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 .
Benefits of combining inspiratory muscle with ‘whole muscle’ training in children with cystic fibrosis: a randomised controlled trial
Background The purpose of this study ( r and omised controlled trial ) was to assess the effects of an 8-week combined ‘ whole muscle ’ ( resistance+aerobic ) and inspiratory muscle training ( IMT ) on lung volume , inspiratory muscle strength ( PImax ) and cardiorespiratory fitness ( VO2 peak ) ( primary outcomes ) , and dynamic muscle strength , body composition and quality of life in paediatric out patients with CF ( cystic fibrosis , secondary outcomes ) . We also determined the effects of a detraining period . Methods Participants were r and omly allocated with a block on gender to a control ( st and ard therapy ) or intervention group ( initial n=10 ( 6 boys ) in each group ; age 10±1 and 11±1 years ) . The latter group performed a combined programme ( IMT ( 2 sessions/day ) and aerobic+strength exercises ( 3 days/week , in-hospital ) ) that was followed by a 4-week detraining period . All participants were evaluated at baseline , post-training and detraining . Results Adherence to the training programme averaged 97.5%±1.7 % . There was a significant interaction ( group × time ) effect for PImax , VO2peak and five-repetition maximum strength ( leg-press , bench-press , seated-row ) ( all ( p<0.001 ) , and also for % fat ( p<0.023 ) and % fat-free mass ( p=0.001 ) , with training exerting a significant beneficial effect only in the intervention group , which was maintained after detraining for PImax and leg-press . Conclusion The relatively short-term ( 8-week ) training programme used here induced significant benefits in important health phenotypes of paediatric patients with CF . IMT is an easily applicable intervention that could be included , together with supervised exercise training in the st and ard care of these patients
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 .