A systematic review and meta-analysis comparing cardiopulmonary exercise test values obtained from the arm cycle and the leg cycle respectively in healthy adults

Larsen, R. T., Christensen, J., Tang, L. H., Keller, C., Doherty, P., Zwisler, A.-D., Taylor, R. S. and Langberg, H. (2016) A systematic review and meta-analysis comparing cardiopulmonary exercise test values obtained from the arm cycle and the leg cycle respectively in healthy adults. International Journal of Sports Physical Therapy, 11(7), pp. 1006-1039. (PMID:27999717) (PMCID:PMC5159627)

[img] Text
211774.pdf - Accepted Version
Restricted to Repository staff only

941kB

Abstract

Introduction: The cardiopulmonary exercise test (CPET) assesses maximal oxygen uptake (VO2max) and is commonly performed on a leg cycle ergometer (LC). However, some individuals would rather perform the CPET on an arm cycle ergometer (AC). Objective: The objectives of this study were to undertake a systematic review and meta-analysis of the difference in VO2max achieved by AC compared to LC in healthy adults and to explore factors that may be predictive of this difference. Methods: MEDLINE, EMBASE, CINAHL, and PEDro were searched in April 2015. The differences in VO2max (ACLCdiff) were pooled across studies using random effects meta-analysis and three different methods were used to estimate the ratio between the values obtained from the tests (ACLCratio). Results: This paper included 41 studies with a total of 581 participants. The mean ACLCdiff across studies was 12.5 ml/kg/ min and 0.89 l/min with a mean ACLCratio of 0.70. The ACLCdiff was lower in studies with higher mean age and lower aerobic capacity. Conclusion: There is linear association between the AC and LC values in healthy adults. The AC values were on average 70% of the LC values. The magnitude of this difference appeared to be reduced in studies on older and less active populations. Key words: Aerobic capacity, exercise testing, oxygen uptake, leg cycle, arm cycle, ergometer, systematic review, meta-analysis. Level of evidence: 3a

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Taylor, Professor Rod
Authors: Larsen, R. T., Christensen, J., Tang, L. H., Keller, C., Doherty, P., Zwisler, A.-D., Taylor, R. S., and Langberg, H.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
Journal Name:International Journal of Sports Physical Therapy
Publisher:American Academy of Sports Physical Therapy
ISSN:2159-2896
ISSN (Online):2159-2896
Copyright Holders:Copyright © 2016 AASPT
First Published:First published in International Journal of Sports Physical Therapy 11(7):1006-1039
Publisher Policy:Reproduced in accordance with the publisher copyright policy
Related URLs:

University Staff: Request a correction | Enlighten Editors: Update this record