Aerobic capacity and skeletal muscle function in children with asthma

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...

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Veröffentlicht in:Archives of disease in childhood 2011-06, Vol.96 (6), p.554-559
Hauptverfasser: Villa, Fabiane, Castro, Ana Paula Beltran Moschione, Pastorino, Antonio Carlos, Santarém, José Maria, Martins, Milton Arruda, Jacob, Cristina Miuki Abe, Carvalho, Celso Ricardo
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container_end_page 559
container_issue 6
container_start_page 554
container_title Archives of disease in childhood
container_volume 96
creator Villa, Fabiane
Castro, Ana Paula Beltran Moschione
Pastorino, Antonio Carlos
Santarém, José Maria
Martins, Milton Arruda
Jacob, Cristina Miuki Abe
Carvalho, Celso Ricardo
description 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 (VO2) (28.2±8.1 vs 34.7±6.9 ml/kg/min; p0.05). Finally, the authors observed that lower muscle endurance weakness was not associated with reductions in either peak VO2 (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.
doi_str_mv 10.1136/adc.2011.212431
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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 (VO2) (28.2±8.1 vs 34.7±6.9 ml/kg/min; p&lt;0.01) and quadriceps endurance (43.1±6.7 vs 80.9±11.9 repetitions; p&lt;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&gt;0.05). Maximal upper and lower muscle strength was preserved in children with both mild and severe asthma (p&gt;0.05). Finally, the authors observed that lower muscle endurance weakness was not associated with reductions in either peak VO2 (r=0.22, p&gt;0.05) or corticosteroid consumption (r=−0.31, p&gt;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.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/adc.2011.212431</identifier><identifier>PMID: 21429976</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Adolescent ; Aerobics ; Airway management ; Anthropometry - methods ; Asthma ; Asthma - drug therapy ; Asthma - physiopathology ; Asthma in children ; Biological and medical sciences ; Care and treatment ; Case-Control Studies ; Child ; Childhood asthma ; Children &amp; youth ; Chronic obstructive pulmonary disease ; Chronic obstructive pulmonary disease, asthma ; Control Groups ; Drug Administration Schedule ; Endurance ; Exercise ; Exercise - physiology ; Exercise Test - methods ; Exercise therapy ; Forced Expiratory Volume - physiology ; General aspects ; Glucocorticoids - administration &amp; dosage ; Health aspects ; Humans ; Maximum oxygen consumption ; Medical sciences ; Methods ; Miscellaneous ; Muscle function ; Muscle strength ; Muscle Strength - physiology ; Muscle, Skeletal - physiopathology ; Muscular Strength ; Oxygen consumption ; Oxygen Consumption - physiology ; Physical Endurance - physiology ; Physical fitness ; Physical training ; Pneumology ; Prevention and actions ; Public health. 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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 (VO2) (28.2±8.1 vs 34.7±6.9 ml/kg/min; p&lt;0.01) and quadriceps endurance (43.1±6.7 vs 80.9±11.9 repetitions; p&lt;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&gt;0.05). Maximal upper and lower muscle strength was preserved in children with both mild and severe asthma (p&gt;0.05). Finally, the authors observed that lower muscle endurance weakness was not associated with reductions in either peak VO2 (r=0.22, p&gt;0.05) or corticosteroid consumption (r=−0.31, p&gt;0.05) in children with asthma. 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Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quality of life</subject><subject>Range of motion</subject><subject>Spirometry</subject><subject>Spirometry - methods</subject><subject>Steroids</subject><subject>Strengthening exercises</subject><subject>Vital Capacity - physiology</subject><subject>Warm up (exercise)</subject><issn>0003-9888</issn><issn>1468-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkU1v1DAQQC0EosvCmRuKhBASUrb-jn1cRS1fFb0AV8txJl1vnWRrJ4L-e7zK0kpcOM1hnq2neQi9JnhDCJPntnUbignZUEI5I0_QinCpSoo5f4pWGGNWaqXUGXqR0h5jQpViz9EZJZxqXckVuthCHBvvCmcP1vnpvrBDW6RbCDDZUPRzcgGKbh7c5Meh8EPhdj60EYbil592hU3Trrcv0bPOhgSvTnONflxefK8_lVfXHz_X26uy4VJMpaCcdFSQTgtCGmYl5Zg5cBoUVx0DSplktrWt4JK1LdNaK2iaFjCorqsqtkbvl38PcbybIU2m98lBCHaAcU5GSSkYZvRIvv2H3I9zHLKcISpfAQspdabKhbqxAYwf3DhM8HtyYwhwAya719dmS4WWjPF88DU6X3gXx5QidOYQfW_jvSHYHIOYHMQcg5glSH7x5uQxNz20D_zfAhl4dwJscjZ00Q7Op0eOU1xRSR5VfcqKD3sbb42sWCXMt5-1-VpXQosv3Fxm_sPCN_3-v5Z_AD4PrHE</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Villa, Fabiane</creator><creator>Castro, Ana