scholarly journals Differences in Peak Oxygen Uptake in Bicycle Exercise Test Caused by Body Positions: A Meta-Analysis

2021 ◽  
Vol 8 ◽  
Author(s):  
Xiaohua Wan ◽  
Chang Liu ◽  
Thomas P. Olson ◽  
Xiankun Chen ◽  
Weihui Lu ◽  
...  
Keyword(s):  
Oxygen Uptake ◽  
Supine Position ◽  
Exercise Test ◽  
Fixed Effects ◽  
Meta Analysis ◽  
Peak Oxygen Uptake ◽  
Upright Position ◽  
Healthy People ◽  
Self Control ◽  
Bicycle Exercise

Background: As demand for cardiopulmonary exercise test using a supine position has increased, so have the testing options. However, it remains uncertain whether the existing evaluation criteria for the upright position are suitable for the supine position. The purpose of this meta-analysis is to compare the differences in peak oxygen uptake (VO2peak) between upright and supine lower extremity bicycle exercise.Methods: We searched PubMed, Web Of Science and Embase from inception to March 27, 2021. Self-control studies comparing VO2peak between upright and supine were included. The quality of the included studies was assessed using a checklist adapted from published papers in this field. The effect of posture on VO2peak was pooled using random/fixed effects model.Results: This meta-analysis included 32 self-control studies, involving 546 participants (63% were male). 21 studies included only healthy people, 9 studies included patients with cardiopulmonary disease, and 2 studies included both the healthy and cardiopulmonary patients. In terms of study quality, most of the studies (n = 21, 66%) describe the exercise protocol, and we judged theVO2peak to be valid in 26 (81%) studies. Meta-analysis showed that the upright VO2peak exceeded the supine VO2peak [relative VO2peak: mean difference (MD) 2.63 ml/kg/min, 95% confidence interval (CI) 1.66-3.59, I2 = 56%, p < 0.05; absolute VO2peak: MD 0.18 L/min, 95% CI 0.10-0.26, I2 = 63%, p < 0.05). Moreover, subgroup analysis showed there was more pooled difference in healthy people (4.04 ml/kg/min or 0.22 L/min) than in cardiopulmonary patients (1.03 ml/kg/min or 0.12 L/min).Conclusion: VO2peak in the upright position is higher than that in supine position. However, whether this difference has clinical significance needs further verification.Systematic Review Registration: identifier, CRD42021233468.

scholarly journals Risk stratification in heart failure with mild reduced ejection fraction

2020 ◽  
Vol 27 (2_suppl) ◽  
pp. 59-64
Author(s):  
Damiano Magrì ◽  
Giovanna Gallo ◽  
Gianfranco Parati ◽  
Mariantonietta Cicoira ◽  
Michele Senni
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Oxygen Uptake ◽  
Risk Stratification ◽  
Exercise Test ◽  
Peak Oxygen Uptake ◽  
Cardiopulmonary Exercise Test ◽  
Recent Contribution ◽  
Reduced Ejection Fraction ◽  
Cardiopulmonary Exercise

Heart failure with mid-range ejection fraction represents a heterogeneous and relatively young heart failure category accounting for nearly 20–30% of the overall heart failure population. Due to its complex phenotype, a reliable clinical picture of heart failure with mid-range ejection fraction patients as well as a definite risk stratification are still relevant unsolved issues. In such a context, there is growing interest in a comprehensive functional assessment by means of a cardiopulmonary exercise test, yet considered a cornerstone in the clinical management of patients with heart failure and reduced ejection fraction. Indeed, the cardiopulmonary exercise test has also been found to be particularly useful in the heart failure with mid-range ejection fraction category, several cardiopulmonary exercise test-derived parameters being associated with a poor outcome. In particular, a recent contribution by the metabolic exercise combined with cardiac and kidney indexes research group showed an independent association between the peak oxygen uptake and pure cardiovascular mortality in a large cohort of recovered heart failure with mid-range ejection fraction patients. Contextually, the same study supplied an easy approach to identify a high-risk heart failure with mid-range ejection fraction subset by using a combination of peak oxygen uptake and ventilatory efficiency cut-off values, namely 55% of the maximum predicted and 31, respectively. Thus, looking at the above-mentioned promising results and waiting for specific trials, it is reasonable to consider cardiopulmonary exercise test assessment as part of the heart failure with mid-range ejection fraction work-up in order to identify those patients with an unfavourable functional profile who probably deserve a close clinical follow-up and, probably, more aggressive therapeutic strategies.

