期刊论文详细信息
BMC Pulmonary Medicine
The relationship between physical functional capacity and lung function in obese children and adolescents
José Dirceu Ribeiro3  Maria Ângela Gonçalves de Oliveira Ribeiro3  Silvana Dalge Severino3  Adyleia Aparecida Dalbo Contrera Toro3  Ilma Aparecida Paschoal2  Mariana Porto Zambon3  Fernando Augusto de Lima Marson1  Roberto Teixeira Mendes3  Mariana Simões Ferreira3 
[1] Department of Genetics, Medical Sciences College, University of Campinas, Tessália Vieira de Camargo, 126, 13081-970,P.O. Box: 6111, Campinas, SP, Brazil;Department of Medical Clinics, Medical Sciences College, University of Campinas, 13081-970, P.O. Box: 6111, Campinas, SP, Brazil;Department of Pediatrics, Medical Sciences College, University of Campinas, Tessália Vieira de Camargo, 126, 13081-970, P.O. Box: 6111, Campinas, SP, Brazil
关键词: Six-minute walk test;    Lung function;    Childhood obesity;   
Others  :  1090834
DOI  :  10.1186/1471-2466-14-199
 received in 2013-08-21, accepted in 2014-11-27,  发布年份 2014
PDF
【 摘 要 】

Background

There is no consensus regarding obesity repercussions for lung function in children and adolescents. Therefore, the aim of the study was to determine whether obesity is associated with poor physical conditioning and damaged lung function in children and adolescents, and to correlate lung function with six-minute walk test (6MWT) results.

Methods

This cross-sectional study included 38 obese subjects of both sexes, ranging between 5 and 17 years of age, as well as 56 control subjects paired by sex and age for the 6MWT, and 39 subjects for spirometry. Subjects performed spirometry according to the guidelines of the American Thoracic Society (ATS) and the European Respiratory Society. The obese group repeated spirometry after receiving bronchodilator (BD) treatments. Physical performance was evaluated via the 6MWT according to ATS guidelines.

Results

The obese group demonstrated lower forced expiratory volumes in the first second compared with the control group based on forced vital capacity indices (p < 0.01), findings consistent with airway obstruction in 36.8% of patients in the obese group. Walking distances were shorter in the obese group than in the control group. Changes in lung function did not correlate directly with performance on the 6MWT among obese patients. However, there was a correlation between lung function and variables indicative of effort during exercise.

Conclusion

In the present study, the obese group walked shorter distances and demonstrated lower values in some markers of lung function. However, there is no relationship between their physical conditions and these test results. Therefore, we cannot conclusively state that poor physical performance results from damaged pulmonary function.

【 授权许可】

   
2014 Ferreira et al.; licensee BioMed Central.

【 预 览 】
附件列表
Files Size Format View
20150128163632732.pdf 1274KB PDF download
Figure 10. 87KB Image download
Figure 9. 31KB Image download
Figure 2. 38KB Image download
Figure 7. 65KB Image download
Figure 6. 48KB Image download
Figure 5. 51KB Image download
Figure 4. 58KB Image download
Figure 3. 57KB Image download
Figure 2. 40KB Image download
Figure 1. 34KB Image download
【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

Figure 5.

Figure 6.

Figure 7.

Figure 2.

Figure 9.

Figure 10.

