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Maximal oxygen consumption and stress performance in children operated on for congenital diaphragmatic hernia

Authors :
Zaccara, A.
Turchetta, A.
Calzolari, A.
Iacobelli, B.
Nahom, A.
Lucchetti, M.C.
Bagolan, P.
Rivosecchi, M.
Coran, A.G.
Source :
Journal of Pediatric Surgery; August 1996, Vol. 31 Issue: 8 p1092-1095, 4p
Publication Year :
1996

Abstract

The long-term follow-up of patients operated on for congenital diaphragmatic hernia (CDH) at birth has been extensively evaluated, both clinically and with respect to respiratory function. However, little is known about the sports practice and stress performance of these subjects. Fifteen of 107 patients operated on for CDH underwent exercise stress testing with a stepwise increase in workload. A questionnaire was provided, which requested information on sports practice and lifestyle. Maximal oxygen consumption (V̇o2max) was measured along with dynamic lung volumes. Clinical examination included a whole-body assessment (height, weight, skinfolds) and vital parameters (heart rate and blood pressure). Fifteen healthy children who practiced regular physical activity (2 to 4 hours/week) served as controls. All the CDH patients experienced a good lifestyle, but only 8 of them were participating in sports. Exercise duration andV̇o2max were significantly lower for the CDH patients, and were lowest for the sedentary patients. Therefore, the reducedV̇o2max of these otherwise healthy children most likely represents a lower degree of physical fitness rather than decreased respiratory function. Fitness is an expression of well-being; thus, there is evidence that these patients could safely participate in competitive motor activities.

Details

Language :
English
ISSN :
00223468 and 15315037
Volume :
31
Issue :
8
Database :
Supplemental Index
Journal :
Journal of Pediatric Surgery
Publication Type :
Periodical
Accession number :
ejs31385410
Full Text :
https://doi.org/10.1016/S0022-3468(96)90094-9