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  1. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    Unfortunately, I think the data from Van Campen 2021 (both the female and the male study) look suspicious. In the male, study all the ME/CFS patients had increases while all controls with idiopathic fatigue had increases. And this was the case for VO2 and workload at both peak and AT vales...
  2. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    The data of Lien et al. 2019 on workload at the ventilatory threshold also look weird. How can there be so many datapoints with the exact same value if these represent changes from CPET1 to CPET2. Franklin discarded these in his thesis because Lien et al. could not clarify why the data...
  3. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    I think that the data in Davenport 2020 and Snell 2013 are the same data. They are from the same research group, both on 51 ME/CFS patients and 10 controls. The data matches almost perfectly except for a major difference for workload at the ventilatory threshold. - Snell 2013 reported a...
  4. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    Excellent. Agree: their values on each day do not seem very abnormal, not extreme values that suggest a measurement error or something like that.
  5. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    Had a closer look at this. The problem is that taking the means first and then their percentage change is sometimes different from taking the percentage change per participant first and then taking the mean. This is especially a problem with wkld_AT and time_sec_AT: I thought this was due to...
  6. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    I used Youden's J statistic the find the optimal threshold, which is just (true positive rate - false positive rate) or written differently sensitivity - (1-specificity). I think visually you can interpret it as the point on the ROC curve that is furthest away from the red dotted diagonal. For...
  7. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    I think the Nelson 2019 study is interesting. Even though it is quite small, it is one of the few that used an appropriate analysis comparing both the testing difference (CPET2-CPET1) and group difference (MECFS versus HC) at the same time. They also suggest using percentages: They only...
  8. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    Nice visualization, thanks. One suggestion: it might more intuitive if both graphs have the same scale, so that difference in VO2 and wkld can be compared. Now they look the same size but VO2 has a scale from -20 to 10 and wkld from -50 to 20.
  9. ME/CFS Science Blog

    Trial Report Causal inference between physical activity and chronic diseases: insights from a two-sample Mendelian randomization study, 2024, Qiu et al

    Sounds interesting. The GWAS for CFS (code: ukb-b-8961) had 2076 cases of self-reported CFS and 460.857 controls. Vigorous physical activity (VPA) and moderate to vigorous physical (MPA) were self-reported but light (LPA) and average physical activity (APA) were based on accelerometer data...
  10. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    We haven't posted or discussed this yet, but I think most statisticians would use a mixed linear effects model for this. That way they can account for the repeated measures (day1-day2) of participants but still test for differences between group. I've tried this using the following model: model...
  11. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    I don't know for sure but I suspect that the measuring device automatically averages multiple values over a short period (for example 10 seconds) and that becomes the score.
  12. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    There seems to be a moderate effect size for VO2 at peak values (not VO2 at the anaerobic threshold) with ME/CFS patients having lower values than controls, 63% of the time. The associated p-value is 0.005 but the authors tested more than 20 outcomes, at both the maximal and the anaerobic...
  13. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    One other thing that I've been looking it is Winsorizing the data, meaning cutting of the data at a certain percentile and replacing the values outside the limit with the percentile at both sides of the data. Winsorizing - Wikipedia I tried different cutoffs at 1%, 2.5% and 5%. For the VO_max...
  14. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    It's similar to CLES I believe. While CLES is the number of wins (groupA > Group B) divided by the total number of possible comparisons, cliff d seems like the (wins - loses) divided by the total number of possible comparisons. I get the same values as you using this formula. I think that...
  15. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    If found one that I find quite intuitive: the Common Language Effect Size (CLES). If you were to randomly take a participant from the ME/CFS group and a random participant from the HC group, how often would the ME/CFS patients have a lower value? If this was random noice and no equal values...
  16. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    Small differences like: Cohen_d_difference: I got: -0.129, you got: 0.12646 P_Welch_Difference: I got:0.424, you got: 0.432 etc. Did you exclude those 10 from AT? Is that necessary? I'm not sure that not hitting peak affects their AT values. No sorry, typo, the second overview I posted was for...
  17. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    Apologies for the wrong p-values, not sure what went wrong there. Here's what I got for values at AT and with PI-026 excluded. The first row looks very similar to your results for Work at AT (although for some reason, some figures are a bit different). One thing that strikes me is that...
  18. ME/CFS Science Blog

    Cardiopulmonary and metabolic responses during a 2-day CPET in [ME/CFS]: translating reduced oxygen consumption [...], Keller et al, 2024

    Yes I think you make a good point. When expressed as a percentage, there are 4 ME/CFS patients (PI-029, PI-087, PI-114, and PI-166) that have extreme values: That make the distribution of percentage changes quite skewed: With these 4 included, I found a cohen_d of 0.008 and p_value of 0.93...
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