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Central European Journal of Sport Sciences and Medicine
Vol. 53, No. 1/2026
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Mechanisms of Exercise Limitation during Incremental Testing in Postmenopausal Obesity: A Cardiopulmonary Case Series

DOI: 10.18276/cej.2026.1-02
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ISSN:2300-9705
eISSN:2353-2807
Autorzy: Matteo Pusceddu ORCID
Department of Human Sciences and Promotion of Quality of Life, San Raffaele Open University, 00166 Rome, Italy

Faranak Balaghi Inaloo ORCID
Department of Exercise Physiology, Faculty of Sports Sciences, Hakim Sabzevari University, Sabzevar, Iran
Słowa kluczowe: obesity postmenopausal women incremental exercise testing cardiopulmonary exercise testing metabolic response respiratory exchange ratio
Data wydania numeru / monografii:2026
Liczba stron:9 (17-25)
OAI-PMH:Metadane
CC BY-SA Open Access DOAJ Scopus Diamond Discovery Hub
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Abstrakt

Background: Obese postmenopausal women are at high risk for cardiometabolic disease, yet the specific physiological patterns of their exercise intolerance remain poorly described. Emerging evidence suggests that this intolerance reflects the combined effects of reduced cardiovascular reserve, impaired metabolic flexibility, and autonomic dysregulation, which may be detectable using cardiopulmonary exercise testing (CPET). This case series aimed to characterize the cardiorespiratory and metabolic responses to graded exercise in this population. Case summary: We present nine sedentary, obese postmenopausal women (mean age 56.78±9.02 years; BMI 33.87±3.8 kg/m²) who underwent maximal cardiopulmonary exercise testing using graded cycle ergometry. Key parameters (VO₂, VCO₂, respiratory exchange ratio (RER), heart rate (HR), and O₂ pulse) were recorded at rest (Rest.3), the anaerobic threshold (AT), maximum workload (Wmax), and at 1 (Rec.1) and 3 (Rec.3) minutes into recovery. Results revealed severely impaired functional capacity, with peak oxygen uptake (VO₂max) ranging from (4±1) to (16±3) ml/kg/min. Key findings included profound metabolic inflexibility (high resting and recovery RER) and delayed heart rate recovery, indicative of autonomic dysfunction. Conclusion: This case series highlights a triad of physiological impairments including reduced cardiovascular reserve, metabolic inflexibility, and autonomic dysfunction that contribute to severe exercise intolerance in obese postmenopausal women. These findings support the clinical value of CPET for identifying individual-specific physiological limitations and guiding personalized exercise interventions in this high-risk population.