A perceptually regulated, graded exercise test predicts peak oxygen uptake during treadmill exercise in active and sedentary participants

2012 ◽  
Vol 112 (10) ◽  
pp. 3459-3468 ◽  
Author(s):  
Roger Eston ◽  
Harrison Evans ◽  
James Faulkner ◽  
Danielle Lambrick ◽  
Harran Al-Rahamneh ◽  
...  
Keyword(s):  
Oxygen Uptake ◽  
Exercise Test ◽  
Treadmill Exercise ◽  
Peak Oxygen Uptake ◽  
Graded Exercise Test ◽  
Graded Exercise

Prediction of peak oxygen uptake from sub-maximal ratings of perceived exertion elicited during a graded exercise test in obese women

2009 ◽  
Vol 46 (6) ◽  
pp. 1150-1153 ◽  
Author(s):  
Jeremy B. J. Coquart ◽  
Christine Lemaire ◽  
Alain-Eric Dubart ◽  
Claire Douillard ◽  
David-Pol Luttenbacher ◽  
...  
Keyword(s):  
Oxygen Uptake ◽  
Exercise Test ◽  
Perceived Exertion ◽  
Peak Oxygen Uptake ◽  
Obese Women ◽  
Ratings Of Perceived Exertion ◽  
Graded Exercise Test ◽  
Graded Exercise

scholarly journals Stronger Correlation of Peak Oxygen Uptake With Distance of Incremental Shuttle Walk Test Than 6-minute Walk Test in Patients With COPD: a Systematic Review and Meta-analysis

2021 ◽  
Author(s):  
Ganghee Chae ◽  
Eun Jae Ko ◽  
Sei Won Lee ◽  
Hyun Jung Kim ◽  
Sang Gyu Kwak ◽  
...  
Keyword(s):  
Oxygen Uptake ◽  
Correlation Coefficient ◽  
Exercise Capacity ◽  
Meta Analysis ◽  
Peak Oxygen Uptake ◽  
Cochrane Library ◽  
Chronic Obstructive ◽  
Walk Test ◽  
6 Minute Walk Test ◽  
Minute Walk

Abstract Background: The 6-minute walk test (6MWT) and incremental shuttle walk test (ISWT) are valid and reliable measures to assess exercise capacity of patients with chronic obstructive pulmonary disease (COPD). However, the comparison of correlation between peak oxygen uptake (peak VO2) and 6MWT or ISWT distance has not been investigated. We aimed to investigate the correlation between peak VO2 and 6MWT and ISWT distances in patients with COPD through a meta-analysis.Methods: We systematically searched MEDLINE, Scopus, Embase, and the Cochrane Library up to June 30, 2020 for studies comparing the correlation of peak VO2 with either 6MWT or ISWT in patients with COPD. Meta-analysis was performed with R software using a fixed-effect model. We compared the correlation coefficient and measured the heterogeneity using I2 statistics. Results: We identified 12 studies involving 746 patients. Meta-analysis showed a significant correlation between peak VO2 and 6MWT and ISWT distances (6MWT: r = 0.65, 95% CI: 0.61 to 0.70; ISWT: r = 0.81, 95% CI: 0.74 to 0.85; p < 0.0001). The heterogeneity was lower in ISWT than in 6MWT (6MWT: I2 = 56%, p = 0.02; ISWT: I2 = 0%, p = 0.71). Subgroup analysis showed a higher correlation coefficient in the low exercise capacity group than in the high exercise capacity group in both field tests. No risk of publication bias was identified.Conclusions: 6MWT and ISWT were significantly correlated with peak VO2. The findings suggest that ISWT had a stronger correlation with peak VO2 than did 6MWT in patients with COPD.Trial registration: CRD 42020200139 at crd.york.ac.uk/prospero/

A Perceptually-regulated Exercise Test Predicts Peak Oxygen Uptake in Older Active Adults

2015 ◽  
Vol 23 (2) ◽  
pp. 205-211
Author(s):  
Ashleigh E. Smith ◽  
Roger G. Eston ◽  
Belinda Norton ◽  
Gaynor Parfitt
Keyword(s):  
Oxygen Uptake ◽  
Exercise Test ◽  
Peak Oxygen Uptake ◽  
Active Adults
Sign in / Sign up

Export Citation Format

Share Document