Exercise Testing in Children with Lung Diseases

Physical capacity of girls with mild and moderate idiopathic scoliosis: influence of the size, length and number of curvatures

“…The choice of both the proper method of V O 2 max assessment and the kind of ergometer during tolerance tests with children should be determined by the following factors: the possibility of objective, reliable measurement of the examined parameters, ensuring safety during tolerance tests and providing for the specific character of tolerance tests in children [15, 24, 30]. …”

“…A lowered level of physical capacity and, as a result, a lowered overall performance prevents children from exerting their full biological potential, the consequences of which can be seen in their adult and elderly lives [30]. …”

“…The most common measure for physical capacity is the maximum oxygen intake ( V O 2 max) which determines the organism’s capacity to transport and use oxygen [16, 24, 30]. Among the many factors determining the maximum oxygen intake, there are those that can be disturbed due to idiopathic scoliosis, for example, deformation and decrease of the chest mobility, decrease of capacity or weakness of the respiratory muscles [8, 13, 21].…”

Graded Exercise Testing in a Pediatric Weight Management Center: The DeVos Protocol

“…Protocols implemented varied from submaximal to maximal intensity and included both the cycle ergometer and treadmill (e.g., Astrand protocol, Bruce protocol, and so on). 5 Most often used in pediatric cardiology and pulmonology, [6][7][8] exercise testing in the clinical setting is implemented for several reasons, including measurement of functional capacity or aerobic fitness level, assessment of exercise tolerance, disease diagnosis, determination of disease severity, and monitoring of the effects of treatment programs (medication, exercise training, and so on). 6 Given that the goal of exercise testing is to evaluate how organs and systems linking pulmonary to cellular respiration perform under conditions of increased metabolic demand, the exercise testing protocol is typically progressive (i.e., exercise stages).…”

Increased daily activity in cystic fibrosis: time to break out the prescription pad?

“…However, it has limitations as it requires subjects to be of a certain height and be cooperative with the testing regime. To circumvent this, investigators have used field tests of sub-maximal exercise tests to estimate peak exercise capacity with shuttle tests [20]. Nonetheless, other investigators have questioned whether even a maximal exercise test in paediatric subjects with CF, using traditional criteria to verify maximal efforts, is as good as a subsequent exhaustive supramaximal exercise test [21,22].…”