【 参考文献 】
  • [1]World Health Organization (WHO): Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000, 894(i-xii):1-253.
  • [2]Ebbeling CB, Pawlak DB, Ludwig DS: Childhood obesity: public-health crisis, common sense cure. Lancet 2002, 360(Supp 9331):473-482.
  • [3]Lobstein T, Baur L, Uauy R: Obesity in children and young people: a crisis in public health. Obes Rev 2004, 5(Supp 1):4-85.
  • [4]Instituto Brasileiro de Geografia e Estatística (IBGE) [Brazilian Institute of Geography and Statistics]: Pesquisa de Orçamentos Familiares 2008–2009 – Antropometria e estado nutricional de crianças, adolescentes e adultos. Rio de Janeiro: IBGE (Brazilian Institute of Geography and Statistics); 2010.
  • [5]Speiser PW, Rudolf MCJ, Anhalt H, Camacho-Hubner C, Chiarelli F, Eliakin A, Freemark M, Grutters A, Hershkovitz E, Iughetti L, Krude H, Latzer Y, Lustig RH, Pescovitz OH, Pinhas-Hamiel O, Rogol AD, Shalitin S, Sultan C, Stein D, Pnina V, Werther GA, Zadik Z, Zucherman-Levin N, Hochberg Z: Consensus statement: childhood obesity. J Clin Endocrinol Metab 2005, 90(Supp 3):1871-1887.
  • [6]Sood A, Ortiz-Cantillo KA: Obesity and pulmonary dysfunction. [http://69.36.35.38/accp/pccsu/obesity-and-pulmonary-dysfunction?page=0 webcite,3]
  • [7]Swallen KC, Reither EN, Haas SA, Meier AM: Overweight, obesity, and health-related quality of life among adolescents: the national longitudinal study of adolescent health. Pediatrics 2005, 115(Supp 2):340-347.
  • [8]Pereira CAC: Espirometria. J Pneumol 2002, 28(Supp 3):1-82.
  • [9]ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories: ATS Statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002, 166(Supp 1):111-117.
  • [10]Morinder G, Mattsson E, Sollander C, Marcus C, Larsson UE: Six minute walk test in obese children and adolescents: reproducibility and validity. Physiother Res Int 2009, 14(Supp 2):91-104.
  • [11]Priesnitz CV, Rodrigues GH, Stumpf CS, Viapiana G, Cabral CP, Stein RT, Marostica PJ, Donadio MV: Reference Values for the 6-min walk test in health children aged 6–12 years. Pediatr Pulmonol 2009, 44(Supp 12):1174-1179.
  • [12]Li AM, Yin G, Au JT, So HK, Tsang T, Wong E, Fok TF, Ng PC: Standard reference for the six-minute-walk test in healthy children aged 07 to 16 years. Am J Respir Crit Care Med 2007, 176(Supp 2):174-180.
  • [13]Geiger R, Strasak A, Treml B, Gasser K, Kleinsasser A, Fischer V, Geiger H, Loeckinger A, Stein JI: Six minute walk test in children and adolescents. J Pediatr 2007, 150(Supp 4):395-399.
  • [14]Oliveira AC: Equação de referência do teste de caminhada de seis minutos em crianças e adolescentes saudáveis. In MD thesis. Medicine College of Minas Gerais Federal University; 2007.
  • [15]Bar-Or O, Rowland TW: Physiologic and Perceptual Responses to Exercise in the Healthy Child. In Pediatric Exercise Medicine – From Physiologic Principles to Health Care Application. Champaign: Human Kinetics; 2004:03-58.
  • [16]Trabelsi Y, Tabka Z, Richalet JP, Gharbi N, Bienvenu A, Guenard H, Buvry A: Spirometric values in Tunisian children: relationship with pubertal status. Ann Hum Biol 2007, 34(Supp 2):195-205.
  • [17]Biro FM, Khoury P, Morrison JA: Influence of obesity on timing of puberty. Intern J Androl 2006, 29(Supp 1):272-277.
  • [18]Wang Y: Is obesity associated with early sexual maturation? A comparison of the Association in American Boys Versus Girls. Pediatrics 2002, 110(Supp 5):903-910.
  • [19]Boran P, Tocuk G, Pisgin B, Oktem S, Yegin Z, Bostan O: Impact of obesity on ventilatory function. J Pediatr 2007, 83(Supp 2):171-176.
