EXERCISE TESTS Dr.

Paulo Gurgel EXERCISE TESTS • • • • • Cooper test test Rockport Walking Test 6 Minutes Ergometry Cardiopulmonary Exerc ise Test KENNETH COOPER • 1968: "Aerobics" 1970: Cooper Aerobics Center Cooper 12 minutes test The maximum distance that someone can walk / run in 12 minutes. Cooper test • • • • Gender (M or F) Age (years) Distance (m) Rating: Excellent - Above Avera ge - Average - Below Average - Low • Average - M: 2700 (17-20 years) to 1600 (> 50 years) meters - F: 2200 (20-29 years) to 1 400 (> 50 years) meters Cooper test of VO2 max estimate Distance - 504.9: 44.73 (mL.kg-1.min-1) In the savannah ... Test Rockport 1 mile = 1609 m • • • • • Gender (M or F) Age (years) Weight (kg) post-test heart rate hike duration (minu tes) Rockport Test • Calculation of VO2 max and METs (*): available through programs at RMC • VO2ma x calculated: position in the gender and age group • Rating: Excellent - Good Above Average - Average - Below Average - Poor - Very Bad (*) = 3.5 mL.kg-1.min-1 The consumption Walk test • McGavin et al. Twelve minutes walking test for Assessing disability in chronic bronchitis. British Medical Journal, 1976 • Validation for 6 minutes • Security - Autoregulável - submaximal effort - Monitoring • Reproducibility Test 6-minute walk (6MWT) SpO2 • • • • Gender (M or F) Age (years) Weight (kg) Height (m) FR FC Distance B org Others Before After * * * * * * * * * * * Walking distance normal values and lower limits VN M (meters) = 1140 - (5,61 x BMI) - (6.94 X age) LI (meters) = VN - VN 153 F (meters) = 1017 - (6,24 x BMI) - (5.83 x age) LI (in meters) = VN - 139 e quations of Enright and Sherril Interpretation • Abnormal (DC <LI)

- With the fall of SpO2 ≥ 4% compatible with diffusion disorder - with RR> 50/ min compatible with respiratory disorder - With FC> FC ≤ basal or submaximal compatible with circulatory disorder • Normal Indications • Assessment of disability • Rehabilitation: indication, monitoring and evaluati on of results of dyspnea • Research • Prescription of oxygen • Preoperative eval uation • Estimating prognosis BODE score PT # 1 to 58 FEV1: 28% MRC: 2 / 4 PaO2: 70 mmHg TC 6M: 540 m BMI: 30 BODE: 3 BOD E PT # 2 62 to FEV1: 33% MRC: 2 / 4 PaO2: 57 mmHg TC 6M : 400 m BMI: 21 BODE: 6 Claudia Cote, MD # 3 PT 69 and FEV1: 35% MRC: 3 / 4 PaO2: 66 mmHg TC 6M: 230 m B MI: 34 BODE: 7 1 2 3 4 FEV1 <35% PT # 4 FEV1 72 to 34% MRC: 4 / 4 PaO2: 60 mmHg TC 6M: 154 m BMI: 24 BODE: 9 Ergometry • Method to evaluate the clinical responses, electrocardiographic and hemodynami c front of a progressive physical effort performed on a treadmill or cycle ergom eter, with speed and slope variables as protocols. • Example: - Bruce • Reading Source: National Consensus Ergonometry Indications of ergometry • In disease research - Coronary artery disease - Hypertension - Cardiac arrhythmias - Other: IC, MP, MP • In the healthy population or apparently normal - Positive family history - Special Occupations - Fitness Programs • In assessments - Expert - Surgical Risk VO2 max equation for error: ± 20% In no other area of biological knowledge a mistake of this magnitude (± 20%) is tolerated. For example, would would accept that for a person with 170 cm height, 70 kg, 200 mg / dl blood cholesterol and a maximum heart rate of 180 bpm, we co uld have measured values, with 20% error, more or less getting any result betwee n 136 and 214 cm high, 56 and 84 kg, 160 and 240 mg / dl cholesterol and 144 or 214 bpm maximum heart rate? Dr. Claudio Gil, medical director of Clinimex + = Test Spirometry ergometry cardiopulmonary exercise (CPX) Ergometers

Ergometers special Ergometers special CPET Direct measurements O2 consumption (VO2 FEO2) Production of CO2 (VCO2 on (VC x FR LV) heart rate (HR) Monitoring ECG SpO2 PA Sensation exertion Ramp protocol Power (W) Calories Parameters derived Bookmarks Anaerobic threshold Respiratory compensation point maximal aerobic power CPX - integrated CPET with telemetry CPX in Pulmonology • Evaluation of the occurrence and etiology of exercise intolerance and its quan tification • Evaluation of the indication of therapeutic response and its progno sis in CKD • Analysis • Risk preoperative and postoperative evaluation • lung tr ansplantation • Pulmonary Rehabilitation • Diagnosis by bronchial Exercise • Eva luation of dysfunction and disability in DPO BTS - Guidelines for Pulmonary Function Test, 2002 Test drive GRATEFUL FOR ATTENTION pgcs@ig.com.br

FECO2) Pulmonary ventilati