Ventilatory and Metabolic Response in the Incremental Shuttle and 6-Min Walking Tests Measured by Telemetry in Obese Patients Prior to Bariatric Surgery

Oliver, Nicole; Onofre, Tatiana; Carlos, Renata; Barbosa, Juliana dos Santos; Godoy, Eudes Paiva de; Pereira, Eliane; Guerra, Ricardo Oliveira; Bruno, Selma S.

doi:10.1007/s11695-014-1548-8

Cited by 11 publications

(8 citation statements)

References 35 publications

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“…Evans et al ( 22 ) compared the cardiopulmonary responses of both the ISWT and 6-min walk test (6MWT) with CPX results in an obese cohort (men and women with a mean BMI of 33.3 kg/m 2 , similar to our study) with obstructive sleep apnea and found a stronger relationship (r=0.87, P<0.001) between ISWT distance and peak VO 2 during CPX compared to our findings. Oliver et al ( 23 ) compared the metabolic responses during the ISWT and 6MWT in obese patients prior to bariatric surgery (BMI: 43.5 kg/m 2 ). The authors found that the ISWT induced a higher metabolic demand compared to the 6MWT.…”

Section: Discussionmentioning

confidence: 99%

Does the incremental shuttle walk test require maximal effort in young obese women?

Jürgensen

Trimer

Thommazo-Luporini

et al. 2016

Braz J Med Biol Res

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Obesity is a chronic disease with a multifaceted treatment approach that includes nutritional counseling, structured exercise training, and increased daily physical activity. Increased body mass elicits higher cardiovascular, ventilatory and metabolic demands to varying degrees during exercise. With functional capacity assessment, this variability can be evaluated so individualized guidance for exercise training and daily physical activity can be provided. The aim of the present study was to compare cardiovascular, ventilatory and metabolic responses obtained during a symptom-limited cardiopulmonary exercise test (CPX) on a treadmill to responses obtained by the incremental shuttle walk test (ISWT) in obese women and to propose a peak oxygen consumption (VO2) prediction equation through variables obtained during the ISWT. Forty obese women (BMI ≥30 kg/m2) performed one treadmill CPX and two ISWTs. Heart rate (HR), arterial blood pressure (ABP) and perceived exertion by the Borg scale were measured at rest, during each stage of the exercise protocol, and throughout the recovery period. The predicted maximal heart rate (HRmax) was calculated (210 – age in years) (16) and compared to the HR response during the CPX. Peak VO2 obtained during CPX correlated significantly (P<0.05) with ISWT peak VO2 (r=0.79) as well as ISWT distance (r=0.65). The predictive model for CPX peak VO2, using age and ISWT distance explained 67% of the variability. The current study indicates the ISWT may be used to predict aerobic capacity in obese women when CPX is not a viable option.

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Section: Discussionmentioning

confidence: 99%

Does the incremental shuttle walk test require maximal effort in young obese women?

Jürgensen

Trimer

Thommazo-Luporini

et al. 2016

Braz J Med Biol Res

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“…The rise in VE could be related to the increase of VO2max-HRmax because of high intensity of a maximal cardio-pulmonary exercise which is related with VO2max relative according to American Thoracic Society (ATS) and American College of Chest Physicians (ACCP) 23 . The Oliver et al 27 study where the increase of VE was related to maximal capacity exercise, showed similar physiologic parameters with participants of similar age but more weight. The results of the present study prove that respiratory system represents a limiting factor during the physical activity, especially in elderly people.…”

Section: Discussionmentioning

confidence: 77%

The effects of a pilates-aerobic program on maximum exercise capacity of adult women

Mikalački

Čokorilo

Ruíz-Montero

2017

Rev Bras Med Esporte

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Introduction: Physical exercise such as the Pilates method offers clinical benefits on the aging process. Likewise, physiologic parameters may be improved through aerobic exercise. Methods: In order to compare the differences of a Pilates-Aerobic intervention program on physiologic parameters such as the maximum heart rate (HRmax), relative maximal oxygen consumption (relative VO2max) and absolute (absolute VOmax), maximum heart rate during maximal oxygen consumption (VO2max-HRmax), maximum minute volume (VE) and forced vital capacity (FVC), a total of 64 adult women (active group = 48.1 ± 6.7 years; control group = 47.2 ± 7.4 years) participated in the study. The physiological parameters, the maximal speed and total duration of test were measured by maximum exercise capacity testing through Bruce protocol. The HRmax was calculated by a cardio-ergometric software. Pulmonary function tests, maximal speed and total time during the physical test were performed in a treadmill (Medisoft, model 870c). Likewise, the spirometry analyzed the impact on oxygen uptake parameters, including FVC and VE. Results: The VO2max (relative and absolute), VE (all, P<0.001), VO2max-HRmax (P<0.05) and maximal speed of treadmill test (P<0.001) showed significant difference in the active group after a physical exercise interventional program. Conclusion: The present study indicates that the Pilates exercises through a continuous training program might significantly improve the cardiovascular system. Hence, mixing strength and aerobic exercises into a training program is considered the optimal mechanism for healthy aging.

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“…Im randomisierten Vergleich zwischen 6-MWT, inkrementalem Shuttle-Walk-Test (ICSWT) bzw. inkrementalem Laufbandtest (ITMT) waren bei adipösen Patienten (Grad I-III) mit behandelter obstruktiver Schlafapnoe bei den inkrementalen Tests der Anstieg von V O 2 während der Belastung linear und peak V O 2 höher als beim 6-MWT [354,355].…”

Section: Einfluss Der Adipositas Auf Die Körperliche Leistungsfähigkeitunclassified

Belastungsuntersuchungen in der Pneumologie – Empfehlungen der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin e. V.

et al. 2018

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ZusammenfassungDieses Dokument der DGP ersetzt die Empfehlungen von 1998 und 2013. Anhand der aktuellen Datenlage und einer Konsensuskonferenz wurden Empfehlungen zu Indikationen, zur Auswahl und Durchführung der geeigneten Belastungsuntersuchungen sowie zu den technischen und personellen Voraussetzungen formuliert. Detaillierte Angaben werden zur Blutgasanalyse unter Belastung, zu Gehtests und Rechtsherzkatheter unter Belastung sowie zur Spiroergometrie und Stressechokardiografie gemacht. Der korrekte Einsatz von Belastungsuntersuchungen bei anstrengungsinduziertem Asthma, bei sport-, arbeits- bzw. rehabilitationsmedizinischen Fragestellungen, bei Adipositas, bei der präoperativen Risikostratifizierung und beim Therapiemonitoring pneumologischer Erkrankungen wird dargestellt.

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Ventilatory and Metabolic Response in the Incremental Shuttle and 6-Min Walking Tests Measured by Telemetry in Obese Patients Prior to Bariatric Surgery

Abstract: The ISWT test generated superior metabolic and ventilatory stress than the 6MWT and may be more suitable for assessing cardiopulmonary fitness than self-paced tests.

Cited by 11 publications

References 35 publications

Does the incremental shuttle walk test require maximal effort in young obese women?

Does the incremental shuttle walk test require maximal effort in young obese women?

The effects of a pilates-aerobic program on maximum exercise capacity of adult women

Belastungsuntersuchungen in der Pneumologie – Empfehlungen der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin e. V.

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