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Maximal Oxygen Uptake (VO2max) in Patients With COPD

Completed
Conditions
COPD
Interventions
Other: VO2max
Registration Number
NCT06257381
Lead Sponsor
Rigshospitalet, Denmark
Brief Summary

Patients with chronic obstructive pulmonary disease (COPD), facing a decline in lung function and compromised quality of life, often benefit from regular exercise (1). Assessing their cardiorespiratory fitness through maximal oxygen uptake (VO2max) is crucial (2), yet research on its validity and reliability in COPD patients remains sparse. This study aims to fill this gap, examining the content validity and test-retest reliability of the VO2-max test in COPD, comparing it with healthy controls.

Detailed Description

Introduction and background Patients with COPD face a challenging journey characterized by a progressive loss of lung function, ultimately resulting in a diminished quality of life, exercise limitations and heightened vulnerability to disability and premature mortality. Recognizing the pivotal role of regular exercise in enhancing the well-being of COPD patients, it becomes crucial to evaluate their cardiorespiratory fitness through parameters such as maximal oxygen uptake (VO2max). This metric serves as a cornerstone in assessing the maximal capacity of the cardiovascular system to deliver oxygen to working muscles and the muscles' ability to utilize oxygen during sustained exercise.

In broader health contexts high VO2max has been established as a key indicator inversely correlated with the risk of cardiovascular diseases and mortality. However, despite the acknowledged importance of VO2max, there is a notable gap in research focusing specifically on VO2max of COPD patients. The need for a thorough examination of the content validity of the VO2-max test in the context of COPD, along with an assessment of its test-retest reliability (day-to-day variation), has not been adequately addressed, especially in comparison with healthy individuals. While regular exercise has proven to be a transformative factor in improving the quality of life for COPD patients, there remains a critical need to explore the reliability of VO2-max testing within this population. Not only does COPD induce a decline in physical activity, but it can also contribute to a reduction in VO2-max. Consequently, understanding the validity and test-retest reliability of VO2-max testing in COPD becomes paramount.

Aim To compare the validity and test-retest reliability of the VO2-max test in COPD patients compared with healthy controls.

Perspective The results are relevant for designing future studies of VO2max and VO2kinetics as outcomes in COPD patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Matched healthy volunteersVO2maxWe aim to include 16 healthy matched controls (sex +-3year age).
COPD-patientsVO2maxWe aim to include 16 patients with COPD across the FEV1% of predicted spectrum, ranging from mild to severe COPD. Participants will undergo lung function test and VO2max
Primary Outcome Measures
NameTimeMethod
Between-day smallest real difference (SRD) for VO2 peak in COPD vs. healthy controlsMeasured at day 1 and day 2
Between-day coefficient of variance (CV) for VO2 peak in COPD vs. healthy controls (co-primary)Measured at day 1 and day 2
Secondary Outcome Measures
NameTimeMethod
Between-day smallest real difference (SRD) Wmax in COPD vs. healthy controlsMeasured at day 1 and day 2
Between-day coefficient of variance (CV) Wmax in COPD vs. healthy controlsMeasured at day 1 and day 2
Between-day smallest real difference (SRD) RER at VO2 peak in COPD vs. healthy controlsMeasured at day 1 and day 2
Between-day coefficient of variance (CV) RER at VO2 peak in COPD vs. healthy controlsMeasured at day 1 and day 2
Between-day smallest real difference (SRD) in VE/VCO2 at GET in COPD vs. healthy controlsMeasured at day 1 and day 2
Between-day smallest real difference (SRD) Gas Exchange Threshold (GET) in COPD vs. healthy controlsMeasured at day 1 and day 2
Between-day coefficient of variance (CV) Gas Exchange Threshold (GET) in COPD vs. healthy controlsMeasured at day 1 and day 2
Between-day smallest real difference (SRD) in Ventilatory reserve in COPD vs. healthy controlsMeasured at day 1 and day 2
Between-day coefficient of variance (CV) in Ventilatory reserve in COPD vs. healthy controlsMeasured at day 1 and day 2
Between-day smallest real difference (SRD) and Between-day coefficient of variance (CV) in VE/VCO2 at GET in COPD vs. healthy controlsMeasured at day 1 and day 2
Between-day coefficient of variance (CV) in HR peak in COPD vs. healthy controlsMeasured at day 1 and day 2

Trial Locations

Locations (1)

Center for Aktiv Sundhed (CFAS), Rigshospitalet, Copenhagen, Denmark.

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Copenhagen, København Ø, Denmark

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