title: Impact of Exercise Training in Aerobic Capacity and Pulmonary Function in Children and Adolescents After Congenital Heart Disease Surgery: A Systematic Review with Meta-analysis.
abstract: The aim of the study was to examine the effects of exercise training on aerobic capacity and pulmonary function in children and adolescents after congenital heart disease surgery. We searched MEDLINE, Cochrane Controlled Trials Register, EMBASE, (from the earliest date available to January 2015) for controlled trials that evaluated the effects of exercise training on aerobic capacity and pulmonary function (forced expiratory volume in 1 s and forced vital capacity) in children and adolescents after congenital heart disease surgery. Weighted mean differences and 95 % confidence intervals (CIs) were calculated,, and heterogeneity was assessed using the I (2) test. Eight trials (n = 292) met the study criteria. The results suggested that exercise training compared with control had a positive impact on peak VO2. Exercise training resulted in improvement in peak VO2 weighted mean difference (3.68 mL kg(-1) min(-1), 95 % CI 1.58-5.78). The improvement in forced expiratory volume in 1 s and forced vital capacity after exercise training was not significant. Exercise training may improve peak VO2 in children and adolescents after congenital heart disease surgery and should be considered for inclusion in cardiac rehabilitation. Further larger randomized controlled trials are urgently needed to investigate different types of exercise and its effects on the quality of life.
authors.affiliation: Departamento de Biofunção, Curso de Fisioterapia, Instituto de Ciências da Saúde, Universidade Federal da Bahia, UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela, Salvador, BA, CEP 40.110-100, Brazil. mansueto.neto@ufba.br.|Programa de Pós Graduação em Medicina e Saúde, Universidade Federal da Bahia, UFBA, Salvador, BA, Brazil. mansueto.neto@ufba.br.|The GREAT Group (GRupo de Estudos em ATividade física), Aracaju, Brazil. mansueto.neto@ufba.br.
authors.forename: Mansueto
authors.initials: M
authors.lastname: Gomes-Neto
authors.affiliation: Departamento de Biofunção, Curso de Fisioterapia, Instituto de Ciências da Saúde, Universidade Federal da Bahia, UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela, Salvador, BA, CEP 40.110-100, Brazil.
authors.forename: Micheli Bernardone
authors.initials: MB
authors.lastname: Saquetto
authors.affiliation: Departamento de Biofunção, Curso de Fisioterapia, Instituto de Ciências da Saúde, Universidade Federal da Bahia, UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela, Salvador, BA, CEP 40.110-100, Brazil.
authors.forename: Cassio Magalhães
authors.initials: CM
authors.lastname: da Silva e Silva
authors.affiliation: Departamento de Biofunção, Curso de Fisioterapia, Instituto de Ciências da Saúde, Universidade Federal da Bahia, UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela, Salvador, BA, CEP 40.110-100, Brazil.
authors.forename: Cristiano Sena
authors.initials: CS
authors.lastname: Conceição
authors.affiliation: The GREAT Group (GRupo de Estudos em ATividade física), Aracaju, Brazil.|Departamento de Fisioterapia, Universidade Federal de Sergipe, UFS, Aracaju, SE, Brazil.
authors.forename: Vitor Oliveira
authors.initials: VO
authors.lastname: Carvalho
mesh_terms: D000293:Adolescent; D002648:Child; D005080:Exercise Test; D005081:Exercise Therapy / Q000379:methods*; D006330:Heart Defects, Congenital / Q000534:rehabilitation* / Q000601:surgery; D006801:Humans; D010101:Oxygen Consumption; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic; D012129:Respiratory Function Tests
keywords: Exercise; Exercise test; Quality of life; Rehabilitation