The Effects of Climate Therapy on Cardiorespiratory Fitness and Exercise-Induced Bronchoconstriction in Children with Asthma

We investigated whether a 1-week stay in the mountains may have a positive impact on Exercise-Induced Bronchoconstriction (EIB) and cardiorespiratory endurance in asthmatic children from an urban area. Spirometry was performed before and 10 min after a 20 m shuttle run test (20mSRT) on the first and...

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Autores principales: Carlo De Pieri, Michele Arigliani, Maria Pia Francescato, Maurizio Droli, Michael Vidoni, Ilaria Liguoro, Maria Elena Ferrari, Paola Cogo, Mario Canciano Canciani
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:a78fbcdfa46a4f1482176f741230ac4e2021-11-25T16:45:27ZThe Effects of Climate Therapy on Cardiorespiratory Fitness and Exercise-Induced Bronchoconstriction in Children with Asthma10.3390/atmos121114862073-4433https://doaj.org/article/a78fbcdfa46a4f1482176f741230ac4e2021-11-01T00:00:00Zhttps://www.mdpi.com/2073-4433/12/11/1486https://doaj.org/toc/2073-4433We investigated whether a 1-week stay in the mountains may have a positive impact on Exercise-Induced Bronchoconstriction (EIB) and cardiorespiratory endurance in asthmatic children from an urban area. Spirometry was performed before and 10 min after a 20 m shuttle run test (20mSRT) on the first and seventh day of a summer asthma camp in the Italian Alps at 900 m of altitude. Spirometry z-scores were derived from the Global Lung Initiative 2012 prediction equations, and percentiles of the 20mSRT performance were assigned according to De Miguel-Etayo’s and Tomkinson’s predictive equations. A FEV<sub>1</sub> decrease ≥10% after the exercise was defined as EIB. Particulate matter pollution was monitored during the camp and in the urban area of provenience. Twenty-four subjects (age range 7–16 years) were included. Frequency of EIB decreased from 58% (14/24) at day-1 to 33% (8/24) at the end of the camp (<i>p</i> = 0.08). Most subjects with a 20mSRT in the lowest quartile at day 1 had EIB (9/11). The proportion of children with a 20mSRT <25° percentile decreased from 45% (11/24) at day-1 to 16% (4/24) at day-7 (<i>p</i> = 0.02). Conclusion: One-week climate therapy in the mountains improved both bronchial hyperreactivity and cardiorespiratory endurance in our cohort of asthmatic children.Carlo De PieriMichele AriglianiMaria Pia FrancescatoMaurizio DroliMichael VidoniIlaria LiguoroMaria Elena FerrariPaola CogoMario Canciano CancianiMDPI AGarticlepediatric asthmaexercise-induced bronchoconstriction20 m shuttle run testMeteorology. ClimatologyQC851-999ENAtmosphere, Vol 12, Iss 1486, p 1486 (2021)
institution DOAJ
collection DOAJ
language EN
topic pediatric asthma
exercise-induced bronchoconstriction
20 m shuttle run test
Meteorology. Climatology
QC851-999
spellingShingle pediatric asthma
exercise-induced bronchoconstriction
20 m shuttle run test
Meteorology. Climatology
QC851-999
Carlo De Pieri
Michele Arigliani
Maria Pia Francescato
Maurizio Droli
Michael Vidoni
Ilaria Liguoro
Maria Elena Ferrari
Paola Cogo
Mario Canciano Canciani
The Effects of Climate Therapy on Cardiorespiratory Fitness and Exercise-Induced Bronchoconstriction in Children with Asthma
description We investigated whether a 1-week stay in the mountains may have a positive impact on Exercise-Induced Bronchoconstriction (EIB) and cardiorespiratory endurance in asthmatic children from an urban area. Spirometry was performed before and 10 min after a 20 m shuttle run test (20mSRT) on the first and seventh day of a summer asthma camp in the Italian Alps at 900 m of altitude. Spirometry z-scores were derived from the Global Lung Initiative 2012 prediction equations, and percentiles of the 20mSRT performance were assigned according to De Miguel-Etayo’s and Tomkinson’s predictive equations. A FEV<sub>1</sub> decrease ≥10% after the exercise was defined as EIB. Particulate matter pollution was monitored during the camp and in the urban area of provenience. Twenty-four subjects (age range 7–16 years) were included. Frequency of EIB decreased from 58% (14/24) at day-1 to 33% (8/24) at the end of the camp (<i>p</i> = 0.08). Most subjects with a 20mSRT in the lowest quartile at day 1 had EIB (9/11). The proportion of children with a 20mSRT <25° percentile decreased from 45% (11/24) at day-1 to 16% (4/24) at day-7 (<i>p</i> = 0.02). Conclusion: One-week climate therapy in the mountains improved both bronchial hyperreactivity and cardiorespiratory endurance in our cohort of asthmatic children.
format article
author Carlo De Pieri
Michele Arigliani
Maria Pia Francescato
Maurizio Droli
Michael Vidoni
Ilaria Liguoro
Maria Elena Ferrari
Paola Cogo
Mario Canciano Canciani
author_facet Carlo De Pieri
Michele Arigliani
Maria Pia Francescato
Maurizio Droli
Michael Vidoni
Ilaria Liguoro
Maria Elena Ferrari
Paola Cogo
Mario Canciano Canciani
author_sort Carlo De Pieri
title The Effects of Climate Therapy on Cardiorespiratory Fitness and Exercise-Induced Bronchoconstriction in Children with Asthma
title_short The Effects of Climate Therapy on Cardiorespiratory Fitness and Exercise-Induced Bronchoconstriction in Children with Asthma
title_full The Effects of Climate Therapy on Cardiorespiratory Fitness and Exercise-Induced Bronchoconstriction in Children with Asthma
title_fullStr The Effects of Climate Therapy on Cardiorespiratory Fitness and Exercise-Induced Bronchoconstriction in Children with Asthma
title_full_unstemmed The Effects of Climate Therapy on Cardiorespiratory Fitness and Exercise-Induced Bronchoconstriction in Children with Asthma
title_sort effects of climate therapy on cardiorespiratory fitness and exercise-induced bronchoconstriction in children with asthma
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a78fbcdfa46a4f1482176f741230ac4e
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