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- Title
Impact of Exercise Training in Aerobic Capacity and Pulmonary Function in Children and Adolescents After Congenital Heart Disease Surgery: A Systematic Review with Meta-analysis.
- Authors
Gomes-Neto, Mansueto; Saquetto, Micheli; Silva e Silva, Cassio; Conceição, Cristiano; Carvalho, Vitor
- Abstract
The aim of the study was to examine the effects of exercise training on aerobic capacity and pulmonary function in children and adolescents after congenital heart disease surgery. We searched MEDLINE, Cochrane Controlled Trials Register, EMBASE, (from the earliest date available to January 2015) for controlled trials that evaluated the effects of exercise training on aerobic capacity and pulmonary function (forced expiratory volume in 1 s and forced vital capacity) in children and adolescents after congenital heart disease surgery. Weighted mean differences and 95 % confidence intervals (CIs) were calculated,, and heterogeneity was assessed using the I test. Eight trials ( n = 292) met the study criteria. The results suggested that exercise training compared with control had a positive impact on peak VO. Exercise training resulted in improvement in peak VO weighted mean difference (3.68 mL kg min, 95 % CI 1.58-5.78). The improvement in forced expiratory volume in 1 s and forced vital capacity after exercise training was not significant. Exercise training may improve peak VO in children and adolescents after congenital heart disease surgery and should be considered for inclusion in cardiac rehabilitation. Further larger randomized controlled trials are urgently needed to investigate different types of exercise and its effects on the quality of life.
- Subjects
EXERCISE therapy for children; AEROBIC capacity; PULMONARY function tests; CONGENITAL heart disease in children; CARDIAC surgery; QUALITY of life; HEALTH impact assessment; META-analysis; THERAPEUTICS
- Publication
Pediatric Cardiology, 2016, Vol 37, Issue 2, p217
- ISSN
0172-0643
- Publication type
Article
- DOI
10.1007/s00246-015-1270-x