Exercise prescription in young children with congenital heart disease: time for a change in culture

Stuart, Graham; Forsythe, Lynsey

doi:10.1136/openhrt-2021-001669

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…The application of precision-exercise-based training programs for medically fragile children, not only in oncological settings, requires a cultural change from the diagnosis and treatment of illness to lead to improvements in health [ 31 , 32 , 33 ]. PEx have a preventive function against the possible effects of cancer or oncological treatment on skeletal muscle, cardiorespiratory system, and bone tissue.…”

Section: Discussionmentioning

confidence: 99%

“…Most clinicians have a weak understanding of exercise physiology in children with cancer and the benefits of exercise in CAYA-H are mostly unknown. Currently, there is a growing body of knowledge about the preventive effects of exercise in clinical pediatric settings [ 32 , 33 ], but a cultural change from the treatment of illness to the recovery of health in CAYA-H survivors is long overdue [ 31 ]. According to the American College of Sports Medicine recommendation, when PEx and, consequently the evaluation of a basal performance, are necessary, the balance between the increasingly recognized health benefits of even low levels of physical activity and the rarity of cardiovascular events provoked among those with established cardiovascular disease needs to be taken into account [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

“…The collection of accurate data regarding the follow-up of CAYA-H’s exercise tolerance is not insignificant: due to the pharmacological toxicity related to life-saving treatments and the consequences of being bedridden, they experience a roller-coaster of symptoms that vary from days where PEx is fully manageable to days when severe fatigue is prevalent. The fatigue also affects a patient’s motivation to be evaluated and trained [ 31 , 32 , 33 ].…”

Section: Introductionmentioning

confidence: 99%

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The Impact of a Precision-Based Exercise Intervention in Childhood Hematological Malignancies Evaluated by an Adapted Yo-Yo Intermittent Recovery Test

Zardo

Villa

Corti

et al. 2022

Cancers

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During cancer treatments in childhood hematological malignancies, reduced exercise tolerance is one of the main hardships. Precision-based training programs help children, adolescents, and young adults and their families to resume regular physical activity, exercise, and sports once they return to their communities after the intensive phases spent in hospital. This study was aimed at verifying whether an intermittent recovery test, the Yo-Yo AD, could provide a simple and valid way to evaluate an individual’s capacity to perform repeated intense exercise and to follow up on the impact of tailored exercise in children, adolescents, and young adults with hematological malignancies. The Yo-Yo AD involved the repetition of several shuttles to muscle exhaustion, at pre-established speeds (walking and slow running). The heart rate (HR) and oxygen saturation (SaO2) were monitored during the test. The total distance and the walking/running ability, measured as the slope of the HR vs. distance correlation, were investigated before (T0) and after 11 weeks (T1) of precision exercise intervention. The Yo-Yo AD was also performed by healthy children (CTRL). Ninety-seven patients (10.58 ± 4.5 years, 46% female) were enrolled. The Yo-Yo AD showed the positive impact of the exercise intervention by increasing the distance covered by the individuals (T0 = 946.6 ± 438.2 vs. T1 = 1352.3 ± 600.6 m, p < 0.001) with a more efficient walking/running ability (T0 = 2.17 ± 0.84 vs. T1 = 1.73 ± 0.89 slope, p < 0.0164). CTRLs performed better (1754.0 ± 444.0 m, p = 0.010). They were equally skillful (1.71 ± 0.27 slope) when compared to the patients after they received the precision-based intervention. No adverse events occurred during the Yo-Yo AD and it proved to be an accurate way of correctly depicting the changes in performance in childhood hematological malignancies.

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Section: Discussionmentioning

confidence: 99%