ArticleEuropean journal of applied physiology2026
Metabolic cost of external work: a novel CPET parameter optimises characterisation of exercise performance in obese individuals.
Article in European journal of applied physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- The Mediating Role of Adiposity in the Association Between Respiratory Muscle Strength and Exercise Energy Expenditure in Adult Women: A Cross-Sectional Study.Journal of clinical medicine · 2026Article
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9 authors.
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Abstract
purposeBoth obesity and cardiorespiratory fitness are crucial determinants of symptoms and prognosis. However, interpreting the gold-standard cardiopulmonary exercise test (CPET) is complicated by increasing body size and varying body composition. We hypothesised that the 'metabolic cost of external work' (or oxygen uptake (ml/min)/workload (Watts); V̇O
methodsA test cohort of 160 fit individuals underwent anthropomorphic and metabolic assessment, maximal bicycle ergometer CPET, and six-minute walk test (6MWT). V̇O
resultsIn both test and validation cohort, V̇O
conclusionMetabolic cost is strongly associated with functional capacity and metabolic health across a range of body weight and fitness, outperforming standard CPET metrics. It is a simple measure which may improve our assessment of the extent to which exertional symptoms are determined by metabolic factors in an individual, and thereby target the most appropriate intervention to those who will benefit most.
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