Main variables | Physiological/perceptual variables | Reference values | Safety | Facilities | Multicentre trials experience | Prognostic information | Remarks | |
IET | V′O2peak, WRpeak, θL and V′E–V′CO2 indices | V′O2, V′E, WR, HR, θL, V′E–V′CO2 indices, SpO2, dyspnoea, leg fatigue, IC, flow–volume and blood analysis | Available for V′O2peak, WRpeak, HRpeak and V′E–V′CO2 indices | 2–5/100 000 severe accidents; monitoring and CPR available or at hand recommended | Cycle or treadmill, a room, metabolic system, cardiac monitoring and pulse oximeter | +++ | Survival | Relatively expensive; additional measurements easier on cycle |
CWRET | tLIM, isotime IC and perceptions | Isotime V′O2, V′E, WR, HR, SpO2, dyspnoea, leg fatigue, flow–volume and blood analysis, IC and others | Good; monitoring and CPR available or at hand recommended# | Cycle or treadmill, a room, metabolic system or spirometer, cardiac monitoring and pulse oximeter | +++ | Relatively expensive; can be performed without metabolic system; additional measurements easier on cycle | ||
ISWT | Distance and dyspnoea | HR, SpO2, dyspnoea and leg fatigue¶ | Available | Not measured; monitoring and CPR available or at hand recommended# | 10-m corridor and pulse oximeter | ++ | Survival re-admission (in COPD) | Audio signal under copyright; walk tests induce more desaturation |
ESWT | Time or distance, dyspnoea | HR, SpO2, dyspnoea, leg fatigue¶ | Good; monitoring and CPR available or at hand recommended# | 10-m corridor and pulse oximeter | ++ | Audio signal under copyright; walking tests induce more desaturation | ||
6MWT | Distance and dyspnoea | HR, SpO2, dyspnoea and leg fatigue¶ | Available | Good; not as much experience as with laboratory tests; monitoring and CPR available or at hand recommended# | 30-m corridor and pulse oximeter | +++ | Survival; hospitalisation and exacerbations (in COPD) | Dependent on encouragement and track length and layout; walk tests induce more desaturation |
IET: incremental exercise test; CWRET: constant work-rate exercise test; ISWT: incremental shuttle walk test; ESWT: endurance shuttle walk test; 6MWT: 6-min walk test; V′O2peak: peak oxygen uptake; WRpeak: peak work-rate (or peak power); θL: lactate threshold; V′E–V′CO2: ventilation–CO2 output indices; V′O2: oxygen uptake; V′E: minute ventilation; WR: work-rate; HR: heart rate; SpO2: arterial oxygen saturation measured by pulse oximetry; IC: inspiratory capacity; HRpeak: peak heart rate; CPR: cardiopulmonary resuscitation; tLIM: time to the limit of tolerance, typically for constant work-rate tests; COPD: chronic obstructive pulmonary disease. #: CWRT and ESWT are usually performed after an IET or a ISWT, respectively, in which the safety of exercising is assessed; ¶: additional physiological information if a portable (expensive) metabolic system is used.