Cardiorespiratory fitness on a treadmill in an adult cystic fibrosis population

Objectives(1) To describe the cardiorespiratory fitness (CRF) in an adult cystic fibrosis population related to sex and age, (2) to evaluate the cause of low CRF and (3) to study the association between peak oxygen uptake (VO(2)peak) and forced expiratory volume in 1 s (FEV1).MethodsA total of 204 cardiopulmonary treadmill exercise tests (CPETs) performed by 116 patients were included. VO(2)peak, gas exchange, heart rate, oxygen saturation and ventilatory variables were measured.A low CRF was defined as a VO(2)peak <80% of predicted, ventilatory limitation was defined as a breathing reserve <15%, exercise hypoxaemia was defined as an oxygen saturation <88% and ventilation-perfusion mismatch was defined as a minute ventilation/ventilatory equivalent for carbon dioxide slope <greater than or equal to>34. In patients who had performed three or more CPETs, the annual change in FEV1 and VO(2)peak were calculated using linear regression.ResultsThe VO(2)peak was 40.611.5and 35.2 +/- 8.9mL kg(-1) min(-1), which was 87 +/- 23and 93 +/- 20 in percentage of predicted for men and women, respectively. VO(2)peak was moderately affected by age, for men (r=-0.36, p<0.001) and women (r=-0.53, p<0.001), respectively. In 45 of 101 tests where CRF was low, no cardiorespiratory limiting factors were identified. The correlation coefficient between VO(2)peak and FEV1 was r=0.64 (p<0.001). In participants with a low CRF, FEV1 ranged from 20% to 112% of predicted.ConclusionsThe correlation between VO(2)peak and FEV1 was moderate. The majority of the tests resulted in a VO(2)peak within normal limits. Interestingly, 44% of the tests with a low VO(2)peak could be explained by deconditioning. Thus, exercise therapy may be beneficial for these patients.