Statement on Exercise Testing in Cystic Fibrosis
Statement on Exercise Testing in Cystic Fibrosis
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DOI：
10.1159/000439057
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发表时间：
2015-01-01
期刊：
影响因子：
3.7
通讯作者：
Urquhart, Don S.
中科院分区：
文献类型：
--
作者：
Hebestreit, Helge;Arets, Hubertus G. M.;Urquhart, Don S.
本声明总结了囊性纤维化 (CF) 患者使用的特定运动测试方案和结果参数的可用信息，并为临床医生提供了运动测试方案和性能的专家共识建议以及结果的基本解释。结论是通过共识会议和宽带德尔菲流程得出的。尽管目前实用性数据有限，但标准化运动测试提供了有关生理健康的详细信息，可以筛查与运动相关的不良反应，并可以提供运动咨询。建议使用可监测氧饱和度和通气气体交换的戈弗雷循环测力计方案对 10 岁及以上人群进行运动测试。仅使用戈弗雷方案结合脉搏血氧测定的自行车测功或结合脉搏血氧测定的跑步机锻炼（最好是测量气体交换）是次佳选择。应将峰值摄氧量（如果进行评估）和最大工作率报告为运动能力的主要衡量标准。最终声明由欧洲囊性纤维化协会审查，并根据收到的意见进行修订。该文件得到了欧洲呼吸学会的认可。 (C) 2015 作者由 S. Karger AG 出版，巴塞尔
This statement summarizes the information available on specific exercise test protocols and outcome parameters used in patients with cystic fibrosis (CF) and provides expert consensus recommendations for protocol and performance of exercise tests and basic interpretation of results for clinicians. The conclusions were reached employing consensus meetings and a wide-band Delphi process. Although data on utility are currently limited, standardized exercise testing provides detailed information on physiological health, allows screening for exercise-related adverse reactions and enables exercise counselling. The Godfrey Cycle Ergometer Protocol with monitoring of oxygen saturation and ventilatory gas exchange is recommended for exercise testing in people 10 years and older. Cycle ergometry only with pulse oximetry using the Godfrey protocol or treadmill exercise with pulse oximetry - preferably with measurement of gas exchange - are second best options. Peak oxygen uptake, if assessed, and maximal work rate should be reported as the primary measure of exercise capacity. The final statement was reviewed by the European Cystic Fibrosis society and revised based on the comments received. The document was endorsed by the European Respiratory Society. (C) 2015 The Author(s) Published by S. Karger AG, Basel