Overview of aerobic exercise testing in children and adolescents
- James M Pivarnik, PhD
James M Pivarnik, PhD
- Professor of Kinesiology, Epidemiology, and Biostatistics
- Michigan State University
- Dawn P Coe, PhD
Dawn P Coe, PhD
- Associate Professor, Department of Kinesiology, Recreation, and Sport Studies
- University of Tennessee
- Section Editors
- Albert C Hergenroeder, MD
Albert C Hergenroeder, MD
- Section Editor — Pediatric Sports Medicine; Adolescent Sports Medicine
- Professor & Chief of Pediatrics, Adolescent Medicine and Sports Medicine
- Baylor College of Medicine
- George B Mallory, MD
George B Mallory, MD
- Section Editor — Pediatric Pulmonology
- Associate Professor of Pediatrics
- Baylor College of Medicine
EXERCISE TESTING BASICS
Indications — Incremental aerobic exercise tests are performed in children and adolescents for a variety of reasons (table 1) . The primary indication is to provide the clinician with information about a young patient's physical working capacity. The information gained from an aerobic exercise test is helpful in determining:
●Whether a patient can perform daily activities within his or her functional capacity
●Whether he or she is responding appropriately to an exercise intervention program
●Whether chronic disease progression is affecting the patient's physical capacity
Contraindications — Exercise testing can be performed safely in most children. Absolute contraindications to exercise testing include:To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- EXERCISE TESTING BASICS
- Criteria for stopping the test
- Limitations in young children
- - Continuous
- - Discontinuous
- - Treadmill
- - Cycle
- AEROBIC CAPACITY
- Physiologic principles
- Maximum effort
- - VO2 plateau
- - Heart rate maximum
- - Respiratory exchange ratio maximum
- Normal capacity
- Submaximal capacity
- - Lactate threshold
- - Ventilatory threshold
- Training effects
- FUNCTIONAL AEROBIC IMPAIRMENT
- CHILDREN WITH CHRONIC MEDICAL CONDITIONS
- Exercise-induced bronchoconstriction
- Cystic fibrosis
- Idiopathic pulmonary arterial hypertension
- Growth hormone deficiency
- HIV infection
- Cancer survivors
- Congenital diaphragmatic hernia
- Down syndrome
- Neuromuscular disease
- Chronic fatigue syndrome/Systemic exercise intolerance disease
- Congenital heart disease