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Benefits of combining inspiratory muscle with 'whole muscle' training in children with cystic fibrosis: a randomised controlled trial.
Br J Sports Med 2014; 48(20):1513-7BJ

Abstract

BACKGROUND

The purpose of this study (randomised controlled trial) was to assess the effects of an 8-week combined 'whole muscle' (resistance+aerobic) and inspiratory muscle training (IMT) on lung volume, inspiratory muscle strength (PImax) and cardiorespiratory fitness (VO2 peak) (primary outcomes), and dynamic muscle strength, body composition and quality of life in paediatric outpatients with CF (cystic fibrosis, secondary outcomes). We also determined the effects of a detraining period.

METHODS

Participants were randomly allocated with a block on gender to a control (standard therapy) or intervention group (initial n=10 (6 boys) in each group; age 10±1 and 11±1 years). The latter group performed a combined programme (IMT (2 sessions/day) and aerobic+strength exercises (3 days/week, in-hospital)) that was followed by a 4-week detraining period. All participants were evaluated at baseline, post-training and detraining.

RESULTS

Adherence to the training programme averaged 97.5%±1.7%. There was a significant interaction (group×time) effect for PImax, VO2peak and five-repetition maximum strength (leg-press, bench-press, seated-row) (all (p<0.001), and also for %fat (p<0.023) and %fat-free mass (p=0.001), with training exerting a significant beneficial effect only in the intervention group, which was maintained after detraining for PImax and leg-press.

CONCLUSION

The relatively short-term (8-week) training programme used here induced significant benefits in important health phenotypes of paediatric patients with CF. IMT is an easily applicable intervention that could be included, together with supervised exercise training in the standard care of these patients.

Authors+Show Affiliations

School of Doctorate Studies and Research, Universidad Europea de Madrid, Spain.School of Doctorate Studies and Research, Universidad Europea de Madrid, Spain.Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.Department of Pneumology, Hospital 'Nino Jesus' of Madrid, Madrid, Spain.Department of Pneumology, Hospital 'Nino Jesus' of Madrid, Madrid, Spain.Department of Health, Exercise Science and Sport Management, University of Wisconsin-Parkside, Kenosha, Wisconsin, USA.School of Doctorate Studies and Research, Universidad Europea de Madrid, Spain.School of Doctorate Studies and Research, Universidad Europea de Madrid, Spain.School of Doctorate Studies and Research, Universidad Europea de Madrid, Spain Instituto de Investigación i+12, Madrid, Spain.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23681502

Citation

Santana-Sosa, Elena, et al. "Benefits of Combining Inspiratory Muscle With 'whole Muscle' Training in Children With Cystic Fibrosis: a Randomised Controlled Trial." British Journal of Sports Medicine, vol. 48, no. 20, 2014, pp. 1513-7.
Santana-Sosa E, Gonzalez-Saiz L, Groeneveld IF, et al. Benefits of combining inspiratory muscle with 'whole muscle' training in children with cystic fibrosis: a randomised controlled trial. Br J Sports Med. 2014;48(20):1513-7.
Santana-Sosa, E., Gonzalez-Saiz, L., Groeneveld, I. F., Villa-Asensi, J. R., Barrio Gómez de Aguero, M. I., Fleck, S. J., ... Lucia, A. (2014). Benefits of combining inspiratory muscle with 'whole muscle' training in children with cystic fibrosis: a randomised controlled trial. British Journal of Sports Medicine, 48(20), pp. 1513-7. doi:10.1136/bjsports-2012-091892.
Santana-Sosa E, et al. Benefits of Combining Inspiratory Muscle With 'whole Muscle' Training in Children With Cystic Fibrosis: a Randomised Controlled Trial. Br J Sports Med. 2014;48(20):1513-7. PubMed PMID: 23681502.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Benefits of combining inspiratory muscle with 'whole muscle' training in children with cystic fibrosis: a randomised controlled trial. AU - Santana-Sosa,Elena, AU - Gonzalez-Saiz,Laura, AU - Groeneveld,Iris F, AU - Villa-Asensi,José R, AU - Barrio Gómez de Aguero,María I, AU - Fleck,Steven J, AU - López-Mojares,Luis M, AU - Pérez,Margarita, AU - Lucia,Alejandro, Y1 - 2013/05/16/ PY - 2013/5/18/entrez PY - 2013/5/18/pubmed PY - 2015/6/13/medline KW - Aerobic fitness/Vo2 Max KW - Children KW - Children and exercise KW - Children's health and exercise SP - 1513 EP - 7 JF - British journal of sports medicine JO - Br J Sports Med VL - 48 IS - 20 N2 - BACKGROUND: The purpose of this study (randomised controlled trial) was to assess the effects of an 8-week combined 'whole muscle' (resistance+aerobic) and inspiratory muscle training (IMT) on lung volume, inspiratory muscle strength (PImax) and cardiorespiratory fitness (VO2 peak) (primary outcomes), and dynamic muscle strength, body composition and quality of life in paediatric outpatients with CF (cystic fibrosis, secondary outcomes). We also determined the effects of a detraining period. METHODS: Participants were randomly allocated with a block on gender to a control (standard therapy) or intervention group (initial n=10 (6 boys) in each group; age 10±1 and 11±1 years). The latter group performed a combined programme (IMT (2 sessions/day) and aerobic+strength exercises (3 days/week, in-hospital)) that was followed by a 4-week detraining period. All participants were evaluated at baseline, post-training and detraining. RESULTS: Adherence to the training programme averaged 97.5%±1.7%. There was a significant interaction (group×time) effect for PImax, VO2peak and five-repetition maximum strength (leg-press, bench-press, seated-row) (all (p<0.001), and also for %fat (p<0.023) and %fat-free mass (p=0.001), with training exerting a significant beneficial effect only in the intervention group, which was maintained after detraining for PImax and leg-press. CONCLUSION: The relatively short-term (8-week) training programme used here induced significant benefits in important health phenotypes of paediatric patients with CF. IMT is an easily applicable intervention that could be included, together with supervised exercise training in the standard care of these patients. SN - 1473-0480 UR - https://www.unboundmedicine.com/medline/citation/23681502/Benefits_of_combining_inspiratory_muscle_with_'whole_muscle'_training_in_children_with_cystic_fibrosis:_a_randomised_controlled_trial_ L2 - http://bjsm.bmj.com/cgi/pmidlookup?view=long&amp;pmid=23681502 DB - PRIME DP - Unbound Medicine ER -