Assessment of Aerobic Fitness in Cystic Fibrosis and Asthmatic Children Burns PD, Jamieson P, Buchan EJ, Paton JY, Royal Hospital for Sick Children, Glasgow.

Slides:

Advertisements

Similar presentations

Other physiological tests. Factors That Contribute to Physical Performance.

Advertisements

VO2 MAX VO2 Max, Aerobic Power& Maximal Oxygen Uptake. VO2 max has been defined as: "the highest rate of oxygen consumption attainable during maximal or.

Oxygen assessment and provision Anne McGown Consultant Royal Berkshire Hospital Mar 2008.

CARDIOPULMONARY EXERCISE TESTING

Journal Club Alcohol, Other Drugs, and Health: Current Evidence September-October 2007.

Holcroft LB 1, Coughlan GF 1, Caulfield B 1, Crowe L 1, Barry P 2, Nicholson T 2, Gallagher CG 2 1 Stim XDP Research Group, Institute for Sport and Health,

BELLARMINE UNIVERSITY, LOUISVILLE, KY Cystic Fibrosis Exercise, and Quality of Life Presented by: John Hardy, Adam Hooten, Andrew Stethen, and Cody Russell.

Clinical application 1.Dx exercise intolerance 1.1  VO 2 max   VO 2 AT 1.2 RER >1.2 (HRmax is not achieved) 1.3  breathing reserve < 20% (N=20-40%)

BELLARMINE UNIVERSITY, LOUISVILLE, KY Improving Function of Patients with COPD Sarah Demarest, Rachel Flaherty, Ali Hafele, & Beth Niebuhr Bellarmine University.

6 th May 2014 Dr. James Paton University of Glasgow, Clinical Audit Lead, RCPCH NRAD and Children What the Report Means for Paediatric Care.

Copyright © 2010 American College of Sports Medicine Metabolic Syndrome.

MITCHELL HOROWITZ Cardiopulmonary Exercise Testing.

TEMPLATE DESIGN © Prevalence of educational qualifications and access to information technologies in patients with acute.

A Retrospective Study of the Association of Obesity and Overweight with Admission Rate within York Hospital Emergency Department for Acute Asthma Exacerbations.

Results. Abstract Introduction Methods Purpose Conclusions Author: Bhavin Rana Faculty Sponsor: Judy Wilson Ph.D. Class: KINE 4400 Applied Exercise Physiology.

Chapter Quality Network (CQN) Asthma Pilot Project Team Progress Presentation State Name: Ohio Practice: Toledo Children Primary Care Team Members:

BELLARMINE UNIVERSITY, LOUISVILLE, KY Eccentric Training and CAD Michael Beavin, Jason Copelin, Madelaine Nolan, and Kaitlyn Stahl.

Results (continued) Results ANAEROBIC POWER AND AEROBIC FITNESS CHARACTERISTICS OF COLLEGE-AGED, RECREATIONAL, FEMALE SOCCER PLAYERS BASED ON THEIR FIELD.

Exercise Testing – clinical utility Sudhir Rao Respiratory registrar.

Ziggy and the Meaning of Life: Cystic Fibrosis and Exercise Stanford CF Education Day March 13, 2010 David M. Orenstein, MD.

Pulmonary Rehabilitation in Chronic Lung Disease; Components and Organization Prof. Dr. Müzeyyen Erk Cerrahpaşa Medical Faculty Chest Disease Dept.

. Exercise testing in survivors of intensive care— is there a role for cardiopulmonary exercise training? Benington S, McWilliams D, Eddleston J, Atkinson.

Asthma Guidelines, Diagnosis and Management Alison Hughes Respiratory Specialist Nurse Solent NHS Trust.

