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S125 A Comparison Between Weight Supported And Unsupported Exercise On Energy Expenditure And Cardiorespiratory Response During Exercise In Obese Adults With Treated Obstructive Sleep Apnoea

2014· article· en· W1965041074 on OpenAlexaff
Rachael A Evans, Thomas E. Dolmage, Priscila Robles, Deborah Brooks, Roger Goldstein

Bibliographic record

VenueThorax · 2014
Typearticle
Languageen
FieldMedicine
TopicObstructive Sleep Apnea Research
Canadian institutionsWest Park Healthcare Centre
Fundersnot available
KeywordsCardiorespiratory fitnessMedicineEnergy expenditureTreadmillPhysical therapyVentilatory thresholdCyclingVO2 maxCardiologyInternal medicineMetabolic equivalentIncremental exerciseHeart ratePhysical activityBlood pressure

Abstract

fetched live from OpenAlex

<h3>Background</h3> Weight loss and improving cardiorespiratory fitness are key treatment outcomes for obese individuals with Obstructive Sleep Apnoea (OSA). We investigated the total energy expenditure and cardiorespiratory response to weight supported (cycling) and unsupported (walking) at two different intensities. <h3>Methods</h3> Individuals with treated OSA and a BMI &gt;30 kg/m<sup>2</sup> performed an incremental cardiopulmonary exercise test on a cycle ergometer (ICE) and a treadmill (ITM) with expired gas analysis to determine the peak oxygen uptake (VO<sub>2</sub>pk). Participants completed two endurance tests on each modality matched at 80% and 60% of the highest VO<sub>2</sub>pk determined by the incremental tests. The cardiorespiratory responses were measured and total energy expenditure was estimated from the VO<sub>2</sub>. <h3>Results</h3> 16 participants (8 male) completed all six tests: mean [SD] age 57[13]y and median [IQ range] BMI 33.3[30.8 to 35.3]kg·m<sup>-2</sup>. The VO<sub>2</sub>pk on the ITM vs ICE was 2268[574] vs 1775[430]ml·min<sup>-1</sup>, respectively. Participants endured treadmill walking at 80% and 60% VO<sub>2</sub>pk for four and nearly three times as long, respectively, compared to cycling with similar cardiovascular responses. The pattern of energy expenditure during rest, exercise and recovery at matched intensities (Figure 1) was similar between modalities at matched intensities. Total energy expenditure during treadmill walking was greater than cycling at both high (158[101] versus 29[15]kcal) and moderate (178[100] versus 85[59]kcal) intensities. For a thrice weekly exercise regimen of at least moderate intensity, treadmill exercise would typically result in a total of 388 and 277 kcal/week greater energy expenditure than cycle exercise at 80% and 60% VO<sub>2</sub>pk, respectively. <h3>Conclusion</h3> Contrary to current guidelines, walking might be the preferred training modality for achieving the combination of weight loss and increased cardiorespiratory fitness in obese adults with OSA.

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How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.088
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.012
GPT teacher head0.269
Teacher spread0.257 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2014
Admission routes1
Has abstractyes

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