Cycling efficiency is not compromised for moderate exercise in moderately severe COPD.

Abstract:

INTRODUCTION/PURPOSE:Hyperpnea and hyperinflation have been proposed as contributors to exaggerated energy demands in chronic obstructive pulmonary disease (COPD), yet there are incomplete data on exercise requirements. This study compared total-body energy demands of the internal (unloaded) and external work of cycling and delta mechanical efficiency in 40 patients (FEV1: 36+/-14% predicted) with COPD and 28 healthy age-matched controls while characterizing dynamic hyperinflation. METHODS:Steady-state V O2 was obtained at rest, during unloaded and 20-W cycling, and at 20, 50, and 65% peak cycling power. Delta mechanical efficiency was calculated between constant-load cycling at 65 and 20% peak power. Dynamic hyperinflation was assessed from inspiratory capacity maneuvers. RESULTS:Oxygen demands (L.min) at rest, for internal work (0.47+/-0.14 vs 0.45+/-0.11) or external work at 20 W (0.62+/-0.20 vs 0.57+/-0.13), were not different between patients and controls, although ventilation was elevated in COPD. Cycling at 65% of peak power induced dynamic hyperinflation in COPD, which indices were not related to cycling efficiency. Delta efficiency (%) was not different between patients (26.3+/-8.1) and controls (24.8+/-4.0). CONCLUSION:Findings suggest that bioenergetics of submaximal cycling is not compromised in moderately severe COPD despite tachypnea and dynamic hyperinflation.

journal_name

Med Sci Sports Exerc

authors

Perrault H,Gravel G,Ofir D,Rittmaster D,Aguilaniu B,Bourbeau J

doi

10.1249/mss.0b013e3180383d50

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

918-25

issue

6

eissn

0195-9131

issn

1530-0315

pii

00005768-200706000-00004

journal_volume

39

pub_type

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