Does Regular Exercise Impact the Lung Function of Healthy Children and Adolescents? A Systematic Review and Meta-Analysis.

IF 1.4 4区 医学 Q3 PEDIATRICS
Fernanda Balbinot, Felipe César de Almeida Claudino, Pedro Kazlauckas Lucas, Ana Paula Donadello Martins, Eliana M Wendland, Margaret W Gerbase
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引用次数: 0

Abstract

Purpose: To assess the quality of the available evidence on the effect of exercise for the improvement of lung function in healthy children and adolescents.

Method: We performed a systematic review and meta-analysis of intervention studies examining the effects of regular exercise on spirometric parameters of healthy children and adolescents aged ≤18 years.

Results: Within the exercise groups, there were significant improvements in forced vital capacity (mean difference: 0.17 L; 95% confidence interval, 0.07 to 0.26; P < .05) and forced expiratory volume in the first second (mean difference: 0.14 L; 95% confidence interval, 0.06 to 0.22; P < .05). Results were consistent across different age groups and duration of interventions. In the between-group analysis, forced vital capacity, forced expiratory volume in the first second, and peak expiratory flow were higher in the exercise group compared with the nonexercise group, but the differences did not reach statistical relevance. There was significant statistical heterogeneity between studies.

Conclusion: Regular exercise has the potential to improve lung function parameters in healthy children and adolescents; however, the small number of studies and the heterogeneity between them raise concern about the quality of the currently available evidence. These findings bring to attention the need for well-designed trials addressing this important public health issue.

经常运动是否会影响健康儿童和青少年的肺功能?系统回顾和荟萃分析。
目的:评估运动对健康儿童和青少年肺功能改善效果的现有证据的质量。方法:我们对干预研究进行了系统回顾和荟萃分析,研究了定期运动对≤18岁健康儿童和青少年肺活量参数的影响。结果:在运动组内,用力肺活量有显著改善(平均差:0.17 L;95%置信区间为0.07 ~ 0.26;P < 0.05)和第一秒用力呼气量(平均差值:0.14 L;95%置信区间为0.06 ~ 0.22;P < 0.05)。不同年龄组和干预时间的结果是一致的。在组间分析中,运动组用力肺活量、第一秒用力呼气量、呼气峰值流量均高于非运动组,但差异无统计学意义。研究之间存在显著的统计异质性。结论:规律运动对健康儿童青少年肺功能指标有改善作用;然而,研究数量少,且研究之间存在异质性,这引起了人们对现有证据质量的担忧。这些发现使人们注意到需要设计良好的试验来解决这一重要的公共卫生问题。
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来源期刊
Pediatric Exercise Science
Pediatric Exercise Science 医学-生理学
CiteScore
2.80
自引率
0.00%
发文量
33
审稿时长
>12 weeks
期刊介绍: Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach. Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.
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