RESEARCH PAPER
Evaluation of physical and cardiorespiratory fitness in 7-year-old prematurely born children – preliminary study
| 1 | Third Department of Paediatrics, Children’s Neurology Clinic, Medical University, Lublin, Poland |
| 2 | Department of Rehabilitation and Physioterapy, Medical University, Lublin, Poland |
| 3 | Department of Sports Medicine, Faculty of Health Science, Medical University, Lublin, Poland |
CORRESPONDING AUTHOR
Anna Kosiecz
Children’s Neurology Clinic, Third Department of Paediatrics, Medical University, Lublin, Poland
Children’s Neurology Clinic, Third Department of Paediatrics, Medical University, Lublin, Poland
Ann Agric Environ Med. 2021;28(3):502–508
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Premature birth is connected with the risk of incidence of numerous health complications, the consequences of which are observed in the long-term. Decreased physical and cardiorespiratory fitness can also be associated with preterm birth.
Objective:
The aim of the study is evaluation of the development level of physical and cardiorespiratory fitness in 7-year-old prematurely born children.
Material and Methods:
The following 7-year-old children were qualified for participation in the research: 30 children born on time and 30 children born prematurely. Physical fitness was evaluated with the International Physical Fitness Test (IPFT), whereas cardiorespiratory fitness was assessed on the basis of the Kasch Pulse Recovery Test.
Results:
The results obtained demonstrate a lower level of physical and cardiorespiratory fitness in the studied group. Statistically significant differences are noticeable with respect to all IPFT components, except for long jump. The studied group display statistically significant higher values of pulse rate after exercise than the control group. On the other hand, there is no statistically significant correlation between a child’s gestational age week of birth and the parameters evaluated.
Conclusions:
7-year-old prematurely born children present lower physical and cardiorespiratory fitness than children born on time. The research results show a need for long-term monitoring of prematurely born children’s development, as well as overall body efficiency. Further studies and observation of a higher number of patients are planned in order to confirm the findings.
Premature birth is connected with the risk of incidence of numerous health complications, the consequences of which are observed in the long-term. Decreased physical and cardiorespiratory fitness can also be associated with preterm birth.
Objective:
The aim of the study is evaluation of the development level of physical and cardiorespiratory fitness in 7-year-old prematurely born children.
Material and Methods:
The following 7-year-old children were qualified for participation in the research: 30 children born on time and 30 children born prematurely. Physical fitness was evaluated with the International Physical Fitness Test (IPFT), whereas cardiorespiratory fitness was assessed on the basis of the Kasch Pulse Recovery Test.
Results:
The results obtained demonstrate a lower level of physical and cardiorespiratory fitness in the studied group. Statistically significant differences are noticeable with respect to all IPFT components, except for long jump. The studied group display statistically significant higher values of pulse rate after exercise than the control group. On the other hand, there is no statistically significant correlation between a child’s gestational age week of birth and the parameters evaluated.
Conclusions:
7-year-old prematurely born children present lower physical and cardiorespiratory fitness than children born on time. The research results show a need for long-term monitoring of prematurely born children’s development, as well as overall body efficiency. Further studies and observation of a higher number of patients are planned in order to confirm the findings.
REFERENCES (24)
1.
Machado LCJr, Passini Rjr, Rosa IR, Carvalho HB. Neonatal outcomes of late preterm and early term birth. Eur J Obstet Gynecol Reprod Biol. 2014; 179: 204–208. doi: 10.1016/j.ejogrb.2014.04.042.
2.
Kajantie E, Strang-Karlsson S, Evensen KAI, Haaramo P. Adult outcomes of being born late preterm or early term – What do we know? Semin Fetal Neonatal Med. 2019; 24(1): 66–83. doi: 10.1016/j.siny.2018.11.001.
3.
Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller AB, Narwal R, et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet. 2012; 9; 379(9832): 2162–72. doi: 10.1016/S0140-6736(12)60820-4.
4.
Chan E, Leong P, Malouf R, Quigley MA. Long-term cognitive and school outcomes of late-preterm and early-term births: a systematic review. Child Care Health Dev. 2016; 42(3): 297–312. doi: 10.1111/cch.12320.
5.
Tikanmäki M, Tammelin T, Sipola-Leppänen M, Kaseva N, Matinolli HM, Miettola S, et al. Physical Fitness in Young Adults Born Preterm. Pediatrics. 2016; 137(1)e20151289. doi: 10.1542/peds.2015-1289.
6.
Hamon I, Varechova S, Vieux R, Ioan I, Bonabel C, Schweitzer C, et al. Exercise-induced bronchoconstriction in school-age children born extremely preterm. Pediatr Res. 2013; 73(4 Pt 1): 464–468. doi: 10.1038/pr.2012.202.
7.
Robič Pikel T, Starc G, Strel J, Kovač M, Babnik J, Golja P. Impact of prematurity on exercise capacity and agility of children and youth aged 8 to 18. Early Hum Dev. 2017; 110: 39–45. doi: 10.1016/j.earlhumdev.2017.04.015.
