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Cardiopulmonary exercise testing is well tolerated in people with Alzheimer-related cognitive impairment. | LitMetric

Cardiopulmonary exercise testing is well tolerated in people with Alzheimer-related cognitive impairment.

Arch Phys Med Rehabil

University of Kansas Alzheimer's Disease Center, Fairway, KS; Department of Neurology, University of Kansas Medical Center, Kansas City, KS.

Published: September 2014

Objective: To retrospectively assess whether cardiopulmonary exercise testing would be well tolerated in individuals with Alzheimer disease (AD) compared with a nondemented peer group.

Design: We retrospectively reviewed 575 cardiopulmonary exercise tests (CPETs) in individuals with and without cognitive impairment caused by AD.

Setting: University medical center.

Participants: Exercise tests (N=575) were reviewed for nondemented individuals (n=340) and those with AD-related cognitive impairment (n=235).

Interventions: Not applicable.

Main Outcome Measures: The main outcome measure for this study was reporting the reason for CPET termination. The hypothesis reported was formulated after data collection.

Results: We found that in cognitively impaired individuals, CPETs were terminated because of fall risk more often, but that overall test termination was infrequent-5.5% versus 2.1% (P=.04) in peers without cognitive impairment. We recorded 6 cardiovascular and 7 fall risk events in those with AD, compared with 7 cardiovascular and 0 fall risk events in those without cognitive impairment.

Conclusions: Our findings support using CPETs to assess peak oxygen consumption in older adults with cognitive impairment caused by AD.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4149924PMC
http://dx.doi.org/10.1016/j.apmr.2014.04.007DOI Listing

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