Clinical Exercise and Testing (European Respiratory by P. Palange, S. Ward

By P. Palange, S. Ward

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Note that peak V’O2 on the ramp test was similar to maximum V’O2 on the step test. Reproduced from [80] with permission. reliable surrogate for V’O2,peak. This should be borne in mind when interpreting any intervention-related change in WRpeak, where an improved exercise tolerance might lead the investigator to impose a slight larger WR incrementation rate post-intervention. g. in the elderly and patients with cardio-circulatory diseases). Discrimination between these two causes requires levels of habitual physical activity between patient and control groups to be matched.

G. cachexia; - - - - ) relative to normal (– – – –). Influence of the obese subject pedalling with a progressively increasing cadence ?????. Vertical solid line: the start of the ramp phase of the test, from a baseline of unloaded pedalling. Horizontal solid line: peak V’O2. The arrows represent peak WRs for each condition. See text for further details. walking (even when the patient does not hold on to the handrail of the treadmill or is partially supported by the investigator) [reviewed in 3, 10–12].

63. 64. 65. 66. 67. 68. 69. Shinohara M, Moritani T. Increase in neuromuscular activity and O2 uptake during heavy exercise. Ann Physiol Anthrop 1992; 11: 257–262. Bearden SE, Moffatt RJ. V9O2 and heart rate kinetics in cycling: transitions from an elevated baseline. J Appl Physiol 2001; 90: 2081–2087. Russell A, Wadley G, Snow R, et al. Slow component of V9O2 kinetics: the effect of training status, fibre type, UCP3 mRNA and citrate synthase activity. Int J Obes Relat Metab Disord 2002; 26: 157–164.

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