Cardiopulmonary Exercise Testing in a Prospective Multicenter Cohort of Older Adults.
Med Sci Sports Exerc
; 56(9): 1574-1584, 2024 Sep 01.
Article
em En
| MEDLINE
| ID: mdl-38598351
ABSTRACT
PURPOSE:
Cardiorespiratory fitness (CRF) measured by peak oxygen consumption (VÌO 2peak ) declines with aging and correlates with mortality and morbidity. Cardiopulmonary exercise testing (CPET) is the criterion method to assess CRF, but its feasibility, validity, and reliability in older adults are unclear. Our objective was to design and implement a dependable, safe, and reliable CPET protocol in older adults.METHODS:
VÌO 2peak was measured by CPET, performed using treadmill exercise in 875 adults ≥70 yr in the Study of Muscle, Mobility and Aging (SOMMA). The protocol included a symptom-limited peak (maximal) exercise and two submaximal walking speeds. An adjudication process was in place to review tests for validity if they met any prespecified criteria (VÌO 2peak <12.0 mL·kg -1 ·min -1 ; maximum heart rate <100 bpm; respiratory exchange ratio <1.05 and a rating of perceived exertion <15). A subset ( N = 30) performed a repeat test to assess reproducibility.RESULTS:
CPET was safe and well tolerated, with 95.8% of participants able to complete the VÌO 2peak phase of the protocol. Only 56 (6.4%) participants had a risk alert and only two adverse events occurred a fall and atrial fibrillation. Mean ± SD VÌO 2peak was 20.2 ± 4.8 mL·kg -1 ·min -1 , peak heart rate 142 ± 18 bpm, and peak respiratory exchange ratio 1.14 ± 0.09. Adjudication was indicated in 47 tests; 20 were evaluated as valid and 27 as invalid (18 data collection errors, 9 did not reach VÌO 2peak ). Reproducibility of VÌO 2peak was high (intraclass correlation coefficient = 0.97).CONCLUSIONS:
CPET was feasible, effective, and safe for older adults, including many with multimorbidity or frailty. These data support a broader implementation of CPET to provide insight into the role of CRF and its underlying determinants of aging and age-related conditions.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Consumo de Oxigênio
/
Teste de Esforço
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Aptidão Cardiorrespiratória
Limite:
Aged
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Aged80
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Female
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Humans
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Male
Idioma:
En
Revista:
Med Sci Sports Exerc
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Panamá