Publication:
Assessment of dyspnea and dynamic hyperinflation in male patients with chronic obstructive pulmonary disease during a six minute walk test and an incremental treadmill cardiorespiratory exercise test

dc.contributor.authorAlfonso Imízcoz, María
dc.contributor.authorBustamante, V.
dc.contributor.authorCebollero Rivas, Pilar
dc.contributor.authorAntón Olóriz, María Milagros
dc.contributor.authorHerrero, S.
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2020-10-15T11:31:36Z
dc.date.available2020-10-15T11:31:36Z
dc.date.issued2017
dc.description.abstractThe six minute walk test (6MWT) is a standardized test that provides information on exercise capacity in patients with COPD. It is considered a submaximal test in opposition to incremental cardiopulmonary exercise tests (CPET) that provide valuable information on all the systems involved in exercise. Objectives: 1. To compare the perceptive, physiological responses and degree of dynamic hyperinflation during two exercise tests: the 6MWT and the incremental CPET on a treadmill. 2. To evaluate how dyspnea is related to dynamic hyperinflation (DH) and other functional parameters in both tests. Methods: 29 stable COPD male patients, age 68 ± 5.8 years, mean post-bronchodilator FEV1 57 ± 11%, were recruited. To evaluate dynamic hyperinflation, inspiratory capacity (IC) was measured at rest and upon completing each one of the tests. At the same time, perceived dyspnea and leg discomfort were rated on specific modified Borg scales. Results: The mean walk distance in 6MWT was 494 ± 88 m. The Borg scale rating for shortness of breath upon completing the test was 4.7 ± 2, whilst 2.9 ± 2 for leg discomfort. IC changed from 2.53 ± 0.63 l before to 2.34 ± 0.60 l after completion of the test. In the treadmill CPET, maximal oxygen consumption (VO˙ 2 max) was 21.8 ± 5 mL/kg/min with 6.6 ± 2 dyspnea and 4.3 ± 2 leg discomfort on Borg scales. IC changed from 2.17 ± 0.53 l to 1.20 ± 0.43 l. Conclusions: Dynamic hyperinflation occurs in male COPD patients during submaximal exercise such as the 6MWT. This phenomenon is more pronounced after incremental CPET on a treadmill. Despite being dyspnea the dominant limiting symptom for both tests, we observed different physiological responses.en
dc.format.extent7 p.
dc.format.mimetypeapplication/pdfen
dc.identifier.doi10.1016/j.rppnen.2017.04.007
dc.identifier.issn2173-5115
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/38415
dc.language.isoengen
dc.publisherElsevieren
dc.relation.ispartofRevista Portuguesa de Pneumologia, 2017, 23(5), 266-272pt
dc.relation.publisherversionhttps://doi.org/10.1016/j.rppnen.2017.04.007
dc.rights© 2017 Sociedade Portuguesa de Pneumologia. Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license.en
dc.rights.accessRightsinfo:eu-repo/semantics/openAccessen
dc.rights.accessRightsAcceso abierto / Sarbide irekiaes
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectTreadmill cardiopulmonary exercise testen
dc.subject6 minute walk testen
dc.subjectDynamic hyperinflationen
dc.subjectChronic obstructive pulmonary diseaseen
dc.titleAssessment of dyspnea and dynamic hyperinflation in male patients with chronic obstructive pulmonary disease during a six minute walk test and an incremental treadmill cardiorespiratory exercise testen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersionen
dc.type.versionVersión publicada / Argitaratu den bertsioaes
dspace.entity.typePublication
relation.isAuthorOfPublicationc45b2552-1da4-408d-9640-1e8d6471f211
relation.isAuthorOfPublication20088142-6145-4842-bfbe-27cd46cb3649
relation.isAuthorOfPublication.latestForDiscoveryc45b2552-1da4-408d-9640-1e8d6471f211

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