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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Certain sporting activities may trigger asthma exacerbations of varying intensity in children&#46; Such exacerbations may lead to limitations in and rejection of such activities&#46; During school hours&#44; teachers are in a good position to observe these phenomena&#46; the aim of the present study was to evaluate the shuttle run&#44; a test of physical fitness used in school physical education programs&#44; as a way of detecting asthma&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We carried out a cross-sectional observational study of school children between the ages of 6 and 12 years using the asthma symptom questionnaire of the International Study of Asthma and Allergies in Childhood &#40;ISAAC&#41;&#44; a shuttle run test&#44; and a free running test at maximum effort in order to study bronchial hyperresponsiveness&#46; the principal measure of bronchial hyperresponsiveness&#46; used in both physical fitness tests was peak expiratory flow rate as measured with a peak flow meter&#46; In comparing the results of the shuttle run test with those of the free running test and the ISAAC questionnaire we used the &#967;<span class="elsevierStyleSup">2</span> test to measure association and the Cohen <span class="elsevierStyleItalic">k</span> coefficient to measure agreement&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">We distributed the ISAAC questionnaire &#40;n&#61;919&#41; to 460 &#40;50&#46;1&#37;&#41; boys and 459 &#40;49&#46;9&#37;&#41; girls between the ages of 6 and 12 years&#46; All the tests were completed by 826 children&#46; the level of agreement between the shuttle run test and free running test was positive but low for decreases in peak expiratory flow rate compared to baseline of 15&#37; &#40;&#967;<span class="elsevierStyleSup">2</span>&#61;5&#46;6&#59; <span class="elsevierStyleItalic">P</span>&#60;&#46;05&#59; &#954;&#61;0&#46;093&#59; SE&#44; 0&#46;042&#41; and of 20&#37; &#40;&#967;<span class="elsevierStyleSup">2</span>&#61;4&#46;5&#59; P&#60;&#46;05&#59; &#954;&#61;0&#46;08&#59; SE&#44; 0&#46;046&#41;&#46; For 10&#37; decreases association was not significant and agreement was low &#40;&#954;&#61;0&#46;05&#59; SE&#44; 0&#46;04&#41;&#46; There was no agreement between the ISAAC questionnaire and the shuttle run test &#40;&#954;&#61;0&#46;095&#59; SE&#44; 0&#46;63&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The shuttle run test using peak expiratory flow rate as the principal measure of bronchial hyuperresponsiveness is not valid for the detection of asthma in scholchildren&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Determinadas actividades deportivas pueden desencadenar en el ni&#241;o agudizsaciones de asma de intensidad variable&#44; limitaciones y rechazo de las actividades deportivas&#46; Durante el horario escolar los profesores son observadores privilegiados de estos fen&#243;menos&#46; El objectivo del presente estudio ha sido evaluar la prueba <span class="elsevierStyleItalic">course-navette</span> &#40;&#8220;carrera de ida y vuelta&#8221;&#44; PCN&#41;&#44; prueba de rendimiento fisico de los programas de educaci&#243;n fisica escolar&#44; como medida para detectar asma&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio observacional y transversal en escolares de 6 a 12 a&#241;os de edad&#44; mediante cuestionario de s&#237;ntomas relacionados con el asma &#40;ISAAC&#41; y pruebas de rendimiento fisico &#40;PCN&#41; y de carrera libre con esfuerzo m&#225;ximo para estudiar la hiperrespuesta bronquial&#44; utlizando en ambas como medida principal el flujo espiratorio m&#225;ximo &#40;FEM&#41; determinado con medidor del &#225;pice de flujo espiratorio&#46; En la comparaci&#243;n de los resultados de la PCN con los del test de carrera libre y el cuestionario ISAAC se midi&#243; el grado de ascoiaci&#243;n &#40;con la prueba de la &#967;<span class="elsevierStyleSup">2</span>&#41; y de acuerdo &#40;estad&#237;stico kappa de Cohen&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se distribuy&#243; el cuestionario ISAAC &#40;n &#61; 919&#41; a 460 ni&#241;os &#40;50&#44;1&#37;&#41; y 459 ni&#241;as &#40;49&#44;9&#37; de 6 a 12 a&#241;os de edad &#40;mediana &#177; desviaci&#243;n est&#225;ndar&#58; 8 &#177; 8&#44;87 a&#241;os&#41;&#46; Completaron todas las pruebas 826&#46; Se observ&#243; una asociacion con bajo acuerdo entre la PCN positiva y el test de carrera libre positivo para descensos del FEM&#44; en relaci&#243;n con el basal&#44; del 15&#37; &#40;&#967;<span class="elsevierStyleSup">2</span>&#61;5&#44;6&#59; p &#60; 0&#44;05&#59; kappa &#61; 0&#44;093&#59; error estandar &#91;EE&#93; &#61; 0&#44;042&#41; y del 20&#37; &#40;&#967;<span class="elsevierStyleSup">2</span> &#61; 4&#44;5&#59; p &#60; 0&#44;05&#59; kappa &#61; 0&#44;08&#59; EE &#61; 0&#44;046&#41;&#46; Para descensos del FEM del 10&#37; la asociacion no fue significativa y el acuerdo result&#243; debil &#40;kappa &#61; 0&#44;05&#59; EE &#61; 0&#44;04&#41;&#46; No hubo acuerdo entre ISAAC y la PCN &#40;kappa &#61; 0&#44;095&#59; EE &#61; 0&#44;63&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La PCN con el FEM como medida principal del efecto no es v&#225;lida para detectar asma en escolares&#46;</p>"
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Vol. 42. Issue 11.
Pages 564-568 (November 2006)
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Vol. 42. Issue 11.
Pages 564-568 (November 2006)
Original Articles
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The Shuttle Run Test Is Not Valid For the Detection of Asthma in School Physical Education Programs
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Eider Oñatea,
Corresponding author
eonate@chdo.osakidetza.net

