Analysis of the association between exercise induced bronchospasm, cardiorespiratory fitness and physical activity levels of adolescents

Authors

DOI:

https://doi.org/10.1590/1809-2950/21024929012022EN

Keywords:

Spirometry, Physical Fitness, Exercise

Abstract

O presente estudo teve como objetivo verificar a associação entre o broncoespasmo induzido pelo exercício (BIE), a aptidão cardiorrespiratória e o nível de atividade física de adolescentes. Para tanto, participaram do estudo 202 adolescentes saudáveis com idades entre 13 e 18 anos, sendo 94 (46,5%) do sexo feminino e 108 (53,5%) do sexo masculino. Os participantes realizaram um teste de broncoprovocação em esteira ergométrica (Master Super ATL, Inbramed®), um teste espirométrico (MicroQuark, Cosmed®), responderam a um questionário de nível de atividade física (BQHPA) e realizaram um teste de aptidão cardiorrespiratória (PACER Test). Os dados foram analisados por meio da Correlação de Spearman, Teste do Qui-Quadrado e cálculo de razão de chances (Odds Ratio). O nível de significância adotado foi p<0,05. Não foram encontradas correlações significativas entre a queda do volume expiratório forçado no primeiro segundo (VEF1) e a aptidão cardiorrespiratória e nível de atividade física dos adolescentes. Da mesma maneira, o Teste do Qui-Quadrado não revelou diferenças significativas entre as classificações da aptidão cardiorrespiratória (baixa ou adequada) e o BIE (presença ou ausência) (χ2 = 0,155; p=0,694). Por fim, a análise de razão de chance não demonstrou chances aumentadas de presença de BIE nos participantes que apresentaram aptidão cardiorrespiratória baixa (OR = 1,130; IC: 0,616 – 2,073). Conclui-se que a aptidão cardiorrespiratória e o nível de atividade física não estão associados com a queda do VEF1 e que não há relação entre a presença de BIE com a classificação da aptidão cardiorrespiratória de adolescentes

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References

Aguiar KB, Anzolin M, Zhang L. Pediatr Pulmonol. Global prevalence of exercise-induced bronchoconstriction in childhood: A meta-analysis. Pediatric Pulmonology. 2018; 53(4):412-425. doi.org/10.1002/ppul.23951.

Parsons JP, Hallstrand TS, Mastronarde JG, Kaminsky DA, Rundell KW, Hull JH, et al. An Official American Thoracic Society Clinical Practice Guideline: Exercise-induced Bronchoconstriction. Am J Respir Crit Care Med. 2013;187(9):1016–27. doi.org/10.1164/rccm.201303-0437ST

Souza de Almeida AH, Rodrigues Filho EA, Lubambo Costa E, de Albuquerque CG, Sarinho ESC, Medeiros Peixoto D, et al. Obesity is a risk factor for exercise-induced bronchospasm in asthmatic adolescents. Pediatric Pulmonology. 2020;55(8):1916-1923. doi.org/10.1002/ppul.24875.

Anderson SD, Kippelen P. Assessment of EIB: What You Need to Know to Optimize Test Results. Immunol Allergy Clin N Am. 2013;33(3):363-80. doi.org/10.1016/j.iac.2013.02.006

van Leeuwen JC, Driessen JM, Kersten ET, Thio BJ. Assessment of Exercise-Induced Bronchoconstriction in Adolescents and Young Children. Immunol Allergy Clin N Am. 2013;33(3):381-94. doi.org/10.1016/j.iac.2013.02.007

Lopes WA, Porto FE, Leite N. Effect of physical training on exercise-induced bronchospasm in young asthmatics. Revista Brasileira de Medicina do Esporte. 2020;26(1):77-81. doi.org/10.1590/1517-869220202601201675

Bonini M, Silvers W. Exercise-induced bronchoconstriction: background, prevalence, and sport considerations. Immunology and Allergy Clinics. 2018;38(2):205-14. doi.org/10.1016/j.iac.2018.01.007

Sousa AW, Cabral ALB, Silva RA, Fonseca AJ, Grindler J, Martins MA, Carvalho CR. Physical fitness and quality of life in adolescents with asthma and fixed airflow obstruction. Pediatric Pulmonology. 2021;56(1):65-73. doi.org/10.1002/ppul.25160

Lagiou O, Fouzas S, Lykouras D, Sinopidis X, Karatza A, Karkoulias K, et al. Exercise Limitation in Children and Adolescents with Mild-to-Moderate Asthma. Journal of Asthma and Allergy. 2022;18:15:89-98. doi.org/10.2147/JAA.S335357.

