Zaccara A, Turchetta A, Calzolari A, Iacobelli B, Nahom A, Lucchetti M C, Bagolan P, Rivosecchi M, Coran A G
Department of Pediatric Surgery, Bambino Gesú Children's Hospital, Rome, Italy.
J Pediatr Surg. 1996 Aug;31(8):1092-4; discussion 1095. doi: 10.1016/s0022-3468(96)90094-9.
The long-term follow-up of patients operated on for congenital diaphragmatic hernia (CDH) at birth has been extensively evaluated, both clinically and with respect to respiratory function. However, little is known about the sports practice and stress performance of these subjects. Fifteen of 107 patients operated on for CDH underwent exercise stress testing with a stepwise increase in workload. A questionnaire was provided, which requested information on sports practice and lifestyle. Maximal oxygen consumption [Vo2 max] was measured along with dynamic lung volumes. Clinical examination included a whole-body assessment (height, weight, skinfolds) and vital parameters (heart rate and blood pressure). Fifteen healthy children who practiced regular physical activity (2 to 4 hours/week) served as controls. All the CDH patients experienced a good lifestyle, but only 8 of them were participating in sports. Exercise duration and Vo2 max were significantly lower for the CDH patients, and were lowest for the sedentary patients. Therefore, the reduced Vo2 max of these otherwise healthy children most likely represents a lower degree of physical fitness rather than decreased respiratory function. Fitness is an expression of well-being; thus, there is evidence that these patients could safely participate in competitive motor activities.
出生时接受先天性膈疝（CDH）手术患者的长期随访已在临床及呼吸功能方面进行了广泛评估。然而，对于这些患者的运动实践和应激表现知之甚少。107例接受CDH手术的患者中有15例进行了运动负荷逐步增加的运动应激测试。提供了一份问卷，询问有关运动实践和生活方式的信息。测量了最大耗氧量[最大摄氧量（Vo2 max）]以及动态肺容积。临床检查包括全身评估（身高、体重、皮褶厚度）和生命体征参数（心率和血压）。15名经常进行体育活动（每周2至4小时）的健康儿童作为对照。所有CDH患者生活方式良好，但其中只有8人参加运动。CDH患者的运动持续时间和最大摄氧量明显较低，久坐不动的患者最低。因此，这些原本健康的儿童最大摄氧量降低很可能代表身体素质较低，而非呼吸功能下降。健康是幸福的一种表现；因此，有证据表明这些患者可以安全地参加竞技体育活动。