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Bibliografia (30)
  1. Andersen, P., & Henriksson, J. (1977). Capillary supply of the quadriceps femoris muscle of man: Adaptive response to exercise. The Journal of Physiology, 270(3), 677–690. https://doi.org/10.1113/jphysiol.1977.sp011975
  2. Bray, G. A., Kim, K. K., Wilding, J. P. H., & World Obesity Federation. (2017). Obesity: A chronic relapsing progressive disease process. A position statement of the World Obesity Federation. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 18(7), 715–723. https://doi.org/10.1111/obr.12551
  3. Brooks, G. A. (1986). The lactate shuttle during exercise and recovery. Medicine and Science in Sports and Exercise, 18(3), 360–368. https://doi.org/10.1249/00005768-198606000-00019
  4. Calle, E. E., & Kaaks, R. (2004). Overweight, obesity and cancer: Epidemiological evidence and proposed mechanisms. Nature Reviews. Cancer, 4(8), 579–591. https://doi.org/10.1038/nrc1408
  5. Cole, C. R., Blackstone, E. H., Pashkow, F. J., Snader, C. E., & Lauer, M. S. (1999). Heart-rate recovery immediately after exercise as a predictor of mortality. The New England Journal of Medicine, 341(18), 1351–1357. https://doi.org/10.1056/NEJM199910283411804
  6. Crisafulli, A., Piras, F., Chiappori, P., Vitelli, S., Caria, M. A., Lobina, A., Milia, R., Tocco, F., Concu, A., & Melis, F. (2007). Estimating stroke volume from oxygen pulse during exercise. Physiological Measurement, 28(10), 1201–1212. https://doi.org/10.1088/0967-3334/28/10/006
  7. Després, J.-P. (2012). Body fat distribution and risk of cardiovascular disease: An update. Circulation, 126(10), 1301–1313. https://doi.org/10.1161/CIRCULATIONAHA.111.067264
  8. Donnelly, J. E., Blair, S. N., Jakicic, J. M., Manore, M. M., Rankin, J. W., Smith, B. K., & American College of Sports Medicine. (2009). American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine and Science in Sports and Exercise, 41(2), 459–471. https://doi.org/10.1249/MSS.0b013e3181949333
  9. Du Bois, D., & Du Bois, E. F. (1989). A formula to estimate the approximate surface area if height and weight be known. 1916. Nutrition, 5(5), 303–311; discussion 312-313.
  10. Gagnier, J. J., Kienle, G., Altman, D. G., Moher, D., Sox, H., Riley, D., & the CARE Group. (2013). The CARE guidelines: Consensus-based clinical case reporting guideline development. Journal of Medical Case Reports, 7(1), 223. https://doi.org/10.1186/1752-1947-7-223
  11. Haddock, B. L., Hopp, H. P., Mason, J. J., Blix, G., & Blair, S. N. (1998). Cardiorespiratory fitness and cardiovascular disease risk factors in postmenopausal women. Medicine and Science in Sports and Exercise, 30(6), 893–898. https://doi.org/10.1097/00005768-199806000-00018
  12. Hall, K. D., Sacks, G., Chandramohan, D., Chow, C. C., Wang, Y. C., Gortmaker, S. L., & Swinburn, B. A. (2011). Quantification of the effect of energy imbalance on bodyweight. Lancet, 378(9793), 10.1016/S0140-6736(11)60812-X. https://doi.org/10.1016/S0140-6736(11)60812-X
  13. Haslam, D. W., & James, W. P. T. (2005). Obesity. Lancet (London, England), 366(9492), 1197–1209. https://doi.org/10.1016/S0140-6736(05)67483-1
  14. Hill, J. O., Wyatt, H. R., & Peters, J. C. (2012). Energy balance and obesity. Circulation, 126(1), 126–132. https://doi.org/10.1161/CIRCULATIONAHA.111.087213
  15. Hotamisligil, G. S. (2006). Inflammation and metabolic disorders. Nature, 444(7121), 860–867. https://doi.org/10.1038/nature05485
  16. Hruby, A., & Hu, F. B. (2015). The Epidemiology of Obesity: A Big Picture. PharmacoEconomics, 33(7), 673–689. https://doi.org/10.1007/s40273-014-0243-x
  17. Hulens, M., Vansant, G., Lysens, R., Claessens, A. L., & Muls, E. (2001). Exercise capacity in lean versus obese women. Scandinavian Journal of Medicine & Science in Sports, 11(5), 305–309. https://doi.org/10.1034/j.1600-0838.2001.110509.x
  18. Jakicic, J. M., Rogers, R. J., Davis, K. K., & Collins, K. A. (2018). Role of Physical Activity and Exercise in Treating Patients with Overweight and Obesity. Clinical Chemistry, 64(1), 99–107. https://doi.org/10.1373/clinchem.2017.272443
  19. Larsen, F. J., Schiffer, T. A., Sahlin, K., Ekblom, B., Weitzberg, E., & Lundberg, J. O. (2011). Mitochondrial oxygen affinity predicts basal metabolic rate in humans. The FASEB Journal, 25(8), 2843–2852. https://doi.org/10.1096/fj.11-182139
  20. Lavie, C. J., Arena, R., Swift, D. L., Johannsen, N. M., Sui, X., Lee, D., Earnest, C. P., Church, T. S., O’Keefe, J. H., Milani, R. V., & Blair, S. N. (2015). Exercise and the Cardiovascular System: Clinical Science and Cardiovascular Outcomes. Circulation Research, 117(2), 207–219. https://doi.org/10.1161/CIRCRESAHA.117.305205
  21. Lavie, C. J., Milani, R. V., & Ventura, H. O. (2009). Obesity and cardiovascular disease: Risk factor, paradox, and impact of weight loss. Journal of the American College of Cardiology, 53(21), 1925–1932. https://doi.org/10.1016/j.jacc.2008.12.068
  22. Liguori, G., & Medicine, A. C. of S. (2022). ACSM’s Guidelines for Exercise Testing and Prescription. LWW.
  23. Monferrer-Marín, J., Roldán, A., Helge, J. W., & Blasco-Lafarga, C. (2024). Metabolic flexibility and resting autonomic function in active menopausal women. European Journal of Applied Physiology, 124(12), 3649–3659. https://doi.org/10.1007/s00421-024-05568-2
  24. Sánchez-Delgado, J. C., Jácome-Hortúa, A. M., Yoshida de Melo, K., Aguilar, B. A., Vieira Philbois, S., & Dutra de Souza, H. C. (2023). Physical Exercise Effects on Cardiovascular Autonomic Modulation in Postmenopausal Women—A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 20(3), 2207. https://doi.org/10.3390/ijerph20032207
  25. Swift, D. L., Johannsen, N. M., Lavie, C. J., Earnest, C. P., & Church, T. S. (2014). The role of exercise and physical activity in weight loss and maintenance. Progress in Cardiovascular Diseases, 56(4), 441–447. https://doi.org/10.1016/j.pcad.2013.09.012
  26. Turnbaugh, P. J., Hamady, M., Yatsunenko, T., Cantarel, B. L., Duncan, A., Ley, R. E., Sogin, M. L., Jones, W. J., Roe, B. A., Affourtit, J. P., Egholm, M., Henrissat, B., Heath, A. C., Knight, R., & Gordon, J. I. (2009). A core gut microbiome in obese and lean twins. Nature, 457(7228), 480–484. https://doi.org/10.1038/nature07540
  27. Vasconcelos, A. R. de, Guimarães, F. J. de S. P., Cruz, P. W. da S., Carvalho, M. J. M. C. B. de, Brito, A. de F., Costa, K. B., Figueiredo, L. S., Schwingel, P. A., Vancea, D. M. M., & Costa, M. da C. (2025). Sarcopenia and Functional Decline in Postmenopausal Women: The Roles of Type 2 Diabetes and Physical Activity. Medical Sciences, 13(4), 268. https://doi.org/10.3390/medsci13040268
  28. Westcott, W. L. (2012). Resistance training is medicine: Effects of strength training on health. Current Sports Medicine Reports, 11(4), 209–216. https://doi.org/10.1249/JSR.0b013e31825dabb8
  29. Woodward, A., Mason-Jones, A. J., Faires, M., Jones, V., & Beaumont, A. (2025). Effect of Physical Activity on Cardiorespiratory Fitness and Markers of Cardiovascular Disease Risk During Menopause: A Systematic Review and Meta-Analysis of Randomised-Controlled Trials. Journal of Science in Sport and Exercise. https://doi.org/10.1007/s42978-025-00343-x
  30. World Health Organization Obesity and Overweight. (2025, September 12). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight