Exercise capacity in children with bronchopulmonary dysplasia at school age

Freerk Prenzel1, Mandy Vogel2, Werner Siekmeyer1

  • 1University of Leipzig Medical Center, Department of Pediatrics and Center for Pediatric Research Leipzig, Liebigstr. 20a, 04103, Leipzig, Germany.

Respiratory Medicine
|August 22, 2020
PubMed

Insights

Children with bronchopulmonary dysplasia (BPD) experience reduced exercise capacity and lung function at school age. They also report more exercise-related respiratory symptoms compared to healthy peers.

Area of Science:

  • Pediatric Pulmonology
  • Exercise Physiology
  • Neonatology

Background:

  • Bronchopulmonary dysplasia (BPD) is a chronic lung disease affecting preterm infants.
  • Long-term effects of BPD on exercise capacity and lung function at school age are not fully understood.

Purpose of the Study:

  • To compare exercise capacity, exercise habits, and lung function in school-aged children with BPD versus term-born controls.
  • To identify potential exercise limitations and respiratory symptoms in children with BPD.

Main Methods:

  • Cardiopulmonary exercise testing (CPET) and pulmonary function tests were conducted in 42 children with BPD and 42 controls.
  • Questionnaires assessed daily activity, sports participation, and respiratory symptoms.

Main Results:

  • Children with BPD demonstrated significantly lower peak exercise oxygen consumption, minute ventilation, and workload compared to controls.
  • Reduced forced expiratory volume in 1 second and expiratory flow were observed in the BPD group.
  • Children with BPD reported increased difficulties with physical activity and exercise-induced wheezing or shortness of breath.

Conclusions:

  • School-aged children with BPD exhibit airflow obstruction and reduced exercise capacity.
  • They experience more respiratory symptoms during physical activity.
  • Weight-adjusted oxygen consumption suggests preserved alveolar function despite airflow limitations.
Abstract

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