Assessment of functional capacity and pulmonary in pediatrics patients renal transplantation

Ferrari, Renata; Schaan, Camila Wohlgemuth; Cerutti, Karina; Mendes, Juliana Farinassi; Garcia, Clotilde Druck; Monteiro, Mariane Borba; Lukrafka, Janice Luísa

doi:10.5935/0101-2800.20130006

Cited by 1 publication

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“…In our study, we identified that 56% of children and adolescents presented a walking distance below this threshold. In accordance to our findings, previous studies also documented significantly reduced walking performances of severely ill children compared to their healthy peers . Beyond that, baseline characteristics indicate that female patients and adolescents tend to be in one of the UNFIT groups.…”

Section: Discussionmentioning

confidence: 99%

Impact of the initial fitness level on the effects of a structured exercise therapy during pediatric stem cell transplantation

Wallek

Senn-Malashonak

Vogt

et al. 2017

Pediatric Blood & Cancer

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Background Before and after hematopoietic stem cell transplantation (HSCT), most patients suffer from psychophysical limitations due to the treatment. Exercise interventions demonstrate beneficial effects on, for example, strength, endurance, or health‐related quality of life during and after HSCT, but with a great variation among patients concerning the response to exercise. This study examines the influence of the initial fitness on the effects of an exercise therapy in pediatric HSCT. Procedure Fifty‐three children and adolescents (10.9 ± 3.5 years) scheduled for HSCT were randomized into an exercise intervention group (IG) or a control group (CG). During hospitalization, the IG performed endurance, strength, and flexibility training three times per week. The CG included a nonexercise program. A 6‐min walk test was completed before and after the inpatient period. Baseline results (6‐min walking distance [6MWD]) were used to split both groups into the following: IGUNFIT, n = 14; IGFIT, n = 12; CGUNFIT, n = 16; CGFIT, n = 11. Differences in outcome changes between groups were analyzed with H‐test. Result Intergroup comparison revealed significant differences between IGUNFIT and CGUNFIT (P < 0.05). The IGUNFIT increased their 6MWD by +8% (vs. IGFIT, +1%); both CGs presented a decline in 6MWD (CGUNFIT, –14%; CGFIT, –16%). At discharge, the IGFIT achieved 85.5 ± 10.3% of healthy reference values. Conclusions The current results indicate that exercise during pediatric HSCT is feasible and contributes to prevention of treatment‐related loss of physical function. As seen in healthy persons, patients’ benefits might depend on their initial fitness level. As a diminished physical capability may result in higher training effects, impaired especially patients should engage in exercise.

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Section: Discussionmentioning

confidence: 99%