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...

Full description

Saved in:
Bibliographic Details
Main Authors: H. Reza Ahmadian, Joseph J. Sclafani, Ethan E. Emmons, Michael J. Morris, Kenneth M. Leclerc, Ahmad M. Slim
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2013/940170
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832545455201845248
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
work_keys_str_mv AT hrezaahmadian comparisonofpredictedexercisecapacityequationsandtheeffectofactualversusidealbodyweightamongsubjectsundergoingcardiopulmonaryexercisetesting
AT josephjsclafani comparisonofpredictedexercisecapacityequationsandtheeffectofactualversusidealbodyweightamongsubjectsundergoingcardiopulmonaryexercisetesting
AT ethaneemmons comparisonofpredictedexercisecapacityequationsandtheeffectofactualversusidealbodyweightamongsubjectsundergoingcardiopulmonaryexercisetesting
AT michaeljmorris comparisonofpredictedexercisecapacityequationsandtheeffectofactualversusidealbodyweightamongsubjectsundergoingcardiopulmonaryexercisetesting
AT kennethmleclerc comparisonofpredictedexercisecapacityequationsandtheeffectofactualversusidealbodyweightamongsubjectsundergoingcardiopulmonaryexercisetesting
AT ahmadmslim comparisonofpredictedexercisecapacityequationsandtheeffectofactualversusidealbodyweightamongsubjectsundergoingcardiopulmonaryexercisetesting