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Editorials |

Survival and Physical Activity in COPDSurvival and Physical Activity in COPD: A Giant Leap Forward!

Emiel F. M. Wouters, PhD, MD, FCCP; Frits M. E. Franssen, MD, PhD; Martijn A. Spruit, PhD
Author and Funding Information

From the Department of Respiratory Medicine (Dr Wouters), Maastricht University Medical Centre (MUMC+); and the Program Development Centre (Drs Wouters, Franssen, and Spruit), CIRO+, Center of Expertise for Chronic Organ Failure.

Correspondence to: Emiel F. M. Wouters, PhD, MD, FCCP, Department of Respiratory Medicine, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands; e-mail: e.wouters@mumc.nl


Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2011 American College of Chest Physicians


Chest. 2011;140(2):279-281. doi:10.1378/chest.11-0521
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Extract

For many decades, cardiopulmonary exercise testing has been considered essential to make the correct diagnosis of exercise limitation and to plan rational treatment in patients with COPD. Indeed, laboratory exercise testing offers clinicians and researchers the unique opportunity to study simultaneously the cellular, cardiovascular, and ventilatory system responses under conditions of precisely controlled metabolic stress. Maximum incremental exercise testing is still widely performed in the respiratory and cardiovascular evaluation of symptoms and disability, and exercise physiologic examination is dominated by the assessment of maximum oxygen uptake, maximum exercise heart rate, or maximum exercise ventilation.

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