Effect of preterm birth on exercise capacity: A systematic review and meta‐analysis

Edwards, Martin; Kotecha, Sailesh; Lowe, John; Watkins, William J.; Henderson, A. S.; Kotecha, Sailesh

doi:10.1002/ppul.23117

Cited by 45 publications

(44 citation statements)

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“…We used methodologies and data from our three previous systematic reviews . As data for BHR are often not reported in titles or abstracts, we combined several approaches.…”

Section: Methodsmentioning

confidence: 99%

Bronchial hyper‐responsiveness in preterm‐born subjects: A systematic review and meta‐analysis

Kotecha

Clemm

Halvorsen

2018

Pediatric Allergy Immunology

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“…We used methodologies and data from our three previous systematic reviews . As data for BHR are often not reported in titles or abstracts, we combined several approaches.…”

Section: Methodsmentioning

confidence: 99%

Bronchial hyper‐responsiveness in preterm‐born subjects: A systematic review and meta‐analysis

Kotecha

Clemm

Halvorsen

2018

Pediatric Allergy Immunology

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“…Children born preterm (<37 weeks’ gestation) are at increased risk for respiratory-related morbidity [ 1 , 2 ]. We have also shown reduced lung function of preterm-born school-age children using data from a large cohort study [ 3 ] as well as modest reductions in exercise capacity [ 4 ]. What is unclear is if such respiratory morbidities and decrements in lung function reduce children’s ability to participate in adequate levels of physical activity, possibly secondary to airway obstruction and impaired gas exchange.…”

Section: Introductionmentioning

confidence: 99%

Physical Activity and Sedentary Behavior in Preterm-Born 7-Year Old Children

et al. 2016

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BackgroundPrevious studies of preterm-born children (<37 weeks’ gestation) have demonstrated decrements in lung function, exercise capacity, and increased respiratory symptoms compared to their term-born peers. However, it is unclear if these children have decreased levels of physical activity (PA) and increased sedentary behavior as a consequence of this increased respiratory morbidity. We therefore compared objectively measured PA in 7-year old preterm-born children with those born at term.MethodsChildren in the Millennium Cohort Study underwent assessment of PA at 7 years of age using accelerometry. 6422/12781 (50%) provided valid accelerometry and had gestational age data. A series of general linear models adjusted for confounders investigated the association between gestational age and levels of Total PA (average accelerometer counts per minute over the period of the recording), Moderate-to-Vigorous PA (MVPA) and sedentary behavior. Mediation analysis was performed to specifically investigate whether the observed association of gestational age on PA was mediated by respiratory symptoms.ResultsPA data were available for 79, 119, 275 and 5949 children born at 25–32, 33–34, 35–36 and 37–43 weeks’ gestation respectively. Boys born at ≤32 weeks’ gestation had modest but statistically significant reductions in MVPA when compared to term controls. This equated to a reduction of 9 minutes per day. No differences were found for Total PA or sedentary behavior. The association between gestational age and MVPA was not mediated by respiratory symptoms. In females, there was no association between gestational age and any measure of PA or sedentary behavior.ConclusionsBoys born at ≤32 weeks’ gestation took part in less MVPA than their term-born peers at 7 years of age. The differences were modest, but equated to a reduction of over 1 hour per week. Since PA levels have been shown to decline during childhood and adolescence, this vulnerable group deserves further surveillance.

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“…Preterm-born individuals make up 10.6% of birth worldwide (40), and they are prone to adverse cardiorespiratory outcomes (4,5) and increased cardio-metabolic risk factors (6). Even though the benefits of physical activity are propagated in health policies (7,8), this systematic review reveals a paucity of studies with preterm populations.…”

Section: Discussionmentioning

confidence: 98%

“…Preterm birth can be regarded as a chronic health condition that has the potential to lead to functional limitations like intellectual disability, cerebral palsy, other motor problems and psychiatric conditions . Additionally, research has shown an increased risk of impaired lung function , reduced cardiorespiratory fitness and more cardio‐metabolic risk factors .…”

Section: Introductionmentioning

confidence: 99%

Association of physical activity and cardiorespiratory function or BMI and body composition in preterm‐born individuals: a systematic review

et al. 2019

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Aim To evaluate the association of physical activity (PA) and forced expiratory volume in one second (FEV1), peak oxygen consumption (pVO2), body mass index (BMI) and body composition in preterm‐born individuals. Methods Cochrane Library, EMBASE, MEDLINE, AMED, ERIC, Web of Science and PsycInfo were searched with no restriction on language and date of publication from inception to January 2018. Data were extracted comparing preterm‐born individuals with different frequencies of PA and the outcome of interest. Results One randomized controlled, two longitudinal and thirteen cross‐sectional studies comprising 1922 preterm‐born individuals aged 5–25 were included. Assessment varied from a PA program to accelerometer data, interviews and self‐report questionnaires. In preterm‐born children, more PA was associated with better cardiorespiratory function in those groups with impaired lung function or with lower BMI in those groups with increased risk factors, but no association was found in unimpaired children. In preterm‐born adults, more PA was associated with higher pVO2 and lower BMI. Conclusion Only tentative conclusions can be drawn, especially regarding differences of the association of PA between preterm‐ and term‐born populations. Further studies are needed to analyse the association of PA in preterm‐born individuals with reduced cardiorespiratory function.

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Effect of preterm birth on exercise capacity: A systematic review and meta‐analysis

Abstract: Despite marked deficits in spirometry, preterm-born children have a marginally decreased V˙O2max⁡, which is unlikely to be of great clinical significance. Pediatr Pulmonol. 2015; 50:293-301. © 2014 Wiley Periodicals, Inc.

Cited by 45 publications

References 44 publications

Bronchial hyper‐responsiveness in preterm‐born subjects: A systematic review and meta‐analysis

Bronchial hyper‐responsiveness in preterm‐born subjects: A systematic review and meta‐analysis

Physical Activity and Sedentary Behavior in Preterm-Born 7-Year Old Children

Association of physical activity and cardiorespiratory function or BMI and body composition in preterm‐born individuals: a systematic review

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