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Vol. 54. Num. 12.December 2018
Pages 599-642
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Vol. 54. Num. 12.December 2018
Pages 599-642
Original Article
DOI: 10.1016/j.arbr.2018.05.019
Physical Activity Program Improves Functional Exercise Capacity and Flexibility in Extremely Preterm Children With Bronchopulmonary Dysplasia Aged 4–6 Years: A Randomized Controlled Trial
Mejora de la capacidad funcional al ejercicio y de la flexibilidad a través de un programa de actividad física en niños de entre 4 a 6 años prematuros extremos con displasia broncopulmonar: ensayo controlado aleatorizado
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Natalia Morales Mestrea,b,
Corresponding author
natalia.morales@uclouvain.be

Corresponding author.
, Andrea Papaleoc,d, Vicente Morales Hidalgoe, Gilles Catyf, Gregory Reychlerb,f,g
a Servei Fisioteràpia, Hospital de Nens de Barcelona, 08009 Barcelona, Spain
b Institut de Recherche Expérimentale et Clinique (IREC), Pôle de Pneumologie, ORL & Dermatologie, Université Catholique de Louvain, 1200 Bruxelles, Belgium
c Servei de Pneumologia Pediàtrica, Hospital de Nens de Barcelona, 08009 Barcelona, Spain
d Servei Pneumologia Pediàtrica, Hospital Vall d’Hebron, 08035 Barcelona, Spain
e Equip Pediatria Territorial Alt Penedès-Garraf, Institut Català de la Salut, Catalonia, Spain
f Service de Médecine Physique et Réadaptation, Cliniques universitaires Saint-Luc, 1200 Bruxelles, Belgium
g Service de Pneumologie, Cliniques universitaires Saint-Luc, 1200 Bruxelles, Belgium
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Figures (2)
Tables (3)
Table 1. Characteristics of Included Children in Both Groups.
Table 2. Comparison Between Pre- and Post-intervention in Both Groups.
Table 3. Comparison of Improvement Between Initial and Final Evaluations in Both Groups.
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Abstract
Introduction

Bronchopulmonary dysplasia (BPD) is the most common complication of extreme preterm delivery, and is associated with reduced exercise tolerance and exercise capacity. The aim of this study was to assess the effects of a physical activity programme on exercise tolerance, exercise capacity, flexibility, and lung function in prematurely born children with BPD.

Methods

This was a randomized controlled trial. Preterm children with BPD (4–6 years) were randomized to intervention (IG) and control (CG) groups. The CG did not participate in any physical activity during the study period. The IG performed a 4-week exercise programme based on aerobic interval and resistance training. Outcomes were based on the 6-minute walk test (6MWT), incremental shuttle walk test (ISWT), modified sit and reach test (MSRT) and spirometry results.

Results

Twenty individuals were recruited. In the IG (n=10), statistical and clinical improvement was observed in the 6MWT (316.3±31.4m vs 376.2±39.5m; P=.002). Significant improvements were also seen in the IG in the ISWT (248.0±45.2m vs 465.3±58.2m; P=.013), MSRT (14.5±7.7cm vs 22.8±6.9cm; P=.003), and FEV1 (102%±16% pred vs 104%±17% pred; P=.004). No significant differences between pre- and post-intervention were observed in the CG for all outcomes (n=10).

Conclusion

This 4-week programme resulted in statistical and clinical improvements in exercise tolerance, exercise capacity and flexibility in preterm children with BPD.

Keywords:
Bronchopulmonary dysplasia
Children
Exercise
Resumen
Introducción

La displasia broncopulmonar (DBP) es una secuela frecuente entre los prematuros extremos, asociándose a una reducción en la tolerancia y en la capacidad al ejercicio. El objetivo de este estudio es evaluar los efectos de un programa de entrenamiento basado en la tolerancia y en la capacidad al ejercicio, la flexibilidad y la función pulmonar en niños prematuros con DBP.

Métodos

El ensayo clínico se hizo con niños prematuros con DBP (de 4 a 6 años), aleatorizados en 2 grupos, control (GC) e intervención (GI). El GC no participó en ninguna actividad física durante el estudio. El GI realizó un programa interválico y de resistencia de 4 semanas. Se evaluó el Six Minute Walking test (6MWT), el Incremental Shuttle Walk test (ISWT), el Modified Sit and Reach test (MSRT) y la espirometría.

Resultados

Se reclutaron 20 niños. No se observaron diferencias significativas entre la pre- y la postintervención en el GC (n=10). En el 6MWT se observó una mejoría significativa y clínica (316,3±31,4m vs. 376,2±39,5m; p=0,002) al final de la intervención en el GI (n=10). El ISWT (248,0±45,2m vs. 465,3±58,2m; p=0,013), el MSRT (14,5±7,7cm vs. 22,8±6,9cm; p=0,003) y la FEV1 (102±16% pred vs. 104±17% pred; p=0,004) también mejoraron significativamente en el GI.

Conclusiones

Este programa de 4 semanas, mejora estadísticamente y clínicamente la tolerancia y la capacidad al ejercicio, y la flexibilidad en niños prematuros con DBP.

Palabras clave:
Displasia broncopulmonar
Niño
Ejercicio
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