title: Comparison of dyspnea ratings during submaximal constant work exercise with incremental testing.
abstract: OBJECTIVE
  The purpose of this study was to determine whether dyspnea ratings would be similar during submaximal (as used for training) and incremental (as used in testing) exercise at specific intensities in patients with chronic obstructive pulmonary disease (COPD).
  
  
  METHODS
  We studied 20 patients with COPD. Age was 66 +/- 9 yr (mean +/- SD); FEV1 was 43 +/- 14% pred. At Visit 1 patients provided dyspnea ratings (0 to 10 scale) each minute during incremental exercise on the cycle ergometer. At Visit 2 patients rated dyspnea during production of submaximal exercise for 10 min at two intensities.
  
  
  RESULTS
  Peak oxygen consumption (VO2) was 13.9 +/- 3.2 mL.kg-1.min-1. At visit 2 VO2 was stable, but dyspnea ratings increased slightly. Dyspnea ratings (2.0 +/- 1.2) during submaximal exercise were higher than during incremental exercise (1.1 +/- 0.7) at 55 +/- 8% of peak VO2 (P = 0.02) but were similar (4.3 +/- 1.5 vs 3.9 +/- 1.5) at 77 +/- 8% of peak VO2 (P = 0.40).
  
  
  CONCLUSIONS
  In patients with COPD, dyspnea ratings were similar during steady state compared with equivalent levels of incremental exercise at a "high" intensity, but were slightly higher at the "low" exercise intensity. These data support the potential use of dyspnea ratings obtained during incremental exercise as a target for exercise training in patients with respiratory disease.
authors.affiliation: Department of Medicine, Dartmouth Medical School, Lebanon, NH 03756-0001, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Franco
authors.forename: E M
authors.initials: EM
authors.lastname: Olmstead
authors.forename: A N
authors.initials: AN
authors.lastname: Tosteson
authors.forename: T
authors.initials: T
authors.lastname: Lentine
authors.forename: J
authors.initials: J
authors.lastname: Ward
authors.forename: D A
authors.initials: DA
authors.lastname: Mahler
mesh_terms: D000368:Aged; D004417:Dyspnea / Q000145:classification* / Q000503:physiopathology; D015444:Exercise / Q000502:physiology*; D005080:Exercise Test; D005260:Female; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000150:complications* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010807:Physical Endurance