Key result
Submaximal cardiopulmonary exercise testing in term pregnant women yielded a mean physical efficiency of 30.52% and overall mean AEE of 10.59 kJ/min without adverse neonatal effects.
Observational (n=22)
No
Submaximal CPET up to 80% HRmax with a supine cycle ergometer is a safe and precise method for assessing work efficiency in term pregnancy women.
Small observational data suggest supine submaximal CPET is safe for efficiency assessment in term pregnancy; leaves open need for larger prospective validation before clinical adoption.
OBJECTIVES: To evaluate physical efficiency and activity energy expenditure (AEE) in term pregnancy females during cardiopulmonary exercise tests with a supine cycle ergometer. MATERIAL AND METHODS: The study comprised 22 healthy full-term pregnancy women with uncomplicated pregnancies hospitalized in the Department of Gynecology and Obstetrics, Specialist Teaching Hospital in Tychy, Poland. All subjects underwent cardiopulmonary exercise tests (CPET) on a supine cycle ergometer. The 12-min, three-stage, progressive, symptom-limited submaximal test protocol (up to 80% HRmax) was used. Pulsometry was used to record HR on a beat-to-beat analysis and to calculate AEE. Respiratory responses were measured by ergospirometer and a computer system on a breath-by-breath basis at rest, during exercise and at restitution. RESULTS: In the studied population, VO2max was established at the level of 2.19 ± 0.33 L/min in ergospirometry and 2.04 ± 025 L/min in pulsometry. Physical efficiency calculated for sub-maximal exercise by use of the Davis equation was 30.52 ± 0.12%. AEE, based on VO2 in various phases of the CPET, was 0.47, 0.71 and 0.88 L/min for phases 25, 50 and 75 W. Based on ergospirometer readouts, AEE was 10.60, 16.11 and 20.94 kJ/min for phases 25, 50 and 75 W. Overall mean AEE (determined by pulsometry) was 10.59 kJ/min. CPET testing did not have any negative effect upon the health or life of the neonates involved in the study. CONCLUSIONS: Submaximal CPET up to 80% HRmax with a supine cycle ergometer is a safe and precise method for assessing work efficiency in term pregnancy women.
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Jędrzejko et al. (2016) conducted an observational in Healthy full-term pregnancy (n=22). Cardiopulmonary exercise tests (CPET) with a supine cycle ergometer was evaluated on Physical efficiency and activity energy expenditure (AEE). Submaximal cardiopulmonary exercise testing in term pregnant women yielded a mean physical efficiency of 30.52% and overall mean AEE of 10.59 kJ/min without adverse neonatal effects.
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