Using a Contemporary Portable Metabolic Gas Exchange System for Assessing Energy Expenditure: A Validity and Reliability Study

oleh: Holly L. McClung, William J. Tharion, Leila A. Walker, Maxwell N. Rome, Reed W. Hoyt, David P. Looney

Format: Article
Diterbitkan: MDPI AG 2023-02-01

Deskripsi

There are several methods available to assess energy expenditure, all associated with inherent pros and cons that must be adequately considered for use in specific environments and populations. A requirement of all methods is that they must be valid and reliable in their capability to accurately measure oxygen consumption (VO<sub>2</sub>) and carbon dioxide production (VCO<sub>2</sub>). The purpose of this study was to evaluate the reliability and validity of the mobile CO<sub>2</sub>/O<sub>2</sub> Breath and Respiration Analyzer (COBRA) relative to a criterion system (Parvomedics TrueOne 2400<sup>®</sup>, PARVO) with additional measurements to compare the COBRA to a portable system (Vyaire Medical, Oxycon Mobile<sup>®</sup>, OXY). Fourteen volunteers with a mean of 24 years old, body weight of 76 kg, and a VO<sub>2peak</sub> of 3.8 L∙min<sup>−1</sup> performed four repeated trials of progressive exercises. Simultaneous steady-state measurements of VO<sub>2</sub>, VCO<sub>2</sub>, and minute ventilation (V<sub>E</sub>) by the COBRA/PARVO and OXY systems were conducted at rest, while walking (23–36% VO<sub>2peak</sub>), jogging (49–67% VO<sub>2peak</sub>), and running (60–76% VO<sub>2peak</sub>). Data collection was randomized by the order of system tested (COBRA/PARVO and OXY) and was standardized to maintain work intensity (rest to run) progression across study trials and days (two trials/day over two days). Systematic bias was examined to assess the accuracy of the COBRA to PARVO and OXY to PARVO across work intensities. Intra- and inter-unit variability were assessed with interclass correlation coefficients (ICC) and a 95% limit of agreement intervals. The COBRA and PARVO produced similar measures for VO<sub>2</sub> (Bias ± SD, 0.01 ± 0.13 L·min<sup>−1</sup>; 95% LoA, (−0.24, 0.27 L·min<sup>−1</sup>); R<sup>2</sup> = 0.982), VCO<sub>2</sub> (0.06 ± 0.13 L·min<sup>−1</sup>; (−0.19, 0.31 L·min<sup>−1</sup>); R<sup>2</sup> = 0.982), V<sub>E</sub> (2.07 ± 2.76 L·min<sup>−1</sup>; (−3.35, 7.49 L·min<sup>−1</sup>); R<sup>2</sup> = 0.991) across work intensities. There was a linear bias across both the COBRA and OXY with increased work intensity. The coefficient of variation for the COBRA ranged from 7 to 9% across measures for VO<sub>2</sub>, VCO<sub>2</sub>, and V<sub>E</sub>. COBRA was reliable across measurements for VO<sub>2</sub> (ICC = 0.825; 0.951), VCO<sub>2</sub> (ICC = 0.785; 0.876), and V<sub>E</sub> (ICC = 0.857; 0.945) for intra-unit reliability, respectively. The COBRA is an accurate and reliable mobile system for measuring gas exchange at rest and across a range of work intensities.