Accuracy and reliability of a Cosmed K4b2 portable gas analysis system

The purpose of this study was to assess the validity and reliability of a Cosmed K4b2 portable telemetric gas analysis system. Twelve physically fit males performed a treadmill running session consisting of an easy 10 min run, a hard 3 min run and a 1 min sprint (with rest periods of 10 min separating each run), on four separate occasions. Sessions were identical with the exception of the apparatus used to measure VO2. During two (test-retest) sessions a Cosmed K4b2 portable gas analysis system was used; in another, a laboratory metabolic cart and, in one session, both systems were used to measure VO2 simultaneously. Comparison of Cosmed K4b2 and metabolic cart measurements in isolation revealed significantly (p < 0.05) increased values of VO2, VCO2, FE CO2 (except FE CO2 at 10 min) and lower values of FE O2 for each run duration by the Cosmed system. Linear regression equations to predict metabolic cart results from Cosmed values were, respectively; cart VO2 = 0.926 (Cosmed VO2-0.227 (r2 = 0.84) and cart VCO2 = 1.057 (Cosmed VCO2-0.606 (r2 = 0.92). Bland-Altman plots and comparison of the test-retest cosmed measurements revealed that the K4b2 system showed good repeatability of measurement for measures of VE, VO2 and VCO2, particularly for 10 min and 3 min tests (ICC = 0.7-0.9, p < 0.05). In conclusion, the Cosmed K4b2 portable gas analysis system recorded consistently higher VO2 and VCO2 measurements in comparison to a metabolic cart. However, satisfactory test-retest reliability of the system was demonstrated.