Evaluation of Cardiorespiratory Fitness and Respiratory Muscle Function in the Obese Population

被引:74
作者
Arena, Ross [1 ]
Cahalin, Lawrence P. [2 ]
机构
[1] Univ New Illinois Chicago, Coll Appl Hlth Sci, Dept Phys Therapy, Chicago, IL 60612 USA
[2] Univ Miami, Leonard M Miller Sch Med, Dept Phys Therapy, Miami, FL USA
关键词
Aerobic capacity; Hemodynamics; Expired gas analysis; Body habitus; HEART-RATE RECOVERY; CARDIAC REHABILITATION; SCIENTIFIC STATEMENT; EXERCISE CAPACITY; HEALTHY; ASSOCIATION; EFFICIENCY; PARADOX; DYSPNEA; PROFESSIONALS;
D O I
10.1016/j.pcad.2013.08.001
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Cardiorespiratory fitness (CRF) is one of the most important health metrics in apparently healthy individuals, those at increased risk for cardiovascular (CV) disease and virtually all patient populations. In addition to CRF, a host of other variables obtained from aerobic exercise testing provides clinically valuable information. Individuals classified as obese (i.e. a body mass index >= 30 kg/m(2)) have varying degrees of CV, pulmonary and skeletal muscle dysfunction that impact CRF and other key aerobic exercise testing variables. Moreover, there is now evidence indicating inspiratory and expiratory respiratory muscle function, even in the absence of interstitial lung disease, is potentially compromised as a result of obesity. When obesity-induced respiratory muscle dysfunction is present, it has the potential to contribute to the limitations in CRF. The current review will discuss aerobic exercise testing and the assessment of respiratory muscle function in the obese population. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:457 / 464
页数:8
相关论文
共 68 条
[1]
Prognostic significance of dyspnea in patients referred for cardiac stress testing [J].
Abidov, A ;
Rozanski, A ;
Hachamovitch, R ;
Hayes, SW ;
Aboul-Enein, F ;
Cohen, I ;
Friedman, JD ;
Germano, G ;
Berman, DS .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 353 (18) :1889-1898
[2]
Arena R, 2011, US CARDIOLOGY, V8, P88
[3]
Cardiopulmonary Exercise Testing in the Clinical Evaluation of Patients With Heart and Lung Disease [J].
Arena, Ross ;
Sietsema, Kathy E. .
CIRCULATION, 2011, 123 (06) :668-680
[4]
Arena R, 2010, FUTUR CARDIOL, V6, P325, DOI [10.2217/fca.10.21, 10.2217/FCA.10.21]
[5]
The Clinical Significance of Aerobic Exercise Testing and Prescription: From Apparently Healthy to Confirmed Cardiovascular Disease [J].
Arena, Ross ;
Myers, Jonathan ;
Guazzi, Marco .
AMERICAN JOURNAL OF LIFESTYLE MEDICINE, 2008, 2 (06) :519-536
[6]
Arena R, 2010, FUTUR CARDIOL, V6, P1, DOI [10.2217/fca.09.158, 10.2217/FCA.09.158]
[7]
Oxygen uptake efficiency slope as a useful measure of cardiorespiratory functional reserve in adult cardiac patients [J].
Baba, R ;
Tsuyuki, K ;
Kimura, Y ;
Ninomiya, K ;
Aihara, M ;
Ebine, K ;
Tauchi, N ;
Nishibata, K ;
Nagashima, M .
EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY AND OCCUPATIONAL PHYSIOLOGY, 1999, 80 (05) :397-401
[8]
Clinician's Guide to Cardiopulmonary Exercise Testing in Adults A Scientific Statement From the American Heart Association [J].
Balady, Gary J. ;
Arena, Ross ;
Sietsema, Kathy ;
Myers, Jonathan ;
Coke, Lola ;
Fletcher, Gerald F. ;
Forman, Daniel ;
Franklin, Barry ;
Guazzi, Marco ;
Gulati, Martha ;
Keteyian, Steven J. ;
Lavie, Carl J. ;
Macko, Richard ;
Mancini, Donna ;
Milani, Richard V. .
CIRCULATION, 2010, 122 (02) :191-225
[9]
Effects of preoperative inspiratory muscle training in obese women undergoing open bariatric surgery: respiratory muscle strength, lung volumes, and diaphragmatic excursion [J].
Barbalho-Moulim, Marcela Cangussu ;
Soares Miguel, Gustavo Peixoto ;
Pazzianotto Forti, Eli Maria ;
Campos, Flavio do Amaral ;
Costa, Dirceu .
CLINICS, 2011, 66 (10) :1721-1727
[10]
BLACK LF, 1969, AM REV RESPIR DIS, V99, P696