+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Improved exercise performance in pediatric heart transplant recipients after home exercise training

Improved exercise performance in pediatric heart transplant recipients after home exercise training

Pediatric Transplantation 12(3): 336-340

Pediatric heart transplant recipients have been shown to have reduced exercise performance. Studies of adult heart transplant recipients demonstrate improved endurance from regular aerobic exercise; however, this strategy has not been studied in children. We hypothesized that regular aerobic/strength training would improve exercise performance in children post-heart transplant. After an initial training session, an exercise protocol was performed at home for 12 wk, three days/wk. Aerobic exercise consisted of either running or use of an exercise bicycle to an established target HR for >or=20 min of a 30-min session for three days/wk. Subjects wore a HR monitor and kept a diary to monitor compliance. Two days/wk, strength training was performed with elastic bands to specifically exercise biceps and triceps groups for 15-20 min/session. Aerobic exercise capacity was assessed at baseline and post-training using the standard Bruce treadmill protocol. Strength was measured at baseline and post-intervention by dynamometer. Exercise and strength parameters at baseline and post-intervention were compared using paired student t-tests. Eleven subjects completed the 12-wk program, eight females and three males. The mean age at enrollment was 14.7 +/- 5.3 yr (8-25) and mean time from transplant was 5.26 +/- 5.34 yr (0.58-14.71). Endurance time and peak oxygen consumption improved significantly post-exercise; there was no difference in peak HR or systolic blood pressure. Strength improved in the triceps, quadriceps, and biceps groups. After a 12-wk in home exercise intervention, pediatric heart recipients had improved exercise endurance and strength. The protocol was safe and implemented at relatively low cost. Further study is warranted to determine if the intervention can be extended to more children and whether benefits after such a short-term intervention can be sustained.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 053744229

Download citation: RISBibTeXText

PMID: 18435609

DOI: 10.1111/j.1399-3046.2007.00806.x

Related references

Enhanced exercise performance and survival associated with evidence of autonomic reinnervation in pediatric heart transplant recipients. American Journal of Transplantation 12(8): 2157-2163, 2012

Exercise training in heart transplant recipients. Science & Sports 11(1): 15-19, 1996

Exercise training in patients with CHF and heart transplant recipients. Medicine and Science in Sports and Exercise 30(10 Suppl.): S367-S378, 1998

Impaired exercise parameters in pediatric heart transplant recipients. Circulation 98(17 Suppl. ): I617, 1998

Physiological Responses to Exercise in Pediatric Heart Transplant Recipients. Medicine and Science in Sports and Exercise 51(5): 850-857, 2019

Interval exercise training in adult heart transplant recipients. American Journal of Transplantation 13(2): 526, 2013

Efficacy of a home-based exercise program for orthotopic heart transplant recipients. Cardiology 111(2): 87-93, 2008

Exercise capacity improves with time in pediatric heart transplant recipients. Journal of Heart and Lung Transplantation 28(6): 585-590, 2009

Effects of exercise training in heart transplant recipients: a meta-analysis. Cardiology 120(1): 27-35, 2011

Ventilatory Threshold After Exercise Training in Orthotopic Heart Transplant Recipients. Journal of Cardiopulmonary Rehabilitation 12(2): 126-130, 1992

Ventilatory threshold following exercise training in orthotopic heart transplant recipients. Medicine & Science in Sports & Exercise 22(2 Suppl.): S43, 1990

Longitudinal changes in heart rate recovery after maximal exercise in pediatric heart transplant recipients: evidence of autonomic re-innervation?. Journal of Heart and Lung Transplantation 26(12): 1306-1312, 2007

Parasympathetic reinnervation accompanied by improved post-exercise heart rate recovery and quality of life in heart transplant recipients. International Heart Journal 56(2): 180-185, 2015

Exercise Performance in Pediatric Liver Transplant Recipients and Its Related Cardiac Function. Pediatric Cardiology 39(3): 548-554, 2018

Endomyocardial biopsy in pediatric heart transplant recipients: a useful exercise? (Analysis of 1,169 biopsies). Pediatric Transplantation 4(3): 186-192, 2000