1. Inter-individual variability of aerobic capacity after rehabilitation exercise training in children with severe burn injury.
- Author
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Rivas E, Kleinhapl J, and Suman-Vejas OE
- Subjects
- Humans, Female, Male, Child, Adolescent, Burns rehabilitation, Burns physiopathology, Exercise Therapy methods, Cardiorespiratory Fitness physiology, Oxygen Consumption, Heart Rate physiology, Exercise Tolerance physiology
- Abstract
Introduction: Severe burn trauma damages resting and exercise cardiac function that may affect long term cardiovascular health. The implementation of rehabilitation exercise training (RET) soon after hospital discharge improves cardiorespiratory fitness; however, it does not fully restore aerobic capacity and presents large inter-individual variability. We tested the hypothesis that the inter-individual variability of aerobic capacity for responders (R) compared to nonresponders (NR) would differ for exercise frequency and intensity., Methods: Thirty-three children (11 female, [mean±SD] 12 ± 3 years, 145 ± 18 cm, 40 ± 11 kg, 49 ± 31 BMI percentile) with severe burns (49 ± 15 % total body surface area burned, with 35 ± 22 % third-degree burns) completed a 6-week RET program. Cardiorespiratory fitness (peak VO
2 ) was measured before and after RET. Frequency (session days/week), intensity (% peak heart rate), time (min/session), and volume (min/week) were compared between responders and non-responders. Significance was set at p < 0.05., Results: Sixty-four percent of the study population improved peak VO2 after RET whereas 36 % showed no improvements. Using a 2-way factorial ANOVA (group [G] × week [WK]), we found that exercise frequency and session time were similar and increased slightly over 6 weeks between R and NR (main effect for WK; P < 0.002). Exercise volume was significantly lower on week 2 for NR compared to R (G × WK interaction, P < 0.028). Exercise intensity over 6-weeks was significantly lower in the NR compared to the R group (G × WK interaction, P < 0.022)., Conclusions: Exercise intensity and volume may be important contributors for improving the interindividual response to exercise training for peak VO2 . These data suggest that the appropriate dose-response requirement for exercise intensity may be > 80 % peak heart rate and exercise volume of > 150 min per week. Further understanding of the exercise prescription will provide insights important for cardiovascular rehabilitation in children with severe burns., Subject Code: Inter-individual Variability, Exercise, Pediatrics, Exercise Training., Competing Interests: Declaration of Competing Interest All authors have read and agree to the publication of the manuscript, and that the manuscript has not been submitted elsewhere. The authors have no conflict of interest., (Copyright © 2024 International Society of Burns Injuries. All rights reserved.)- Published
- 2024
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