Paula Beltran Moschione</creator><creator>Pastorino, Antonio Carlos</creator><creator>Santarém, José Maria</creator><creator>Martins, Milton Arruda</creator><creator>Jacob, Cristina Miuki Abe</creator><creator>Carvalho, Celso Ricardo</creator><general>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8A4</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20110601</creationdate><title>Aerobic capacity and skeletal muscle function in children with asthma</title><author>Villa, Fabiane ; Castro, Ana Paula Beltran Moschione ; Pastorino, Antonio Carlos ; Santarém, José Maria ; Martins, Milton Arruda ; Jacob, Cristina Miuki Abe ; Carvalho, Celso Ricardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b465t-5241f251f9511b3a62403cec9e848f3e22363adad5463dd39998ebbde0e8ff773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Aerobics</topic><topic>Airway management</topic><topic>Anthropometry - methods</topic><topic>Asthma</topic><topic>Asthma - drug therapy</topic><topic>Asthma - physiopathology</topic><topic>Asthma in children</topic><topic>Biological and medical sciences</topic><topic>Care and treatment</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Childhood asthma</topic><topic>Children &amp; youth</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Control Groups</topic><topic>Drug Administration Schedule</topic><topic>Endurance</topic><topic>Exercise</topic><topic>Exercise - physiology</topic><topic>Exercise Test - methods</topic><topic>Exercise therapy</topic><topic>Forced Expiratory Volume - physiology</topic><topic>General aspects</topic><topic>Glucocorticoids - administration &amp; dosage</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Maximum oxygen consumption</topic><topic>Medical sciences</topic><topic>Methods</topic><topic>Miscellaneous</topic><topic>Muscle function</topic><topic>Muscle strength</topic><topic>Muscle Strength - physiology</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Muscular Strength</topic><topic>Oxygen consumption</topic><topic>Oxygen Consumption - physiology</topic><topic>Physical Endurance - physiology</topic><topic>Physical fitness</topic><topic>Physical training</topic><topic>Pneumology</topic><topic>Prevention and actions</topic><topic>Public health. 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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 (VO2) (28.2±8.1 vs 34.7±6.9 ml/kg/min; p&lt;0.01) and quadriceps endurance (43.1±6.7 vs 80.9±11.9 repetitions; p&lt;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&gt;0.05). Maximal upper and lower muscle strength was preserved in children with both mild and severe asthma (p&gt;0.05). Finally, the authors observed that lower muscle endurance weakness was not associated with reductions in either peak VO2 (r=0.22, p&gt;0.05) or corticosteroid consumption (r=−0.31, p&gt;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.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>21429976</pmid><doi>10.1136/adc.2011.212431</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Aerobics
Airway management
Anthropometry - methods
Asthma
Asthma - drug therapy
Asthma - physiopathology
Asthma in children
Biological and medical sciences
Care and treatment
Case-Control Studies
Child
Childhood asthma
Children & youth
Chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease, asthma
Control Groups
Drug Administration Schedule
Endurance
Exercise
Exercise - physiology
Exercise Test - methods
Exercise therapy
Forced Expiratory Volume - physiology
General aspects
Glucocorticoids - administration & dosage
Health aspects
Humans
Maximum oxygen consumption
Medical sciences
Methods
Miscellaneous
Muscle function
Muscle strength
Muscle Strength - physiology
Muscle, Skeletal - physiopathology
Muscular Strength
Oxygen consumption
Oxygen Consumption - physiology
Physical Endurance - physiology
Physical fitness
Physical training
Pneumology
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality of life
Range of motion
Spirometry
Spirometry - methods
Steroids
Strengthening exercises
Vital Capacity - physiology
Warm up (exercise)
title Aerobic capacity and skeletal muscle function in children with asthma
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