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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| Format: | Article |
| Language: | English |
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MDPI AG
2021-11-01
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| Series: | Atmosphere |
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| Online Access: | https://www.mdpi.com/2073-4433/12/11/1486 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-10T05:42:27Z |
| format | Article |
| id | doaj.art-a78fbcdfa46a4f1482176f741230ac4e |
| institution | Directory Open Access Journal |
| issn | 2073-4433 |
| language | English |
| last_indexed | 2024-03-10T05:42:27Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Atmosphere |
| spelling | doaj.art-a78fbcdfa46a4f1482176f741230ac4e2023-11-22T22:25:07ZengMDPI AGAtmosphere2073-44332021-11-011211148610.3390/atmos12111486The Effects of Climate Therapy on Cardiorespiratory Fitness and Exercise-Induced Bronchoconstriction in Children with AsthmaCarlo De Pieri0Michele Arigliani1Maria Pia Francescato2Maurizio Droli3Michael Vidoni4Ilaria Liguoro5Maria Elena Ferrari6Paola Cogo7Mario Canciano Canciani8Department Medicine, Division of Pediatrics, University Hospital of Udine, 33100 Udine, ItalyDepartment Medicine, Division of Pediatrics, University Hospital of Udine, 33100 Udine, ItalyDepartment of Medicine, University of Udine, 33100 Udine, ItalyDepartment of Agricultural, Food, Environmental and Animal Science, Section of Economics, University of Udine, 33100 Udine, ItalyDepartment Medicine, Division of Pediatrics, University Hospital of Udine, 33100 Udine, ItalyDepartment Medicine, Division of Pediatrics, University Hospital of Udine, 33100 Udine, ItalyDepartment Medicine, Division of Pediatrics, University Hospital of Udine, 33100 Udine, ItalyDepartment Medicine, Division of Pediatrics, University Hospital of Udine, 33100 Udine, ItalyDepartment Medicine, Division of Pediatrics, University Hospital of Udine, 33100 Udine, ItalyWe 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.https://www.mdpi.com/2073-4433/12/11/1486pediatric asthmaexercise-induced bronchoconstriction20 m shuttle run test |
| spellingShingle | 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 Atmosphere pediatric asthma exercise-induced bronchoconstriction 20 m shuttle run test |
| title | 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_short | 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 |
| topic | pediatric asthma exercise-induced bronchoconstriction 20 m shuttle run test |
| url | https://www.mdpi.com/2073-4433/12/11/1486 |
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