Exertional dyspnoea in obesity

The purpose of cardiopulmonary exercise testing (CPET) in the obese person, as in any cardiopulmonary exercise test, is to determine the patient's exercise tolerance, and to help identify and/or distinguish between the various physiological factors that could contribute to exercise intolerance....

Full description

Bibliographic Details
Main Authors: Vipa Bernhardt, Tony G. Babb
Format: Article
Language:English
Published: European Respiratory Society 2016-12-01
Series:European Respiratory Review
Online Access:http://err.ersjournals.com/content/25/142/487.full
_version_ 1818152597713846272
author Vipa Bernhardt
Tony G. Babb
author_facet Vipa Bernhardt
Tony G. Babb
author_sort Vipa Bernhardt
collection DOAJ
description The purpose of cardiopulmonary exercise testing (CPET) in the obese person, as in any cardiopulmonary exercise test, is to determine the patient's exercise tolerance, and to help identify and/or distinguish between the various physiological factors that could contribute to exercise intolerance. Unexplained dyspnoea on exertion is a common reason for CPET, but it is an extremely complex symptom to explain. Sometimes obesity is the simple answer by elimination of other possibilities. Thus, distinguishing among multiple clinical causes for exertional dyspnoea depends on the ability to eliminate possibilities while recognising response patterns that are unique to the obese patient. This includes the otherwise healthy obese patient, as well as the obese patient with potentially multiple cardiopulmonary limitations. Despite obvious limitations in lung function, metabolic disease and/or cardiovascular dysfunction, obesity may be the most likely reason for exertional dyspnoea. In this article, we will review the more common cardiopulmonary responses to exercise in the otherwise healthy obese adult with special emphasis on dyspnoea on exertion.
first_indexed 2024-12-11T13:57:15Z
format Article
id doaj.art-8bed4dfd70f444d283ddddf698aabc60
institution Directory Open Access Journal
issn 0905-9180
1600-0617
language English
last_indexed 2024-12-11T13:57:15Z
publishDate 2016-12-01
publisher European Respiratory Society
record_format Article
series European Respiratory Review
spelling doaj.art-8bed4dfd70f444d283ddddf698aabc602022-12-22T01:03:59ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172016-12-012514248749510.1183/16000617.0081-20160081-2016Exertional dyspnoea in obesityVipa Bernhardt0Tony G. Babb1 Dept of Health and Human Performance, Texas A&M University-Commerce, Commerce, TX, USA Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital Dallas and UT Southwestern Medical Center, Dallas, TX, USA The purpose of cardiopulmonary exercise testing (CPET) in the obese person, as in any cardiopulmonary exercise test, is to determine the patient's exercise tolerance, and to help identify and/or distinguish between the various physiological factors that could contribute to exercise intolerance. Unexplained dyspnoea on exertion is a common reason for CPET, but it is an extremely complex symptom to explain. Sometimes obesity is the simple answer by elimination of other possibilities. Thus, distinguishing among multiple clinical causes for exertional dyspnoea depends on the ability to eliminate possibilities while recognising response patterns that are unique to the obese patient. This includes the otherwise healthy obese patient, as well as the obese patient with potentially multiple cardiopulmonary limitations. Despite obvious limitations in lung function, metabolic disease and/or cardiovascular dysfunction, obesity may be the most likely reason for exertional dyspnoea. In this article, we will review the more common cardiopulmonary responses to exercise in the otherwise healthy obese adult with special emphasis on dyspnoea on exertion.http://err.ersjournals.com/content/25/142/487.full
spellingShingle Vipa Bernhardt
Tony G. Babb
Exertional dyspnoea in obesity
European Respiratory Review
title Exertional dyspnoea in obesity
title_full Exertional dyspnoea in obesity
title_fullStr Exertional dyspnoea in obesity
title_full_unstemmed Exertional dyspnoea in obesity
title_short Exertional dyspnoea in obesity
title_sort exertional dyspnoea in obesity
url http://err.ersjournals.com/content/25/142/487.full
work_keys_str_mv AT vipabernhardt exertionaldyspnoeainobesity
AT tonygbabb exertionaldyspnoeainobesity