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Joschtel B, Gomersall SR, Tweedy S, et al. Effects of exercise training on physical and psychosocial health in children with chronic respiratory disease: a systematic review and meta-analysis. BMJ Open Sport Exerc Med. 2018;4(1):e000409doi: 10.1136/bmjsem-2018-000409.
Joschtel, B., Gomersall, S. R., Tweedy, S., Petsky, H., Chang, A. B., & Trost, S. G. (2018). Effects of exercise training on physical and psychosocial health in children with chronic respiratory disease: a systematic review and meta-analysis. BMJ open sport & exercise medicine, 4(1), e000409. https://doi.org/10.1136/bmjsem-2018-000409
Joschtel, Barbara, et al. "Effects of exercise training on physical and psychosocial health in children with chronic respiratory disease: a systematic review and meta-analysis." BMJ open sport & exercise medicine vol. 4,1 (2018): e000409. doi: https://doi.org/10.1136/bmjsem-2018-000409
Joschtel B, Gomersall SR, Tweedy S, Petsky H, Chang AB, Trost SG. Effects of exercise training on physical and psychosocial health in children with chronic respiratory disease: a systematic review and meta-analysis. BMJ Open Sport Exerc Med. 2018 Oct 01;4(1):e000409. doi: 10.1136/bmjsem-2018-000409. eCollection 2018. PMID: 30305925; PMCID: PMC6173241.
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BMJ Open Sport Exerc Med. 2018 Oct 01;4(1):e000409. doi: 10.1136/bmjsem-2018-000409. eCollection 2018.

Effects of exercise training on physical and psychosocial health in children with chronic respiratory disease: a systematic review and meta-analysis.

BMJ open sport & exercise medicine

Barbara Joschtel, Sjaan R Gomersall, Sean Tweedy, Helen Petsky, Anne B Chang, Stewart G Trost

Affiliations

  1. School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Queensland, Australia.
  2. School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
  3. School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.
  4. Child Health Division, Menzies School of Health Research, Charles Darwin University, Tiwi, Australia.
  5. Institute of Health and Biomedical Innovation, Centre for Children's Health Research, Queensland University of Technology, Brisbane, Queensland, Australia.
  6. Department of Respiratory Medicine, Lady Cilento Children's Hospital, Children's Health Queensland, Brisbane, Queensland, Australia.

PMID: 30305925 PMCID: PMC6173241 DOI: 10.1136/bmjsem-2018-000409

Abstract

INTRODUCTION: Chronic disease in children is increasing, including the prevalence of chronic respiratory diseases such as asthma, cystic fibrosis (CF), bronchiectasis and bronchopulmonary dysplasia (BPD). The aim of this systematic review and meta-analysis was to evaluate the effects of exercise training on health outcomes in children with chronic respiratory disease.

METHOD: Five databases were searched for randomised controlled trials investigating the effects of exercise training on children with chronic respiratory disease. Following the PRISMA guidelines, eligible studies were identified and data were extracted. A meta-analysis was conducted for the outcomes cardiovascular fitness, lung function and quality of life (QoL).

RESULTS: The initial search returned 3688 papers. Twenty-seven (17 in children with asthma, 10 in children with CF) were included in the systematic review and 24 of these were included in the meta-analysis. No studies were identified in children with bronchiectasis or BPD. Included papers had a total of 1009 participants aged 8-20 years. In addition to cardiovascular fitness, lung function and QoL, studies also assessed pulmonary function, respiratory muscle strength, muscular strength and inflammation. Meta-analysis showed a large significant effect size in favour of exercise for cardiovascular fitness (peak VO

CONCLUSION: Exercise training significantly improves cardiovascular fitness and QoL in children with asthma and CF. Further research is needed, particularly in children with bronchiectasis and BPD.

Keywords: children; chronic pulmonary disease; exercise

Conflict of interest statement

Competing interests: None declared.

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