Effects of Pre-Term Birth on the Cardio-Respiratory Responses to Hypoxic Exercise in Children

Pre-term birth is associated with numerous cardio-respiratory sequelae in children. Whether these impairments impact the responses to exercise in normoxia or hypoxia remains to be established. Fourteen prematurely-born (PREM) (Mean ± SD; gestational age 29 ± 2 weeks; age 9.5 ± 0.3 years), and 15 full-term children (CONT) (gestational age 39 ± 1 weeks; age 9.7 ± 0.9 years), underwent incremental exercise tests to exhaustion in normoxia (FiO2 = 20.9%) and normobaric hypoxia (FiO2 = 13.2%) on a cycle ergometer. Cardio-respiratory variables were measured throughout. Peak power output was higher in normoxia than hypoxia (103 ± 17 vs. 77 ± 18 W; p < 0.001), with no difference between CONT and PREM (94 ± 23 vs. 86 ± 19 W; p = 0.154). VO2peak was higher in normoxia than hypoxia in CONT (50.8 ± 7.2 vs. 43.8 ± 9.9 mL·kg-1·min-1; p < 0.001) but not in PREM (48.1 ± 7.5 vs. 45.0 ± 6.8 mL·kg-1·min-1; p = 0.137; interaction p = 0.044). Higher peak heart rate (187 ± 11 vs. 180 ± 10 bpm; p = 0.005) and lower stroke volume (72 ± 13 vs. 77 ± 14 mL; p = 0.004) were observed in normoxia versus hypoxia in CONT, with no such differences in PREM (p = 0.218 and >0.999, respectively). In conclusion, premature birth does not appear to exacerbate the negative effect of hypoxia on exercise capacity in children. Further research is warranted to identify whether prematurity elicits a protective effect, and to clarify the potential underlying mechanisms.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Life (Basel, Switzerland) - 12(2022), 1 vom: 06. Jan.

Sprache:

Englisch

Beteiligte Personen:

Narang, Benjamin J [VerfasserIn]
Manferdelli, Giorgio [VerfasserIn]
Kepic, Katja [VerfasserIn]
Sotiridis, Alexandros [VerfasserIn]
Osredkar, Damjan [VerfasserIn]
Bourdillon, Nicolas [VerfasserIn]
Millet, Grégoire P [VerfasserIn]
Debevec, Tadej [VerfasserIn]

Links:

Volltext

Themen:

Altitude
Children
Exercise capacity
Hypoxia
Journal Article
Prematurity

Anmerkungen:

Date Revised 28.01.2022

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/life12010079

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM335891136