Accuracy and precision of CPET equipment: A comparison of breath-by-breath and mixing chamber systems

Journal of Medical Engineering and Technology

Volumn 37, Issue 1, 2013, Pages 35-42

  Beijst, Casper ^a   Schep, Goof ^b   Breda, Eric Van ^b,c   Wijn, Pieter F F ^a,b   Pul, Carola Van ^b  

^a EINDHOVEN UNIVERSITY OF TECHNOLOGY   (Netherlands)

^b MÁXIMA MEDICAL CENTER   (Netherlands)

^c MAASTRICHT UNIVERSITY   (Netherlands)

Author keywords

Breath by breath; Cardiopulmonary exercise testing; Error analysis; Metabolic simulator; Mixing chamber

Indexed keywords

ACCURACY AND PRECISION; BREATH-BY-BREATH; CALIBRATION MEASUREMENTS; DELAY TIME; DIAGNOSTIC TOOLS; ERROR PROPAGATION; EXPIRED AIR; FLOW-SENSORS; MAXIMAL OXYGEN UPTAKE; MIXING CHAMBER; OXYGEN UPTAKE;

CARBON DIOXIDE; METABOLISM; MIXING; OXYGEN; SIMULATORS;

ERROR ANALYSIS;

CARBON DIOXIDE; OXYGEN;

ANALYTICAL ERROR; ARTICLE; BODY TEMPERATURE; BREATH ANALYSIS; CALIBRATION; CARDIOPULMONARY EXERCISE TEST; CARDIOVASCULAR DIAGNOSTIC DEVICE; COMPARATIVE STUDY; CONCEPTUAL FRAMEWORK; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; HUMAN; LUNG MINUTE VOLUME; MEASUREMENT; MEASUREMENT ERROR; MOLECULAR SENSOR; OXYGEN CONCENTRATION; OXYGEN CONSUMPTION; SIMULATOR; BIOLOGICAL MODEL; EQUIPMENT; EXERCISE TEST; METHODOLOGY; REPRODUCIBILITY; SENSITIVITY AND SPECIFICITY; STANDARD; TEMPERATURE;

BREATH TESTS; CALIBRATION; CARBON DIOXIDE; EXERCISE TEST; MODELS, BIOLOGICAL; OXYGEN; OXYGEN CONSUMPTION; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; TEMPERATURE;

MLCS; MLOWN;

EID: 84871872688     PISSN: 03091902     EISSN: 1464522X     Source Type: Journal    
DOI: 10.3109/03091902.2012.733057     Document Type: Article

References (37)

