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慢性阻塞性肺疾病患者次极量心肺运动试验中通过主观用力程度评分预测最大摄氧量

Prediction of peak oxygen uptake from ratings of perceived exertion during a sub-maximal cardiopulmonary exercise test in patients with chronic obstructive pulmonary disease.

作者信息

Coquart Jérémy B, Eston Roger G, Lemaître Frédéric, Bart Frédéric, Tourny Claire, Grosbois Jean-Marie

机构信息

Faculty of Sport Sciences, EA 3832, CETAPS, University of Rouen, Mont Saint Aignan, France,

出版信息

Eur J Appl Physiol. 2015 Feb;115(2):365-72. doi: 10.1007/s00421-014-3023-6. Epub 2014 Oct 18.

DOI:10.1007/s00421-014-3023-6
PMID:25326178
Abstract

PURPOSE

We assessed the validity of predicting peak oxygen uptake ([Formula: see text]O2 peak) from the relationship between oxygen uptake ([Formula: see text]O2) and overall ratings of perceived exertion (RPE) obtained during the initial stages of a cardiopulmonary exercise test (CPET).

METHOD

Fifteen healthy participants and 18 patients with chronic obstructive pulmonary disease (COPD) performed a maximal CPET, during which [Formula: see text]O2 and RPE were measured until RPE15.

RESULTS

Individual regressions between [Formula: see text]O2 and RPE ≤ 15 were extrapolated to RPE19 to predict [Formula: see text]O2 peak. Mean actual and predicted [Formula: see text]O2 peak were not significantly different in healthy women (18.9 ± 4.1 vs. 20.4 ± 4.5 mL kg(-1) min(-1), respectively) and men (28.9 ± 7.8 vs. 29.7 ± 8.5 mL kg(-1) min(-1), respectively), or in women (15.2 ± 4.7 vs. 15.8 ± 5.0 mL kg(-1) min(-1), respectively) and men (16.2 ± 4.4 vs. 17.4 ± 5.4 mL kg(-1) min(-1), respectively) with COPD (P = 0.067). Moreover, actual and predicted [Formula: see text]O2 peak were highly correlated in healthy participants and COPD patients (r ≥ 0.89; P < 0.001). The bias and 95 % limits of agreement were -1.0 ± 4.0 and -1.0 ± 4.6 mL kg(-1) min(-1) for healthy and COPD participants, respectively.

CONCLUSION

[Formula: see text]O2 peak can be predicted with acceptable accuracy in healthy participants and patients with COPD from the individual relationship between [Formula: see text]O2 and RPE ≤ 15.

摘要

目的

我们通过评估心肺运动试验(CPET)初始阶段获得的摄氧量([公式:见正文]O₂)与总体主观用力程度(RPE)之间的关系,来评估预测峰值摄氧量([公式:见正文]O₂峰值)的有效性。

方法

15名健康参与者和18名慢性阻塞性肺疾病(COPD)患者进行了最大CPET,在此期间测量[公式:见正文]O₂和RPE,直至RPE达到15。

结果

将[公式:见正文]O₂与RPE≤15之间的个体回归外推至RPE 19以预测[公式:见正文]O₂峰值。健康女性(分别为18.9±4.1与20.4±4.5 mL·kg⁻¹·min⁻¹)和男性(分别为28.9±7.8与29.7±8.5 mL·kg⁻¹·min⁻¹),以及COPD女性(分别为15.2±4.7与15.8±5.0 mL·kg⁻¹·min⁻¹)和男性(分别为16.2±4.4与17.4±5.4 mL·kg⁻¹·min⁻¹)的实际和预测[公式:见正文]O₂峰值差异均无统计学意义(P = 0.067)。此外,健康参与者和COPD患者的实际和预测[公式:见正文]O₂峰值高度相关(r≥0.89;P<0.001)。健康和COPD参与者的偏差及95%一致性界限分别为-1.0±4.0和-1.0±4.6 mL·kg⁻¹·min⁻¹。

结论

根据[公式:见正文]O₂与RPE≤15之间的个体关系,在健康参与者和COPD患者中可以以可接受的准确度预测[公式:见正文]O₂峰值。

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