Physiological correlates of endurance time variability during constant-workrate cycling exercise in patients with COPD.

RATIONALE: The endurance time (T(end)) during constant-workrate cycling exercise (CET) is highly variable in COPD. We investigated pulmonary and physiological variables that may contribute to these variations in T(end). METHODS: Ninety-two patients with COPD completed a CET performed at 80% of peak...

Full description

Bibliographic Details
Main Authors: Isabelle Vivodtzev, Philippe Gagnon, Véronique Pepin, Didier Saey, Louis Laviolette, Cynthia Brouillard, François Maltais
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2011-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3046138?pdf=render
_version_ 1818109586564972544
author Isabelle Vivodtzev
Philippe Gagnon
Véronique Pepin
Didier Saey
Louis Laviolette
Cynthia Brouillard
François Maltais
author_facet Isabelle Vivodtzev
Philippe Gagnon
Véronique Pepin
Didier Saey
Louis Laviolette
Cynthia Brouillard
François Maltais
author_sort Isabelle Vivodtzev
collection DOAJ
description RATIONALE: The endurance time (T(end)) during constant-workrate cycling exercise (CET) is highly variable in COPD. We investigated pulmonary and physiological variables that may contribute to these variations in T(end). METHODS: Ninety-two patients with COPD completed a CET performed at 80% of peak workrate capacity (W(peak)). Patients were divided into tertiles of T(end) [Group 1: <4 min; Group 2: 4-6 min; Group 3: >6 min]. Disease severity (FEV(1)), aerobic fitness (W(peak), peak oxygen consumption [VO2(peak)], ventilatory threshold [VO2(VT)]), quadriceps strength (MVC), symptom scores at the end of CET and exercise intensity during CET (heart rate at the end of CET to heart rate at peak incremental exercise ratio [HR(CET)/HR(peak)]) were analyzed as potential variables influencing T(end). RESULTS: W(peak), VO2(peak), VO2(VT), MVC, leg fatigue at end of CET, and HR(CET)/HR(peak) were lower in group 1 than in group 2 or 3 (p≤0.05). VO2(VT) and leg fatigue at end of CET independently predicted T(end) in multiple regression analysis (r = 0.50, p = 0.001). CONCLUSION: T(end) was independently related to the aerobic fitness and to tolerance to leg fatigue at the end of exercise. A large fraction of the variability in T(end) was not explained by the physiological parameters assessed in the present study. Individualization of exercise intensity during CET should help in reducing variations in T(end) among patients with COPD.
first_indexed 2024-12-11T02:33:37Z
format Article
id doaj.art-7207d51af2034ef997394fcc3726a386
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-11T02:33:37Z
publishDate 2011-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-7207d51af2034ef997394fcc3726a3862022-12-22T01:23:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032011-01-0162e1700710.1371/journal.pone.0017007Physiological correlates of endurance time variability during constant-workrate cycling exercise in patients with COPD.Isabelle VivodtzevPhilippe GagnonVéronique PepinDidier SaeyLouis LavioletteCynthia BrouillardFrançois MaltaisRATIONALE: The endurance time (T(end)) during constant-workrate cycling exercise (CET) is highly variable in COPD. We investigated pulmonary and physiological variables that may contribute to these variations in T(end). METHODS: Ninety-two patients with COPD completed a CET performed at 80% of peak workrate capacity (W(peak)). Patients were divided into tertiles of T(end) [Group 1: <4 min; Group 2: 4-6 min; Group 3: >6 min]. Disease severity (FEV(1)), aerobic fitness (W(peak), peak oxygen consumption [VO2(peak)], ventilatory threshold [VO2(VT)]), quadriceps strength (MVC), symptom scores at the end of CET and exercise intensity during CET (heart rate at the end of CET to heart rate at peak incremental exercise ratio [HR(CET)/HR(peak)]) were analyzed as potential variables influencing T(end). RESULTS: W(peak), VO2(peak), VO2(VT), MVC, leg fatigue at end of CET, and HR(CET)/HR(peak) were lower in group 1 than in group 2 or 3 (p≤0.05). VO2(VT) and leg fatigue at end of CET independently predicted T(end) in multiple regression analysis (r = 0.50, p = 0.001). CONCLUSION: T(end) was independently related to the aerobic fitness and to tolerance to leg fatigue at the end of exercise. A large fraction of the variability in T(end) was not explained by the physiological parameters assessed in the present study. Individualization of exercise intensity during CET should help in reducing variations in T(end) among patients with COPD.http://europepmc.org/articles/PMC3046138?pdf=render
spellingShingle Isabelle Vivodtzev
Philippe Gagnon
Véronique Pepin
Didier Saey
Louis Laviolette
Cynthia Brouillard
François Maltais
Physiological correlates of endurance time variability during constant-workrate cycling exercise in patients with COPD.
PLoS ONE
title Physiological correlates of endurance time variability during constant-workrate cycling exercise in patients with COPD.
title_full Physiological correlates of endurance time variability during constant-workrate cycling exercise in patients with COPD.
title_fullStr Physiological correlates of endurance time variability during constant-workrate cycling exercise in patients with COPD.
title_full_unstemmed Physiological correlates of endurance time variability during constant-workrate cycling exercise in patients with COPD.
title_short Physiological correlates of endurance time variability during constant-workrate cycling exercise in patients with COPD.
title_sort physiological correlates of endurance time variability during constant workrate cycling exercise in patients with copd
url http://europepmc.org/articles/PMC3046138?pdf=render
work_keys_str_mv AT isabellevivodtzev physiologicalcorrelatesofendurancetimevariabilityduringconstantworkratecyclingexerciseinpatientswithcopd
AT philippegagnon physiologicalcorrelatesofendurancetimevariabilityduringconstantworkratecyclingexerciseinpatientswithcopd
AT veroniquepepin physiologicalcorrelatesofendurancetimevariabilityduringconstantworkratecyclingexerciseinpatientswithcopd
AT didiersaey physiologicalcorrelatesofendurancetimevariabilityduringconstantworkratecyclingexerciseinpatientswithcopd
AT louislaviolette physiologicalcorrelatesofendurancetimevariabilityduringconstantworkratecyclingexerciseinpatientswithcopd
AT cynthiabrouillard physiologicalcorrelatesofendurancetimevariabilityduringconstantworkratecyclingexerciseinpatientswithcopd
AT francoismaltais physiologicalcorrelatesofendurancetimevariabilityduringconstantworkratecyclingexerciseinpatientswithcopd