Aggarwal B, Mulgirigama A, Berend N. Exercise-induced bronchoconstriction: prevalence, pathophysiology, patient impact, diagnosis and management. NPJ Primary Care Respiratory Medicine. 2018;28(1):31. doi.org/10.1038/s41533-018-0098-2.

American Thoracic Society. American Thoracic Society Guidelines for Methacholine and Exercise Challenge Testing — 1999. Am J Respir Crit Care Med. 2000;161(1):309-29. doi.org/10.1164/ajrccm.161.1.ats11-99

Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. Journal of the American College of Cardiology. 2001;37(1):153-6. doi.org/10.1016/S0735-1097(00)01054-8

Johnson W, Buskirk E. Eds. Science and medicine of exercise and sports. 1980; 2nd ed. Harper & Row, Publishers Inc, NY.

Pereira CDC, Jansen JM, Barreto SM, Marinho J, Sulmonett N, Dias RM, et al. Espirometria. Jornal Brasileiro de Pneumologia. 2002:28(Suppl 3);S1-S82. Disponível em: https://www.jornaldepneumologia.com.br/export-pdf/139/Suple_139_45_11%20Espirometria.pdf/suplemento.

Polgar G, Promodhat V. Pulmonary function testing in children: techniques and standards. 1971. WB Saunders, Philadelphia.

Graham BL, Steenbruggen I, Miller MR, Barjaktarevic IZ, Cooper BG, Hall GL, et al. Standardization of spirometry 2019 update. An official American thoracic society and European respiratory society technical statement. American journal of respiratory and critical care medicine. 2019;200(8):e70-e88. doi.org/10.1164/rccm.201908-1590ST

Baecke JAH, Burema J, Frijters JER. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982;36(5):936-42. doi.org/10.1093/ajcn/36.5.936

Guedes DP, Lopes CC, Guedes JE, Stanganelli LC. Reprodutibilidade e validade do questionário Baecke para avaliação da atividade física habitual em adolescentes. Revista Portuguesa de Ciências do Desporto. 2007;6(3):265-74. <https://rpcd.fade.up.pt/_arquivo/RPCD_vol.6_nr.3.pdf#page=11>

Plowman SA, Meredith MD. Fitnessgram/Activitygram Reference Guide (4th Edition). 2013. The Cooper Institute: Dallas, TX. <http://www.cooperinst.org/vault/2440/web/files/662.pdf>

Boiarskaia EA, Boscolo MS, Zhu W, Mahar MT. Cross-validation of an equating method linking aerobic FITNESSGRAM® field tests. American journal of preventive medicine. 2011;41(4):S124-S130. doi.org/10.1016/j.amepre.2011.07.009

California Department of Education. Progressive Aerobic Cardiovascular Endurance Run (PACER). Look-Up and Goal Setting Table. 2015-2016 Physical Fitness Test (PFT). Disponível em https://www.cde.ca.gov/ta/tg/pf/documents/pacertbl1516.pdf

Colley RC, Carson V, Garriguet D, Janssen I, Roberts KC, Tremblay MS. Physical activity of Canadian children and youth, 2007 to 2015. Health Reports. 2017;28(10):8‐16. Disponível em: https://www150.statcan.gc.ca/n1/en/pub/82-003-x/2017010/article/54876-eng.pdf?st=tykuMNad

Wasilewska M, Bergier J. Physical activity and associated socio-demographic factors in adolescents from the eastern region of Poland. Roczniki Państwowego Zakładu Higieny. 2018;69(1):55‐61. Disponível em: http://wydawnictwa.pzh.gov.pl/roczniki_pzh/files/pzhissues/id1222/RPZH_2018_Vol_69_No_1_pp._55-61.pdf

Oliveira RG, Guedes DP. Physical fitness and metabolic syndrome in Brazilian Adolescents: validity and diagnostic health criteria. Perceptual and Motor Skills. 2018;125(6):1140-1159. doi.org/10.1177/0031512518799808.

