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使用可靠的变化指数,量化心血管疾病中VO2峰值和运动值的改善

Robin Faricier¹, Randi R Keltz, Tim Hartley

¹School of Kinesiology, University of Western Ontario, London, Ontario, Canada (Mr Faricier, Ms Keltz, and Dr Keir); Lawson Health Research Institute, London, Ontario, Canada (Messrs Faricier and Hartley, Ms Keltz, and Drs Suskin, Prior, and Keir); Cardiac Rehabilitation and Secondary Prevention Program, St Joseph's Health Care, London, Ontario, Canada (Mr Hartley and Drs McKelvie, Suskin, and Prior); Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada (Drs McKelvie and Suskin); and Toronto General Hospital Research Institute, Toronto, Ontario, Canada (Dr Keir).

Journal of cardiopulmonary rehabilitation and prevention

|December 8, 2023

概括

这项研究建立了在心血管疾病 (CVD) 患者有意义的有氧健身改善的标准,使用关键运动参数的可靠变化指数 (RCI) 统计数据. 这些发现有助于评估个体患者在康复计划中的进展.

科学领域:

心脏病学心脏病学
运动生理学运动生理学
康复医学康复医学康复医学

背景情况:

通过运动改善有氧健身对于心血管疾病 (CVD) 管理至关重要.
目前的方法缺乏可靠的标准来评估心血管疾病患者个体有氧功能的改善.
关键参数包括估计的乳酸值 (θ LT),呼吸补偿点 (RCP) 和氧气吸收峰值 (V ̇ o2峰).

研究的目的:

应用可靠的变化指数 (RCI) 统计数据,以确定心血管疾病患者的 θ LT , RCP 和 V ̇ o2峰值的最小有意义变化 (MMC RCI) 截止值.
为评估个体患者对运动干预措施的反应提供基于证据的标准.

主要方法:

66名稳定的心血管疾病患者接受了三个增量运动测试.
使用代谢车收集了呼吸对呼吸气体交换和呼吸系统数据.
使用测试复试可靠性和平均差异得分来计算RCI统计数据,以确定MMC的RCI值.

主要成果:

对于 θ LT (ICC=0.97),RCP (ICC=0.98) 和 V ̇ o2peak (ICC=0.99),观察到高的测试复试可靠性.
变化系数为 θ LT 的 6.5%,RCP 的 5.4%,V ̇ o2峰的 4.9%.
对于每个参数,都得出了特定的MMC RCI值,对于更密切的测试比较 (例如,T2-T3) 标记了较低的得分.

结论:

来自MMC的RCI分数为确定心血管疾病患者有意义的有氧功能变化提供了客观的标准.
这些切线可以指导对旨在改善该人群有氧能力的运动干预措施的评估.
对有氧健身变化的个性化评估对于有效的心血管疾病康复至关重要.

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