Pituitary & hypothalamus

Exercise ventilatory inefficiency may be a specific feature of patients with acromegaly

PituitaryPublished Prospective matched case-control study

Authors' conclusion

Patients with acromegaly display ventilatory inefficiency during exercise. These findings suggest subclinical alveolar-capillary impairment or altered CO2 chemosensitivity. Exercise testing may help unmask these abnormalities, supporting its role in risk stratification and rehabilitation planning.

Study context

Population
Patients with controlled acromegaly; chronic diseases, cardio-respiratory conditions altering ventilatory response and cardiac dysfunction excluded
Participants
10 vs 10
Comparison
Acromegaly vs matched controls
  • Acromegalyn = 10
  • Controlsn = 10reference
Outcome
Exercise ventilatory response (efficiency): V̇E/V̇CO2 slope, PETCO2 and exercise ventilatory inefficiency (EVin) on maximal cardiopulmonary exercise testing
Methodological detailsmatched on age, BMI and body surface area
  • Matched on age, BMI and body surface area

Main finding

As reported in the abstract

Exercise ventilatory efficiency
  • No correlations between ventilatory inefficiency and biochemical or clinical variables
  • Acromegaly vs Controls: P = 0.018
  • Acromegaly vs Controls: P = 0.008
  • Acromegaly vs Controls: P = 0.019

Observational data: associations, not effects.

Further findings

Peak V̇O2 · peak exercise · lower with acromegaly

P = 0.033

Peak V̇O2 · peak exercise

Lower peak power output with acromegaly

Lung function and breathing patterns

No lung function alterations in either group; breathing patterns similar to controls

Original publication

Exercise ventilatory inefficiency may be a specific feature of patients with acromegaly. Pituitary. Published 16 October 2025. doi:10.1007/s11102-025-01585-2

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