Rethinking exercise testing in children: a challenge.
Rethinking exercise testing in children: a challenge.
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重新思考儿童运动测试：一个挑战。
DOI：
10.1164/ajrccm.152.4.7551363
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Cooper,DM
中科院分区：
文献类型：
--
作者：
Cooper,DM
广泛持有但很大程度上直观的概念，即儿童和青少年比成年人更频繁地进行剧烈的体力活动，这越来越多地得到科学调查的支持（1，2）。此外，有有趣的数据表明，儿童和青少年的身体活动通过在细胞水平上调节合成代谢剂来影响生长和发育的过程（3）。尽管运动在儿童的生活中扮演着独特而重要的角色，但对儿童运动的生理反应的评估几乎完全是基于为成人制定的协议，而成人的运动远没有那么自发，通常也没有那么剧烈。本评论的一个主要前提是，大多数目前的协议是不适合儿童和限制有价值的临床和发育信息，可以从实验室运动测试。提出了一种策略，利用现代技术和协议的基础上的发展和行为因素和模式的行使actually遇到的真实的lives.Perhaps，部分由于不适当的测试策略，在儿童的临床exercisetesting没有得到广泛的认可执业儿科医生。在主要的儿科教科书中很少提到运动试验。例如，在最近的Rudolph's Pediatrics（4）中发现的运动试验的唯一索引使用仅专注于先天性心脏病儿童的评估。但是，由于身体活动是儿童生活中的一项自然的”任务”，运动测试有可能为衡量许多儿童和青少年疾病的影响提供重要信息。不幸的是，虽然优秀的研究集中在运动对内分泌失调、肥胖、身体残疾、癌症、慢性肺病、心脏病和许多其他疾病的儿童的反应上（参见参考文献5的综述），但这方面的知识迟迟没有得到儿科医生的认可。最后，人们越来越认识到，儿童和青少年的某些体育活动模式可以大大有益于以后的健康（例如，见参考文献6）;因此，对体育活动和健康的准确评估可能成为预防性卫生保健评估的一个重要组成部分。
The widely held but largely intuitive notion that vigorous physical activity occurs more frequently in children and adolescents than in adults is increasingly supported by scientific investigation (1, 2). Moreover, there are intriguing data suggesting that physicalactivity of childhood and adolescence influences the very process of growth and development by modulating anabolic agents at the cellular level (3). Despite the unique and important role of exercise in the lives of children, evaluation of physiologic responses to exercisein children has been almost exclusively based on protocols developed for adults, a population in whom exercise is far less spontaneous and usuaIIy less vigorous. A major premise of this commentary is that most current protocols are inadequate for children and limit the valuable clinical and developmental information that can be gained from in-laboratory exercisetesting. A strategy is presented that utilizes modern technologies and protocols based on developmental and behavioral factors and patterns of exercise actuaIIy encountered in the real lives of children.Perhaps due, in part, to inappropriate testing strategies, clinical exercisetesting in children has not gained widespread acceptance among practicing pediatricians. References to exercisetesting in major pediatric texts are scant. For example, the only indexed use of exercise testing found in a recent edition of Rudolph's Pediatrics (4) is solely focused on evaluation of children with congenital heart disease. But because physical activity is so natural a" task" in the lives of children, exercise testing has the potential of providing important information for gauging the impact of many childhood and adolescent diseases. It is unfortunate that although excellent research has been focused on exercise responses in children with endocrine disorders, obesity, physical disabilities, cancers, chronic lung disease, heart disease, and many other conditions (see reference 5 for review), this knowledge has been slow to reach the practicing pediatrician. Finally, it is becoming increasingly recognized that certain patterns of physical activity in children and adolescents can substantially benefit health later in life (for example, see reference 6); thus, the accurate assessment of physical activity and fitness may become an essential component of preventive health care evaluation.
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DOI：
10.1007/978-1-4612-5593-2
发表时间：
1983
期刊：
The Journal of clinical endocrinology and metabolism
影响因子：
--
作者：
O. Bar
通讯作者：
O. Bar
影响因子：
7.1
作者：
LIVINGSTONE, MBE;COWARD, WA;KERR, MJJ
通讯作者：
KERR, MJJ
先天性心脏病儿童运动恢复期间的耗氧量。
DOI：
--
发表时间：
1974
期刊：
A M A Journal of Diseases of Children
影响因子：
--
作者：
A. C. Drakonakis;K. Halloran
通讯作者：
K. Halloran
儿童和成人运动期间腿部肌肉代谢的 31P 磁共振波谱。
DOI：
10.1152/jappl.1993.74.5.2214
发表时间：
1993
期刊：
Journal of applied physiology (Bethesda, Md. : 1985)
影响因子：
--
作者：
Zanconato,S;Buchthal,S;Barstow,TJ;Cooper,DM
通讯作者：
Cooper,DM
儿童和成人间歇运动期间的 13CO2 冲刷动态。
DOI：
10.1152/jappl.1992.73.6.2476
发表时间：
1992
期刊：
Journal of applied physiology (Bethesda, Md. : 1985)
影响因子：
--
作者：
Zanconato,S;Cooper,DM;Barstow,TJ;Landaw,E
通讯作者：
Landaw,E