Comprehensive use of cardiopulmonary exercise testing in pediatrics

Wołoszyn, Filip; Mazur, Artur

doi:10.5114/pedm.2020.103057

Cited by 3 publications

(4 citation statements)

References 45 publications

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“…Factors like body mass index and activity patterns also affecting fitness levels and overall health condition, both of which are vital indications of physical fitness and susceptibility to diseases. Another research shows that traditional testing in the field of pediatrics is useful to use as it is non-invasive, simple and cost-effective methods to test cardiopulmonary function in children and adolescents [36]. However, many other studies have emphasized limitations of ergospirometric testing despite their valuable applications in domains including pulmonology, cardiology, and sports medicine and offer assessment of a wide range of factors, which require meticulous analysis approaches thorough evaluation of exercise testing data [37].…”

Section: Discussionmentioning

confidence: 99%

“…Exercise spirometry is a new technology for assessing physical fitness that uses cardiac electrocardiography (CPET) to measure exercise capacity and assess the risk of heart problems [1]. CPET is a non-invasive technique that measures a person's body's response to physical activity by measuring oxygen consumption and carbon dioxide production during exercise [2,3]. This information is used to determine a person's maximum oxygen consumption (VO2 max), an important measure of a person's cardiovascular and overall health [4].…”

Section: Introductionmentioning

confidence: 99%

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Ergospirometric testing: a modern approach to the diagnosis of physical health

2024

FEM

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Ergospirometry is a modern approach to the diagnosis of physical health that involves the use of exercise testing to measure cardiopulmonary function. Aims: To compare the distribution of health characteristics and their relationship between participants, to evaluate the accuracy of hypertension, hyperlipidemia and diabetes in both groups, to measure respiratory rate and heart rate between ergospirometric testing and traditional testing for physical health assessment. Study design: A comparative cross-sectional design to assess ergospirometric testing and traditional testing for physical health assessment. Methodology: The study employed a comparative cross-sectional design, utilizing convenience sampling to recruit participants for ergospirometric testing on a treadmill and the traditional 6-Minute Walk Test. Sample size determination yielded 100 participants (50 per group). Data on sociodemographic, comorbidities, and physiological parameters were collected and analyzed using descriptive statistics, chi-square tests, and independent sample t-tests. Results: The study compared Ergometric testing on a treadmill with the Traditional 6-Minute Walk Test across various parameters. Participants undergoing Ergometric testing were younger with more females and smokers, while the Walk Test group had higher BMI and exercise rates. Ergometric testing revealed higher rates of hypertension (P = 0.034) and hyperlipidemia (P = 0.021) but lower diabetes prevalence (P = 0.016). Additionally, Ergometric testing showed a better detection of respiratory parameters, exercise stress detection (P = 0.009), and cardiovascular parameters as compared to Traditional testing. Furthermore, it has a higher sensitivity 85% and specificity 80% compared to the traditional testing having sensitivity 75%, and specificity 70%. Scientific Novelty: Spirometry testing has made an impact on physical examination today; using advanced technology to achieve the best, sensitivity and specificity marks changes in the actual examination. Conclusion: Ergometric testing (treadmill) shows a significant advantage over traditional testing (6-Minute Walk Test) in diagnosing physical health conditions with a high sensitivity, specificity, and comprehensive parameter assessment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ergospirometric testing: a modern approach to the diagnosis of physical health

2024

FEM

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“…Exercise testing or cardiopulmonary exercise testing (CPET) is a useful, non-invasive investigation to evaluate physical fitness in children and adolescents with a potential role in the diagnosis, management and prognosis of several conditions in the pediatric population. By putting the respiratory system under stress, CPET may reveal subtle physiological abnormalities that may not be identified by routine static lung function tests [ 41 ]. CPET may be helpful in children with bronchopulmonary dysplasia, asthma, exercise-induced bronchospasm, and cystic fibrosis to evaluate the disease severity and to see the response of various therapeutic measures [ 42 ].…”

