The Influence of Age on Interaction between Breath-Holding Test and Single-Breath Carbon Dioxide Test

Трембач, Н. В.; Zabolotskikh, I.B.

doi:10.1155/2017/1010289

Cited by 7 publications

(5 citation statements)

References 28 publications

(34 reference statements)

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“…No significant correlation was reported between apnea time and age. These results were also observed in healthy subjects ( Trembach & Zabolotskikh, 2017 ). Moreover, no significant correlation was identified between apnea maximal time and in the study population.…”

Section: Discussionsupporting

confidence: 77%

“…The mean apnea time reported during our study was 25 ± 8.7 s with values ranging from 10 s to 50 s. This value was not statistically different from that reported by Viecili et al which was 21.6 ± 12.6 s ( t = 1.245; p = .214) ( Viecili et al, 2012 ). Maximum apnea time in COPD subjects has been shown to be significantly shorter than in normal subjects ( Trembach & Zabolotskikh, 2017 ). Indeed, the maximum apnea time is shortened by any factors increasing the tonic activity of the diaphragm or repressing the activity of the respiratory centers such as hypoxemia, hypercapnia, and reduced lung volume ( Parkes, 2006 ).…”

Section: Discussionmentioning

confidence: 99%

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Maximal Voluntary Breath-Holding Tele-Inspiratory Test in Patients with Chronic Obstructive Pulmonary Disease

et al. 2021

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Maximal voluntary inspiratory breath-holding time (MVIBHT) has proved to be of clinical utility in some obstructive ventilatory defects. This study aims to correlate the breath-holding time with pulmonary function tests in patients with chronic obstructive pulmonary disease (COPD) and to determine the feasibility of using a breath-holding test in assessing the severity of COPD. A cross-sectional study including male patients with stable COPD were conducted. Patients with respiratory comorbidities and severe or unstable cardiac diseases were excluded. Patients were interviewed and examined. Six-minute walk test (6MWT) and plethysmography were performed.For MVIBHT collection, the subject was asked to inspire deeply and to hold the breath as long as possible at the maximum inspiratory level. This maneuver was repeated three times. The best value was used for further analysis. A total of 79 patients (mean age: 64.2 ± 8) were included in this study. The mean value of MVIBHT was 24.2 ± 8.5 s. We identified a positive and significant correlations between MVIBHT and forced vital capacity ( r = .630; p < .001) as well as MVIBHT and forced expiratory volume in 1 s (FEV1%) ( r = .671; p < .001). A significant inverse correlation with total lung capacity ( r = −.328; p = .019) and residual volume to total lung capacity ratio ( r = −.607; p < .001) was noted. MVIBHT was significantly correlated to the distance in the 6MWT ( r = .494; p < .001). The mean MVIBHT was significantly different within spirometric grades ( p < .001) and GOLD groups ( p = .002). At 20.5 s, MVIBHT had a sensitivity of 72% and specificity of 96% in determining COPD patients with FEV1 <50%. Our results provide additional evidence of the usefulness of MVIBHT in COPD patients as a pulmonary function parameter.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Maximal Voluntary Breath-Holding Tele-Inspiratory Test in Patients with Chronic Obstructive Pulmonary Disease

et al. 2021

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“…In this present study, peri-operative breath holding test of both groups were not significantly different (p > 0.05). Trembach and Zabolotskikh, (2017) showed in their study that increasing age has no effect on this pattern and the duration of breath holding time did not depend on the age [31]. Result of their study indicated a positive correlation between the duration of breath holding and vital lung capacity.…”

Section: Discussionmentioning

confidence: 89%

Effects of Combined Spinal Epidural Anaesthesia and Spinal Anaesthesia on Peri-Operative Pulmonary Status in Geriatric Patients in Lower Extremity Surgery

