Liu Jian-min, Xu Zeng-nian, Li Yan, Sun Rui, Tian Ying, Li Min, Piao Jian-hua, Yang Xiao-guang
Hebei Medical University, Shijiazhuang 050017, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2010 Sep;44(9):795-9.
To determine the validity of the pulmonary function equipment.
12 young students (including six males and six females) were enrolled as our research subjects. And the values of oxygen consumption (VO(2)), carbon dioxide production (VCO(2)) and energy expenditures (EE) of the subjects under three typical activity intensities: resting, moderate intensity (on a treadmill with grade 10% and speed 2.7 km/h) and hard intensity (on a treadmill with grade 10% and speed 5.8 km/h) were measured using the pulmonary function equipment (K4b(2)) and Douglas-bag respectively. And the Douglas-bag method was used as reference and the results were compared with the other method.
The measured VO(2) values by using the Douglas-bag and the pulmonary function equipment under three typical activity intensities were: at rest (0.22 ± 0.03), (0.22 ± 0.05) L/min (t = 0.120, P > 0.05); moderate intensity condition (0.95 ± 0.12), (0.96 ± 0.14) L/min (t = 0.240, P > 0.05); hard intensity condition (1.63 ± 0.28), (1.54 ± 0.35) L/min (t = 1.487, P > 0.05). For VCO(2) values: at rest (0.18 ± 0.02), (0.18 ± 0.04) L/min (t = 0.425, P > 0.05); moderate intensity (0.82 ± 0.11), (0.83 ± 0.13) L/min (t = 0.579, P > 0.05); hard intensity (1.64 ± 0.27), (1.52 ± 0.39) L/min (t = 2.330, P < 0.05). And for EE values, at rest (269.40 ± 35.70), (267.02 ± 55.39) kJ/h (t = 0.200, P > 0.05); moderate intensity (1165.76 ± 148.06), (1185.91 ± 161.89) kJ/h (t = 0.326, P > 0.05); hard intensity (2062.91 ± 341.97), (1912.27 ± 483.88) kJ/h (t = 1.718, P > 0.05) respectively. The results showed that there were no significant differences between the two methods except the VCO(2) values under high intensity condition was underestimated by the pulmonary function equipment. Bland-Altman test showed that the difference of the two methods was evenly distributed by the mean and standard error of the system was 24.7 kJ/h. Our data showed the results from the Douglas-bag and the pulmonary function equipment were consistent.
Pulmonary function equipment had good validity in assessing the energy expenditure in Chinese adults.
确定肺功能设备的有效性。
招募12名青年学生(包括6名男性和6名女性)作为研究对象。使用肺功能设备(K4b(2))和道格拉斯袋分别测量受试者在三种典型活动强度下的耗氧量(VO(2))、二氧化碳产生量(VCO(2))和能量消耗(EE),这三种强度分别为静息、中等强度(在坡度为10%、速度为2.7 km/h的跑步机上)和高强度(在坡度为10%、速度为5.8 km/h的跑步机上)。以道格拉斯袋法作为参考,将结果与另一种方法进行比较。
在三种典型活动强度下,使用道格拉斯袋和肺功能设备测得的VO(2)值分别为:静息时(0.22±0.03)、(0.22±0.05)L/min(t = 0.120,P>0.05);中等强度时(0.95±0.12)、(0.96±0.14)L/min(t = 0.240,P>0.05);高强度时(1.63±0.28)、(1.54±0.35)L/min(t = 1.487,P>0.05)。对于VCO(2)值:静息时(0.18±0.02)、(0.18±0.04)L/min(t = 0.425,P>0.05);中等强度时(0.82±0.11)、(0.83±0.13)L/min(t = 0.579,P>0.05);高强度时(1.64±0.27)、(1.52±0.39)L/min(t = 2.330,P<0.05)。对于EE值,静息时(269.40±35.70)、(267.02±55.39)kJ/h(t = 0.200,P>0.05);中等强度时(1165.76±148.06)、(1185.91±161.89)kJ/h(t = 0.326,P>0.05);高强度时(2062.91±341.97)、(1912.27±483.88)kJ/h(t = 1.718,P>0.05)。结果表明,两种方法之间无显著差异,只是在高强度条件下,肺功能设备测得的VCO(2)值被低估。Bland-Altman检验显示,两种方法的差异以均值均匀分布,系统的标准误为24.7 kJ/h。我们的数据表明,道格拉斯袋法和肺功能设备的结果一致。
肺功能设备在评估中国成年人能量消耗方面具有良好的有效性。