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Topic:Respiratory Health

Respiratory health in horses encompasses the study of the equine respiratory system, its function, and the various conditions that can affect it. The respiratory system in horses includes the upper airways, lungs, and associated structures, which facilitate gas exchange and are vital for maintaining physiological homeostasis during rest and exercise. Common respiratory conditions in horses include equine asthma, infectious diseases like strangles, and exercise-induced pulmonary hemorrhage (EIPH). These conditions can impact a horse's performance and overall health. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, pathophysiology, and management of respiratory health in horses.
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2021.
Equine veterinary journal    August 26, 2021   Volume 53 Suppl 55 5-39 doi: 10.1111/evj.13492
No abstract available
Effect of different inspired fractions of oxygen on F-shunt and arterial partial pressure of oxygen in isoflurane-anaesthetized and mechanically ventilated Shetland ponies.
Veterinary anaesthesia and analgesia    August 13, 2021   Volume 48, Issue 6 930-934 doi: 10.1016/j.vaa.2021.05.005
Calero Rodriguez A, de Grauw JC, van Loon JPAM.To determine the effect of fraction of inspired oxygen (FiO) on intrapulmonary shunt fraction as measured by F-shunt in ponies during isoflurane anaesthesia. Methods: Prospective, randomized clinical study. Methods: A group of 23 adult Shetland ponies undergoing a total of 32 anaesthetic procedures. Methods: Ponies were premedicated intravenously (IV) with detomidine (0.01 mg kg) and either morphine (0.1 mg kg) or butorphanol (0.02 mg kg). Anaesthesia was induced with ketamine (2.2 mg kg) and midazolam (0.07 mg kg) administered IV. Ponies were randomly allocated to maintenance of anaesthesia w...
Electrical impedance tomography to measure lung ventilation distribution in healthy horses and horses with left-sided cardiac volume overload.
Journal of veterinary internal medicine    August 4, 2021   Volume 35, Issue 5 2511-2523 doi: 10.1111/jvim.16227
Sacks M, Byrne DP, Herteman N, Secombe C, Adler A, Hosgood G, Raisis AL, Mosing M.Left-sided cardiac volume overload (LCVO) can cause fluid accumulation in lung tissue changing the distribution of ventilation, which can be evaluated by electrical impedance tomography (EIT). Objective: To describe and compare EIT variables in horses with naturally occurring compensated and decompensated LCVO and compare them to a healthy cohort. Methods: Fourteen adult horses, including university teaching horses and clinical cases (healthy: 8; LCVO: 4 compensated, 2 decompensated). Methods: In this prospective cohort study, EIT was used in standing, unsedated horses and analyzed for convent...
Some Genetic and Environmental Effects on Equine Asthma in Polish Konik Horses.
Animals : an open access journal from MDPI    August 3, 2021   Volume 11, Issue 8 2285 doi: 10.3390/ani11082285
Borowska A, Wolska D, Niedzwiedz A, Borowicz H, Jaworski Z, Siemieniuch M, Szwaczkowski T.Current knowledge of the genetic and environmental backgrounds of equine asthma seems to be insufficient, especially for primitive horse breeds. The main objectives of this study were to estimate the effects of sex, birth period, stud, parentage line and inbreeding on asthma morbidity in Polish Konik horses. Records of 274 horses (housed in two studs) were analysed. These animals were allocated to maternal and paternal lines. Individual inbreeding coefficients were extracted from the additive relationship matrix. Horses underwent diagnosis based on observation of the basic symptoms (high frequ...
Total Intravenous Anaesthesia with Ketamine, Medetomidine and Midazolam as Part of a Balanced Anaesthesia Technique in Horses Undergoing Castration.
Veterinary sciences    July 26, 2021   Volume 8, Issue 8 142 doi: 10.3390/vetsci8080142
Cunneen A, Pratt S, Perkins N, McEwen M, Truchetti G, Rainger J, Farry T, Kidd L, Goodwin W.To evaluate the use of ketamine-medetomidine-midazolam total intravenous infusion as part of a balanced anaesthetic technique for surgical castration in horses. Five healthy Standardbred cross colts were premedicated with IV acepromazine (0.01-0.02 mg/kg), medetomidine (7 µg/kg) and methadone (0.1 mg/kg) and anaesthesia induced with IV ketamine (2.2 mg/kg) and midazolam (0.06 mg/kg). Horses were anaesthetised for 40 min with an IV infusion of ketamine (3 mg/kg/h), medetomidine (5 µg/kg/h) and midazolam (0.1 mg/kg/h) while routine surgical castration was performed. Cardiorespiratory variables...
