Table 5.
Comparison of cardiopulmonary exercise measures in the group of adults born EP with- or without LVCP, EP-born controls and term-born controls.
| PDA-surgery | EP-born controls | Term-born controls | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Total N = 25 (12 females) |
LVCP n = 13 (5 females) |
No LVCP n = 12 (7 females) |
n
= 30 (17 females) |
n
= 36 (13 females) |
||||||||||
| CPET variables | Mean | 95%CI | Mean | 95%CI | Mean | 95%CI | p a | Mean | 95%CI | p b | Mean | 95%CI | p c | p d |
| Peak heart rate, beat/min | 191 | 185, 197 | 191 | 181, 201 | 191 | 183, 199 | 0.98 | 193 | 190, 196 | 0.54 | 195 | 191, 198 | 0.27 | 0.43 |
| RER at peak exercise, units | 1.24 | 1.21, 1.28 | 1.22 | 1.16, 1.27 | 1.27 | 1.22, 1.31 | 0.16 | 1.27 | 1.23, 1.30 | 0.24 | 1.26 | 1.24, 1.28 | 0.36 | 0.65 |
| Ti/Ttot, % | 51.0 | 49.9, 52.1 | 52.4 | 51.2, 53.6 | 49.4 | 47.8, 51.0 | 0.004 | 49.7 | 48.7, 50.7 | 0.09 | 49.5 | 48.6, 50.3 | 0.03 | 0.75 |
| Breathing reserve, % | 17 | 11, 23 | 20 | 13, 28 | 13 | 3, 23 | 0.19 | 16 | 11, 22 | 0.93 | 11 | 6, 16 | 0.12 | 0.11 |
| Peak respiratory rate, breaths/min | 46 | 42, 50 | 43 | 38, 48 | 49 | 42, 55 | 0.13 | 48 | 44, 51 | 0.47 | 54 | 50, 58 | 0.003 | 0.01 |
| Females | 47 | 41, 53 | 44 | 35, 53 | 50 | 40, 60 | 0.27 | 46 | 42, 51 | 0.76 | 51 | 45, 57 | 0.36 | 0.19 |
| Males | 44 | 39, 50 | 43 | 35, 50 | 47 | 34, 61 | 0.42 | 49 | 44, 54 | 0.18 | 56 | 50, 61 | 0.004 | 0.06 |
| Peak minute ventilation, L/min | 89 | 74, 99 | 90 | 74, 105 | 89 | 75, 103 | 0.94 | 101 | 92, 110 | 0.07 | 134 | 123, 144 | <0.001 | <0.001 |
| Females | 77 | 67, 86 | 72 | 51, 93 | 80 | 66, 94 | 0.43 | 90 | 80, 99 | 0.07 | 102 | 93, 110 | <0.001 | 0.03 |
| Males | 101 | 86, 115 | 101 | 80, 121 | 101 | 68, 135 | 0.95 | 118 | 106, 129 | 0.06 | 152 | 141, 162 | <0.001 | <0.001 |
| Distance, meter | 892 | 805, 978 | 935 | 783, 1,086 | 835 | 779, 890 | 0.19 | 858 | 763, 953 | 0.59 | 1,117 | 1,017, 1,216 | 0.001 | <0.001 |
| Females | 856 | 627, 1,084 | 932 | 305, 1,558 | 780 | 682, 878 | 0.50 | 777 | 667, 887 | 0.49 | 917 | 810, 1,024 | 0.59 | 0.06 |
| Males | 914 | 840, 988 | 936 | 809, 1,063 | 879 | 820, 937 | 0.35 | 964 | 801, 1,127 | 0.55 | 1,230 | 1,104, 1,355 | <0.001 | 0.01 |
| Peak VO2, ml/kg/min | 37.5 | 34.9, 40.2 | 38.5 | 33.6, 43.4 | 36.5 | 33.9, 39.0 | 0.43 | 38.1 | 35.1, 41.1 | 0.76 | 43.6 | 41.0, 46.5 | 0.002 | 0.007 |
| Females | 35.8 | 31.0, 40.5 | 38.1 | 23.9, 52.3 | 34.1 | 31.8, 36.4 | 0.48 | 36.4 | 32.6, 40.2 | 0.82 | 38.5 | 35.0, 42.0 | 0.32 | 0.40 |
| Males | 39.2 | 36.1, 42.3 | 38.8 | 33.7, 43.9 | 39.8 | 35.6, 44.0 | 0.70 | 40.4 | 35.2, 45.5 | 0.67 | 46.6 | 43.3, 49.9 | 0.001 | 0.04 |
| Peak VO2, % of predicted | 79.6 | 73.5, 85.8 | 80.3 | 68.1, 92.4 | 79.0 | 74.9, 79.3 | 0.83 | 83.1 | 76.5, 89.6 | 0.44 | 90.2 | 85.5, 94.9 | 0.007 | 0.08 |
| Females | 85.0 | 73.6, 96.4 | 90.6 | 56.3, 124.9 | 81.0 | 75.5, 86.6 | 0.49 | 87.4 | 78.1, 96.6 | 0.73 | 92.2 | 83.9, 100.4 | 0.28 | 0.41 |
| Males | 74.7 | 68.8, 80.5 | 73.8 | 64.1, 83.5 | 76.1 | 68.3, 83.9 | 0.65 | 77.4 | 67.8, 87.1 | 0.60 | 89.1 | 82.9, 95.3 | 0.001 | 0.04 |
CPET, cardiopulmonary exercise test; EP, Extremely preterm (gestational age <28 weeks and/or birthweight <1,000 g); LVCP, left vocal cord paralysis; PDA, patent ductus arteriosus; RER, respiratory exchange ratio; Ti/Ttot, Inspiratory time/Total inspiratory and expiratory time ratio; VO2, oxygen consumption; 95% CI, 95% confidence interval. Breathing reserve is the difference between maximal voluntary ventilation (FEV1 x 35) and peak minute ventilation reported as the percentage of maximal voluntary ventilation. (p) Independent sample t-test (equal variance not assumed);
LVCP vs. no LVCP;
PDA-surgery group vs. EP-born controls;
PDA-surgery group vs. term-born controls;
EP-born controls vs. term-born controls.