Tabata Interval Exercise: Energy Expenditure and Post-Exercise Responses Michele Olson, PhD, FACSM Scharff-Olson Kinesiology Lab, Auburn University Montgomery,

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE VOL R2 이윤정 Richard A. Belkin, Noreen R. Henig, Lianne G. Singer, Cecilia Chaparro,

Copyright restrictions may apply JAMA Pediatrics Journal Club Slides: Preoperative Anemia and Postoperative Mortality in Neonates Goobie SM, Faraoni D,

GOLD 2017 major revision: Summary of key changes

Length of Intervention

Calculation of conductive inhomogeneity in children with Cystic Fibrosis lung disease: which method works? Verger N2, Arigliani M1, Raywood E3, Duncan.

Centre for Paediatrics, Blizard Institute

Acute Physiological Responses to Different Exercise Modalities in Patients with Chronic Heart Failure P. FERENTINOS1,2, L. KARATZANOS2, S. DIMOPOULOS2,

Impact Of Intensity Of Glucose Control On Lactate Levels In Children After Cardiac Surgery Fule BK1, Kanthimathinathan HK3 Gan CS1, Davies P2, Laker S1,

Why anxiety associates with non-completion of pulmonary rehabilitation program in patients with COPD? Dr Abebaw Mengistu Yohannes Associate Professor.

ASSESSING THE RELATIONSHIP BETWEEN EXERCISE EFFICIENCY AND MITOCHONDRIAL ENERGY TURNOVER IN ATHLETES USING NEAR-INFRARED SPECTROSCOPY Ciaran O’Grady1.

FSH Society Family Day SF FSHD Exercise

Assessement of Cardiovascular Fitness In Wheelchair

Appropriateness of the metabolic equivalent (MET) as an estimate of

Department of Respiratory Medicine

PFT of the Day!.

In Cystic Fibrosis Patients Receiving Pancreatic Enzymes

Peak oxygen uptake and prevalence of cardiovascular disease risk factors in breast cancer survivors Lahart1, I.M., Metsios1, G.S., Nevill1, A.M., Kitas1,2,

Great Ormond Street Hospital for Children, London

Exercise Conditioning and Cardiopulmonary Fitness in Cystic Fibrosis

ALFIO STUTO SEAL WHEALTH TEAM SIRACUSA - ITALY

Reduced Quality of Life

To compare the economy of elite and non-elite men and women runners.

A REVIEW OF DORNASE ALFA USE FOR SUSPECTED AIRWAY PLUGS

Ehab Mohamed Abo El Soad Abd El Kafy , Omar Farouk Helal.

EFFECTS OF WEARING THE ELEVATION TRAINING MASK™ ON ENDURANCE PERFORMANCE COMPARED WITH CHANGES FROM TRAINING AT INCREASED ENVIRONMENTAL ALTITUDE – PRELIMINARY.

Alalia Berry, MD, William W. Busse, MD

Exercise and Risk of Breast Cancer

Clinical application Dx exercise intolerance 1.1  VO2max   VO2 AT

אימון שרירי נשימה בחולי אי- ספיקת לב

Seasonal variation of incidence

Exercises Commonly Used in Rehabilitation of Patients With Chronic Obstructive Pulmonary Disease: Cardiopulmonary Responses and Effect Over Time Hanneke.

Correlation of excessive reactive oxygen species (ROS) production to clinical disease severity. Correlation of excessive reactive oxygen species (ROS)

How does heart rate recovery after sub-maximal exercise correlate with maximal exercise testing in children with CF? Sarah P. Cohen, David M. Orenstein

Stress and self-management of COPD patients (collaborative care)

Effects of Pay-for-Performance on the Quality of Primary Care in England Mean Scores for Clinical Quality at the Practice Level for Aspects of Care for.

Mark R. Johnson, Thomas W. Ferkol, Ross W. Shepherd

Organisms that were detected from a 1-year retrospective audit of 463 culture-positive eye swabs in children at Alder Hey Children's National Health Service.

Harvest plot of intervention effects on fitness and exercise capacity.

Regions of the body (shaded area) where bruises were significantly more likely to occur in a child with confirmed physical abuse than in one where physical.

