young people while working on a computer, walking and running, whereas they presented lower energy expenditure while resting and working on a computer. Conclusions: Combining the perceived exertion method with other commonly used methods to estimate exercise intensity would be recommended for older adults.

scholarly journals Similarity between predicted and obtained oxygen consumption during incremental cardiopulmonary exercise test in healthy men and chronic heart failure patients

2020 ◽  
Vol 27 (3) ◽  
pp. 228-235
Author(s):  
Rafael Santiago Floriano ◽  
Alexandre Fenley ◽  
Daniel Sobral Teixeira ◽  
Leonardo da Costa Silva ◽  
Hugo Valverde Reis ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Oxygen Consumption ◽  
Chronic Heart Failure ◽  
Evaluation Method ◽  
Cardiopulmonary Exercise Testing ◽  
Prediction Equation ◽  
Peak Exercise ◽  
Healthy Men ◽  
Cardiopulmonary Exercise

ABSTRACT Cardiopulmonary exercise testing (CPX) is a noninvasive method for assessing physiological changes during physical exercise. Functional capacity has been evaluated using prediction equations. However, this evaluation method may yield different outcomes when applied to a healthy male population and patients with chronic heart failure (HF). This study aimed to compare the estimated and obtained values of oxygen consumption (VO2) during CPX both at the ventilatory anaerobic threshold (VAT) and at peak exercise for healthy men and HF patients. For that, 56 men were divided into 3 groups: (1) 18 young and healthy (YG) (27±6.01 years); (2) 14 healthy older adults (OG) (61±6.3 years); and (3) 24 chronic HF patients (HFG) (53±13.6 years). CPX in cycle ergometer was administered to all individuals for determining VO2 at the VAT and peak exercise. Then, VO2 was estimated at the two moments using a prediction equation, and estimated values were compared to those obtained. Estimated VO2 was significantly higher than obtained VO2 in OG (16.9±1.8 vs. 13.1±2.1mL/kg/min) and HFG (12±6.9 vs. 8.7±2.5mL/kg/min). We found no difference between estimated and obtained VO2 for the YG (22,6±5,5 vs. 23,1±8,7mL/kg/min). The prediction equation overestimated VO2 values for older adults and HF patients. However, the YG obtained similar values than those estimated.

scholarly journals Ventilatory compensation during the incremental exercise test is inversely correlated with air trapping in COPD

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1661
Author(s):  
Rottem Kuint ◽  
Neville Berkman ◽  
Samir Nusair
Keyword(s):  
Gas Exchange ◽  
Exercise Testing ◽  
Exercise Test ◽  
Cardiopulmonary Exercise Testing ◽  
Incremental Exercise ◽  
Peak Oxygen Consumption ◽  
Air Trapping ◽  
Incremental Exercise Test ◽  
Cardiopulmonary Exercise ◽  
Copd Patients

Background: Air trapping and gas exchange abnormalities are major causes of exercise limitation in chronic obstructive pulmonary disease (COPD). During incremental cardiopulmonary exercise testing, ventilatory equivalents for carbon dioxide (VE/VCO2) and oxygen (VE/VO2) may be difficult to identify in COPD patients because of limited ventilatory compensation capacity. Therefore, we aimed to detect a possible correlation between the magnitude of ventilation augmentation, as manifested by increments in ventilatory equivalents from nadir to peak effort values and air trapping, detected with static testing.    Methods: In this observational study, we studied data obtained previously from 20 COPD patients who, during routine follow-up, underwent a symptom-limited incremental exercise test and in whom a plethysmography was obtained concurrently. Air trapping at rest was assessed by measurement of the residual volume (RV) to total lung capacity (TLC) ratio (RV/TLC). Gas exchange data collected during the symptom-limited incremental cardiopulmonary exercise test allowed determination of the nadir and peak effort values of VE/VCO2 and VE/VO2, thus enabling calculation of the difference between peak effort value and nadir values of  VE/VCO2 and VE/VO2, designated ΔVE/VCO2 and ΔVE/VO2, respectively. Results: We found a statistically significant inverse correlation between both ΔVE/VCO2 (r = -0. 5058, 95% CI -0.7750 to -0.08149, p = 0.0234) and ΔVE/VO2 (r = -0.5588, 95% CI -0.8029 to -0.1545, p = 0.0104) and the degree of air trapping (RV/TLC). There was no correlation between                ΔVE/VCO2 and peak oxygen consumption, forced expiratory volume in the first second, or body mass index.  Conclusions: The ventilatory equivalents increment to compensate for acidosis during incremental exercise testing was inversely correlated with air trapping (RV/TLC) and may be a candidate prognostic biomarker.

