Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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The results of cardiopulmonary exercise test in healthy Korean children and adolescents: single center study

  • Lee, Jun-Sook (Department of Pediatrics, Hallym University Medical Center) ;
  • Jang, So-Ick (Department of Pediatrics, Sejong Heart Institute, Sejong General Hospital) ;
  • Kim, Seong-Ho (Department of Pediatrics, Sejong Heart Institute, Sejong General Hospital) ;
  • Lee, Sang-Yun (Department of Pediatrics, Sejong Heart Institute, Sejong General Hospital) ;
  • Baek, Jae-Suk (Department of Pediatrics, Sejong Heart Institute, Sejong General Hospital) ;
  • Shim, Woo-Sup (Department of Pediatrics, Sejong Heart Institute, Sejong General Hospital)
  • 투고 : 2012.09.14
  • 심사 : 2012.10.25
  • 발행 : 2013.06.15
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초록

Purpose: The cardiopulmonary exercise test (CPET) is an important clinical tool for evaluating exercise capacity and is frequently used to evaluate chronic conditions including congenital heart disease. However, data on the normal CPET values for Korean children and adolescents are lacking. The aim of this study was to provide reference data for CPET variables in children and adolescents. Methods: From August 2006 to April 2009, 76 healthy children and adolescents underwent the CPET performed using the modified Bruce protocol. Here, we performed a medical record review to obtain data regarding patient' demographics, medical history, and clinical status. Results: The peak oxygen uptake ($VO_{2Peak}$) and metabolic equivalent ($MET_{Max}$) were higher in boys than girls. The respiratory minute volume $(V_E)/CO_2$ production ($VCO_2$) slope did not significantly differ between boys and girls. The cardiopulmonary exercise test data did not significantly differ between the boys and girls in younger age group (age, 10 to 14 years). However, in older age group (age, 15 to 19 years), the boys had higher $VO_{2Peak}$ and $MET_{Max}$ values and lower $V_E/VCO_2$ values than the girls. Conclusion: This study provides reference data for CPET variables in case of children and adolescents and will make it easier to use the CPET for clinical decision-making.

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참고문헌

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피인용 문헌

  1. Cardiorespiratory fitness, respiratory function and hemodynamic responses to maximal cycle ergometer exercise test in girls and boys aged 9-11 years: the PANIC Study vol.115, pp.2, 2013, https://doi.org/10.1007/s00421-014-3013-8
  2. Ventilatory Efficiency in Children and Adolescents: A Systematic Review vol.2015, pp.None, 2013, https://doi.org/10.1155/2015/546891
  3. Short-Term Change of Exercise Capacity in Patients with Pulmonary Valve Replacement after Tetralogy of Fallot Repair vol.47, pp.2, 2013, https://doi.org/10.4070/kcj.2016.0226
  4. What is the diagnostic value of the paediatric exercise tolerance test? Results from a UK centre vol.27, pp.7, 2013, https://doi.org/10.1017/s1047951117000233
  5. Simple tests of cardiorespiratory fitness in a pediatric population vol.15, pp.9, 2020, https://doi.org/10.1371/journal.pone.0238863
  6. The V̇E/V̇CO2 slope: a useful tool to evaluate the physiological status of children with congenital heart disease vol.129, pp.5, 2020, https://doi.org/10.1152/japplphysiol.00520.2020