Correspondence: Dra. E. Oñate. Unidad de Neumologia Infantil. Hospital Donostia. P.° Dr. Begiristain, s/n. 20014 San Sebastián. Guipúzcoa. España
, Eduardo González Pérez-Yarzaa, Alicia Figueroa de la Pazb, Ane Aldasoroa, José Francisco Aramendib, Santiago Bardagic, José I. Emparanzad
a Unidad de Neumología Infantil, Hospital Donostia, San Sebastián, Guipúzcoa, Spain
b Osasunkirol-Salud y Deporte, Hondarribia, Guipúzcoa, Spain
c Sección de Neumología, Hospital de Mataró, Mataró, Barcelona, Spain
d Unidad de Epidemiología Clínica e Investigación Hospital Donostia San Sebastián Guipúzcoa Spain
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Objective

Certain sporting activities may trigger asthma exacerbations of varying intensity in children. Such exacerbations may lead to limitations in and rejection of such activities. During school hours, teachers are in a good position to observe these phenomena. the aim of the present study was to evaluate the shuttle run, a test of physical fitness used in school physical education programs, as a way of detecting asthma.

Patients and methods

We carried out a cross-sectional observational study of school children between the ages of 6 and 12 years using the asthma symptom questionnaire of the International Study of Asthma and Allergies in Childhood (ISAAC), a shuttle run test, and a free running test at maximum effort in order to study bronchial hyperresponsiveness. the principal measure of bronchial hyperresponsiveness. used in both physical fitness tests was peak expiratory flow rate as measured with a peak flow meter. In comparing the results of the shuttle run test with those of the free running test and the ISAAC questionnaire we used the χ2 test to measure association and the Cohen k coefficient to measure agreement.

Results

We distributed the ISAAC questionnaire (n=919) to 460 (50.1%) boys and 459 (49.9%) girls between the ages of 6 and 12 years. All the tests were completed by 826 children. the level of agreement between the shuttle run test and free running test was positive but low for decreases in peak expiratory flow rate compared to baseline of 15% (χ2=5.6; P<.05; κ=0.093; SE, 0.042) and of 20% (χ2=4.5; P<.05; κ=0.08; SE, 0.046). For 10% decreases association was not significant and agreement was low (κ=0.05; SE, 0.04). There was no agreement between the ISAAC questionnaire and the shuttle run test (κ=0.095; SE, 0.63).

Conclusions

The shuttle run test using peak expiratory flow rate as the principal measure of bronchial hyuperresponsiveness is not valid for the detection of asthma in scholchildren.

Key words:
Shuttle run test
Epidemiology
Asthma bronchial hyperresponsiveness
Children
Objetivo

Determinadas actividades deportivas pueden desencadenar en el niño agudizsaciones de asma de intensidad variable, limitaciones y rechazo de las actividades deportivas. Durante el horario escolar los profesores son observadores privilegiados de estos fenómenos. El objectivo del presente estudio ha sido evaluar la prueba course-navette (“carrera de ida y vuelta”, PCN), prueba de rendimiento fisico de los programas de educación fisica escolar, como medida para detectar asma.

Pacientes y métodos

Se ha realizado un estudio observacional y transversal en escolares de 6 a 12 años de edad, mediante cuestionario de síntomas relacionados con el asma (ISAAC) y pruebas de rendimiento fisico (PCN) y de carrera libre con esfuerzo máximo para estudiar la hiperrespuesta bronquial, utlizando en ambas como medida principal el flujo espiratorio máximo (FEM) determinado con medidor del ápice de flujo espiratorio. En la comparación de los resultados de la PCN con los del test de carrera libre y el cuestionario ISAAC se midió el grado de ascoiación (con la prueba de la χ2) y de acuerdo (estadístico kappa de Cohen).

Resultados

Se distribuyó el cuestionario ISAAC (n = 919) a 460 niños (50,1%) y 459 niñas (49,9% de 6 a 12 años de edad (mediana ± desviación estándar: 8 ± 8,87 años). Completaron todas las pruebas 826. Se observó una asociacion con bajo acuerdo entre la PCN positiva y el test de carrera libre positivo para descensos del FEM, en relación con el basal, del 15% (χ2=5,6; p < 0,05; kappa = 0,093; error estandar [EE] = 0,042) y del 20% (χ2 = 4,5; p < 0,05; kappa = 0,08; EE = 0,046). Para descensos del FEM del 10% la asociacion no fue significativa y el acuerdo resultó debil (kappa = 0,05; EE = 0,04). No hubo acuerdo entre ISAAC y la PCN (kappa = 0,095; EE = 0,63).

Conclusiones

La PCN con el FEM como medida principal del efecto no es válida para detectar asma en escolares.

Palabras clave:
Course-navette
Epidemiología
Asma
Hiperrespuesta bronquial
Niños
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Project partially funded by a research grant of the Asthma Group of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR), 2000.

Copyright © 2006. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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