Begum¹,

Akhtaruzzaman²,

Bhowmick³

et al. 2020

JBM

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Background: Lower extremity surgeries performed in elderly people usually have high prevalence of peri-operative medical problems related to anaesthesia. The overall objective of peri-operative care of geriatric population is to fast recovery from anaesthesia and avoid functional decline. Objective: To compare the peri-operative pulmonary status of combined spinal epidural anaesthesia (CSEA) and spinal anaesthesia (SA) in geriatric patients underwent lower extremity surgeries. Methods: This prospective comparative study was conducted at Department of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from July 2016 to June 2018. A total of 70 geriatric cases that underwent lower extremity surgeries were included in this study. Cases were randomly allocated into two groups; 35 in Group A (CSEA) and 35 in Group B (SAB). The different outcome variables between the groups like-duration of anaesthesia, respiratory rates (RR), oxygen saturation (SpO 2

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“…The breath-hold manoeuvre was performed two to three times with ≥ 5 min pause between consecutive runs and the average duration of the voluntary apnoea was taken as a measure of PCheS (BHT apnoea duration, s). Several papers reported high agreement between BHT and single-breath CO 2 method for PCheS evaluation in healthy subjects 29 , 31 and heart failure patients 30 , however to the authors’ knowledge, the agreement between BHT and the transient hypoxia test has not yet been investigated.…”

Section: Methodsmentioning

confidence: 91%

Low ventilatory responsiveness to transient hypoxia or breath-holding predicts fast marathon performance in healthy middle-aged and older men

Paleczny

Seredyński

Wyciszkiewicz

et al. 2021

Sci Rep

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The aim of this study was to test the utility of haemodynamic and autonomic variables (e.g. peripheral chemoreflex sensitivity [PCheS], blood pressure variability [BPV]) for the prediction of individual performance (marathon time and VO2max) in older men. The post-competition vasodilation and sympathetic vasomotor tone predict the marathon performance in younger men, but their prognostic relevance in older men remains unknown. The peripheral chemoreflex restrains exercise-induced vasodilation via sympathetically-mediated mechanism, what makes it a plausible candidate for the individual performance marker. 23 men aged ≥ 50 year competing in the Wroclaw Marathon underwent an evaluation of: resting haemodynamic parameters, PCheS with two methods: transient hypoxia and breath-holding test (BHT), cardiac barosensitivity, heart rate variability (HRV) and BPV, plasma renin and aldosterone, VO2max in a cardiopulmonary exercise test (CPET). All tests were conducted twice: before and after the race, except for transient hypoxia and CPET which were performed once, before the race. Fast marathon performance and high VO2max were correlated with: low ventilatory responsiveness to hypoxia (r = − 0.53, r = 0.67, respectively) and pre-race BHT (r = − 0.47, r = 0.51, respectively), (1) greater SD of beat-to-beat SBP (all p < 0.05). Fast performance was related with an enhanced pre-race vascular response to BHT (r = − 0.59, p = 0.005). The variables found by other studies to predict the marathon performance in younger men: post-competition vasodilation, sympathetic vasomotor tone (LF-BPV) and HRV were not associated with the individual performance in our population. The results suggest that PCheS (ventilatory response) predicts individual performance (marathon time and VO2max) in men aged ≥ 50 yeat. Although cause-effect relationship including the role of peripheral chemoreceptors in restraining the post-competition vasodilation via the sympathetic vasoconstrictor outflow may be hypothesized to underline these findings, the lack of correlation between individual performance and both, the post-competition vasodilation and the sympathetic vasomotor tone argues against such explanation. Vascular responsiveness to breath-holding appears to be of certain value for predicting individual performance in this population, however.

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The Influence of Age on Interaction between Breath-Holding Test and Single-Breath Carbon Dioxide Test

Cited by 7 publications

References 28 publications

Maximal Voluntary Breath-Holding Tele-Inspiratory Test in Patients with Chronic Obstructive Pulmonary Disease

Maximal Voluntary Breath-Holding Tele-Inspiratory Test in Patients with Chronic Obstructive Pulmonary Disease

Effects of Combined Spinal Epidural Anaesthesia and Spinal Anaesthesia on Peri-Operative Pulmonary Status in Geriatric Patients in Lower Extremity Surgery

Low ventilatory responsiveness to transient hypoxia or breath-holding predicts fast marathon performance in healthy middle-aged and older men

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