Exercise training to address lifelong consequences of preterm birth: a survey of perceived needs

The identification of a COPD etiotype associated with preterm birth (COPD-developmental) has expedited calls for intervention strategies that may improve health outcomes for survivors of preterm birth (<37 weeks' gestation). Pulmonary-rehabilitation style training interventions achieve physiological and symptom improvement in older people with COPD, but whether similar training interventions are suitable for young people is unclear. We sought to understand the perceived need and requirements of an exercise training intervention for children, adolescents and adults born preterm.

An online survey of individuals (≥12 years old) born preterm, and parents of preterm children (≥3 years old), was undertaken. 14 survey items (11 closed questions; 3 free-text) assessed perceptions to current engagement in exercise, as well as perceived needs of an exercise intervention.

Sixty-six responses (n = 37 (56 %) adolescents/adults; n = 29 (44 %) parent proxy for child) were recorded. Regular (≥2x/week) exercise participation was common, with perceived exercise facilitators being more time, establishing a routine and having support, and motivation and enjoyment. The majority (63 %) supported an exercise intervention for people born preterm. Preferred intervention components were 1-2 sessions/week (51 %) for ≥10 weeks, with health professional supervision (61 %). In-person or remotely delivered sessions were equally favored, with two-thirds desiring integration of performance monitoring devices or mobile applications.

There exists a perceived need for specific and targeted exercise training interventions for children and adults born preterm. Development and evaluation of tailored exercise programs that address the motivational and unique physiological needs of those born preterm are required.