Arruda GA, Coledam DHC, Cantieri FP, Barros MVG, Silva DAS, Albuquerque AOBC, et al. Longitudinal study of associated factors with adolescent health: method and sample profile. Revista Brasileira de Cineantropometria e Desempenho Humano. 2020. 22:e71432. doi.org/10.1590/1980-0037.2020v22e71432

Correia Junior MAV, Rizzo JA, Sarinho SW, Sarinho ESC, Medeiros D, Assis F. Effect of exercise-induced bronchospasm and parental beliefs on physical activity of asthmatic adolescents from a tropical region. Annals of Allergy, Asthma & Immunology. 2012;108(4):249-53. doi.org/10.1016/j.anai.2012.01.016

Correia Junior MAV, Costa EM, Sarinho SW, Rizzo JÁ, Sarinho ESC. Exercise-induced bronchospasm in a hot and dry region: study of asthmatic, rhinististic and asymptomatic adolescents. Expert Review of Respiratory Medicine. 2017;11(12):1013-19. doi.org/10.1080/17476348.2017.1389278.

Pazini F, Pietta-Dias C, Roncada C. Relação entre níveis de atividade física, índices antropométricos e função pulmonar de escolares. Revista Paulista de Pediatria. 2020;39;1-8. doi.org/10.1590/1984-0462/2021/39/2019189

Johansson H, Norlander K, Hedenström H, Janson C, Nordang L, Nordvall L, Emtner M. Exercise-induced dyspnea is a problem among the general adolescent population. Respir Med. 2014;108(6):852–8. doi.org/10.1016/j.rmed.2014.03.010

Johansson, H, Berglund M, Holmbäck U. Subjective and objective assessment of physical activity. Influence of newly diagnosed exercise induced bronchoconstriction and gender. Respiratory Medicine. 2017;131:205-9. doi.org/10.1016/j.rmed.2017.08.024

Pike KC, Griffiths LJ, Dezateux C, Pearce A. Physical activity among children with asthma: Cross‐sectional analysis in the UK millennium cohort. Pediatric Pulmonology. 2019;54(7):962-9. doi.org/10.1002/ppul.24314

Anthracopoulos MA, Fouzas S, Papadopoulos M, Antonogeorgos G, Papadimitrou A, Panagiotakos DB, et al. Physical Activity and Exercise-Induced Bronchoconstriction in Greek Schoolchildren. Pediatric Pulmonology. 2012;47(11):1080-7. doi.org/10.1002/ppul.22620

Lochte L, Nielsen KG, Petersen PE, Platts-Mills TAE. Childhood asthma and physical activity: a systematic review with meta-analysis and Graphic Appraisal Tool for Epidemiology assessment. BMC Pediatrics. 2016;16(1):1-13. doi.org/10.1186/s12887-016-0571-4

Anderson SD, Daviskas E. The mechanism of exercise-induced asthma. J Allergy Clin Immunol. 2000;106(3):453-9. doi.org/10.1067/mai.2000.109822

McFadden Jr ER, Nelson JA, Skowronski ME, Lenner KA. Thermally induced asthma and airway drying. Am J Respir Crit Care Med. 1999;160(1):221-6. doi.org/10.1164/ajrccm.160.1.9810055

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Published

2022-04-04

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Original Research

How to Cite

Analysis of the association between exercise induced bronchospasm, cardiorespiratory fitness and physical activity levels of adolescents. (2022). Fisioterapia E Pesquisa, 29(1), 103-110. https://doi.org/10.1590/1809-2950/21024929012022EN