Comparison of the physiological responses induced by different pediatric exercise field tests in children

Abstract

Objective This study aimed to compare the physiological responses induced by the modified shuttle walk test (MSWT), the 6‐minute walk test (6MWT), and the pediatric Glittre activities of daily living test for children (TGlittre‐P) in healthy children. Method This was an analytical observational cross‐sectional study. All subjects underwent an anthropometric evaluation, pulmonary function test, TGlittre‐P, 6MWT, and MSWT using a portable gas analyzer. Each test was conducted on the same day, and a maximum period of 15 days was considered for completion of the 3 days of data collection. Results Overall, 24 subjects were included (mean age, 9.78 ± 1.27 years). The peak oxygen consumption (VO2peak) during the MSWT (1409.94 ± 285.13 mL/kg/min) was significantly higher than that during the TGlittre‐P (982.19 ± 205.95 mL/kg/min) and 6MWT (982.85 ± 257.09 mL/kg/min) (P < .001 for both). There was no difference in VO2peak as well as most of the physiological variables between the 6MWT and TGlittre‐P (P = .987). The MSWT VO2peak correlated with the 6MWT VO2peak (r = 0.67; P = .00) and the TGlittre‐P VO2peak (r = 0.43; P = .04). The VO2peak values achieved in the 6MWT and TGlittre‐P were also correlated (r = 0.68; P = .00). Unlike in the MSWT, in which the physiological measurements show an incremental response, the VO2, heart rate, minute ventilation, and respiratory exchange ratio were stabilized in the TGlittre‐P and 6MWT. Conclusion The TGlittre‐P and 6MWT showed similar physiological responses and required less metabolic, respiratory, and cardiovascular overload than the MSWT. The performance measures and VO2peak values obtained in the three tests were correlated.

Diaphragm excursion correlates with performance and ventilation on the 6‐min walk test in children with sickle cell disease

“…Respiratory frequency ($${f}_{R}$$), tidal volume ($${V}_{T}$$), minute ventilation ($${\dot{V}}_{E}$$), oxygen uptake ($${\dot{V}}_{{O}_{2}}$$), and ventilatory equivalents for oxygen ($${\dot{V}}_{E}$$/$${\dot{V}}_{{O}_{2}}$$) during the 6MWT were measured via breath‐by‐breath expired gas analysis using the VO 2 Master Pro Metabolic Analyzer (VO 2 Master Health Sensors Inc.). The 60‐s average of all parameters during the last minute of the 6MWT was used for analysis 25 …”

The Multistage 20-m Shuttle Run Test for Predicting VO2Peak in 6–9-Year-Old Children: A Comparison with VO2Peak Predictive Equations

“…As Scalco et al [ 34 ] proposed during the test, all participants were verbally encouraged to achieve the best possible result. The types of verbal encouragement used were: “very well”, ”let’s go”, “way to go”, “you can do it”, “cheer up”, and “you are almost there”, spoken every 60 s, throughout the process, uninterrupted, and to all participants.…”

“…To measure CRF in field tests conducted in clinical and scientific settings, studies have often used portable gas analyzers (PGA) [ 29 , 30 , 31 , 32 , 33 ]. However, few studies have investigated using the K4 b 2 PGA (COSMED, Rome, Italy), one of the frequently used devices [ 34 , 35 , 36 ], and its influence on the 20mSRT performance. A PGA consists of a face mask attached with a head harness, monitoring wires, and a portable unit fitted with a battery pack in a harness adjusted to a child’s trunks, which weighs approximately ~1 kg.…”

Pediatric pulmonology year in review 2019: Physiology

“…There is a paucity of data from other exercise tests in children. To address this knowledge gap, Scalco et al 30 compared the 6 minute walk test (6MWT), modified shuttle walk test (MSWT), and a pediatric version of the multiple‐task Glittre activities of daily life test (TGlittre‐P) in healthy school‐aged children. The TGlittre‐P and 6MWT elicited similar physiologic responses consistent with submaximal exercise testing, whereas physiologic overload was greater with the MSWT.…”