Three months of interdisciplinary rehabilitation increases respiratory muscle strength in obese schoolchildren

Authors

  • Ricardo Andrés Henríquez Flores -Doctoral Program in Sports Science, Faculty of Sport Sciences, Catholic University of Murcia, UCAM, Guadalupe, Murcia, Spain (España). -Carrera de Kinesiología, Facultad de Ciencias de las Salud, Universidad Central de Chile, (Chile).
  • Tuillang Yuing Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomas, (Chile).
  • Paola Castro Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomas, (Chile).
  • Camila Mesa Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomas, (Chile).
  • Pablo Haro Escuela de Nutrición y Dietética, Facultad de Salud, Universidad Santo Tomas, (Chile).
  • Victor Araya Escuela de Nutrición y Dietética, Facultad de Salud, Universidad Santo Tomas, (Chile).
  • Elena Marín-Cascales Research Center for High Performance Sport, Catholic University of Murcia, UCAM, Guadalupe, Murcia, Spain (España).
  • Jacobo Rubio-Arias LFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain (España).

DOI:

https://doi.org/10.12800/ccd.v16i49.1544

Keywords:

Obesidad pediátrica, músculos respiratorios, rehabilitación, presiones respiratorias.

Abstract

At present, there is no evidence regarding the effects of an interdisciplinary program, based on physical training, on respiratory muscle strength (FMR) in obese schoolchildren. The objective was to analyze the effects of a three-month interdisciplinary intervention program on fat mass (MA), muscle mass (MM) and FMR in schoolchildren with childhood obesity and without respiratory pathology. 11 schoolchildren, seven males and four female, participated during three months of the interdisciplinary program. Supervised by nutritionists, psychologists and trainers. FMR was evaluated with pimometry and body composition (CC) with anthropometry. There was a significant increase in FMR, expressed as maximum inspiratory pressure (PIM) (p = 0.029) and maximum expiratory pressure (PEM) (p = 0.006) in relation to their reference and absolute values. A significant decrease in the BMI score was found (p = 0.04), as well as associations between PIM (PIM / MA p = 0.005; r = -0.769) and PEM (PEM / MM p = 0.001; r = 0.835) with variables of CC. In conclusion, three months of interdisciplinary treatment of childhood obesity evoke increases in PIM and PEM, and these increases are associated with variations in CC.

References

Al-Khudairy, L., Loveman, E., Colquitt, J. L., Mead, E., Johnson, R. E., Fraser, H., … Rees, K. (2017). Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years. Cochrane Database of Systematic Reviews, 2017(6). https://doi.org/10.1002/14651858.CD012691

American Thoracic Society/European Respiratory Society. (2002). ATS/ERS Statement on respiratory muscle testing. American Journal of Respiratory and Critical Care Medicine, 166(4), 518–624. https://doi.org/10.1164/rccm.166.4.518

Bahia, L., Schaan, C. W., Sparrenberger, K., Abreu, G. de A., Barufaldi, L. A., Coutinho, W., & Schaan, B. D. (2018). Overview of meta-analyses on prevention and treatment of childhood obesity. Jornal de Pediatria, 95(4), 385-400. https://doi.org/10.1016/j.jped.2018.07.009

Brashier, B., & Salvi, S. (2013). Obesity and Asthma: Physiological Perspective. Journal of Allergy, 2013, 1–11. https://doi.org/10.1155/2013/198068

Cohen, J. (1992). A Power Primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1016/j.jorganchem.2011.01.025

Contreras, I., Caussade, S., Sanchez, I., Montalvo, D., Pineda, N., Fierro, L., & Holmgren, N. (2007). Valores Espirométricos Normales En Niños Y Adolescentes Chilenos: Comparación Con Valores Extranjeros. Neumología Pediátrica, 8(153), 15–18. http://dx.doi.org/10.4067/S0034-98872015001100003

da Jung, R. G., & Schivinski, C. I. S. (2014). Avaliação da força muscular respiratória de crianças segundo a classificação do índice de massa corporal. Revista Paulista de Pediatria, 32(2), 250–255. https://doi.org/10.1590/0103-0582201432210313