VO2max, LT, and Endurance Performance

Correlation between inspiratory capacity (IC)/total lung capacity (TLC) ratio and oxygen pulse at peak exercise in chronic obstructive pulmonary disease.

Nottingham City Care Integrated Respiratory Service and Home Oxygen Service Zoe Styles Senior Physiotherapist.

CLE scores before and after treatment with IMT of 28 athletes consecutively referred for work-up of EIIS and diagnosed with EILO at the outpatient clinic.

Limits of agreement between mean right and mean left tympanic membrane temperatures in 23 healthy, afebrile children (mean of all children). Limits of.

Relationship between the mean of actually measured and predicted postoperative oxygen uptake (ppo V̇O2peak as % of predicted), and the difference between.

The benefits: exercise and cardiometabolic disease

Presentation transcript:

Assessment of Aerobic Fitness in Cystic Fibrosis and Asthmatic Children Burns PD, Jamieson P, Buchan EJ, Paton JY, Royal Hospital for Sick Children, Glasgow Methods Results Introduction There was no significant difference between any of the groups in VO2peak (p>0.05) The asthma group had a significantly lower FEV1 Z score than the SOBOE group (p<0.05). CF Asthma Airflow obstruction SOBOE ? Ventilation limitation Assessment at annual review Identify reduced fitness Part of formal workup Strong indicator of prognosis Confirm safety of exercise A retrospective audit of lung function and CPET performed on asthma (n=41), CF (n=28) and unexplained SOBOE (n=18) patients. Lung function was performed prior to exercise which was either a cycle ergometer ramp (n =73) or a STEEP treadmill protocol (n=5) Results Measurement Asthma CF SOBOE Mean VO2peak % pred 104 ±28 108 ± 16 111 ±16 Mean VO2 ml.min-1.kg-1 41.9 ± 10.5 42.7 ± 7.2 44.9 ± 8.9 95% CI's VO2peak 95, 113 102, 114 96, 112 95% CI's VO2 ml.min-1.kg-1 38.7, 45.1 40.0, 45.4 40.8, 49.0 Mean FEV1 Z score -0.92 ±1.61 -0.61 ±1.09 -0.02 ±0.93 95% CI's FEV1 Z score -1.41, -0.43 -1.10, -0.12 -0.45, 0.41 Conclusions The good fitness levels in our CF patients may reflect the fact they are encouraged to perform regular physiotherapy and exercise training as part of their treatment. The lower fitness levels in some of our asthma patients indicates they may not be physically active enough. Once asthma is controlled they should be actively encouraged to exercise. CF and Aerobic Fitness Studies have shown that a higher VO2peak is significantly correlated with survival and lower risk of hospitalization in CF 1,2 Asthma and Aerobic Fitness Many children with asthma have lower levels of fitness than controls and better fitness levels are associated with better asthma control. 3,4 Anxiety about exercise Exercise less Detrained Reduced capacity Breathless on exertion Lung Disease Aims To assess and compare the peak oxygen uptake ( VO2peak) in three groups of paediatric patients:- Cystic fibrosis, Asthma and referrals for CPET due to unexplained SOBOE References 1. Nixon PA, Orenstein DM, Kelsey SF, Doershuk CF. The prognostic value of exercise testing in patients with cystic fibrosis. N. Engl. J. Med. 1992;327(25):1785–8 2. Perez M, Groeneveld IF, Santana-Sosa E, et al. Aerobic fitness is associated with lower risk of hospitalization in children with cystic fibrosis. Pediatr. Pulmonol. 2013 3. Villa F, Castro APBM, Pastorino AC, et al. Aerobic capacity and skeletal muscle function in children with asthma. Arch. Dis. Child. 2011;96:554–559 4. Fanelli A, Cabral ALB, Neder JA, Martins MA, Carvalho CRF. Exercise training on disease control and quality of life in asthmatic children. Med. Sci. Sports Exerc. 2007;39:1474–1480.