Results Overall , exercise intolerance is prevalent in pediatric chronic disease .
Background Physical activity ( PA ) is associated with a diverse range of health benefits .
International guidelines suggest that children should be participating in a minimum of 60 min of moderate to vigorous intensity PA per day to achieve these benefits .
However , current guidelines are intended for healthy children , and thus may not be applicable to children with a chronic disease .
Specifically , the dose of PA and disease specific exercise considerations are not included in these guidelines , leaving such children with few , if any , evidence -based informed suggestions pertaining to PA .
Thus , the purpose of this narrative review was to consider current literature in the area of exercise as medicine and provide practical applications for exercise in five prevalent pediatric chronic diseases : respiratory , congenital heart , metabolic , systemic inflammatory/autoimmune , and cancer .
Effects of high-intensity intermittent running exercise in overweight children
Abstract This study examined the effects of a 6-week intermittent exercise training , at different intensities , on body composition , functional walking and aerobic endurance in overweight children . Forty-eight overweight children ( age : 10.4 ± 0.9 years ) were r and omly assigned to either intervention or control group . Lower and higher intensity intermittent exercise groups ( LIIE and HIIE ) performed intermittent running three times a week . LIIE performed more intervals at a lower intensity [ 16 intervals at 100 % of individual maximal aerobic speed ( MAS ) , 8 minutes in total ] , and HIIE performed fewer intervals at a higher intensity ( 12 intervals at 120 % of MAS , 6 minutes in total ) . Each interval consisted of a 15-second run at the required speed , followed by a 15-second passive recovery . After 6 weeks , HIIE had a significantly ( p < 0.05 ) higher percentage reduction in sum of skinfolds ( i.e. calf and triceps ) , and significantly ( p < 0.05 ) fewer steps during the functional obstacle performance , as compared with LIIE and control group . Significant improvement ( p < 0.05 ) was found in intermittent aerobic endurance for HIIE as compared to the control group . Higher intensity intermittent training is an effective and time-efficient intervention for improving body composition , functional walking and aerobic endurance in overweight children
Results Overall , exercise intolerance is prevalent in pediatric chronic disease .
Background Physical activity ( PA ) is associated with a diverse range of health benefits .
International guidelines suggest that children should be participating in a minimum of 60 min of moderate to vigorous intensity PA per day to achieve these benefits .
However , current guidelines are intended for healthy children , and thus may not be applicable to children with a chronic disease .
Specifically , the dose of PA and disease specific exercise considerations are not included in these guidelines , leaving such children with few , if any , evidence -based informed suggestions pertaining to PA .
Thus , the purpose of this narrative review was to consider current literature in the area of exercise as medicine and provide practical applications for exercise in five prevalent pediatric chronic diseases : respiratory , congenital heart , metabolic , systemic inflammatory/autoimmune , and cancer .