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

Eisenmann, Joey C.; Guseman, Emily Hill; Morrison, Kyle M.; Tucker, Jared M.; Smith, Lucie; Stratbucker, William

doi:10.1089/chi.2014.0091

Cited by 9 publications

(8 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The cardiopulmonary exercise test (CPET) is a valuable tool to gain information on a patient's cardiac function and aerobic fitness and to determine how the heart, lungs, and peripheral musculature respond to the stress of exercise . In the cardiopulmonary exercise laboratory, the test is performed to assess functional capacity, aerobic fitness level, diagnose certain diseases, determine disease severity, and monitor the effects of treatment such as medication and exercise programs .…”

Section: Introductionmentioning

confidence: 99%

Abnormal submaximal cardiopulmonary exercise parameters predict impaired peak exercise performance in sickle cell anemia patients

Powell

Alsaied

Niss

et al. 2019

Pediatric Blood & Cancer

View full text Add to dashboard Cite

Purpose: Sickle cell anemia (SCA) patients frequently have many comorbidities, including diastolic dysfunction (DD) and exercise intolerance. SCA patients often cannot reach maximal effort on exercise testing; little is known regarding whether submaximal exercise parameters can predict abnormal maximal exercise results in SCA patients and if there are any possible associations with DD. Methods: A prospective longitudinal study was performed in SCA patients. All patients had a resting cardiac MRI (CMR), cardiopulmonary exercise test (CPET) with cycle ergometry using a ramp protocol, and an echocardiogram. Exercise data were compared with age-, gender-, and size-matched normal controls. Results: Compared with normal controls, the SCA group (n = 19) had lower mean max oxygen consumption (VO2; 1378 ± 412 mL/min vs 2237 ± 580, P < 0.01) and workload (117 ± 37.6 watts vs 175 ± 50.5 watts, P = 0.0003). When evaluating the submaximal exercise parameters, there was lower VO2 at the anaerobic threshold (AT; 950 ± 311.7 vs 1460 ± 409.9, P < 0.01) and oxygen uptake efficiency slope (OUES) at AT (1512 ± 426.2 vs 2080 ± 339, P < 0.01). The max VO2 strongly correlated with VO2 at AT (r = 0.9, P < 0.01) and OUES (r = 0.83, P < 0.01) at AT. The VO2 at AT correlated with hematocrit (r = 0.77, P < 0.05). The OUES correlated with left ventricular ejection fraction by CMR (r = 0.55, P = 0.01), hematocrit (r = 0.52, P = 0.02), and lateral E/e’ (r = −0.54, P = 0.01). Conclusions: SCA patients have abnormal submaximal exercise measures compared with controls, which is strongly associated with abnormal maximal exercise results. The degree of submaximal abnormality correlates with DD abnormalities by echocardiography. These data expand the scope of functional cardiovascular abnormalities in SCA.

show abstract

Section: Introductionmentioning

confidence: 99%

Abnormal submaximal cardiopulmonary exercise parameters predict impaired peak exercise performance in sickle cell anemia patients

Powell

Alsaied

Niss

et al. 2019

Pediatric Blood & Cancer

View full text Add to dashboard Cite

show abstract

“…The warm-up lasted 5 minutes at 60% maximum heart rate (HRmax), considering the maximum heart rate of the ergometric test carried out 12 . The speed of the music used in this stage was slow.…”

Section: Descriptores: Obesidad Pediátrica; Baile; Ejerciciomentioning

confidence: 99%

“…This phase was composed of recognizing the movements used during the main part of the class. The main part lasted 40 minutes at 70% to 80% maximum heart rate (HRmax), considering the maximum frequency of the ergometric test carried out 12 .…”

Section: Descriptores: Obesidad Pediátrica; Baile; Ejerciciomentioning

confidence: 99%

Dance in the Treatment of Childhood Obesity: A Proposed Protocol

Monteiro

Almeida

Júnior

2020

Rev Bras Med Esporte

View full text Add to dashboard Cite

Introduction: Low levels of daily physical activity is considered to be one of the causes of the exorbitant increase in overweight and obese children, and associated comorbidities. Therefore, it is vital to develop strategies that will be implemented consistently, to improve this situation. Studies have used dance as a resource for training overweight and obese children, but the lack of information about the creation process and its respective stages reduce the possibility of these proposals being effectively applied. Objectives: To describe the steps in the creation of a dance protocol as a training resource, and its effectiveness in improving the health parameters of overweight and obese children. Methods: 30 children (9 ± 1.1 years) underwent training sessions consisting of a five-minute warm-up at 60% HRmax., and four 10-minute sessions at 70% to 80% at HRmax. interspersed with five 2-minute active recovery periods at 60% HRmax. The sessions were carried out three times a week, and lasted 60 minutes each, over a 13-week period. Before and after the training, the body composition, body mass index (BMI), BMI z-score, waist circumference (WC), waist-to-height ratio (WHtR), systolic (SBP) and diastolic (DBP) blood pressure and blood variables were measured. Statistical analysis was performed using a mixed effects regression model. Results: After training with Afro-Brazilian dance, there was a significant reduction (p<0.05) in the BMI z-score and waist-to-height ratio. Conclusion: Afro-Brazilian dance training was a strategy with a positive effect on BMI z-score and waist-to-height ratio in overweight and obese children. Level of evidence IV; Case series.

show abstract

“…Children studied using a cycle ergometer for submaximal exercise testing had reduced ionotropic reserve compared with healthy matched controls . The graded exercise test is another valuable tool that evaluates a pediatric patient's cardiac function and aerobic fitness and determines how the heart responds to the extra demands of exercise . Our group is currently recruiting a cohort of long‐term HSCT survivors to determine if this modality may improve risk stratification for long‐term survivors.…”

Section: Detecting Cardiac Injurymentioning

confidence: 99%

Cardiotoxicity and cardiomyopathy in children and young adult survivors of hematopoietic stem cell transplant

Rotz

Ryan

Hlavaty

et al. 2017

Pediatric Blood & Cancer

View full text Add to dashboard Cite

Cardiomyopathy is common in long-term survivors of pediatric hematopoietic stem cell transplant (HSCT). Events occurring before and after HSCT when combined with specific insults during HSCT likely contribute to long-term risk. Strategies for detecting subclinical cardiomyopathy prior to patients developing overt heart failure are under investigation. Changes in HSCT preparative regimens and cardioprotective medications administered during chemotherapy may alter the risk for cardiomyopathy. Interventions in long-term survivors such as lifestyle modification and cardioactive medications are of increasing importance. Herein we review the causes of cardiac injury, discuss strategies for detection of cardiomyopathy, and evaluate therapeutic options for long-term HSCT survivors.

show abstract

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

Abstract: Obese youth seeking treatment at a stage 3 pediatric weight management center exhibit low VO2peak. The protocol outlined here should serve as a model for similar programs interested in the submaximal and peak responses to exercise in obese pediatric patients.

Cited by 9 publications

References 35 publications

Abnormal submaximal cardiopulmonary exercise parameters predict impaired peak exercise performance in sickle cell anemia patients

Abnormal submaximal cardiopulmonary exercise parameters predict impaired peak exercise performance in sickle cell anemia patients

Dance in the Treatment of Childhood Obesity: A Proposed Protocol

Cardiotoxicity and cardiomyopathy in children and young adult survivors of hematopoietic stem cell transplant

Contact Info

Product

Resources

About