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Exercise testing in cystic fibrosis: Who and why?
1Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Edinburgh, United Kingdom; Department of Child Life and Health, University of Edinburgh, United Kingdom.
Paediatric Respiratory Reviews
|August 31, 2018
Summary
Annual exercise testing is crucial for Cystic Fibrosis (CF) patients. Cardiopulmonary exercise testing (CPET) provides a comprehensive evaluation of aerobic fitness and exercise limitation mechanisms, making it the preferred method.
Area of Science:
- Cardiorespiratory Physiology
- Clinical Exercise Testing
Background:
- Annual exercise testing is recommended for Cystic Fibrosis (CF) patients.
- Aerobic fitness is a key prognostic indicator in CF.
- Current testing methods vary in comprehensiveness.
Purpose of the Study:
- To review exercise testing modalities for CF patients.
- To highlight the benefits of cardiopulmonary exercise testing (CPET).
- To emphasize CPET as the gold standard for assessing aerobic fitness in CF.
Main Methods:
- Review of available exercise tests for CF.
- Comparison of field tests versus CPET.
- Discussion of CPET's diagnostic capabilities.
Main Results:
- Field tests offer limited information.
- CPET provides a precise cardiovascular, respiratory, and metabolic evaluation.
- CPET identifies mechanisms of exercise limitation.
Conclusions:
- CPET is the recommended first-choice exercise test for CF.
- CPET offers a superior assessment of aerobic capacity and exercise limitation in CF.
- Comprehensive exercise testing is vital for CF patient management.
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