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Author Spotlight: Integrating Alveolar-Capillary Reserve Measurements in Exercise Adaptation and Therapeutic Strategies
Published on: February 2, 2024
[Exercise capacity in children with mild sleep-disordered breathing].
J Ricard1, H Vlachos1, M-E Dumas1
1Service de pneumologie pédiatrique, département de pédiatrie, faculté de médecine et des sciences de la santé, université de Sherbrooke, Québec, Canada.
Children with sleep-disordered breathing (SDB) show reduced exercise capacity and physical activity. Exercise training may offer clinical benefits for these children.
Area of Science:
- Pediatric Pulmonology
- Exercise Physiology
- Sleep Medicine
Background:
- Sleep-disordered breathing (SDB) is linked to reduced physical activity in children.
- Limited data exists on SDB's impact on children's exercise capacity.
Purpose of the Study:
- To assess exercise capacity in children with SDB.
- To evaluate the potential benefit of exercise training interventions for children with SDB.
Main Methods:
- Compared 12 children with suspected SDB to 11 healthy controls (aged 13±0.5 years).
- Utilized polysomnography, physical activity assessment, and incremental/all-out exercise tests.
Main Results:
- SDB group had a higher respiratory disturbance index (4.6±4.7 vs 0.8±0.6).
- Children with SDB exhibited lower VO2max (32.0±9.9 vs 42.3±5.7mL·kg−1·min−1) and peak power (8.6±3.4 vs 11.8±1.9W·kg−1).
- A significant correlation between VO2max and weekly physical activity was found only in the SDB group (P=0.005).
Conclusions:
- Mild SDB may impair aerobic and anaerobic exercise capacity in children, linked to lower physical activity.
- Exercise training interventions could be clinically beneficial for children experiencing SDB.
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