Cardiopulmonary Exercise Testing in Children and Adolescents compiles the latest evidence-based research on exercise stress testing to provide guidance for those testing young patients.
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Pediatric Exercise Medicine: From Physiologic Principles to Healthcare Application draws from the most current research activity in the area to examine physical activity as a prerequisite to the good health and physical performance of children. The book also considers the effects of lack of exercise on children and the relevance of exercise to clinical pediatrics for children with chronic diseases. While Pediatric Exercise Medicine: From Physiologic Principles to Healthcare Application emphasizes clinically related issues, it provides comprehensive coverage of the child-exercise-health triad of importance to all professionals serving young people. The text identifies current research in the area of pediatric exercise. It also helps the reader to compare the exercise responses of healthy children to the responses of children with clinical impairments. In turn, readers will recognize the factors that can influence children's activity behavior, trainability, and performance. The book contains three chapters related to the normal physiological and perceptual exercise responses of the healthy child. The next nine chapters consider the effects of exercise on children with clinical impairments, including asthma, diabetes, cerebral palsy, and obesity. A special feature is the coverage of children's trainability and the factors that can influence performance. The information, including environmental stressors on children, will be of interest to scholars and students as well as to coaches working in this area. The book also has these features: -Extensive graphic interpretation of the data--more than 250 illustrations -Helpful reference tables -Six appendixes on normative data, methods, energy-equivalent tables for different activities, scaling for body size, and a glossary of terms. In Pediatric Exercise Medicine: From Physiologic Principles to Healthcare Application, you'll find content you can apply in your daily work as a therapist, exercise scientist, physician, or other professional. You'll also find evidence-based rationale for the need for physical activity as a preventive measure and treatment of disease in children.
There is an evident practice gap in education of general adult cardiologists on long-term management of congenital heart disease (CHD). The goal of this book is to help general cardiologists, but also pediatricians and related care providers in the management and diagnosis of adult CHD. Adult Congenital Heart Disease in Clinical Practice provides clear, practical advice on adult CHD for the busy fellow, resident and practicing clinician. It includes training and revision material to assist learning and is formatted in such a way as to provide short, concise content designed for easy recall of salient facts.
Physical fitness affects our ability to function and be active. At poor levels, it is associated with such health outcomes as diabetes and cardiovascular disease. Physical fitness testing in American youth was established on a large scale in the 1950s with an early focus on performance-related fitness that gradually gave way to an emphasis on health-related fitness. Using appropriately selected measures to collected fitness data in youth will advance our understanding of how fitness among youth translates into better health. In Fitness Measures and Health Outcomes in Youth, the IOM assesses the relationship between youth fitness test items and health outcomes, recommends the best fitness test items, provides guidance for interpreting fitness scores, and provides an agenda for needed research. The report concludes that selected cardiorespiratory endurance, musculoskeletal fitness, and body composition measures should be in fitness surveys and in schools. Collecting fitness data nationally and in schools helps with setting and achieving fitness goals and priorities for public health at an individual and national level.
"In this fifth edition of Principles of Exercise Testing and Interpretation, as in earlier editions, we attempt to develop conceptual advances in the physiology and pathophysiology of exercise, particularly as related to the practice of medicine. The underlying theme of the book continues to be the recognition that the most important requirement for exercise performance is transport of oxygen to support the bioenergetic processes in the muscle cells (including, of course, the heart) and elimination of the carbon dioxide formed as a byproduct of exercise metabolism. Thus, appropriate cardiovascular and ven- tilatory responses are required to match those of muscle respiration in meeting the energy demands of exercise. As depicted by the logo on the book cover, normal exercise performance requires an efficient coupling of external to internal (cellular) respiration. Appropriate treatment of exercise intolerance requires that patients' symptoms be thought of in terms of a gas exchange defect between the cell and the environment. The defect may be in the lungs, heart, peripheral or pulmonary circulations, the muscles themselves, or there may be a combination of defects. Thus, we describe the pathophysiology in gas transport and exchange that affect any site in the cardio- respiratory coupling between the lungs and the muscles. We illustrate how cardiopulmonary exercise testing can provide the means for a critical evaluation by the clinician-scientist of the functional competency of each component in the coupling of cellular to external respiration, including the cardiovascular system. To achieve this, clinical cases are used to illustrate the wide spectrum of pathophysiology capable of causing exercise intolerance"--Provided by publisher.
Cardiopulmonary Exercise Testing in Children and Adolescents compiles the latest evidence-based research on exercise stress testing to provide guidance for those testing young patients.
This text explains the principles of developmental exercise science, assessment of performance, the promotion of young people's health and well-being, and the clinical diagnosis and management of sports injuries in children and adolescents.
Exercise testing plays an increasingly important role in the diagnosis and assessment of heart disease and lung disease in children and adolescents. In Cardiopulmonary Exercise Testing in Children and Adolescents, leading expert Thomas W. Rowland, backed by the American College of Sports Medicine (ACSM) and the North American Society for Pediatric Exercise Medicine (NASPEM), compiles the latest evidence-based research to provide guidance for clinical exercise physiologists, cardiologists, pulmonologists, and students of exercise physiology who conduct exercise stress testing for young patients. The core objective of the book is to clarify the differences between clinical exercise testing for children and testing for adults. Because of obvious differences between the two populations, test protocols must be modified based on the patient's age, size, level of physical fitness, body composition, intellectual and emotional maturity, and state of cardiac and pulmonary health. Part I provides an introduction to pediatric exercise testing. Part II examines exercise testing methodologies and discusses blood pressure, cardiac output, electrocardiography, oxygen uptake, and pulmonary function. Part III focuses on specific clinical issues addressed by exercise testing, guiding readers through protocols for diagnosis, evaluation, and exercise testing. Part IV explores testing in special populations and focuses on topics such as childhood obesity, neuromuscular disease, and intellectual disabilities. Where applicable, sample forms and checklists provide practitioners with practical materials to use during exercise testing. Sidebars offer readers insight into considerations such as the presence of parents during testing and adjustments of cardiac measures for youth body dimensions. This book serves as a means of focusing and unifying approaches to performing pediatric exercise testing in order to lay the foundation for new and innovative approaches to exercise testing in the health care of children and adolescents.