Questioning the use of heart rate and dyspnea in the prescription of exercise in subjects with chronic obstructive pulmonary disease

Journal of Cardiopulmonary Rehabilitation

Volumn 23, Issue 3, 2003, Pages 228-234

  Brolin, Scott E ^a,b   Cecins, Nola M ^b,c   Jenkins, Sue C ^b,c  

^a ROYAL COLUMBIAN HOSPITAL   (Canada)

^b CURTIN UNIVERSITY   (Australia)

^c SIR CHARLES GAIRDNER HOSPITAL   (Australia)

Author keywords

COPD; Dyspnea; Exercise test; Heart rate; Physical endurance

Indexed keywords

ADULT; AGED; ARTERIAL OXYGEN TENSION; ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; CONTROLLED STUDY; DYSPNEA; ENDURANCE; EXERCISE; EXERCISE TEST; FORCED EXPIRATORY VOLUME; HEART RATE; HUMAN; LEG EXERCISE; MALE; OXYGEN TENSION; PHYSICAL CAPACITY; WALKING; WORKLOAD;

AGED; DYSPNEA; EXERCISE TEST; EXERCISE THERAPY; HEART RATE; HUMANS; MALE; MIDDLE AGED; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RESPIRATORY FUNCTION TESTS;

EID: 0037943835     PISSN: 08839212     EISSN: None     Source Type: Journal    
DOI: 10.1097/00008483-200305000-00012     Document Type: Article

References (27)

1. American Thoracic Society. Dyspnea mechanisms, assessment, and management: a consensus statement. Am J Respir Crit Care Med. 1999;159:321-340.
2. Maltais F, Simard A, Simard C, Jobin J, Desgagnes P, LeBlanc P. Oxidative capacity of the skeletal muscle and lactic acid kinetics during exercise in normal subjects and in patients with COPD. Am J Respir Crit Care Med. 1996;153:288-293.
3. Casaburi R, Patessio A, Ioli F, Zanaboni S, Donner CF, Wasserman K. Reductions in exercise lactic acidosis and ventilation as a result of exercise training in patients with obstructive lung disease. Am Rev Respir Dis. 1991;143:9-18.
4. American Thoracic Society. Pulmonary rehabilitation-1999. Am J Respir Crit Care Med. 1999;159:1666-1682.
5. Wasserman K, Hansen JE, Sue, DY, Casaburi, R, Whipp BJ. Principles of Exercise Testing and Interpretation. Baltimore, Md: Lippincott Williams & Wilkins; 1999:27-46.
6. 2peak in patients with chronic obstructive pulmonary disease. Med Sci Sports Exerc. 2000;32(5):881-886.
7. British Thoracic Society Standards of Care Subcommittee on Pulmonary Rehabilitation. Pulmonary rehabilitation. Thorax. 2001;56:827-834.
8. Horowitz MB, Littenberg B, Mahler DA. Dyspnea ratings for prescribing exercise intensity in patients with COPD. Chest. 1996;109(5):1169-1175.
9. Singh SJ, Morgan MDL, Scott S, Walters D, Hardman AE. Development of a shuttle walking test of disability in patients with chronic airways obstruction. Thorax. 1992;47:1019-1024.
10. Revill SM, Morgan MDL, Singh SJ, Williams J, Hardman AE. The endurance shuttle walk: a new field test for the assessment of endurance capacity in chronic obstructive pulmonary disease. Thorax. 1999;54:213-222.
11. Franco MJ, Olmstead EM, Tosteson ANA, Lentine T, Ward J, Mahler DA. Comparison of dyspnea ratings during submaximal constant work exercise with incremental testing. Med Sci Sports Exerc. 1998;30(4):479-482.
12. American Thoracic Society. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease (COPD) and asthma. Am J Respir Crit Care Med. 1995;152:S77-S121.
13. Brown SE, Nagendran RC, McHugh JW, Stansbury DW, Fischer CE, Light RW. Effects of a large carbohydrate load on walking performance in chronic airflow obstruction. Am Rev Respir Dis. 1985;132:960-962.
14. Hay JG, Stone P, Carter J, et al. Bronchodilator reversibility, exercise performance, and breathlessness in stable chronic obstructive pulmonary disease. Eur Respir J 1992;5:659-664.
15. British Thoracic Society. Guidelines for the measurement of respiratory function. Respir Med. 1994;88:165-194.
16. Singh SJ, Morgan MDL, Hardman AE, Rowe C, Bardsley PA. Comparison of oxygen uptake during a conventional treadmill test and the shuttle walking test in chronic airflow limitation. Eur Reapir J. 1994;7:2016-2020.
17. Godsen R, Carroll T, Stone S. How well does Polar Vantage XL Heart Rate Monitor estimate actual heart rate? Med Sci Sports Exerc. 1991;23(suppl):S14.
18. Borg G. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377-381.
19. American College of Sports Medicine. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc. 1998;30(6):975-991.
20. Matthews JI, Bush BA, Ewald FW. Exercise responses during incremental and high-intensity and low-intensity steady-state exercise in patients with obstructive lung disease and normal control subjects. Chest. 1989;96:11-17.
21. Aliverti A, Dellaca R, Stevenson N, et al. Regional chest wall volume during exercise in stable COPD. Am J Respir Crit Care Med. 2000;161(3, Part 2 suppl):A229.
22. Singer M, Vermaat J, Hall G, Latter G, Patel M. Hemodynamic effects of manual hyperinflation in critically ill mechanically ventilated patients. Chest. 1994;106:1182-1187.
23. Patman S, Jenkins S, Bostock S, Edlin S. Cardiovascular responses to manual hyperinflation in postoperative coronary artery surgery patients. Physiother Theory Pract. 1998;14:5-12.
24. Marin JM, Carrizo SJ, Gascon M, Sanchez A, Gallego B, Celli BR. Inspiratory capacity, dynamic hyperinflation, breathlessness, and exercise performance during the 6-minute-walk test in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2001;163:1395-1399.
25. Mahler DA, Brent BN, Loke J, Zaret BL, Matthay RA. Right ventricular performance and central circulatory hemodynamics during upright exercise in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis. 1984;130:722-729.
26. Capderou A, Aurengo A, Derenne J-P, Similowske T, Zelter M. Pulmonary blood flow distribution in stage 1 chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2000;162:2073-2078.
27. 1 in COPD. Am J Respir Crit Care Med. 1999;159(3 suppl):A476.