Responses of different functional tests in candidates for bariatric surgery and the association with body composition, metabolic and lipid profile

Abstract Individuals with obesity can have metabolic disorders and may develop impairments that affect the ability to exercise. The maximal incremental cardiopulmonary exercise test is widely used to assess functional capacity. However, submaximal tests such as the two-minute step test (2MST) and th...

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Autores principales:	Paula Angélica Ricci, Larissa Delgado André, Soraia Pilon Jürgensen, Claudio Ricardo de Oliveira, Fernando Pinheiro Ortega, Luciana Di Thommazo-Luporini, Audrey Borghi-Silva
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c1b84edfce6c490caf5963c5d51602ca
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spelling	oai:doaj.org-article:c1b84edfce6c490caf5963c5d51602ca2021-11-28T12:18:31ZResponses of different functional tests in candidates for bariatric surgery and the association with body composition, metabolic and lipid profile10.1038/s41598-021-02072-x2045-2322https://doaj.org/article/c1b84edfce6c490caf5963c5d51602ca2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02072-xhttps://doaj.org/toc/2045-2322Abstract Individuals with obesity can have metabolic disorders and may develop impairments that affect the ability to exercise. The maximal incremental cardiopulmonary exercise test is widely used to assess functional capacity. However, submaximal tests such as the two-minute step test (2MST) and the six-minute walk test (6MWT) also allow this assessment. We propose to analyze whether body composition, metabolic and lipid profile influence the maximal and submaximal performance, and investigate these variables in response to different functional tests. Forty-four individuals with obesity, aged 18–50 years, underwent analysis of body composition, metabolic and lipid profile, incremental treadmill test (ITMT), 6MWT, and 2MST. One-way ANOVA, Pearson or Spearman correlation, and Stepwise multiple linear regression analysis were performed. ITMT induced a greater metabolic, ventilatory, cardiovascular, and perceived exertion demand when compared to the 6MWT and 2MST (p < 0.05). In addition, 2MST elicited a higher chronotropic (HR) and metabolic (V̇O2) demand when compared to the 6MWT (p < 0.05). Significant correlations were found between tests and body composition, metabolic and lipid profile. Fat mass and low-density lipoprotein can explain 30% of the V̇O2 variance in the ITMT; and fat mass, glucose, and performance in the 2MST can explain 42% of the variance of the distance walked in the ITMT. Obesity and its metabolic impairments are capable of influencing responses to exercise. ITMT generated greater demand due to the high stress imposed, however, 2MST demanded greater metabolic and chronotropic demand when compared to the 6MWT.Paula Angélica RicciLarissa Delgado AndréSoraia Pilon JürgensenClaudio Ricardo de OliveiraFernando Pinheiro OrtegaLuciana Di Thommazo-LuporiniAudrey Borghi-SilvaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Paula Angélica Ricci Larissa Delgado André Soraia Pilon Jürgensen Claudio Ricardo de Oliveira Fernando Pinheiro Ortega Luciana Di Thommazo-Luporini Audrey Borghi-Silva Responses of different functional tests in candidates for bariatric surgery and the association with body composition, metabolic and lipid profile
description	Abstract Individuals with obesity can have metabolic disorders and may develop impairments that affect the ability to exercise. The maximal incremental cardiopulmonary exercise test is widely used to assess functional capacity. However, submaximal tests such as the two-minute step test (2MST) and the six-minute walk test (6MWT) also allow this assessment. We propose to analyze whether body composition, metabolic and lipid profile influence the maximal and submaximal performance, and investigate these variables in response to different functional tests. Forty-four individuals with obesity, aged 18–50 years, underwent analysis of body composition, metabolic and lipid profile, incremental treadmill test (ITMT), 6MWT, and 2MST. One-way ANOVA, Pearson or Spearman correlation, and Stepwise multiple linear regression analysis were performed. ITMT induced a greater metabolic, ventilatory, cardiovascular, and perceived exertion demand when compared to the 6MWT and 2MST (p < 0.05). In addition, 2MST elicited a higher chronotropic (HR) and metabolic (V̇O2) demand when compared to the 6MWT (p < 0.05). Significant correlations were found between tests and body composition, metabolic and lipid profile. Fat mass and low-density lipoprotein can explain 30% of the V̇O2 variance in the ITMT; and fat mass, glucose, and performance in the 2MST can explain 42% of the variance of the distance walked in the ITMT. Obesity and its metabolic impairments are capable of influencing responses to exercise. ITMT generated greater demand due to the high stress imposed, however, 2MST demanded greater metabolic and chronotropic demand when compared to the 6MWT.
format	article
author	Paula Angélica Ricci Larissa Delgado André Soraia Pilon Jürgensen Claudio Ricardo de Oliveira Fernando Pinheiro Ortega Luciana Di Thommazo-Luporini Audrey Borghi-Silva
author_facet	Paula Angélica Ricci Larissa Delgado André Soraia Pilon Jürgensen Claudio Ricardo de Oliveira Fernando Pinheiro Ortega Luciana Di Thommazo-Luporini Audrey Borghi-Silva
author_sort	Paula Angélica Ricci
title	Responses of different functional tests in candidates for bariatric surgery and the association with body composition, metabolic and lipid profile
title_short	Responses of different functional tests in candidates for bariatric surgery and the association with body composition, metabolic and lipid profile
title_full	Responses of different functional tests in candidates for bariatric surgery and the association with body composition, metabolic and lipid profile
title_fullStr	Responses of different functional tests in candidates for bariatric surgery and the association with body composition, metabolic and lipid profile
title_full_unstemmed	Responses of different functional tests in candidates for bariatric surgery and the association with body composition, metabolic and lipid profile
title_sort	responses of different functional tests in candidates for bariatric surgery and the association with body composition, metabolic and lipid profile
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/c1b84edfce6c490caf5963c5d51602ca
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Responses of different functional tests in candidates for bariatric surgery and the association with body composition, metabolic and lipid profile

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