Aerobic capacity and skeletal muscle function in children with asthma
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Citações na Scopus
47
Tipo de produção
article
Data de publicação
2011
Título da Revista
ISSN da Revista
Título do Volume
Editora
B M J PUBLISHING GROUP
Citação
ARCHIVES OF DISEASE IN CHILDHOOD, v.96, n.6, p.554-559, 2011
Resumo
Background Peripheral muscle strength and endurance are decreased in patients with chronic pulmonary diseases and seem to contribute to patients' exercise intolerance. However, the authors are not aware of any studies evaluating peripheral muscle function in children with asthma. It seems to be implied that children with asthma have lower aerobic fitness, but there are limited studies comparing the aerobic capacity of children with and without asthma. The present study aimed to evaluate muscle strength and endurance in children with persistent asthma and their association with aerobic capacity and inhaled corticosteroid consumption. Methods Forty children with mild persistent asthma (MPA) or severe persistent asthma (SPA) (N=20 each) and 20 children without asthma (control group) were evaluated. Upper (pectoralis and latissimus dorsi) and lower (quadriceps) muscle strength and endurance were assessed, and cardiopulmonary exercise testing was performed. Inhaled corticosteroid consumption during the last 6 and 24 months was also quantified. Results Children with SPA presented a reduction in peak oxygen consumption (VO(2)) (28.2 +/- 8.1 vs 34.7 +/- 6.9 ml/kg/min; p<0.01) and quadriceps endurance (43.1 +/- 6.7 vs 80.9 +/- 11.9 repetitions; p<0.05) compared with the control group, but not the MPA group (31.5 +/- 6.1 ml/kg/min and 56.7 +/- 47.7 repetitions respectively; p>0.05). Maximal upper and lower muscle strength was preserved in children with both mild and severe asthma (p>0.05). Finally, the authors observed that lower muscle endurance weakness was not associated with reductions in either peak VO(2) (r=0.22, p>0.05) or corticosteroid consumption (r=-0.31, p>0.05) in children with asthma. Conclusion The findings suggest that cardiopulmonary exercise and lower limb muscle endurance should be a priority during physical training programs for children with severe asthma.
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Referências
- Alioglu B, 2007, PEDIATR PULM, V42, P283, DOI 10.1002/ppul.20575
- COOPER DM, 1984, J APPL PHYSIOL, V56, P628
- Bernard S, 1998, AM J RESP CRIT CARE, V158, P629
- Pianosi P, 2005, THORAX, V60, P50, DOI 10.1136/thx.2003.008102
- Ram FSF, 2000, BRIT J SPORT MED, V34, P162, DOI 10.1136/bjsm.34.3.162
- Gosselink R, 1996, AM J RESP CRIT CARE, V153, P976
- Vogt M, 2001, J APPL PHYSIOL, V91, P173
- Troosters T, 2009, EUR RESPIR J, V33, P99, DOI 10.1183/09031936.00091607
- Sutherland ER, 2008, AM J RESP CRIT CARE, V178, P682, DOI 10.1164/rccm.200801-076OC
- Hallstrand TS, 2003, PEDIATR PULM, V36, P536, DOI 10.1002/ppul.10395
- Boas SR, 1999, MED SCI SPORT EXER, V31, P1242, DOI 10.1097/00005768-199909000-00003
- Dourado VZ, 2006, CHEST, V129, P551, DOI 10.1378/chest.129.3.551
- Jenkins MA, 1996, INT J EPIDEMIOL, V25, P609, DOI 10.1093/ije/25.3.609
- Pincivero DM, 2004, MED SCI SPORT EXER, V36, P109, DOI 10.1249/01.MSS.0000106183.23941.54
- Mendes FAR, 2010, CHEST, V138, P331, DOI 10.1378/chest.09-2389
- Neder JA, 1999, EUR RESPIR J, V14, P1304, DOI 10.1183/09031936.99.14613049
- GODFREY S, 1971, CLIN SCI, V40, P419
- Hankinson JL, 1999, AM J RESP CRIT CARE, V159, P179
- deBruin PF, 1997, EUR RESPIR J, V10, P59, DOI 10.1183/09031936.97.10010059
- Nishiyama O, 2005, CHEST, V127, P2028, DOI 10.1378/chest.127.6.2028
- de Meer K, 1999, AM J RESP CRIT CARE, V159, P748
- Santuz P, 1997, EUR RESPIR J, V10, P1254, DOI 10.1183/09031936.97.10061254
- DECRAMER M, 1994, AM J RESP CRIT CARE, V150, P11
- Fanelli A, 2007, MED SCI SPORT EXER, V39, P1474, DOI 10.1249/mss.0b013e180d099ad
- Miller MR, 2005, EUR RESPIR J, V26, P319, DOI 10.1183/09031936.05.00034805
- Weiler JM, 2007, J ALLERGY CLIN IMMUN, V119, P1349, DOI 10.1016/j.jaci.2007.02.041
- ASHER MI, 1995, EUR RESPIR J, V8, P483, DOI 10.1183/09031936.95.08030483
- ATS/ERS, 1999, AM J RESP CRIT CARE, V159, pS1
- Basaran S, 2006, J REHABIL MED, V38, P130, DOI 10.1080/16501970500476142
- Calam R, 2005, PSYCHOSOM MED, V67, P105, DOI 10.1097/01.psy.0000151490.77622.37
- CASDEVALL C, 2007, EUR RESPIR J, V30, P701
- Faigenbaum A, 1999, PEDIATRICS, V104, P5
- Faigenbaum AD, 2003, J STRENGTH COND RES, V17, P162
- GINA Global Initiative for Asthma, 2008, GLOB STRAT ASTHM MAN
- Jones MA, 2000, ACTA PAEDIATR, V89, P753, DOI 10.1080/080352500750043567
- Lang DM, 2004, PEDIATRICS, V113, pE341, DOI 10.1542/peds.113.4.e341
- Lopes EA, 2007, EUR J PEDIATR, V166, P715, DOI 10.1007/s00431-006-0313-y
- LUDWICK SK, 1986, J PEDIATR-US, V109, P446, DOI 10.1016/S0022-3476(86)80115-9
- POWERS SK, 2001, EXERCISE PHYSL THEOR, P421
- Rutten EPA, 2006, AM J CLIN NUTR, V83, P829
- Tanner J. M., 1962, GROWTH ADOLESCENCE
- URQUHART DS, 2006, PEDIAT PULMONOL, V41, P354
- VARRAY A, 1993, EUR RESPIR J, V6, P1011
- Wasserman K., 2005, PRINCIPLES EXERCISE, P585
- Welsh Liam, 2004, Sports Med, V34, P861, DOI 10.2165/00007256-200434130-00001
- Welsh L, 2005, SPORTS MED, V35, P127, DOI 10.2165/00007256-200535020-00003
Coleções
Artigos e Materiais de Revistas Científicas - FM/MCM
Artigos e Materiais de Revistas Científicas - FM/MFT
Artigos e Materiais de Revistas Científicas - FM/MPE
Artigos e Materiais de Revistas Científicas - HC/ICr
Artigos e Materiais de Revistas Científicas - LIM/20
Artigos e Materiais de Revistas Científicas - LIM/36
Artigos e Materiais de Revistas Científicas - FM/MFT
Artigos e Materiais de Revistas Científicas - FM/MPE
Artigos e Materiais de Revistas Científicas - HC/ICr
Artigos e Materiais de Revistas Científicas - LIM/20
Artigos e Materiais de Revistas Científicas - LIM/36