One of the most difficult tasks of cardiopulmonary exercise testing is to d
etermine the influence of ventilatory limitations on the ventilatory respon
se to exercise. Currently there is no generally accepted method in which to
quantify the magnitude of mechanical ventilatory constraints during exerci
se. Nor is there agreement on how to quantify maximal ventilatory capacity.
To address these issues, this article focuses on the evaluation of mechani
cal ventilatory constraints during exercise and provides an overview of the
mechanical ventilatory constraints that are encountered with aging, lung d
isease, and obesity.