  • [20]Chen Y, Rennie D, Cormier Y, Dosman JA: Waist circumference associated with pulmonary function in children. Pediatr Pulmonol 2009, 44(Supp 2):216-221.
  • [21]He QQ, Wong TW, Du L, Jiang ZQ, Qiu H, Gao Y, Liu JW, Wu JG, Yu IT: Respiratory health in overweight and obese Chinese children. Pediatr Pulmonol 2009, 44(Supp 10):997-1002.
  • [22]Pekkarinen E, Vanninen E, Lãnsimies E, Kokkarinen J, Timonen KL: Relation between body composition, abdominal obesity and lung function. Clin Physiol Funct Imaging 2012, 32(Supp 2):83-88.
  • [23]Spathopoulos D, Paraskakis E, Trypsianis G, Tsalkidis A, Arvanitidou V, Emporiadou M, Bouros D, Chatzimichael A: The effect of obesity on pulmonary lung function of school aged children in Greece. Pediatr Pulmonol 2009, 44(Supp 3):273-280.
  • [24]Ülger Z, Demir E, Tanaç R, Göksen D, Gülwn F, Darcan S, Can D, Coker M: The effect of childhood obesity on respiratory function tests and airway hyperresponsiveness. Turk J Pediatr 2006, 48(Supp 1):43-50.
  • [25]Gontijo PL, Lima TP, Costa TR, Reis EP, Cardoso FPF, Cavalcanti-Neto FF: Correlation of spirometry with the six-minute walk test in eutrophic and obese individuals. Rev Assoc Med Bras 2011, 57(Supp 4):387-393.
  • [26]Eisenmann JC, Arnall DA, Kanuho V, Interpretter C, Coast JR: Obesity and pulmonary function in Navajo and Hopi children. Ethn Dis 2007, 17(Supp 1):14-18.
  • [27]Consilvio NP, Pillo SD, Verini M, Giorgis T, Cingolani A, Chiavaroli V, Chiarelli F, Mohn A: The reciprocal influences of asthma and obesity on lung function testing, AHR, and airway inflammation in prepubertal children. Pediatr Pulmonol 2010, 45(Supp 11):1103-1110.
  • [28]Li AM, Chan D, Wong E, Yin J: The effects of obesity on pulmonary function. Arch Dis Child 2003, 88(Supp 4):361-363.
  • [29]Marcus CL, Curtis S, Koerner CB, Joffe A, Serwint JR, Loughlin GM: Evaluation of pulmonary function and polysomnography in obese children an adolescent. Pediatr Pulmonol 1996, 21(Supp 3):176-183.
  • [30]Becklake MR, Kauffmann F: Gender differences in airway behavior over the human lifespan. Thorax 1999, 54(Supp 12):1119-1138.
  • [31]Larsson UE, Reynisdottir S: The six minute walk test in outpatients with obesity: reproducibility, and known group validity. Physiother Res Int 2008, 13(Supp 2):84-93.
  • [32]McGregor J: The objective measurement of physical performance with long-term ambulatory physiological surveillance equipament. In Proceedings of 3rd International Symposium on Ambulatory Monitoring. Edited by Sttot FD, Raftery EB, Goulding L. London: Academic Press; 1979:29-39.
  • [33]Butler P, Engelbrecht M, Major RE, Tait JH, Stallard J, Patrick JH: Physiological cost index of walking for normal children and its use as an indicator of physical handicap. Dev Med Child Neurol 1984, 26(Supp 5):607-612.
  • [34]Graham RC, Smith NM, White CM: The reliability and validity of the physiological cost index in healthy subjects while walking on 2 different tracks. Arch Phys Med Rehabil 2005, 86(Supp 10):2041-2046.
  • [35]Ijzerman MJ, Nene AV: Feasibility of the physiological cost index as an outcome measure for the assessment of energy expenditure during walking. Arch Phys Med Rehabil 2002, 83(Supp 12):1777-1782.
  • [36]Danielsson A, Willén C, Sunnerhagen KS: Measurement of energy cost by the physiological cost index in walking after stroke. Arch Phys Med Rehabil 2007, 88(Supp 10):1298-1303.
  • [37]Raja K, Joseph B, Benjamin S, Minocha V, Rana B: Physiological cost index in cerebral palsy: its role in evaluating the efficiency of ambulation. J Pediatr Orthop 2007, 27(Supp 2):130-136.
  文献评价指标  
  下载次数:28次 浏览次数:79次