8.
Krawczyński M. Wysiłek fizyczny i trening sportowy w wieku rozwojowym. W: Górski J. redaktor Fizjologia wysiłku i treningu fizycznego. PZWL, Warszawa, Polska, 2019: 143–168.
9.
Dobosz J. Kondycja fizyczna dzieci i młodzieży w wieku szkolny. Siatki centylowe. AWF, Warszawa, Polska, 2012.
10.
Jankowski M, Niedzielska A, Brzezinski M, Drabik J. Cardiorespiratory fitness in children: a simple screening test for population studies. Pediatr Cardiol. 2015; 36(1): 27–32. doi: 10.1007/s00246-014-0960-0.
11.
Svedenkrans J, Henckel E, Kowalski J, Norman M, Bohlin K. Long-term impact of preterm birth on exercise capacity in healthy young men: a national population-based cohort study. PLoS One. 2013, 6; 8(12)e80869. doi: 10.1371/journal.pone.0080869.
12.
Rogers M, Fay TB, Whitfield MF, Tomlinson J, Grunau RE. Aerobic capacity, strength, flexibility, and activity level in unimpaired extremely low birth weight (≤800 g) survivors at 17 years of age compared with term-born control subjects. Pediatrics. 2005; 116(1): 58–65. doi: 10.1542/peds.2004-1603.
13.
Clemm HH, Vollsæter M, Røksund OD, Eide GE, Markestad T, Halvorsen T. Exercise capacity after extremely preterm birth. Development from adolescence to adulthood. Ann Am Thorac Soc. 2014; 11(4): 537–45. doi: 10.1513/AnnalsATS.201309-311OC.
14.
Tikanmäki M, Kaseva N, Tammelin T, Sipola-Leppänen M, Matinolli HM, Eriksson JG, et al. Leisure Time Physical Activity in Young Adults Born Preterm. J Pediatr. 2017; 189: 135–142. doi: 10.1016/j.jpeds.2017.06.068.
15.
Kajantie E, Strang-Karlsson S, Hovi P, Räikkönen K, Pesonen AK, Heinonen K, et al. Adults born at very low birth weight exercise less than their peers born at term. J Pediatr. 2010; 157: 610–616. doi: 10.1016/j.jpeds.2010.04.002.
16.
Kaseva N, Wehkalampi K, Strang-Karlsson S, Salonen M, Pesonen AK, Räikkönen K, et al. Lower conditioning leisure-time physical activity in young adults born preterm at very low birth weight. PloS One. 2012; 7(2)e32430. doi: 10.1371/journal.pone.0032430.
17.
Welsh L, Kirkby J, Lum S, Odendaal D, Marlow N, Derrick G, et al. The EPICure study: maximal exercise and physical activity in school children born extremely preterm. Thorax. 2010; 65: 165–72. doi: 10.1136/thx.2008.107474.
18.
MacLean JE, DeHaan K, Fuhr D, Hariharan S, Kamstra B, Hendson L, et al. Altered breathing mechanics and ventilatory response during exercise in children born extremely preterm. Thorax. 2016; 71(11): 1012–1019. doi: 10.1136/thoraxjnl-2015-207736.
19.
Ruf K, Thomas W, Brunner M, Speer CP, Hebestreit H. Diverging effects of premature birth and bronchopulmonary dysplasia on exercise capacity and physical activity – a case control study. Respir Res. 2019; 21; 20(1): 260. doi: 10.1186/s12931-019-1238-0.
20.
Kajantie E, Hovi P. Is very preterm birth a risk factor for adult cardiometabolic disease? Semin Fetal Neonatal Med. 2014; 19(2): 112–7. doi: 10.1016/j.siny.2013.11.006.
21.
Pilgaard K, Færch K, Carstensen B, Poulsen P, Pisinger C, Pedersen O, et al. Low birthweight and premature birth are both associated with type 2 diabetes in a random sample of middle-aged Danes. Diabetologia. 2010; 53(12): 2526–30. doi: 10.1007/s00125-010-1917-3.
22.
Raju TNK, Buist AS, Blaisdell CJ, Moxey-Mims M, Saigal S. Adults born preterm: a review of general health and system-specific outcomes. Acta Paediatr. 2017; 106(9): 1409–1437. doi: 10.1111/apa.13880.
23.
Malleske DT, Chorna O, Maitre NL. Pulmonary sequelae and functional limitations in children and adults with bronchopulmonary dysplasia. Paediatr Respir Rev. 2018; 26: 55–59. doi: 10.1016/j.prrv.2017.07.002.
24.
Smith, JJ, Eather N, Morgan PJ, Plotnikoff RC, Faigenbaum AD, Lubans DR. The health benefits of muscular fitness for children and adolescents: a systematic review and meta-analysis. Sports Med. 2014; 44(9): 1209–23. doi: 10.1007/s40279-014-0196-4.
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