Evaluation of the airway mechanics of modified toggle laryngoplasty constructs using a vacuum chamber airflow model.
Veterinary surgery : VS    July 26, 2021   Volume 50, Issue 7 1409-1417 doi: 10.1111/vsu.13690
Gray SM, Gutierrez-Nibeyro SD, Couëtil LL, Horn GP, Kesler RM, McCoy AM, Stewart MC, Schaeffer DJ.To evaluate the airway mechanics of modified toggle LP constructs in an airflow chamber model and compare these to the airway mechanics of standard LP constructs. Methods: Ex-vivo experimental study. Methods: Fifty-one equine cadaveric larynges. Methods: Bilateral LP constructs were performed using a modified toggle (n = 23) or a standard (n = 21) LP technique. Constructs were tested in an airflow model before and after cyclic loading which was designed to mimic postoperative swallowing. The cross-sectional area (CSA), peak translaryngeal airflow (L/s), and impedance (cmH 0/L/s) were deter...
Effects of feed deprivation on physical and blood parameters of horses.
Brazilian journal of veterinary medicine    July 22, 2021   Volume 43 e000321 doi: 10.29374/2527-2179.bjvm000321
Filippo PAD, Duarte BR, Albernaz AP, Quirino CR.The objective of this study was to evaluate the effect of feed restriction on some physical and blood parameters in horses kept outdoors under natural conditions. Twenty horses were deprived of food for 48 h. They were closely monitored and examined, and blood samples were taken at the beginning (0) of the experiment and 6, 12, 18, 24, 30, 36, 42 and 48 hours afterward. During the experimental period, the control group (12 animals) had free access to water and hay, while the restricted group had free access to water only. Data were submitted to two-way analysis of variance with repeated measur...
New Insights into the Management of an EHV-1 (Equine Hospital) Outbreak.
Viruses    July 22, 2021   Volume 13, Issue 8 doi: 10.3390/v13081429
Vandenberghe E, Boshuizen B, Delesalle CJG, Goehring LS, Groome KA, van Maanen K, de Bruijn CM.In May 2018, Wolvega Equine Hospital (WEH) experienced an EHV-1 outbreak. This outbreak caused significant economic losses and negative publicity for the hospital. How should hospitals prepare themselves for these outbreaks and prevent shedding of the virus on multiple neighboring premises? The hospital transformed most of its activities into mobile practice and the entire infected hospital population was moved to a separate remote location. The hospital was cleaned and disinfected according to the latest recommendations before reopening. Four neighboring professional equine businesses and thr...
Treatment and outcome of eight horses with limb cellulitis and septic tendonitis or desmitis.
Veterinary surgery : VS    July 16, 2021   Volume 50, Issue 7 1542-1552 doi: 10.1111/vsu.13691
Cooper HE, Davidson EJ, Slack J, Ortved KF.To report the clinical features, treatment, and outcome in horses with cellulitis and concurrent septic tendonitis and/or desmitis. Methods: Short case series. Methods: Medical records from 2000 to 2019 were reviewed, identifying horses with cellulitis and concurrent septic tendonitis and/or desmitis based on sonographic examination and positive bacterial culture. Signalment, ultrasonographic results, bacterial culture, treatment, duration of hospitalization, and complications were recorded. Long-term outcome data were obtained from follow-up examinations and/or telephone interviews. Successfu...
Light and electron-microscopic localization of CD9 and surfactant protein A and D in normal lungs of the horse. Bocking T, Singh B.The lung is a complex organ, and its physiology and immunology are regulated by various immune molecules and cells. Lung surfactant, a mixture of phospholipids and proteins produced by the bronchiolar and type II alveolar epithelial cells, is one such important player in lung physiology. Compared to knowledge about the biology of the surfactant in rodents and humans, only limited data are available on the surfactant in the horse. Although there are data linking levels of surfactant proteins with respiratory disease in the horse, there are no data on the cellular localization of surfactant prot...
Application across species of a one health approach to liquid sample handling for respiratory based -omics analysis.