scholarly journals Cardiopulmonary Exercise Test in heart failure: A Sine qua non

2020 ◽  
Vol 9 (2) ◽  
pp. 1-8 ◽  
Author(s):  
Stefanos Sakellaropoulos ◽  
Dimitra Lekaditi ◽  
Stefano Svab
Keyword(s):  
Heart Failure ◽  
Exercise Test ◽  
Exercise Physiology ◽  
Cardiopulmonary Exercise Testing ◽  
Critical Evaluation ◽  
Research Area ◽  
Cardiopulmonary Exercise Test ◽  
Exercise Intolerance ◽  
Reduced Ejection Fraction ◽  
Cardiopulmonary Exercise

A robust literature, over the last years, supports the indication of cardiopulmonary exercise testing (CPET) in patients with cardiovascular diseases. Understanding exercise physiology is a crucial component of the critical evaluation of exercise intolerance. Shortness of breath and exercise limitation is often treated with an improper focus, partly because the pathophysiology is not well understood in the frame of the diagnostic spectrum of each subspecialty. A vital field and research area have been cardiopulmonary exercise test in heart failure with preserved/reduced ejection fraction, evaluation of heart failure patients as candidates for LVAD-Implantation, as well as for LVAD-Explantation and ultimately for heart transplantation. All the CPET variables provide synergistic prognostic discrimination. However, Peak VO2 serves as the most critical parameter for risk stratification and prediction of survival rate.

Development of an On-Water Graded Exercise Test for Flat-Water Sprint Kayak Athletes

2019 ◽  
Vol 14 (9) ◽  
pp. 1244-1249 ◽  
Author(s):  
Chelsie E. Winchcombe ◽  
Martyn J. Binnie ◽  
Matthew M. Doyle ◽  
Cruz Hogan ◽  
Peter Peeling
Keyword(s):  
Oxygen Consumption ◽  
Exercise Test ◽  
Repeated Measures ◽  
Perceived Exertion ◽  
Intraclass Correlation ◽  
Rating Of Perceived Exertion ◽  
Stroke Rate ◽  
Repeated Measures Design ◽  
Graded Exercise Test ◽  
Graded Exercise

Purpose: To determine the reliability and validity of a power-prescribed on-water (OW) graded exercise test (GXT) for flat-water sprint kayak athletes. Methods: Nine well-trained sprint kayak athletes performed 3 GXTs in a repeated-measures design. The initial GXT was performed on a stationary kayak ergometer in the laboratory (LAB). The subsequent 2 GXTs were performed OW (OW1 and OW2) in an individual kayak. Power output (PWR), stroke rate, blood lactate, heart rate, oxygen consumption, and rating of perceived exertion were measured throughout each test. Results: Both PWR and oxygen consumption showed excellent test–retest reliability between OW1 and OW2 for all 7 stages (intraclass correlation coefficient > .90). The mean results from the 2 OW GXTs (OWAVE) were then compared with LAB, and no differences in oxygen consumption across stages were evident (P ≥ .159). PWR was higher for OWAVE than for LAB in all stages (P ≤ .021) except stage 7 (P = .070). Conversely, stroke rate was lower for OWAVE than for LAB in all stages (P < .010) except stage 2 (P = .120). Conclusions: The OW GXT appears to be a reliable test in well-trained sprint kayak athletes. Given the differences in PWR and stroke rate between the LAB and OW tests, an OW GXT may provide more specific outcomes for OW training.

Sign in / Sign up

Export Citation Format

Share Document