Scientific article
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English

Comparing methods to measure the dispersion of breathing parameters during exercise testing: A simulation study based on real‐life parameters from patients with dysfunctional breathing

Published inPhysiological Reports, vol. 13, no. 5, e70233
Publication date2025-03
First online date2025-02-28
Abstract

The dispersion of the tidal volume and of the breathing frequency have been used to diagnose dysfunctional breathing during cardio-pulmonary exercise testing. No validated methods to objectively describe this dispersion exist. We aimed to validate such a method. We used simulations based on real-life parameters. Moving standard deviation (MSD) and residuals from locally estimated scatterplot smoothing (LOESS) were evaluated. The precision and the bias of each tested method at rest and during exercise simulations, with and without sighs, were measured. For LOESS, a 2nd degree polynomial was used, and different spans were tested (LOESS1, LOESS0.75, and LOESS0.5). For MSD, different number of points used for the calculation were tested (MSD7, MSD11, MSD15, and MSD19). The LOESS method was globally more precise, had less bias, and was less influenced by the trend as compared to MSD in almost all simulations except for extremely low dispersion combined with extreme trends. LOESS0.75 had intermediate bias and precision between LOESS0.5 and LOESS1 in all simulations. LOESS0.75 is a method that combines high precision, low bias, and low influenceability of trends. It could be considered as the method of choice to evaluate the dispersion of breathing parameters during cardiopulmonary exercise testing.

Keywords
  • Abnormal breathing pattern
  • Cardio‐pulmonary exercise testing
  • Dispersion
  • Dysfunctional breathing
  • Simulations
Funding
  • Fondation Lancardis
  • The Fondation Rankers Hartmann
  • Ligue Pulmonaire Genevoise
  • Ligue Pulmonaire Valaisanne
Citation (ISO format)
GENECAND, Léon et al. Comparing methods to measure the dispersion of breathing parameters during exercise testing: A simulation study based on real‐life parameters from patients with dysfunctional breathing. In: Physiological Reports, 2025, vol. 13, n° 5, p. e70233. doi: 10.14814/phy2.70233
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accessLevelPublic
Identifiers
Journal ISSN2051-817X
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Technical informations

Creation23/03/2025 01:35:10
First validation30/07/2026 12:52:15
Update30/07/2026 12:52:15
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