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November 11, 2020International Journal of Environmental Research and Public HealthOpen Access

Patients with Kawasaki Disease Have Significantly Low Aerobic Metabolism Capacity and Peak Exercise Load Capacity during Adolescence

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Key result

Adolescents with a history of Kawasaki disease had significantly lower aerobic metabolism capacity and peak exercise load capacity than controls (p=0.021 and 0.043, respectively).

Why the study?

Children with Kawasaki disease show lower moderate-to-vigorous activity and exercise self-efficacy, which may adversely affect their cardiopulmonary function in adolescence.

Does a history of Kawasaki disease reduce cardiopulmonary function and exercise capacity in adolescents?

Population

Adolescents who once had KD and age- and sex-matched control adolescents

Comparison

Adolescents with prior KD vs age- and sex-matched controls

Design

Case-control study

Authors

TYTsung‐Hsun YangKaohsiung Chang Gung Memorial HospitalYLYan-Yuh LeeKaohsiung Chang Gung Memorial HospitalLWLin-Yi WangWenzhou Medical University

Discussion

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Implication

Adolescents with prior KD may have reduced aerobic capacity; this Level 5 observational finding leaves open whether exercise promotion improves outcomes.

Study Design

Type

Case-Control

Structured PICO

Does a history of Kawasaki disease reduce cardiopulmonary function and exercise capacity in adolescents?

P
Population
Adolescents with a history of Kawasaki disease and age- and sex-matched controls.
E
Exposure
History of Kawasaki disease
C
Comparator
Age- and sex-matched adolescents without a history of Kawasaki disease
O
Outcome
Cardiopulmonary function assessed via cardiopulmonary exercise test (aerobic metabolism capacity and peak exercise load capacity)surrogate

Main Result

p-value: p=0.021 and 0.043

Adolescents with a history of Kawasaki disease exhibit significantly reduced aerobic metabolism and peak exercise capacity compared to healthy peers, highlighting the need for targeted exercise interventions.

Cite This Study

Yang et al. (2020) conducted a case-control in Kawasaki disease. History of Kawasaki disease vs. Age- and sex-matched controls was evaluated on Aerobic metabolism capacity and peak exercise load capacity (p=0.021 and 0.043). Adolescents with a history of Kawasaki disease had significantly lower aerobic metabolism capacity and peak exercise load capacity than controls (p=0.021 and 0.043, respectively).

synapsesocial.com/papers/6a93aad1c71ca0043637d311https://doi.org/10.3390/ijerph17228352
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Long term consequences of regressed coronary aneurysms after Kawasaki disease: vascular wall morphology and function2000 · 243 citations
  2. 2Cardiopulmonary Function, Exercise Capacity, and Echocardiography Finding of Pediatric Patients With Kawasaki Disease2016 · 18 citations
  3. 3Clinician’s Guide to Cardiopulmonary Exercise Testing in Adults2010 · 1,984 citations
  4. 4Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants2019 · 4,124 citations