Scientific reports    July 12, 2021   Volume 11, Issue 1 14292 doi: 10.1038/s41598-021-93839-9
Karagianni AE, Eaton SL, Kurian D, Cillán-Garcia E, Twynam-Perkins J, Raper A, Wishart TM, Pirie RS.Airway inflammation is highly prevalent in horses, with the majority of non-infectious cases being defined as equine asthma. Currently, cytological analysis of airway derived samples is the principal method of assessing lower airway inflammation. Samples can be obtained by tracheal wash (TW) or by lavage of the lower respiratory tract (bronchoalveolar lavage (BAL) fluid; BALF). Although BALF cytology carries significant diagnostic advantages over TW cytology for the diagnosis of equine asthma, sample acquisition is invasive, making it prohibitive for routine and sequential screening of airway ...
Causes, Effects and Methods of Monitoring Gas Exchange Disturbances during Equine General Anaesthesia.
Animals : an open access journal from MDPI    July 9, 2021   Volume 11, Issue 7 doi: 10.3390/ani11072049
Stefanik E, Drewnowska O, Lisowska B, Turek B.Horses, due to their unique anatomy and physiology, are particularly prone to intraoperative cardiopulmonary disorders. In dorsally recumbent horses, chest wall movement is restricted and the lungs are compressed by the abdominal organs, leading to the collapse of the alveoli. This results in hypoventilation, leading to hypercapnia and respiratory acidosis as well as impaired tissue oxygen supply (hypoxia). The most common mechanisms disturbing gas exchange are hypoventilation, atelectasis, ventilation-perfusion (V/Q) mismatch and shunt. Gas exchange disturbances are considered to be an import...
The Rho kinase (ROCK) inhibitor Y-27632 reduces the β2-adrenoceptor density but enhance cAMP formation in primary equine bronchial epithelial cells.
European journal of pharmacology    July 8, 2021   Volume 907 174323 doi: 10.1016/j.ejphar.2021.174323
Schellenberg LM, Regenthal R, Abraham G.The present study addresses the effect of the Rho-kinase (ROCK) inhibitor Y-27632 on the β-adrenoceptor density and β-agonist-stimulated intracellular second messenger cAMP formation in primary equine bronchial epithelial cells (EBEC). Y-27632 significantly decreased the β-adrenoceptor number (B) without markedly affecting the receptor affinity (dissociation constant, K) to the radioligand [I]-iodocyanopindolol (ICYP). In contrast, Y-27632 augmented the β-agonist-stimulated intracellular cAMP production. Herein, Y-27632 markedly increased the maximal cAMP responses (E) (isoproterenol >...
Diagnosis and Surgical Treatment of Idiopathic Primary Sino-Nasal Obstruction in Miniature Horse Breeds: Long-Term Follow-Up of Seven Cases.
Frontiers in veterinary science    July 6, 2021   Volume 8 680150 doi: 10.3389/fvets.2021.680150
Vlaminck L, Pollaris E, Vanderperren K, Tremaine WH, Raes E.Idiopathic sino-nasal obstruction resulting in retention of large amounts of liquid in the paranasal sinus compartments was diagnosed in seven young (2. 2 ± 0.7 years) miniature-breed horses based on clinical, endoscopic, radiographic, and CT scan examinations. The most prevalent clinical signs included decreased or no airflow from the nostril(s) (7/7) and nasal discharge (6/7). The problem presented bilaterally in six of seven cases. An alternative sino-nasal communication was created through bone flap osteotomy surgery and perforation of the ventromedial floor of the dorsal conchae in all c...
Equine Herpesvirus Type 4 (EHV-4) Outbreak in Germany: Virological, Serological, and Molecular Investigations.
Pathogens (Basel, Switzerland)    June 25, 2021   Volume 10, Issue 7 810 doi: 10.3390/pathogens10070810
Pavulraj S, Eschke K, Theisen J, Westhoff S, Reimers G, Andreotti S, Osterrieder N, Azab W.Equine herpesvirus type 4 (EHV-4) is enzootic in equine populations throughout the world. A large outbreak of EHV-4 respiratory infection occurred at a Standardbred horse-breeding farm in northern Germany in 2017. Respiratory illness was observed in a group of in-housed foals and mares, which subsequently resulted in disease outbreak. Out of 84 horses in the stud, 76 were tested and 41 horses were affected, including 20 foals, 10 stallions, and 11 mares. Virological investigations revealed the involvement of EHV-4 in all cases of respiratory illness, as confirmed by virus isolation, qPCR, and/...
