Key result
Breathing hyperoxia significantly increased maximal workload by 12 W (95% CI 9-16; p<0.001) and cycling time by 6:13 min compared to ambient air in healthy and cardiopulmonary disease subjects.
Why the study?
The study investigated the overall and differential effects of breathing hyperoxia versus ambient air on exercise performance across healthy individuals and patients with various cardiopulmonary diseases.
Does breathing hyperoxia improve exercise capacity compared to ambient air in healthy individuals and patients with cardiopulmonary disease?
RCT (n=91)
Single-blind
crossover
Does breathing hyperoxia improve exercise capacity compared to ambient air in healthy individuals and patients with cardiopulmonary disease?
Mean Difference: 12 (95% CI 9–16)
p-value: p=<0.001
Breathing hyperoxia significantly improves exercise capacity and prolongs cycling time across various cardiopulmonary diseases, with the greatest benefit seen in patients with pulmonary vascular disease.
Supports adjunctive hyperoxia to augment exercise testing in cardiopulmonary disease; extends RCT evidence across multiple etiologies.
Background The aim of this study was to investigate the overall and differential effect of breathing hyperoxia (inspiratory oxygen fraction ( F IO 2 ) 0.5) versus placebo (ambient air, F IO 2 0.21) to enhance exercise performance in healthy people, patients with pulmonary vascular disease (PVD) with precapillary pulmonary hypertension (PH), COPD, PH due to heart failure with preserved ejection fraction (HFpEF) and cyanotic congenital heart disease (CHD) using data from five randomised controlled trials performed with identical protocols. Methods 91 subjects (32 healthy, 22 with PVD with pulmonary arterial or distal chronic thromboembolic PH, 20 with COPD, 10 with PH in HFpEF and seven with CHD) performed two cycle incremental (IET) and two constant work-rate exercise tests (CWRET) at 75% of maximal load (W max ), each with ambient air and hyperoxia in single-blinded, randomised, controlled, crossover trials. The main outcomes were differences in W max (IET) and cycling time (CWRET) with hyperoxia versus ambient air. Results Overall, hyperoxia increased W max by +12 W (95% CI: 9–16, p<0.001) and cycling time by +6:13 min (4:50–7:35, p<0.001), with improvements being highest in patients with PVD (W max /min: +18%/+118% versus COPD: +8%/+60%, healthy: +5%/+44%, HFpEF: +6%/+28%, CHD: +9%/+14%). Conclusion This large sample of healthy subjects and patients with various cardiopulmonary diseases confirms that hyperoxia significantly prolongs cycling exercise with improvements being highest in endurance CWRET and patients with PVD. These results call for studies investigating optimal oxygen levels to prolong exercise time and effects on training.
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Müller et al. (2023) conducted an RCT in Cardiopulmonary disease and healthy subjects (n=91). Hyperoxia vs. Ambient air (FIO2 0.21) was evaluated on Differences in Wmax (IET) and cycling time (CWRET) (MD 12 W, 95% CI 9-16, p=<0.001). Breathing hyperoxia significantly increased maximal workload by 12 W (95% CI 9-16; p<0.001) and cycling time by 6:13 min compared to ambient air in healthy and cardiopulmonary disease subjects.
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