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Table 4 Changes in exercise testing after a 3-week combination therapy with ghrelin and dietary medium-chain triglycerides (N = 10)

From: A phase II, open-label clinical trial on the combination therapy with medium-chain triglycerides and ghrelin in patients with chronic obstructive pulmonary disease

 

Pre-treatment

At 3 weeks

At 7 weeks

p value

6-MWD, m

304 (104)

347 (99)*

351 (107)*

0.0107

CPET, at peak exercise

 \( V_{{{\text{O}}_{2} }}^{{\prime }} \), mL/min/kg

10.9 (2.6)

11.5 (2.2)

11.8 (2.2)

0.1873

 \( V_{{{\text{O}}_{2} }}^{{\prime }} \), mL/min

495.1 (109.6)

543.1 (122.8)

562.3 (109.1)*

0.0120

 Endurance time, s

333 (157)

400 (112)**

389 (107)*

0.0065

 Dyspnea (Borg scale)

5.7 (1.2)

6.5 (1.8)

5.8 (2.0)

0.1078

 Leg discomfort (Borg scale)

4.8 (2.6)

4.1 (2.3)

3.9 (2.6)

0.3907

 VT, L

0.86 (0.17)

0.92 (0.14)

0.95 (0.14)

0.0838

 fR, breaths/min

30 (7)

30 (6)

28 (6)

0.0442

 V′E, L/min

24.9 (6.1)

28.0 (7.7)*

26.6 (7.3)

0.0141

 \( \Delta {\text{F}}_{{{\text{O}}_{ 2} }} \),  %

2.48 (0.40)

2.41 (0.26)

2.62 (0.34)†

0.0349

 VD/VT

0.43 (0.06)

0.44 (0.03)

0.43 (0.05)

0.6099

 V′E/\( V_{{{\text{O}}_{2} }}^{{\prime }} \)

50.7 (7.9)

51.4 (5.4)

47.1 (6.8)*††

0.0051

 V′E/\( V_{{{\text{CO}}_{2} }}^{{\prime }} \)

50.8 (6.9)

49.1 (4.9)

47.7 (6.3)

0.0824

 R

1.00 (0.07)

1.05 (0.09)**

0.99 (0.08)†††

0.0004

 HR, beats/min

114 (20)

121 (20)*

116 (19)

0.0296

 O2 pulse, mL/beats

4.3 (0.5)

4.5 (0.6)

4.9 (0.8)**†

0.0043

 SpO2,  %

90.7 (5.7)

89.5 (3.7)

91.0 (4.0)

0.3575

  1. Two patients performed CPET while breathing the same \( {\text{Fi}}_{{{\text{O}}_{ 2} }} \) of 24% pre-treatment and post-treatment. Data are presented as means (SD)
  2. The resultant p values are represented. The variables were tested by a linear mixed effect model
  3. CPET cardiopulmonary exercise testing, \( \Delta F_{{O_{2} }} \): inspired oxygen concentration (FiO2) minus expired oxygen concentration (FeO2), fR breathing frequency, HR heart rate, 6-MWD 6-min walk distance, R respiratory quotient, SpO2 percutaneous oxygen saturation, VD/VT physiologic dead space/tidal volume ratio, V’E minute ventilation, \( V_{{CO_{2} }}^{\prime } \) carbon dioxide output, \( V_{{O_{2} }}^{\prime } \) oxygen uptake, O2pulse\( V_{{{\text{O}}_{2} }}^{{\prime }} \)/HR, VT tidal volume
  4. *p < 0.05, **p < 0.01, by the least squares means Tukey’s honestly significant difference test, compared with pre-treatment values
  5. †p < 0.05, ††p < 0.01, †††p < 0.001, by the least squares means Tukey’s honestly significant difference test, compared with the values at 3 weeks