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Updated: Aug 16, 2025

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Does Regular Exercise Impact the Lung Function of Healthy Children and Adolescents? A Systematic Review and
Fernanda Balbinot1, Felipe César de Almeida Claudino2, Pedro Kazlauckas Lucas3
1Post-Graduate Health Sciences Program, Federal University of Health Sciences of Porto Alegre, Porto Alegre,Brazil.
Purpose:
To assess the quality of the available evidence on the effect of exercise for the improvement of lung function in healthy children and adolescents.
Method:
We performed a systematic review and meta-analysis of intervention studies examining the effects of regular exercise on spirometric parameters of healthy children and adolescents aged ≤18 years.
Results:
Within the exercise groups, there were significant improvements in forced vital capacity (mean difference: 0.17 L; 95% confidence interval, 0.07 to 0.26; P < .05) and forced expiratory volume in the first second (mean difference: 0.14 L; 95% confidence interval, 0.06 to 0.22; P < .05). Results were consistent across different age groups and duration of interventions. In the between-group analysis, forced vital capacity, forced expiratory volume in the first second, and peak expiratory flow were higher in the exercise group compared with the nonexercise group, but the differences did not reach statistical relevance. There was significant statistical heterogeneity between studies.
Conclusion:
Regular exercise has the potential to improve lung function parameters in healthy children and adolescents; however, the small number of studies and the heterogeneity between them raise concern about the quality of the currently available evidence. These findings bring to attention the need for well-designed trials addressing this important public health issue.
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