RT Journal Article SR Electronic T1 Peak oxygen uptake and ventilatory anaerobic threshold in fibromyalgia. JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP 353 OP 357 VO 29 IS 2 A1 Valéria Valim A1 Leda M Oliveira A1 Alina L Suda A1 Luciana E Silva A1 Mário Faro A1 Turíbio L Barros Neto A1 Daniel Feldman A1 Jamil Natour YR 2002 UL http://www.jrheum.org/content/29/2/353.abstract AB OBJECTIVE: To compare maximum oxygen uptake and anaerobic threshold in patients with fibromyalgia (FM) and healthy sedentary controls matched by sex, age, weight, and body mass index. METHODS: Fifty women with FM aged 18-60 years and 50 healthy sedentary controls were studied. All were submitted to a maximum treadmill incremental test. Expired gas, ventilatory anaerobic threshold, and maximum oxygen uptake (VO2max) were evaluated. The influence of FM on quality of life was evaluated by questionnaires: the Fibromyalgia Impact Questionnaire and the Medical Outcomes Study Short-Form (SF-36). RESULTS: In patients with FM, the anaerobic threshold and peak oxygen uptake were significantly reduced. Maximum heartbeat rate was significantly lower in FM, indicating submaximum effort. Linear regression data showed a correlation between peak VO2 and the "Role-physical" domain of the SF-36. No such correlations were noted with anaerobic threshold. CONCLUSION: These results confirm the hypothesis of lower physical fitness in patients with FM. Considering that patients with FM do not achieve a maximum effort, ventilatory anaerobic threshold should be considered as a better fitness index than VO2max.