Functional Exercise Capacity and Exploratory ICF‐Aligned Interpretation of the Incremental Shuttle Walk Test in Children With Asthma

July 27, 2026Pediatric PulmonologyOpen Access

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Key Points

To evaluate exercise capacity in children with asthma using the Incremental Shuttle Walk Test (ISWT) aligned with ICF qualifiers.
Cross-sectional study involving 39 children with asthma (mean age 8.6 ± 2.3 years)
Conducted spirometry and quality of life assessments with ACQ-6 and PAQLQ
Measured exercise capacity using ISWT and categorized limitations based on ICF
Mean functional exercise capacity was 41.4 ± 18.7% predicted in the ISWT.
72% of participants had severe activity limitations according to the ICF-aligned framework.
Children with severe limitations walked significantly shorter distances (32.0 ± 11.5% vs. 65.3 ± 10.1% predicted; p < 0.001) with a very large effect size.

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Cross-sectional study interprets functional exercise capacity in children with asthma, suggesting new assessment frameworks.

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Souza et al. (2026) studied this question.

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