Respiratory muscle strength and pulmonary function in children with rhinitis and asthma after a six-minute walk test

ABSTRACT

Objective: Rhinitis and asthma decrease quality of life. Few studies have assessed the performance of children with asthma or rhinitis under submaximal exercise. We evaluated maximal respiratory pressures, spirometric parameters, and ability to sustain submaximal exercise in these children before and after the 6-minute walk test (6MWT), compared to healthy children. Methods: This cross-sectional, analytical study included 89 children aged 6–12 years in outpatient follow-up: 27 healthy (H), 31 with rhinitis (R), and 31 with mild asthma under control (A). Pulmonary function parameters and maximal respiratory pressures were measured before and 5, 10, and 30 minutes after the 6MWT. Wilcoxon test was used to compare numerical numerical variables between two groups and analysis of variance or Kruskal–Wallis test for comparison among three groups. Results: Total distance traveled in the 6MWT was similar among the three groups. Compared to pre-test values, VEF1 (Forced Expiratory Volume in 1 second), VEF0.75 (Forced Expiratory Volume in 0.75 second), and FEF25–75 (Forced Expiratory Flow 25–75% of the Forced Vital Capacity – CVF – curve) decreased significantly after the 6MWT in group A, and VEF0.75, FEF25–75, and VEF1/CVF decreased significantly in group R. Groups A and R had lower Maximum Inspiratory Pressure values than group H before and after the 6MWT at all time points assessed. Conclusions: The findings suggest that children with rhinitis and mild asthma present with alterations in respiratory muscle strength and pulmonary function not associated with clinical complaints, reinforcing the concept of the united airways.

KEYWORDS:

• Exercise test
• muscle strength
• physical exercise
• pulmonary function tests
• respiratory muscles

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.