Obtaining a formula that improves maximum oxygen consumption estimation in cycle ergometer exercise tests

© 2014 Elsevier España, S.L.U. and SEMNIM. Objectives: To evaluate if the estimation of the maximal oxygen consumption (MO<inf>2</inf>C) in METs (metabolic equivalents) by means of the table proposed in the guidelines of the Spanish Society of Cardiology is a sufficiently reliable method when applied to the bicycle exercise test. Material and methods: The MO<inf>2</inf>C in METs was obtained by gas-exchange analysis on bicycle ergometer tests in 97 healthy subjects (group i). It was compared with the estimate of METs using the table in which only watts and patient's weight were included. A better-adjusted formula was validated in 289 subjects with normal exercise myocardial perfusion gated-SPECT (group ii) using the introduction of clinical and ergometric variables. Results: In group i individuals a good correlation between METs estimated with the table and those obtained through gas-exchange analysis (CCI: 0.93) was observed. However, the best adjusted formula to estimate METs in group ii subjects included watts, body mass index (BMI), age and gender (METS. = 11.820 - 0.054. ×. age - 0.189 × BMI + 1.031 × gender + 0.020 × watts) (women: 0, men: 1). This formula allowed the reclassification of 46.9% of group ii subjects into the category < 5. METs versus the estimation by table. Conclusions: Estimating the METs with the conventional table is reliable. However, the best adjustment in subjects with normal bicycle exercise SPECT was obtained when, in addition to watts and BMI, age and gender were also considered.