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Continuous positive airway pressure acutely increases exercise duration in children with severe therapy-resistant asthma:a randomized crossover trial

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World Journal of Pediatrics 2021年第2期17卷 189-196页

作者： Claudia Silva Schindel Daniele Schiwe Joao Paulo Heinzmann-Filho natalia evangelista campos Paulo Marcio Pitrez Marcio Vinicius Fagundes Donadio Laboratory of Pediatric Physical Activity Centro Infant.Pontiffcia Universidade Catolica do Rio Grande do Sul(PUCRS)Av.Ipiranga6690.2°andarPorto AlegreRS CEP 90610-000.Brazil Hospital Moinhos de Vento Porto AlegreBrazil and Centro InfantPontiffcia Universidade Catolica do Rio Grande do Sul(PUCRS)Porto Alegre.Brazil

Background Lower exercise tolerance is an important component of asthma and the possible effects of non-invasive ven-tilation on exercise capacity in individuals with severe therapy-resistant asthma(STRA)are *** study aimed to evaluate the immediate effect of continuous positive airway pressure(CPAP)on exercise tolerance in children with *** We performed a controlled,randomized,crossover clinical trial including subjects aged 6 to 18 years old diagnosed with ***,anthropometric and lung function data were *** participants in the intervention group(IG)used CPAP(PEEP 10cmH2O and FiO20.21)for a period of 40 *** in the control group(CG)used CPAP with mini-mum PEEP at 1 cmH20 also for 40 ***,subjects from both groups underwent cardiopulmonary exercise testing(CPET).After a 15-day washout period,on a subsequent visit,subjects participated in the opposite group to the initial *** Thirteen subjects with a mean age of 12.30±1.7 years were *** variables of peak expiratory flow(PEF)and forced expiratory volume in the first second(FEV1)before using CPAP and after performing CPET did not show sig-nificant *** CPET results,there was no significant difference(P=0.59)between groups at peak exercise for oxygen consumption—VO2(CG:33.4±6.3 and IG:34.5±5.9,mL kg^(-1)min^(-1)).However,the IG(12.4±2.1)presented a total test time(min)significantly(P=0.01)longer than the CG(11.5±1.3).Conclusion The results suggest that the use of CPAP before physical exercise increases exercise duration in children and adolescents with STRA.

关键词： Asthma Non-invasive ventilation Oxygen consumption Exercise test Exercise tolerance Exercise-induced bronchospasm

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