Abstract
Behçet’s disease (BD) has well-defined pulmonary complications, but cardiopulmonary exercise testing and the strength of the respiratory muscles have not been studied in detail. We aimed to investigate the pulmonary functions tests, inspiratory and expiratory muscle strength and endurance, cardiopulmonary exercise test response, and the relationship of these parameters in patients with BD. Forty BD patients and 20 healthy control subjects were recruited for this study. Mean age was 32.95 ± 7.66 years for the BD group and 33.85 ± 6.63 years for the control group with no statistically significant difference. The ratios of slight obstructive ventilatory impairment were 32.5% for the BD group. When the values of pulmonary function tests were compared, no statistically significant difference was found in FEV1/FVC (Forced expiratory volume during the first second/forced vital capacity), or maximal midexpiratory flow rate (all in percent) values between patient and control groups. Maximal inspiratory and expiratory pressures, peak expiratory flow rate (in percent) and maximal voluntary ventilation (in percent) values were significantly lower than those of the control group. Body’s consumption of peak oxygen (VO2peak), oxygen consumption (milliliters per kilogram per minute), anaerobic threshold (AT), maximum exercise ventilation (VEmax), work load values, and exercise test time in the bicycle exercise test were significantly higher in control groups than in patients with BD. The values of heart rate reserve, breathing reserve, and VE/VCO2 at the AT of BD patients were within normal limits We conclude that respiratory and aerobic exercise may be recommended to improve respiratory muscle strength and endurance as well as the aerobic capacity and maximal ventilatory capacity in patients with BD.
Similar content being viewed by others
References
Ghate VJ, Jorizzo JL (2001) Behçet’s Disease. In: Kelley’s textbook of rheumatology, 6th edn. Saunders, Philadelphia, PA, pp 1205–1209
Gunen H, Evereklioglu C, Kosar F (2000) Thoracic involvement in Behçet’s disease and its correlation with multiple parameters. Lung 178:161–170
Eftimiou J, Johnston C, Spiro G (1986) Pulmonary disease in Behçet’s syndrome. Q J Med 58:259–280
Sharma OP (2001) Unusual systemic disorders associated with interstitial lung disease. Curr Opin Pulm Med 7(5):291–294
Erkan F, Cavdar T (1992) Pulmonary vasculitis in Behçet’s disease. Am Rev Respir Dis 146:232–239
Uysal H, Balevi S, Okudan N, Gokbel H (2004) The relationship between HRCT and pulmonary function in Behçet’s disease. Lung 182:9–14
Feyza E (1999) Pulmonary involvement in Behçet’s disease. Curr Opin Pulm Med 5(5):314–318
DeRemee RA (1998) Pulmonary vasculitis. In: Fishman AP (ed) Fishman’s pulmonary diseases and disorders, 3rd edn. McGraw-Hill Professional, New York, pp 1357–1374
Tunac A, Berkmen YM, Gökmen E (1995) Thoracic involvement in Behçet’s disease : pathologic, clinical, and imaging features. AJR Am J Roentgenol 164:51–56
Evans WV, Jenkins RM (1979) Pulmonary function in Bechcet’s syndrome. Scand J Respir Dis 60:314–316
Weber KT (1998) Principles and applications of cardiopulmonary exercise testing. In: Fishman AP (ed) Fishman’s pulmonary diseases and disorders, 3rd edn. McGraw-Hill Professional, New York, pp 576–588
Ruppel G (1994) Lung volume tests. In: Ruppel G (eds) Manual of pulmonary function testing, 6th edn. Mosby, St. Louis, MO, pp 1–25
Celli BR (1989) Clinical and physiological evaluation of respiratory muscle function. Clin Chest Med 10:199–214
Arora NS, Rochester DF (1982) Respiratory muscle strength and maximal voluntary ventilation in undernourished patients. Am Rev Respir Dis 126:5–8
Ünlü M, Akıncıoglu C, Yamaç K, Önder M (2001) Pulmonary involvement in Behçet’s disease: evaluation of 123I-MIBG retention. Nucl Med Commun 22(10):1083–1088
Davies JD (1973) Behçet’s syndrome with haemoptysis and pulmonary lesions. J Pathol 109:351–356
Ahonen AV, Stenius-Aarniale BS, Viljanen BC (1978) Obstructive lung disease in Behçet’s syndrome. Scand J Respir Dis 59(1):44–50
Dilsen N, Cavdar T, Aral O (1991) Pulmonary involvement in Behçet’s disease in Turkey. In: O’Duffy JD (ed) Behçet’s disease: basic and clinical aspects. McGraw-Hill Professional, New York, pp 195–203
Rochester DF, Arora NS (1983) Respiratory muscle failure. Med Clin North Am 67:573–597
Braun NMT, Arora NS, Rochester DF (1983) Respiratory muscle and pulmonary function in proximal myopathies. Thorax 38:616
Wasserman K (2005) Normal values. In: Principles of exercise testing and interpretation. Lippincott Williams & Wilkins, Philadelphia, PA, pp 160–182
Glass SC (2006) Cardiopulmonary adaptations to exercise. In: ACSM’s resource manual for guidelines for exercise testing and prescription, 5th edn. Lippincott Williams & Wilkins, Philadelphia, PA, pp 313–335
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Gökoğlu, F., Yorgancioğlu, Z.R., Üstün, N. et al. Evaluation of pulmonary function and bicycle ergometry tests in patients with Behçet’s disease. Clin Rheumatol 26, 1421–1425 (2007). https://doi.org/10.1007/s10067-006-0508-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-006-0508-7