1. Palange, P., Ward, S.A., Carlsen, K.-H., Casaburi, R., Gallagher, C.G., Gosselink, R., O'Donnell, D.E., Puente-Maestu, L., Schols, A.M., Singh, S., and Whipp, B.J., 2007, Recommendations on the use of exercise testing in clinical practice. European Respiratory Journal, 29, 185-209.
2. Mezzani, A., Agostoni, P., Cohen-Solal, A., Corr, U., Jegier, A., Kouidi, E., Mazic, S., Meurin, P., Piepoli, M., Simon, A., Van Laethem, C., and Vanhees, L., 2009, Standards for the use of cardiopulmonary exercise testing for the functional evaluation of cardiac patients: A report from the exercise physiology section of the European association for cardiovascular prevention and rehabilitation. Journal of Cardiovascular Risk, 16, 249-267.
3. Wasserman, K., Hansen, K., Sue, J.E., Whipp, B.J., and Casaburi, R., 1994, Principles of exercise testing and interpretation, 2nd edn. (Philadelphia, PA: Lea & Febiger).
4. Beaver, W.L., Wasserman, K., and Whipp, B.J., 1973, On-line computer analysis and breath-by-breath graphical display of exercise function tests. Journal of Applied Physiology, 34, 128-132.
5. Wilmore, J.H., and Costill, D.L., 1974, Semi automated systems approach to the assessment of oxygen uptake during exercise. Journal of Applied Physiology, 36, 618-620.
6. Wilmore, J.H., Davis, J.A., and Norton, A.C., 1976, An automated system for assessing metabolic and respiratory function during exercise. Journal of Applied Physiology, 40, 619-624.
7. Meyer, T., Georg, T., Becker, C., and Kindermann, W., 2001, Reliability of gas exchange measurements from two different spiroergometry systems. International Journal of Sports Medicine, 22, 593-597.
8. Roecker, K., Prettin, S., and Sorichter, S., 2005, Gas exchange measurements with high temporal resolution: The breath-by-breath approach. International Journal of Sports Medicine, 26, S11-S18.
9. Shephard, R.J., 1955, A critical examination of the douglas bag technique. The Journal of Physiology, 127, 515-524.
10. Taylor, C., 1944, Some properties of maximal and submaximal exercise with reference to physiological variation and the measurement of exercise tolerance. American Journal of Physiology {Legacy Content, 142, 200-212.
11. Katch, V.L., Sady, S.S., and Freedson, P., 1982, Biological variability in maximumaerobic power. Medicine & Science in Sports & Exercise, 14, 21-25.
12. Armstrong, L.E., and Costill, D.L., 1985, Variability of respiration and metabolism: Responses to submaximal cycling and running. Research Quarterly for Exercise and Sport, 56, 93-96.
13. Huszczuk, A., Whipp, B.J., and Wasserman, K., 1990, A respiratory gas exchange simulator for routine calibration in metabolic studies. European Respiratory Journal, 3, 465-468.
14. Gore, C.J., Catcheside, P.G., French, S.N., Bennett, J.M., and Laforgia, J., 1997, Automated VO2 max calibrator for open-circuit indirect calorimetry systems. Medicine and Science in Sports and Exercise, 29, 1095-1103.
15. Beaver, W.L., Lamarr, N., and Wasserman, K., 1981, Breath-bybreath measurement of true alveolar gas-exchange. Journal of Applied Physiology, 51, 1662-1675.
16. Ultman, J.S., and Bursztein, S., 1981, Analysis of error in the determination of respiratory gas exchange at varying FIO2. Journal of Applied Physiology, 50, 210-216.
17. Breen, P.H., 2000, Importance of temperature and humidity in the measurement of pulmona oxygen uptake per breath during anesthesia. Annals of Biomedical Engineering, 28, 1159-1164.
18. Wilmore, J.H., and Costill, D.L., 1973, Adequacy of the haldane transformation in the computation of exercise vo2 in man. Journal of Applied Physiology, 35, 85-89.
19. Taylor, J.R., 1997, An introduction to error analysis: the study of uncertaintiesin physical measurements. (Sausalito, CA: University Science Books).
20. Cosmed Italy, 2009, Cosmed Quark CPET brochure. (Italy: Cosmed).
21. Webb, P., 1951, Air temperatures in respiratory tracts of resting subjects in cold. Journal of Applied Physiology, 4, 378-382.
22. Cole, P., 1954, Recordings of respiratory air temperature. The Journal of Laryngology and Otology, 68, 295-307.
23. Walker, J.E.C., and Wells, R.E., Jr., 1961, Heat and water exchange in the respiratory tract. The American Journal of Medicine, 30, 259-267.
24. Ḧoppe, P., 1981, Temperatures of expired air under varying climatic conditions. International Journal of Biometeorology, 25, 127-132.
25. Sandals, L.E., 2003, Oxygen uptake during middle-distance running. PhD thesis, University of Gloucestershire.
26. Winter, E.M., and Jones, A.M., 2006, British Association of Sport, and Exercise Sciences. Sport and exercise physiology testing guidelines: the British Association of Sport and Exercise Sciences guide. Number v. 2 in Sport and Exercise Physiology Testing Guidelines: The British Association of Sport and Exercise Sciences Guide. (London, Routledge).
27. Boutellier, U., Kundig, T., Gomez, U., Pietsch, P., and Koller, E.A., 1987, Respiratory phase detection and delay determination for breath-bybreath analysis. Journal of Applied Physiology, 62, 837-843.
28. Hughson, R.L., Northey, D.R., Xing, H.C., Dietrich, B.H., and Cochrane, J.E., 1991, Alignment of ventilation and gas fraction for breath-bybreath respiratory gas exchange calculations in exercise. Computers and Biomedical Research, 24, 118-128.
29. Proctor, D.N., and Beck, K.C., 1996, Delay time adjustments to minimize errors inbreath-by-breath measurement of vo2 during exercise. Journal of Applied Physiology, 81, 2495-2499.
30. VacuMed, USA., 2005, Operating & service manual; Motorized syringe No. 17050 with metabolic calibration kit No. 17054. (VacuMed, Ventura, CA, USA).
31. Bland, J.M., and Altman, D.G., 1986, Statistical methods for assessing agreement between two methods of clinical measurement. The Lancet, 327, 307-310.
32. Roca, J., and Rabinovic, R., 2005, Lung function testing. Clinical exercise testing. European respiratory monograph. (European Respiratory Society Journals Limited: Sheffield, UK). pp. 146-165.
33. Arena, R., Myers, J., and Guazzi, M., 2011, Cardiopulmonary exercise testing is acore assessment for patients with heart failure. Congestive Heart Failure, 17, 115-119.
34. Kemps, H.M., Schep, G., de Vries, W.R., Schmikli, S.L., Zonderland, M.L., Thijssen, E.J.M., Wijn, P.F.F., and Doevendans, P.A., 2008, Predicting effects of exercise training in patients with heart failure secondary to ischemicor idiopathic dilated cardiomyopathy. American Journal of Cardiology, 102, 1073-1078.
35. Foss, O., and Halen, J., 2005, Validity and stability of a computerized metabolic system with mixing chamber. International Journal of Sports Medicine, 26, 569-575.
36. Yeh, M.P., Adams, T.D., Gardner, R.M., and Yanowitz, F.G., 1987, Turbine flowmeter vs. fleisch pneumotachometer: A comparative study for exercise testing. Journal of Applied Physiology, 63, 1289-1295.
37. Kemps, H., de Vries, W., Schmikli, S., Zonderland, M., Hoogeveen, A., Thijssen, E., and Schep, G., 2010, Assessment of the effects of physical training in patients with chronic heart failure: the utility of effort-independent exercise variables. European Journal of Applied Physiology, 108, 469-476.