title: Pulmonary function, exercise capacity and physical activity participation in adults following burn.
abstract: OBJECTIVE
  To determine the relationship between pulmonary function, aerobic exercise capacity and physical activity participation in adults following burn.
  
  
  METHODS
  Eight burn injured males aged 20-55 years (%TBSA 33.3±18.7, 5.1 years±1.8 post injury), and 30 healthy adult controls participated. Pulmonary function was assessed during rest via spirometry. A graded exercise test measuring peak oxygen consumption (VO(2peak)) and oxygen saturation (S(p)O(2)) was conducted, and physical activity was assessed via the Older Adult Exercise Status Inventory (OA-EI).
  
  
  RESULTS
  No significant correlation was observed between resting pulmonary function, aerobic capacity and physical activity participation for burn injured patients or controls. Two burn injured patients presented with obstructive ventilatory defects, and one displayed a restrictive ventilatory defect. Burn injured patients had a significantly lower VO(2peak) (p<0.001) and time to fatigue (p=0.026), and a greater degree of oxygen desaturation (p=0.063, Effect Size=1.02) during a graded exercise test. Burn injured patients reported significantly less participation in leisure-related activity>9 METs (p=0.01), and significantly greater participation in work-related activity (p=0.038), than healthy controls.
  
  
  CONCLUSIONS
  Compromised lung function, decreased aerobic capacity and reduced participation in leisure-related physical activity may still exist in some adults, even up to 5 years post injury. Limitations and long term outcomes of cardiopulmonary function and physical fitness need to be considered in the prescription of exercise rehabilitation programmes following burn.
authors.affiliation: School of Sport Science, Exercise and Health, The University of Western Australia, 35 Stirling Hwy, Crawley, Perth, 6009 Western Australia, Australia.
authors.forename: C E
authors.initials: CE
authors.lastname: Willis
authors.forename: T L
authors.initials: TL
authors.lastname: Grisbrook
authors.forename: C M
authors.initials: CM
authors.lastname: Elliott
authors.forename: F M
authors.initials: FM
authors.lastname: Wood
authors.forename: K E
authors.initials: KE
authors.lastname: Wallman
authors.forename: S L
authors.initials: SL
authors.lastname: Reid
mesh_terms: D000328:Adult; D002056:Burns / Q000503:physiopathology*; D016022:Case-Control Studies; D005080:Exercise Test; D017079:Exercise Tolerance / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D010101:Oxygen Consumption / Q000502:physiology; D005082:Physical Exertion / Q000502:physiology; D012123:Pulmonary Ventilation / Q000502:physiology*; D055815:Young Adult
chemical_list: D010100:Oxygen