Exercise Field Testing in Children: A New Approach for Age-Appropriate Evaluation of Cardiopulmonary Function
- PDF / 741,386 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 109 Downloads / 217 Views
ORIGINAL ARTICLE
Exercise Field Testing in Children: A New Approach for Age‑Appropriate Evaluation of Cardiopulmonary Function Isabelle Schöffl2,3 · Benedikt Ehrlich2 · Simon Stanger4 · Kathrin Rottermann1 · Sven Dittrich1 · Volker Schöffl2,3 Received: 18 December 2019 / Accepted: 23 April 2020 © The Author(s) 2020
Abstract Based on the wide range of problems to effectively perform cardiopulmonary testing in young children, this study strives to develop a new cardiopulmonary exercise test for children using a mobile testing device worn in a backpack in order to test children during their natural movement habits, namely, running outdoors. A standard cardiopulmonary exercise ramp test on a cycle ergometer was performed by a group of twenty 7–10-year-old children. The results were compared with a self-paced incremental running test performed using a mobile cardiopulmonary exercise measuring device in an outdoor park. The children were able to reach significantly higher values for most of the cardiopulmonary exercise variables during ̇ 2 was reached by 25% of the children during the outdoor test, only 75% the outdoor test and higher. Whereas a plateau in VO ̇ were able to reach a reasonable VT2, let alone VO2peak , during the bicycle test. The heart rate at VT1, the O 2-pulse, and the ̇ 2peak in both tests. Testing children OUES were comparable between both tests. OUES was also positively correlated with VO outdoors using a mobile cardiopulmonary exercise unit represents an alternative to standard exercise testing, but without the added problems of exercise equipment like treadmills or bicycles. It allows for individualized exercise testing with the aim of standardized testing durations instead of standardized testing protocols. The running speeds determined during the outdoor tests may then be used to develop age-adapted testing protocols for treadmill testing. Keywords Mobile spiroergometry · Pediatric cardiology · Cardiopulmonary function in children · Outdoor testing · VO2max
Introduction Cardiopulmonary exercise testing (CPET) is a commonly performed, non-invasive method to evaluate cardiac symptoms and assess functional capacity in children [1] and can be considered as safe [2]. Cardiorespiratory fitness (CRF) is the most important marker of health among the health-related physical fitness components in children and adolescents [3, 4]. There is an inverse association between levels of CRF during childhood * Isabelle Schöffl [email protected] 1
Department of Pediatric Cardiology, University Hospital Erlangen-Nuremberg, 91054 Erlangen, Germany
2
Section of Sportsmedicine and Sports Orthopaedics, Department of Orthopedic and Trauma Surgery, Klinikum, Bamberg, Germany
3
School of Clinical and Applied Sciences, Leeds Beckett University, Leeds, Great Britain
4
Department of Pediatrics, Klinikum, Bamberg, Germany
and cardiovascular disease risk factors later in life [5]. So far, there is little evidence if this holds true for preschool children even though CRF is probably just as importan
Data Loading...
