Fixed-intensity exercise tests to measure exertional dyspnoea in chronic heart and lung populations: a systematic review
Introduction Exertional dyspnoea is the primary diagnostic symptom for chronic cardiopulmonary disease populations. Whilst a number of exercise tests are used, there remains no gold standard clinical measure of exertional dyspnoea. The aim of this review was to comprehensively describe and evaluate...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Respiratory Society
2023-08-01
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| Series: | European Respiratory Review |
| Online Access: | http://err.ersjournals.com/content/32/169/230016.full |
| _version_ | 1797666569815326720 |
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| author | Tanya Palmer Steven J. Obst Craig R. Aitken James Walsh Surendran Sabapathy Lewis Adams Norman R. Morris |
| author_facet | Tanya Palmer Steven J. Obst Craig R. Aitken James Walsh Surendran Sabapathy Lewis Adams Norman R. Morris |
| author_sort | Tanya Palmer |
| collection | DOAJ |
| description | Introduction
Exertional dyspnoea is the primary diagnostic symptom for chronic cardiopulmonary disease populations. Whilst a number of exercise tests are used, there remains no gold standard clinical measure of exertional dyspnoea. The aim of this review was to comprehensively describe and evaluate all types of fixed-intensity exercise tests used to assess exertional dyspnoea in chronic cardiopulmonary populations and, where possible, report the reliability and responsiveness of the tests.
Methods
A systematic search of five electronic databases identified papers that examined 1) fixed-intensity exercise tests and measured exertional dyspnoea, 2) chronic cardiopulmonary populations, 3) exertional dyspnoea reported at isotime or upon completion of fixed-duration exercise tests, and 4) published in English.
Results
Searches identified 8785 papers. 123 papers were included, covering exercise tests using a variety of fixed-intensity protocols. Three modes were identified, as follows: 1) cycling (n=87), 2) walking (n=31) and 3) other (step test (n=8) and arm exercise (n=2)). Most studies (98%) were performed on chronic respiratory disease patients. Nearly all studies (88%) used an incremental exercise test. 34% of studies used a fixed duration for the exercise test, with the remaining 66% using an exhaustion protocol recording exertional dyspnoea at isotime. Exertional dyspnoea was measured using the Borg scale (89%). 7% of studies reported reliability. Most studies (72%) examined the change in exertional dyspnoea in response to different interventions.
Conclusion
Considerable methodological variety of fixed-intensity exercise tests exists to assess exertional dyspnoea and most test protocols require incremental exercise tests. There does not appear to be a simple, universal test for measuring exertional dyspnoea in the clinical setting. |
| first_indexed | 2024-03-11T20:00:17Z |
| format | Article |
| id | doaj.art-44f063cfe66c4a1c90456dc2d33015e1 |
| institution | Directory Open Access Journal |
| issn | 0905-9180 1600-0617 |
| language | English |
| last_indexed | 2024-03-11T20:00:17Z |
| publishDate | 2023-08-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | European Respiratory Review |
| spelling | doaj.art-44f063cfe66c4a1c90456dc2d33015e12023-10-04T08:29:29ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172023-08-013216910.1183/16000617.0016-20230016-2023Fixed-intensity exercise tests to measure exertional dyspnoea in chronic heart and lung populations: a systematic reviewTanya Palmer0Steven J. Obst1Craig R. Aitken2James Walsh3Surendran Sabapathy4Lewis Adams5Norman R. Morris6 Griffith University, School of Health Sciences and Social Work, Gold Coast, Australia Central Queensland University, School of Health, Medical and Applied Sciences, College of Health Sciences, Bundaberg, Australia Griffith University, School of Health Sciences and Social Work, Gold Coast, Australia Griffith University, School of Health Sciences and Social Work, Gold Coast, Australia Griffith University, School of Health Sciences and Social Work, Gold Coast, Australia Griffith University, School of Health Sciences and Social Work, Gold Coast, Australia Griffith University, School of Health Sciences and Social Work, Gold Coast, Australia Introduction Exertional dyspnoea is the primary diagnostic symptom for chronic cardiopulmonary disease populations. Whilst a number of exercise tests are used, there remains no gold standard clinical measure of exertional dyspnoea. The aim of this review was to comprehensively describe and evaluate all types of fixed-intensity exercise tests used to assess exertional dyspnoea in chronic cardiopulmonary populations and, where possible, report the reliability and responsiveness of the tests. Methods A systematic search of five electronic databases identified papers that examined 1) fixed-intensity exercise tests and measured exertional dyspnoea, 2) chronic cardiopulmonary populations, 3) exertional dyspnoea reported at isotime or upon completion of fixed-duration exercise tests, and 4) published in English. Results Searches identified 8785 papers. 123 papers were included, covering exercise tests using a variety of fixed-intensity protocols. Three modes were identified, as follows: 1) cycling (n=87), 2) walking (n=31) and 3) other (step test (n=8) and arm exercise (n=2)). Most studies (98%) were performed on chronic respiratory disease patients. Nearly all studies (88%) used an incremental exercise test. 34% of studies used a fixed duration for the exercise test, with the remaining 66% using an exhaustion protocol recording exertional dyspnoea at isotime. Exertional dyspnoea was measured using the Borg scale (89%). 7% of studies reported reliability. Most studies (72%) examined the change in exertional dyspnoea in response to different interventions. Conclusion Considerable methodological variety of fixed-intensity exercise tests exists to assess exertional dyspnoea and most test protocols require incremental exercise tests. There does not appear to be a simple, universal test for measuring exertional dyspnoea in the clinical setting.http://err.ersjournals.com/content/32/169/230016.full |
| spellingShingle | Tanya Palmer Steven J. Obst Craig R. Aitken James Walsh Surendran Sabapathy Lewis Adams Norman R. Morris Fixed-intensity exercise tests to measure exertional dyspnoea in chronic heart and lung populations: a systematic review European Respiratory Review |
| title | Fixed-intensity exercise tests to measure exertional dyspnoea in chronic heart and lung populations: a systematic review |
| title_full | Fixed-intensity exercise tests to measure exertional dyspnoea in chronic heart and lung populations: a systematic review |
| title_fullStr | Fixed-intensity exercise tests to measure exertional dyspnoea in chronic heart and lung populations: a systematic review |
| title_full_unstemmed | Fixed-intensity exercise tests to measure exertional dyspnoea in chronic heart and lung populations: a systematic review |
| title_short | Fixed-intensity exercise tests to measure exertional dyspnoea in chronic heart and lung populations: a systematic review |
| title_sort | fixed intensity exercise tests to measure exertional dyspnoea in chronic heart and lung populations a systematic review |
| url | http://err.ersjournals.com/content/32/169/230016.full |
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