Section: Exercise Testingmentioning

confidence: 99%

“…A few essential parameters measured in CPET include heart rate, oximetry, blood pressure, tidal volume, minute ventilation, rate of O 2 consumption, maximum/peak oxygen uptake, rate of CO 2 elimination, anerobic threshold etc . [ 41 , 42 ].…”

Section: Exercise Testingmentioning

confidence: 99%

Lung Function Tests in Infants and Children

Jat

Agarwal

2023

Indian J Pediatr

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Lung function testing is an essential modality of investigation in children as it provides objective evidence of lung disease/health. With advances in technology, various tests are available that can aid in the diagnosis of lung disease, assess the progression and response to therapy and document the lung development and evolving lung diseases in infants. This narrative review discusses lung function tests in infants and children. Currently, lung function tests can be performed in every age group, from neonates to the elderly. Spirometry and peak expiratory flow rate (PEFR) are the most employed tests in children more than six years of age. Spirometry helps diagnose and monitoring of both obstructive and restrictive diseases. There is a need for expertise to perform and interpret spirometry correctly. The forced oscillation technique (FOT) or impulse oscillometry (IOS) is done with tidal volume breathing and is feasible even in preschool children. Their utility is mainly restricted to asthma in children at present. Lung function tests can be performed in neonates, infants and children using infant pulmonary function test (PFT) equipment, although their availability is limited. Diffusion capacity for carbon monoxide (DLCO) is a valuable tool in restrictive lung diseases. Lung volumes can be assessed by body plethysmography and multiple washout technique. The latter can also assess lung clearance index. It is essential to perform and interpret the lung function test results correctly and correlate them with the clinical condition for optimum treatment and outcome.

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Impact of Idiopathic Scoliosis on the Cardiopulmonary Capacity of Adolescents

Siwiec,

Domagalska-Szopa,

Kwiecień-Czerwieniec

et al. 2024

JCM

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Chest deformities in children with scoliosis may result in cardiopulmonary disorders, lowering cardiopulmonary capacity levels. However, results regarding the dependence of cardiopulmonary capacity on the severity level of scoliosis remain controversial. We aimed to use dynamic cardiopulmonary exercise testing (CPET) to investigate exercise capacity in reference to spinal deformity in patients with mild or moderate idiopathic scoliosis by means of multivariate analyses. Methods: We included 92 children and adolescents aged 10–17 years with mild and moderate idiopathic scoliosis and 94 healthy peers. The study consisted of three parts: (1) medical record analyses; (2) anthropometric measurements; and (3) CPET. Results: Our results revealed that the mean VO2peak and VO2peak/kg values of the participants with scoliosis were 0.27 L/min and 0.37 mL/min/kg lower than their healthy peers, respectively, regardless of age and gender. Furthermore, the occurrence of scoliosis correlates with a mean decrease in minute ventilation volume by 10.10 L/min, tidal volume by 0.11 L, breathing frequency by 3.78 bpm, and breathing reserve by 14.34%, regardless of the age and gender of the participants. Children and adolescents with mild-to-moderate scoliosis during CPET exhibit a lower ventilation capacity and lower VO2 max than healthy adolescents matched in age but their cardiorespiratory fitness parameters do not depend on the Cobb angle value and the angle rotation of the primary spinal curvature. Conclusions: Physical therapy and activity should be recommended to prevent cardiorespiratory failure in later life in patients with scoliosis. This study may also provide CPET reference values for healthy children and adolescents with scoliosis.

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Comprehensive use of cardiopulmonary exercise testing in pediatrics

Cited by 3 publications

References 45 publications

Ergospirometric testing: a modern approach to the diagnosis of physical health

Ergospirometric testing: a modern approach to the diagnosis of physical health

Lung Function Tests in Infants and Children

Impact of Idiopathic Scoliosis on the Cardiopulmonary Capacity of Adolescents

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