Anaerobic fitness in children with asthma: Adaptation to maximal intermittent short exercise

Pediatric Pulmonology - Tập 31 Số 3 - Trang 198-204 - 2001
F. Counil1, C. Karila2, Alain Varray3, Sophie Guillaumont4, M. Voisin4, C. Préfaut2
1Service de Pédiatrie I, Hôpital Arnaud de Villeneuve, 371 avenue du Doyen Gaston Giraud, 34295 Montpellier Cédex 5, France.
2Laboratoire Central de Physiologie Clinique, Hôpital Arnaud de Villeneuve, Montpellier, France
3Laboratoire “Sport Intervention Optimisation,” Faculté des Sciences du Sport, Montpellier, France
4Service de Pédiatrie I, Hôpital Arnaud de Villeneuve, Montpellier, France

Tóm tắt

AbstractNineteen asthmatic boys (aged 13.4 years, 25–75 percentile: 11.5–15.1 years) performed short bouts of maximal exercise (force‐velocity test) to test their anaerobic fitness and tolerance of maximal anaerobic exercise. Fourteen healthy boys (aged 13.9 years, 25–75 percentile: 11.6–15.7 years) matched for anthropometric characteristics including lean body mass (LBM), pubertal stage, and weekly physical activity formed a control group. The maximal anaerobic power (Wana) was measured during the force‐velocity test. The maximal oxygen uptake (V′) was assessed during a standard graded exercise test. Pre‐ and post‐exercise pulmonary function was measured by body plethysmography.The asthmatic children exhibited lower Wana than the control group (8.2 watt·kg−1 LBM, 25–75 percentile: 7.55–10.6 vs. 11.3 watt·kg−1 LBM, 25–75 percentile: 9.46–14.1; P = 0.01). V′ was also diminished in the asthmatic group (P = 0.01). Multiple stepwise regression models revealed that Tanner's score (P < 0.001) and the diagnosis of asthma (P < 0.01) were the best predictors of Wana.In conclusion, a diminished anaerobic fitness could contribute to the overall exercise limitation in asthmatic children. Pediatr Pulmonol. 2001; 31:198–204. © 2001 Wiley‐Liss, Inc.

Từ khóa


Tài liệu tham khảo

10.1378/chest.105.4.1127

10.1136/thx.46.7.488

10.3109/02770909209048936

Préfaut C, 1995, Pathophysiological basis of exercise training in patients with chronic obstructive lung disease, Eur Respir Rev, 5, 27

10.1152/jappl.1991.70.1.223

10.1016/S0022-3476(88)80247-6

Friedman M, 1979, Hemodynamics in teenagers and asthmatic children during exercise, J Appl Physiol Respir Environ Exerc Physiol, 46, 293

Varray A, 1993, Cardiac role in exercise limitation in asthmatic subjects with special reference to disease severity, Eur Respir J, 6, 1011, 10.1183/09031936.93.06071011

10.1136/thx.43.10.745

10.1016/S0022-3476(85)80071-8

10.1016/S0765-1597(89)80056-5

10.1136/bmj.1.5794.207

10.1097/00005768-199704000-00002

10.1055/s-2007-1025051

10.1079/BJN19670070

Tanner JM, 1974, Fitness, health and work capacity, 516

Jones PRM, 1969, Anthropometric determination of leg fat and muscle plus bone volume in young male and female adults, J Physiol, 204, 63

10.1159/000411541

Zapletal A, 1987, Progress in respiration research, 113

10.1007/BF00601809

10.1055/s-2007-1024648

10.1136/thx.47.6.429

Van Praagh E, 1998, Pediatric anaerobic performance, 155

10.1007/BF00424805

10.1055/s-2007-1021228

Bedu M, 1991, Force‐velocity and 30‐s Wingate tests in boys at high and low altitudes, J Appl Physiol, 70, 1031, 10.1152/jappl.1991.70.3.1031

10.1123/pes.2.4.336

10.1055/s-2007-1024941

10.1097/00005768-199807000-00001

Sargeant AJ, 1998, Pediatric anaerobic performance, 97

Sant'Ana Pereira JA, 1996, Correlations between MyHC co‐expression and physiological properties of human skeletal muscle fibres, Muscle Nerve, 4, 45

Fiaccadori E, 1992, Skeletal muscle energetics, acid‐base equilibrium and lactate metabolism in patients with severe hypercapnia and hypoxemia, Chest, 5, 883

Gertz I, 1977, Muscle metabolism in patients with chronic obstructive lung disease and acute respiratory failure, Clin Sci Mol Med, 52, 395

Jakobsson P, 1990, Skeletal muscle metabolites and fibre types in patients with advanced chronic obstructive pulmonary disease (COPD), with and without chronic respiratory failure, Eur Respir J, 3, 192, 10.1183/09031936.93.03020192

10.1164/ajrccm/146.4.1019

Tada H, 1992, P‐Nuclear magnetic resonance evidence of abnormal skeletal muscle metabolism in patients with chronic lung disease and congestive heart failure, Eur Respir J, 5, 163, 10.1183/09031936.93.05020163

Wuyam B, 1992, Metabolism and aerobic capacity in chronic respiratory failure related to chronic obstructive pulmonary disease, Eur Respir J, 5, 157, 10.1183/09031936.93.05020157

10.1007/s004210050197

10.1164/ajrccm.151.2.7842194

10.1136/thx.35.11.828