Asma inducida por ejercicio: Diferencias en la percepciónde síntomas entre pacientes pediátricos y sus padres

Pablo Brockmann V,Pablo Bertrand N,Eugenia Campos M,Solange Caussade L,Daniel Fodor O

doi:10.4067/s0034-98872006000600010

Pablo Brockmann V, Pablo Bertrand N + Show 3 more

Open Access

https://doi.org/10.4067/s0034-98872006000600010

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Abstract

Exercise is a frequent trigger of symptoms in asthmatic children and it worsens their quality of life. To compare the perception about exercise among asthmatic pediatric patients and their parents. Asthmatic patients with symptoms related to exercise, were tested with an exercise challenge test following the Tal protocol. Before testing, a questionnaire about symptoms triggered by exercise was answered by children and their parents. The data was analyzed with a Kappa correlation test. Seventy five patients, aged 6 to 15 years, were studied. Forty one percent exercised less than one hour per week. Although 64% reported to experience respiratory difficulty and 80% cough during exertion, 87% were willing to perform more exercise. Forty percent of all patients had a positive challenge test for exercise-induced asthma. Correlation between patient's and parent's answers about the effect of physical activity exercise was low, with a kappa of 0.53. There was no correlation between exercise test and the answers to the questionnaire. Children with asthma frequently have exercise-associated symptoms and parental perception about this problem is very low.

Highlights

Exercise is a frequent trigger of symptoms in asthmatic children and it worsens their quality of life
Esto sustentado en el hecho que los escolares con asma son capaces de aportar una historia confiable respecto de sus síntomas y limitaciones producidas por el ejercicio[7,13,14,15,16,17,18,19]
Este estudio muestra la realidad de la población de escolares con asma y síntomas asociados con el ejercicio en la que destaca el poco tiempo dedicado a la práctica deportiva, la falta de adherencia al tratamiento previo al ejercicio y la pobre correlación de la presencia de síntomas entre el paciente y sus padres

Summary

Introduction

Exercise is a frequent trigger of symptoms in asthmatic children and it worsens their quality of life. Una determinación correcta de las limitaciones que sufren los niños con asma bronquial permite establecer la severidad de la enfermedad (calidad de vida), además de evaluar la utilidad del tratamiento farmacológico en el control de los síntomas.

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