Forno, E., Han, Y. Y., Mullen, J., & Celedón, J. C. (2018). Overweight, Obesity, and Lung Function in Children and Adults—A Meta-analysis. Journal of Allergy and Clinical Immunology: In Practice, 6(2), 570-581.e10. https://doi.org/10.1016/j.jaip.2017.07.010

Furman, E. G., Yarulina, A. M., & Sofronova, L. V. (2015). Lung Function and Respiratory Muscle Strength in Obese in Children. Pediatric Pharmacology, 12(2), 143. https://doi.org/10.15690/pf.v12i2/1276

García-Hermoso, A., Ramírez-Vélez, R., Ramírez-Campillo, R., Peterson, M. D., & Martínez-Vizcaíno, V. (2018). Concurrent aerobic plus resistance exercise versus aerobic exercise alone to improve health outcomes in paediatric obesity: a systematic review and meta-analysis. British Journal of Sports Medicine, 52(3), 161–166. https://doi.org/10.1136/bjsports-2016-096605

GBD 2015 Obesity Collaborators, Afshin, A., Forouzanfar, M. H., Reitsma, M. B., Sur, P., Estep, K., … Murray, C. J. L. (2017). Health Effects of Overweight and Obesity in 195 Countries over 25 Years. The New England Journal of Medicine, 377(1), 13–27. https://doi.org/10.1056/NEJMoa1614362

Karvonen, J., & Vuorimaa, T. (1988). Heart Rate and Exercise Intensity During Sports Activities Practical Application. Sports Medicine (Auckland, N.Z.), 312, 303–311.

Kerr, D. A. (1988). An anthropometric method for fractionation of skin, adipose, bone, muscle and residual tissue masses in males and females age 6 to 77 years (Doctoral dissertation, Theses (School of Kinesiology)/Simon Fraser University).

Kongkiattikul, L., Sritippayawan, S., & Chomtho, S. (2015). Relationship between Obesity Indices and Pulmonary Function Parameters in Obese Thai Children and Adolescents. The Indian Journal of Pediatrics, 82(12), 1112-1116. https://doi.org/10.1007/s12098-015-1777-4

Magnani, K. L., & Cataneo, A. J. M. (2007). Respiratory muscle strength in obese individuals and influence of upper-body fat distribution. Sao Paulo Medical Journal, 125(4), 215–219.

Marfell-Jones, M., Stewart, A., & Olds, T. (2006). Kinanthropometry IX: Proceedings of the 9th International Conference of the International Society for the Advancement of Kinanthropometry (Routledge., ed.).

Moreno, B. (2010). Estudio correlacional entre estadios de cambio para el ejercicio físico, motivación, intención de ser físicamente activo y fluidez disposicional en adolescentes extremenos [trabajo fin de Máster universitario en Investigación en Ciencias Sociales y Jurídicas con especialidad en Ciencias de la Actividad Física y el Deporte]. Trabajo Fin de Máster Universitario en Investigación en Ciencias Sociales y Jurídicas con especialidad en Ciencias de la Actividad Física y el Deporte. Universidad de Extremadura. Cáceres.

National Research Council. (2005). Food and Nutrition Board. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids (macronutrients).

Navarro, X., Gatica, D., & Manterola, C. (2016). Effect of abdominal muscle training on respiratory muscle strength and forced expiratory flows in sedentary, healthy adolescents. Archivos Argentinos de Pediatria, 114(5), 434–440. https://doi.org/10.5546/aap.2016.eng.434

Nemet, D., Barkan, S., Epstein, Y., Friedland, O., Kowen, G., & Eliakim, A. (2005). Short- and Long-Term Beneficial Effects of a Combined Dietary-Behavioral-Physical Activity Intervention for the Treatment of Childhood Obesity. Pediatrics, 115(4), e443–e449. https://doi.org/10.1542/peds.2004-2172

Okubo, Y., Nochioka, K., & Testa, M. A. (2017). The impact of pediatric obesity on hospitalized children with lower respiratory tract infections in the United States. The clinical respiratory journal, 12(4), 1479-1484. https://doi.org/10.1111/crj.12694

Onis, M. De, Onyango, A. W., Borghi, E., Siyam, A., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization, 043497(April), 660–667. https://doi.org/10.2471/BLT.