Inspiratory muscle training for the treatment of dynamic upper airway collapse in racehorses: A preliminary investigation.
Veterinary journal (London, England : 1997)    June 17, 2021   Volume 275 105708 doi: 10.1016/j.tvjl.2021.105708
Fitzharris LE, Franklin SH, McConnell AK, Hezzell MJ, Allen KJ.Exercise-induced upper airway collapse (UAC) probably occurs when the stabilising muscles of the upper airway are unable to withstand the dramatic changes in airflow and pressure that occurs during exercise. In racehorses, the mainstay of treatment is surgical intervention. In human athletes, exercise-induced laryngeal obstruction has been treated successfully with inspiratory muscle training (IMT). The aims of this study were: (1) to assess the feasibility of IMT in racehorses; and (2) describe the exercising endoscopy findings pre- and post-IMT in racehorses diagnosed with dynamic UAC. Horse...
A bronchopulmonary artery fistula in a horse.
The Journal of veterinary medical science    June 10, 2021   Volume 83, Issue 8 1225-1228 doi: 10.1292/jvms.21-0221
Sano Y, Kuwajima H, Kanai H, Baba C, Azami K, Matsuda K.A 24-year-old, Thoroughbred gelding presented with difficulty breathing for a few days and intermittent nose bleeding before dying. At necropsy, the bronchoesophageal artery and the bronchial artery that flowed into the left anterior lobe were tortuous and dilated, and it was found that dilated tortuous branches of the bronchial artery ran over the dorsal and ventral surfaces of the left anterior lobe. Histopathologically, an anastomosis between a muscular artery and an elastic artery were demonstrated, which were identified as bronchial and pulmonary arteries, respectively. Based on the gross...
A Live-Attenuated Equine Influenza Vaccine Stimulates Innate Immunity in Equine Respiratory Epithelial Cell Cultures That Could Provide Protection From Equine Herpesvirus 1.
Frontiers in veterinary science    June 10, 2021   Volume 8 674850 doi: 10.3389/fvets.2021.674850
Zarski LM, Vaala WE, Barnett DC, Bain FT, Soboll Hussey G.Equine herpesvirus 1 (EHV-1) ubiquitously infects horses worldwide and causes respiratory disease, abortion, and equine herpesvirus myeloencephalopathy. Protection against EHV-1 disease is elusive due to establishment of latency and immune-modulatory features of the virus. These include the modulation of interferons, cytokines, chemokines, antigen presentation, and cellular immunity. Because the modulation of immunity likely occurs at the site of first infection-the respiratory epithelium, we hypothesized that the mucosal influenza vaccine Flu Avert I.N. (Flu Avert), which is known to stimulat...
Respiratory Distress in the Adult and Foal.
The Veterinary clinics of North America. Equine practice    June 9, 2021   Volume 37, Issue 2 311-325 doi: 10.1016/j.cveq.2021.04.005
Boyle AG.Respiratory distress in the horse and foal is an emergency. Managing equine respiratory distress in the field starts with appropriate assessment of the patient to determine whether the breathing obstruction stems from the upper or lower respiratory tract or is nonrespiratory in origin. From a thorough, but efficient, physical examination to point-of-care ultrasound and endoscopy, the veterinarian has many tools in the field to help diagnose the patient.
Tongue-tie use in Thoroughbred racehorses in Australia.
Australian veterinary journal    May 30, 2021   Volume 99, Issue 8 344-350 doi: 10.1111/avj.13079
Noschka E, Porter D, Franklin SH, Caraguel C.Tongue-ties (TTs) are used to aid control and aim to conservatively treat upper airway disorders in racehorses. However, welfare concerns have led to their use being banned in other equestrian disciplines. In the United Kingdom, TTs have been reported to be used in approximately 5% of starts. The frequency of their use elsewhere is unknown. The objectives of this retrospective single cohort study were to estimate the frequency of TT use within the Australian Thoroughbred (TB) racing industry, and to describe usage patterns. Data of all Australian TB horse races from 2010 to 2013 calendar years...
