TY - JOUR T1 - Exertional dyspnoea in obesity JF - European Respiratory Review JO - EUROPEAN RESPIRATORY REVIEW SP - 487 LP - 495 DO - 10.1183/16000617.0081-2016 VL - 25 IS - 142 AU - Vipa Bernhardt AU - Tony G. Babb Y1 - 2016/12/01 UR - http://err.ersjournals.com/content/25/142/487.abstract N2 - The purpose of cardiopulmonary exercise testing (CPET) in the obese person, as in any cardiopulmonary exercise test, is to determine the patient's exercise tolerance, and to help identify and/or distinguish between the various physiological factors that could contribute to exercise intolerance. Unexplained dyspnoea on exertion is a common reason for CPET, but it is an extremely complex symptom to explain. Sometimes obesity is the simple answer by elimination of other possibilities. Thus, distinguishing among multiple clinical causes for exertional dyspnoea depends on the ability to eliminate possibilities while recognising response patterns that are unique to the obese patient. This includes the otherwise healthy obese patient, as well as the obese patient with potentially multiple cardiopulmonary limitations. Despite obvious limitations in lung function, metabolic disease and/or cardiovascular dysfunction, obesity may be the most likely reason for exertional dyspnoea. In this article, we will review the more common cardiopulmonary responses to exercise in the otherwise healthy obese adult with special emphasis on dyspnoea on exertion.Obesity alone and/or as a confounding factor may contribute to DOE requiring careful assessment during CPET http://ow.ly/Secp305mId2 ER -