Parreira, V. F., Matos, C. M., Athayde, F. T., Moraes, K. S., Barbosa, M. H., & Britto, R. R. (2012). Evolution of respiratory muscle strength in post-operative gastroplasty. Brazilian Journal of Physical Therapy, 16(3), 225-230. http://dx.doi.org/10.1590/S1413-35552012000300008

Rodríguez-Valdés, S., Donoso-Riveros, D., Sánchez-Peña, E., Muñoz-Cofré, R., Conei, D., del-Sol, M., y Cabello, M.-E. (2019). Uso del Índice de Masa Corporal y Porcentaje de Grasa Corporal en el Análisis de la Función Pulmonar. International Journal of Morphology, 37(2), 592–599. https://doi.org/10.4067/s0717-95022019000200592

Scott, H. A., Wood, L. G., & Gibson, P. G. (2017). Role of Obesity in Asthma: Mechanisms and Management Strategies. Current Allergy and Asthma Reports, 17(8). https://doi.org/10.1007/s11882-017-0719-9

Sideleva, O., Black, K., & Dixon, A. E. (2013). Effects of obesity and weight loss on airway physiology and inflammation in asthma. Pulmonary Pharmacology and Therapeutics, 26(4), 455–458. https://doi.org/10.1016/j.pupt.2012.05.002

Sinha, I. P., Harwood, R., Semple, M. G., Hawcutt, D. B., Thursfield, R., Narayan, O., ... & Southern, K. W. (2020). COVID-19 infection in children. The Lancet Respiratory Medicine, 8(5), 446-447. https://doi.org/10.1056/NEJMc2005073

Strongoli, L. M., Gomez, C. L., & Coast, J. R. (2010). The effect of core exercises on transdiaphragmatic pressure. Journal of Sports Science and Medicine, 9(2), 270–274.

Thompson, W. W., Shay, D. K., Weintraub, E., Brammer, L., Cox, N., & Anderson, L. J. (2011). Mortality associated with influenza and respiratory syncytial virus in the United States. Medicine, 289(2), 179–186. doi:10.1001/jama.289.2.179

Travers, S. H., Jeffers, B. W., Bloch, C. A., Hill, J. O., & Eckel, R. H. (1995). Gender and Tanner stage differences in body composition and insulin sensitivity in early pubertal children. The Journal of Clinical Endocrinology & Metabolism, 80(1), 172-178.

Wadden, D., Allwood Newhook, L.-A., Twells, L., Farrell, J., & Gao, Z. (2018). Sex-Specific Association between Childhood BMI Trajectories and Asthma Phenotypes. International Journal of Pediatrics, 2018, 1–9. https://doi.org/10.1155/2018/9057435

Whitlock, E. P., O’Connor, E. A., Williams, S. B., Beil, T. L., & Lutz, K. W. (2010). Effectiveness of Weight Management Interventions in Children: A Targeted Systematic Review for the USPSTF. Pediatrics, 125(2), e396–e418. https://doi.org/10.1542/peds.2009-1955

Published

2021-09-06

How to Cite

Henríquez Flores, R. A., Yuing, T., Castro, P., Mesa, C., Haro, P., Araya, V., … Rubio-Arias, J. (2021). Three months of interdisciplinary rehabilitation increases respiratory muscle strength in obese schoolchildren. Cultura, Ciencia Y Deporte, 16(49). https://doi.org/10.12800/ccd.v16i49.1544

Issue

Section

Artículos / Articles

Similar Articles

1 2 > >> 

You may also start an advanced similarity search for this article.