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儿童白血病治疗期间的最大摄氧量和运动能力。

Peak Oxygen Uptake and Exercise Capacity of Children Undergoing Leukemia Treatment.

机构信息

Department of Physiotherapy in Surgical Medicine and Oncology, Faculty of Physiotherapy, University School of Physical Education in Wroclaw, 51-612 Wroclaw, Poland.

出版信息

Int J Environ Res Public Health. 2020 Nov 24;17(23):8732. doi: 10.3390/ijerph17238732.

Abstract

The aim of the study was to assess the exercise capacity (VO) of children undergoing leukemia treatment and to compare the results with healthy children. Furthermore, we assessed the influence of treatment methods on the level of exercise capacity and the increase in sedentary behaviors. The study comprised 21 children (12 boys and 9 girls) undergoing treatment for acute lymphoblastic leukemia (ALL) ( = 13) and acute myeloid leukemia (AML) ( = 8). The subjects were aged 7-13 years (mean age 10.7, SD 2.0 years). Cardiorespiratory fitness was assessed by using the ergospirometry test. Progressive Godfrey protocol was performed. The level of physical activity was assessed by using the questions from the Health Behavior in School-Aged Children (HBSC 2018) questionnaire. The study results showed that children undergoing leukemia treatment were characterized by a reduced level of exercise capacity. The measured value of VO in the group of treated children was, on average, 22.16 mL·kg·min. The mean values of VO predicted for this age group were 45.48 mL·kg·min (SD, 3.8). The measured value of VO in the study group with the division into age groups was, on average, 21.21 mL·kg·min in the group of children aged 7-10 years. In the group of children aged 11-13 years, this parameter was 22.64 mL·kg·min. Lack of physical activity and failure to meet the standards for the minimum level of weekly physical activity (MVPA index-moderate-to-vigorous physical activity) probably contribute to the deterioration in exercise capacity level of cancer-treated children.

摘要

本研究旨在评估接受白血病治疗的儿童的运动能力(VO),并将结果与健康儿童进行比较。此外,我们还评估了治疗方法对运动能力水平和久坐行为增加的影响。研究包括 21 名正在接受急性淋巴细胞白血病(ALL)(n=13)和急性髓细胞白血病(AML)(n=8)治疗的儿童。受试者年龄为 7-13 岁(平均年龄 10.7,SD 2.0 岁)。心肺功能通过使用测功计测试进行评估。采用渐进式 Godfrey 方案进行。通过使用来自儿童健康行为(HBSC 2018)问卷的问题评估身体活动水平。研究结果表明,接受白血病治疗的儿童的运动能力水平降低。治疗组儿童的 VO 测量值平均为 22.16mL·kg·min。该年龄组预测的 VO 平均值为 45.48mL·kg·min(SD,3.8)。将研究组按年龄分组后,7-10 岁儿童组的 VO 测量值平均为 21.21mL·kg·min,11-13 岁儿童组的 VO 测量值为 22.64mL·kg·min。缺乏身体活动和未能达到每周身体活动最低水平标准(MVPA 指数-适度到剧烈身体活动)可能导致癌症治疗儿童运动能力水平下降。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5298/7727809/fb76fa8d2db0/ijerph-17-08732-g001.jpg

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