Article

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.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS