November 1, 2001Pediatric Exercise Science
New Standards for the Bruce Treadmill Protocol in Children and Adolescents
Key result
The Bruce treadmill protocol exercise times in untrained, asymptomatic children and adolescents were on average 15% lower than the 1978 Canadian standards.
Population
263 children and adolescents, age 4-18 years, with trivial or no heart disease, maximal effort, maximal…
Comparison
Bruce treadmill exercise protocol vs 1978 Canadian standards by Cumming et al.
Design
Cross-sectional
Authors
Discussion
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Implication
May improve exercise test interpretation in pediatric heart disease; leaves open prospective validation before clinical adoption.
Study Design
Type
Cross-Sectional (n=263)
Structured PICO
P
Population
263 asymptomatic children and adolescents aged 4-18 years with trivial or no heart disease who underwent the Bruce treadmill protocol to develop normal exercise standards.
E
Exposure
Bruce treadmill exercise protocol
C
Comparator
1978 Canadian standards by Cumming et al.
O
Outcome
Exercise time and maximal heart ratesurrogate
Contemporary children and adolescents have lower exercise times on the Bruce protocol compared to 1978 standards, necessitating updated regression equations for predicting normal exercise capacity.
Cite This Study
Wessel et al. (2001) conducted a cross-sectional in Healthy children and adolescents (n=263). Bruce treadmill protocol vs. 1978 Canadian standards was evaluated on Exercise time and maximal heart rate. The Bruce treadmill protocol exercise times in untrained, asymptomatic children and adolescents were on average 15% lower than the 1978 Canadian standards.