Decreased Virus-Neutralizing Antibodies Against Equine Herpesvirus type 1 In Nasal Secretions of Horses After 12-hour Transportation.
Journal of equine veterinary science    May 24, 2021   Volume 103 103665 doi: 10.1016/j.jevs.2021.103665
Bannai H, Takahashi Y, Ohmura H, Ebisuda Y, Mukai K, Kambayashi Y, Nemoto M, Tsujimura K, Ohta M, Raidal S, Padalino B.This study evaluated the effects of 12-hour transportation on immune responses to equine herpesvirus type 1 (EHV-1) and type 4 (EHV-4). Possible replication of EHV-1 and EHV-4 was monitored by real-time PCR of nasal swabs and peripheral blood mononuclear cells (PBMCs), and changes in systemic and mucosal antibodies were investigated. Six healthy Thoroughbreds with transport experience were transported in commercial trucks, repeating the same three-hour route four times. Blood samples for cortisol measurement were taken before departure and every three hours. Nasal swabs, PBMCs, nasal wash and ...
The clinical and histopathologic effects of potentiated chlorhexidine in the upper respiratory tract of horses.
Veterinary surgery : VS    May 11, 2021   Volume 50, Issue 6 1209-1217 doi: 10.1111/vsu.13649
Stewart HL, Engiles JB, Richardson DW, Levine DG.To describe the bactericidal and fungicidal properties of a 0.0005% chlorhexidine (CHD) solution potentiated with EDTA-Tris buffers (CHD-EDTA-Tris) and evaluate the safety of 0.0005% CHD-EDTA-Tris in the upper respiratory tract (URT) of normal horses. Methods: Clinical, prospective study. Methods: Eight healthy, skeletally mature horses. Methods: In vitro-serial dilutions of CHD-EDTA-Tris and EDTA-Tris alone were evaluated for bactericidal and fungicidal activity against Aspergillus fumigatus, Escherichia coli, Staphylococcus aureus, Streptococcus equi subspecies ssp. equi, Streptococcus equi ...
Can bronchoconstriction and bronchodilatation in horses be detected using electrical impedance tomography?
Journal of veterinary internal medicine    May 11, 2021   Volume 35, Issue 4 2035-2044 doi: 10.1111/jvim.16152
Secombe C, Adler A, Hosgood G, Raisis A, Mosing M.Electrical impedance tomography (EIT) generates images of the lungs based on impedance change and was able to detect changes in airflow after histamine challenge in horses. Objective: To confirm that EIT can detect histamine-provoked changes in airflow and subsequent drug-induced bronchodilatation. Novel EIT flow variables were developed and examined for changes in airflow. Methods: Bronchoconstriction was induced using stepwise histamine bronchoprovocation in 17 healthy sedated horses. The EIT variables were recorded at baseline, after saline nebulization (control), at the histamine concentra...
Use of Electrical Impedance Tomography (EIT) to Estimate Tidal Volume in Anaesthetized Horses Undergoing Elective Surgery.
Animals : an open access journal from MDPI    May 10, 2021   Volume 11, Issue 5 1350 doi: 10.3390/ani11051350
Crivellari B, Raisis A, Hosgood G, Waldmann AD, Murphy D, Mosing M.This study explores the application of electric impedance tomography (EIT) to estimate tidal volume (VT) by measuring impedance change per breath (∆Z). Seventeen healthy horses were anaesthetised and mechanically ventilated for elective procedures requiring dorsal recumbency. Spirometric VT (VT) and ∆Z were recorded periodically; up to six times throughout anaesthesia. Part 1 assessed these variables at incremental delivered VT of 10, 12 and 15 mL/kg. Part 2 estimated VT (VT) in litres from ∆Z at three additional measurement points using a line of best fit obtained from Part 1. During pa...
Training related risk factors for exercise induced pulmonary haemorrhage in British National Hunt racehorses.
Equine veterinary journal    May 9, 2021   Volume 54, Issue 2 283-289 doi: 10.1111/evj.13448
McGilvray TA, Cardwell JM.Exercise induced pulmonary haemorrhage (EIPH) is an important condition of horses performing high intensity exercise, with reported prevalence among racehorses of up to 95%, based on the detection of blood on tracheobronchoscopy. Previously identified risk factors include age, sex, season, race type, years spent in racing and lower airway inflammation. Objective: To estimate the prevalence of EIPH in British National Hunt racehorses as indicated by two outcome measures: presence of tracheal blood on tracheobronchoscopy, and presence of moderate-large (significant) proportions of haemosideropha...
