Loading...
Submaximal Exercise Testing in Cardiovascular Rehabilitation Settings (BEST Study)
Reed, Jennifer L. Cotie, Lisa M. Cole, Christie A. Harris, Jennifer Moran, Bruce Scott, Kyle Buckley, John P. Pipe, Andrew L.
Reed, Jennifer L.
Cotie, Lisa M.
Cole, Christie A.
Harris, Jennifer
Moran, Bruce
Scott, Kyle
Buckley, John P.
Pipe, Andrew L.
Advisors
Editors
Other Contributors
EPub Date
Publication Date
Submitted Date
Collections
Files
Loading...
Main article
Adobe PDF, 612.07 KB
Other Titles
Abstract
Abstract
BACKGROUND:
This study compared changes in measured versus predicted peak aerobic power (V̇O2 peak) following cardiovascular rehabilitation (CR). Peak cardiopulmonary exercise testing (CPET) results were compared to four V̇O2 peak estimation methods: the submaximal modified Bruce treadmill, Astrand-Ryhming cycle ergometer, and Chester step tests, and the Duke Activity Status Index (DASI).
METHODS:
Adults with cardiovascular disease (CVD) who completed a 12-week CR program were assessed at baseline and 12 weeks follow-up. CPET, the DASI and three subsequent submaximal exercise tests were performed in a random order.
RESULTS:
Of the 50 adults (age: 57 ± 11 years) who participated, 46 completed the 12-week CR program and exercise tests. At baseline 69, 68, and 38% of the treadmill, step and cycle tests were successfully completed, respectively. At follow-up 67, 80, and 46% of the treadmill, step and cycle tests were successfully completed, respectively. No severe adverse events occurred. Significant improvements in V̇O2 peak were observed with CPET (3.6 ± 5.5 mL.kg-1.min-1, p < 0.001) and the DASI (2.3 ± 4.2 mL.kg-1.min-1, p < 0.001). Bland-Altman plots of the change in V̇O2 peak between CPET and the four V̇O2 peak estimation methods revealed the following: a proportional bias and heteroscedastic 95% limits of agreement (95% LoA) for the treadmill test, and for the cycle and step tests and DASI, mean bias' and 95% LoA of 1.0 mL.kg-1.min-1 (21.3, -19.3), 1.4 mL.kg-1.min-1 (15.0, -12.3) and 1.0 mL.kg-1.min-1 (13.8, -11.8), respectively.
CONCLUSION:
Given the greater number of successful tests, no serious adverse events and acceptable mean bias, the step test appears to be a valid and safe method for assessing group-level mean changes in V̇O2 peak among patients in CR. The DASI also appears to be a valid and practical questionnaire. Wide limits of agreement, however, limit their use to predict individual-level changes.
Copyright © 2020 Reed, Cotie, Cole, Harris, Moran, Scott, Terada, Buckley and Pipe.
KEYWORDS:
cardiovascular diseases; exercise test; physiology; rehabilitation; submaximal
Citation
Reed, J. L., Cotie, L. M., Cole, C. A., Harris, J., Moran, B., Scott, K., ... & Pipe, A. L. (2019). Submaximal exercise testing in cardiovascular rehabilitation settings (BEST study). Frontiers in Physiology, 10.
Publisher
Frontiers Media
Journal
Frontiers in Physiology
Research Unit
DOI
10.3389/fphys.2019.01517
PubMed ID
PubMed Central ID
Type
Article
Language
Description
Series/Report no.
ISSN
EISSN
1664-042X