Uso de la cinética del consumo de oxígeno para la evaluación de la capacidad cardiorrespiratoria en pacientes con obesidad

Background: The evaluation of cardiorespiratory fitness (RCC) using maximal or peak oxygen consumption (VO2), requires a high level of effort in obese patients. We propose a method to evaluate RCC using constant and moderate loads, called VO2 kinetics (tau). Aim: To determine the relationship betw...

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Autores principales: Miranda,Claudia, Ibacache,Paulina, Opazo,Edgardo, Rojas,Juan, Cano,Marcelo
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2018
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000100015
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spelling oai:scielo:S0034-988720180001000152018-05-11Uso de la cinética del consumo de oxígeno para la evaluación de la capacidad cardiorrespiratoria en pacientes con obesidadMiranda,ClaudiaIbacache,PaulinaOpazo,EdgardoRojas,JuanCano,Marcelo Exercise Test Obesity Oxygen Consumption Background: The evaluation of cardiorespiratory fitness (RCC) using maximal or peak oxygen consumption (VO2), requires a high level of effort in obese patients. We propose a method to evaluate RCC using constant and moderate loads, called VO2 kinetics (tau). Aim: To determine the relationship between tau and peak VO2 in patients with obesity. Material and Methods: Forty patients (87% females) aged 37 ± 12 years and with a body mass index (BMI) of 34.6 ± 4.0 kg/m2, were divided into two groups according to the applied workload (0.5 and 0.8 Watts/kg body mass) using a cycle ergometer and Cortex Metalyzer 3b equipment. The protocol was started with 6 minutes at constant load and then increments of 20-25 Watts every two min were made until determination of the peak VO2. Results: The tau value was 51.8 ± 17.6 s, the absolute peak VO2 was 2.0 ± 0.7 L/min and the relative peak VO2 was 26.6 ± 30.0 ml/kg/min. There was a significant difference of tau medians between the group that used 0.5 and 0.8 Watts/kg (p = 0.002) and a significant inverse correlation between the absolute peak VO2 and the tau value for a load of 0.5 Watts/kg (rho = -0.415, p = 0.0327). Conclusions: The higher tau value, the lower the peak VO2 of an obese patient. It is suggested to apply loads of 0.5 Watts/kg for a VO2 kinetics test in obese patients or in subjects who do not wish to carry out higher physiological demands with a non-invasive and low risk procedure.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.1 20182018-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000100015es10.4067/s0034-98872018000100015
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Exercise Test
Obesity
Oxygen Consumption
spellingShingle Exercise Test
Obesity
Oxygen Consumption
Miranda,Claudia
Ibacache,Paulina
Opazo,Edgardo
Rojas,Juan
Cano,Marcelo
Uso de la cinética del consumo de oxígeno para la evaluación de la capacidad cardiorrespiratoria en pacientes con obesidad
description Background: The evaluation of cardiorespiratory fitness (RCC) using maximal or peak oxygen consumption (VO2), requires a high level of effort in obese patients. We propose a method to evaluate RCC using constant and moderate loads, called VO2 kinetics (tau). Aim: To determine the relationship between tau and peak VO2 in patients with obesity. Material and Methods: Forty patients (87% females) aged 37 ± 12 years and with a body mass index (BMI) of 34.6 ± 4.0 kg/m2, were divided into two groups according to the applied workload (0.5 and 0.8 Watts/kg body mass) using a cycle ergometer and Cortex Metalyzer 3b equipment. The protocol was started with 6 minutes at constant load and then increments of 20-25 Watts every two min were made until determination of the peak VO2. Results: The tau value was 51.8 ± 17.6 s, the absolute peak VO2 was 2.0 ± 0.7 L/min and the relative peak VO2 was 26.6 ± 30.0 ml/kg/min. There was a significant difference of tau medians between the group that used 0.5 and 0.8 Watts/kg (p = 0.002) and a significant inverse correlation between the absolute peak VO2 and the tau value for a load of 0.5 Watts/kg (rho = -0.415, p = 0.0327). Conclusions: The higher tau value, the lower the peak VO2 of an obese patient. It is suggested to apply loads of 0.5 Watts/kg for a VO2 kinetics test in obese patients or in subjects who do not wish to carry out higher physiological demands with a non-invasive and low risk procedure.
author Miranda,Claudia
Ibacache,Paulina
Opazo,Edgardo
Rojas,Juan
Cano,Marcelo
author_facet Miranda,Claudia
Ibacache,Paulina
Opazo,Edgardo
Rojas,Juan
Cano,Marcelo
author_sort Miranda,Claudia
title Uso de la cinética del consumo de oxígeno para la evaluación de la capacidad cardiorrespiratoria en pacientes con obesidad
title_short Uso de la cinética del consumo de oxígeno para la evaluación de la capacidad cardiorrespiratoria en pacientes con obesidad
title_full Uso de la cinética del consumo de oxígeno para la evaluación de la capacidad cardiorrespiratoria en pacientes con obesidad
title_fullStr Uso de la cinética del consumo de oxígeno para la evaluación de la capacidad cardiorrespiratoria en pacientes con obesidad
title_full_unstemmed Uso de la cinética del consumo de oxígeno para la evaluación de la capacidad cardiorrespiratoria en pacientes con obesidad
title_sort uso de la cinética del consumo de oxígeno para la evaluación de la capacidad cardiorrespiratoria en pacientes con obesidad
publisher Sociedad Médica de Santiago
publishDate 2018
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000100015
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