Comparison of Predicted Exercise Capacity Equations and the Effect of Actual versus Ideal Body Weight among Subjects Undergoing Cardiopulmonary Exercise Testing
Background. Oxygen uptake at maximal exercise (VO2 max) is considered the best available index for assessment of exercise capacity. The purpose of this study is to determine if the use of actual versus ideal body weight in standard regression equations for predicted VO2 max results in differences in...
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Format: | Article |
Language: | English |
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Wiley
2013-01-01
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Series: | Cardiology Research and Practice |
Online Access: | http://dx.doi.org/10.1155/2013/940170 |
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author | H. Reza Ahmadian Joseph J. Sclafani Ethan E. Emmons Michael J. Morris Kenneth M. Leclerc Ahmad M. Slim |
author_facet | H. Reza Ahmadian Joseph J. Sclafani Ethan E. Emmons Michael J. Morris Kenneth M. Leclerc Ahmad M. Slim |
author_sort | H. Reza Ahmadian |
collection | DOAJ |
description | Background. Oxygen uptake at maximal exercise (VO2 max) is considered the best available index for assessment of exercise capacity. The purpose of this study is to determine if the use of actual versus ideal body weight in standard regression equations for predicted VO2 max results in differences in predicted VO2 max. Methods. This is a retrospective chart review of patients who were predominantly in active military duty with complaints of dyspnea or exercise tolerance and who underwent cardiopulmonary exercise testing (CPET) from 2007 to 2009. Results. A total of 230 subjects completed CPET on a bicycle ergometer with a male predominance (62%) and an average age of 37 ± 15 years. There was significant discordance between the measured VO2 max and predicted VO2 max when measured by the Hansen and Wasserman reference equations (P<0.001). Specifically, there was less overestimation when predicted VO2 max was based on ideal body weight as opposed to actual body weight. Conclusion. Our retrospective analysis confirmed the wide variations in predicted versus measured VO2 max based on varying prediction equations and showed the potential advantage of using ideal body weight as opposed to actual body weight in order to further standardize reference norms. |
format | Article |
id | doaj-art-91d2673fce854017a72c45608646a86a |
institution | Kabale University |
issn | 2090-8016 2090-0597 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
series | Cardiology Research and Practice |
spelling | doaj-art-91d2673fce854017a72c45608646a86a2025-02-03T07:25:47ZengWileyCardiology Research and Practice2090-80162090-05972013-01-01201310.1155/2013/940170940170Comparison of Predicted Exercise Capacity Equations and the Effect of Actual versus Ideal Body Weight among Subjects Undergoing Cardiopulmonary Exercise TestingH. Reza Ahmadian0Joseph J. Sclafani1Ethan E. Emmons2Michael J. Morris3Kenneth M. Leclerc4Ahmad M. Slim5Cardiology Service, Brooke Army Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234-6200, USACardiology Service, Brooke Army Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234-6200, USAPulmonary/Critical Care Service, Brooke Army Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234-6200, USAPulmonary/Critical Care Service, Brooke Army Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234-6200, USACardiology Service, Brooke Army Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234-6200, USACardiology Service, Brooke Army Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234-6200, USABackground. Oxygen uptake at maximal exercise (VO2 max) is considered the best available index for assessment of exercise capacity. The purpose of this study is to determine if the use of actual versus ideal body weight in standard regression equations for predicted VO2 max results in differences in predicted VO2 max. Methods. This is a retrospective chart review of patients who were predominantly in active military duty with complaints of dyspnea or exercise tolerance and who underwent cardiopulmonary exercise testing (CPET) from 2007 to 2009. Results. A total of 230 subjects completed CPET on a bicycle ergometer with a male predominance (62%) and an average age of 37 ± 15 years. There was significant discordance between the measured VO2 max and predicted VO2 max when measured by the Hansen and Wasserman reference equations (P<0.001). Specifically, there was less overestimation when predicted VO2 max was based on ideal body weight as opposed to actual body weight. Conclusion. Our retrospective analysis confirmed the wide variations in predicted versus measured VO2 max based on varying prediction equations and showed the potential advantage of using ideal body weight as opposed to actual body weight in order to further standardize reference norms.http://dx.doi.org/10.1155/2013/940170 |
spellingShingle | H. Reza Ahmadian Joseph J. Sclafani Ethan E. Emmons Michael J. Morris Kenneth M. Leclerc Ahmad M. Slim Comparison of Predicted Exercise Capacity Equations and the Effect of Actual versus Ideal Body Weight among Subjects Undergoing Cardiopulmonary Exercise Testing Cardiology Research and Practice |
title | Comparison of Predicted Exercise Capacity Equations and the Effect of Actual versus Ideal Body Weight among Subjects Undergoing Cardiopulmonary Exercise Testing |
title_full | Comparison of Predicted Exercise Capacity Equations and the Effect of Actual versus Ideal Body Weight among Subjects Undergoing Cardiopulmonary Exercise Testing |
title_fullStr | Comparison of Predicted Exercise Capacity Equations and the Effect of Actual versus Ideal Body Weight among Subjects Undergoing Cardiopulmonary Exercise Testing |
title_full_unstemmed | Comparison of Predicted Exercise Capacity Equations and the Effect of Actual versus Ideal Body Weight among Subjects Undergoing Cardiopulmonary Exercise Testing |
title_short | Comparison of Predicted Exercise Capacity Equations and the Effect of Actual versus Ideal Body Weight among Subjects Undergoing Cardiopulmonary Exercise Testing |
title_sort | comparison of predicted exercise capacity equations and the effect of actual versus ideal body weight among subjects undergoing cardiopulmonary exercise testing |
url | http://dx.doi.org/10.1155/2013/940170 |
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