Cardiopulmonary exercise testing for patients with anorexia nervosa: a case-control study

被引:1
|
作者
Yamashita, Makoto [1 ]
Kawai, Keisuke [1 ,2 ]
Toda, Kenta [1 ,3 ]
Aso, Chie [3 ]
Suematsu, Takafumi [3 ]
Yokoyama, Hiroaki [3 ]
Hata, Tomokazu [1 ]
Takakura, Shu [1 ]
Sudo, Nobuyuki [1 ,3 ]
机构
[1] Kyushu Univ Hosp, Dept Psychosomat Med, Fukuoka, Japan
[2] Kohnodai Hosp, Natl Ctr Global Hlth Med, Dept Psychosomat Med, Chiba, Japan
[3] Kyushu Univ, Grad Sch Med Sci, Dept Psychosomat Med, Fukuoka, Japan
关键词
Anorexia nervosa; Cardiopulmonary exercise testing; Anaerobic threshold; Metabolic equivalents; Physical activity; LOW BODY-WEIGHT; CHRONOTROPIC INCOMPETENCE; ANAEROBIC THRESHOLD; PHYSICAL-ACTIVITY; EATING-DISORDERS; MANAGEMENT;
D O I
10.1007/s40519-022-01492-6
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose Patients with anorexia nervosa (AN) require appropriate nutrient therapy and physical activity management. Eating disorder treatment guidelines do not include safe, evidence-based intensity criteria for exercise. This study used cardiopulmonary exercise testing (CPX) to evaluate the exercise tolerance of patients with AN. Methods CPX was performed with 14 female patients with AN admitted to a specialized eating disorder unit between 2015 and 2019. Their anaerobic threshold (AT) was determined by assessing their exercise tolerance using CPX and compared with 14 healthy controls (HC). The metabolic equivalents (AT-METS) were compared when AT was reached. We examined factors related to AT (AN-AT) in the AN group, including age, body mass index (BMI), previous lowest weight, minimum BMI, past duration of BMI < 15, exercise history, and Delta HR (heart rate at the AT-resting heart rate). Results The AT of the AN group (BMI: 15.7 [Mean] +/- 1.8 standard deviation [SD]) was significantly lower than that of the HC group (BMI: 19.7 +/- 1.8) (AN: 10.0 +/- 1.8 vs. HC: 15.2 +/- 3.0 ml/kg/min, P < 0.001). AT-METS was also significantly lower in the AN group than in the HC group (AN: 2.9 +/- 0.52 vs. HC: 4.4 +/- 0.91, P < 0.001). AN-AT was highly influenced by Delta HR. Conclusions This study showed that AT and AT-METS were lower in patients with AN than in HC. Patients with AN should be prescribed light-intensity aerobic exercise, and the current findings may help develop future physical management guidelines for patients with AN.
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收藏
页码:3553 / 3560
页数:8
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