The effect of lower airway inflammation on inflammatory cytokine gene expression in bronchoalveolar lavage fluid and whole blood in racing Thoroughbreds.
Veterinary immunology and immunopathology    May 9, 2021   Volume 237 110266 doi: 10.1016/j.vetimm.2021.110266
Taylor SD, Ivester KM, Stewart C, Page AE, Horohov DW, Couetil LL.Immunological mechanisms involved in the pathogenesis of mild to moderate equine asthma (MEA) are not completely understood. There are limited data on bronchoalveolar lavage fluid (BALF) and blood inflammatory cytokine profiles in racehorses with MEA, and the effect of racing on inflammatory cytokines is unknown. Objective: We hypothesized that inflammatory cytokine gene expression in BALF and resting blood would be higher in racehorses with lower airway inflammation compared to healthy controls, and that gene expression in blood collected immediately post-race would be increased compared to r...
Nicoletella semolina in the airways of healthy horses and horses with severe asthma.
Journal of veterinary internal medicine    May 4, 2021   Volume 35, Issue 3 1612-1619 doi: 10.1111/jvim.16140
Payette F, Charlebois A, Fairbrother JH, Beauchamp G, Leclere M.Nicoletella semolina was identified in the airways of horses and its low prevalence could be because of its difficult differentiation from other Pasteurellaceae. Objective: To develop a molecular method for the identification of N. semolina and to evaluate its prevalence in the mouth and the airways of healthy and severe asthmatic horses. Methods: Six healthy and 6 severely asthmatic horses in phase I, 10 severely asthmatic horses in phase II, and 10 healthy horses in phase III. Methods: Cohort (phases I and II) and cross-sectional (phase III) studies. Quantitative polymerase chain reaction pr...
Case-Control Study of Risk Factors for Equine Asthma in Texas.
Journal of equine veterinary science    April 30, 2021   Volume 103 103644 doi: 10.1016/j.jevs.2021.103644
Thomas SJ, de Solis CN, Coleman MC.Equine asthma is a common condition in horses, for which few host-related risk factors have been identified. The objective of this study was to identify host-related risk factors for the development of equine asthma. A retrospective, case-control study was performed, utilizing horses presented to the Texas A&M University, Veterinary Medical Teaching Hospital from January 2014 December 2018. Incident cases of mild to severe equine asthma (n = 37), diagnosed clinically with cytologic support of disease were examined. For each case, two control populations were identified, including one tem...
Equine respiratory viruses, airway inflammation and performance in thoroughbred racehorses.
Veterinary microbiology    April 10, 2021   Volume 257 109070 doi: 10.1016/j.vetmic.2021.109070
Couetil L, Ivester K, Barnum S, Pusterla N.Equine asthma is a common cause of poor performance in racehorses but it is unclear if respiratory viruses contribute to its etiology. The objective of the study was to determine if respiratory viruses were associated with clinical signs and bronchoalveolar lavage fluid (BALF) cytology in Thoroughbred racehorses. Equine herpesviruses (EHV-1, 2, 4, 5) and equine rhinitis A and B viruses (ERBV, ERAV) genomes were quantified by qPCR in nasopharyngeal, tracheal, and BALF samples collected after racing. The relationships between virus detection and load and clinical signs, performance, BALF cytolog...
Rider Energy Expenditure During High Intensity Horse Activity.
Journal of equine veterinary science    April 8, 2021   Volume 102 103463 doi: 10.1016/j.jevs.2021.103463
O'Reilly C, Zoller J, Sigler D, Vogelsang M, Sawyer J, Fluckey J.Despite the fact that horseback riding is a popular sport, there is little information available on horseback riding as a physical activity. The objective of this experiment was to quantify energy expenditure of participants (n=20) during three riding tests: a 45min walk-trot-canter ride (WTC), a reining pattern ride and a cutting simulation ride while wearing a telemetric gas analyzer. Total energy expenditure (tEE), mean and peak metabolic equivalents of task (MET), heart rate (HR), respiratory frequency (RF), relative oxygen consumption (relVO2), and respiratory exchange ratio (RER) were as...
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