{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T07:36:44Z","timestamp":1769240204764,"version":"3.49.0"},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2011,4,25]],"date-time":"2011-04-25T00:00:00Z","timestamp":1303689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We assessed whether physical activity could influence the performance and perception of dyspnea in children who were operated on for high risk congenital diaphragmatic hernia (CDH). We hypothesized that CDH children with normal activity would have better lung function and exercise performance level when compared to sedentary CDH subjects.<\/jats:p><jats:p>We studied 18 children (11 males and 7 females, mean age 6.6\u2009\u00b1\u20092.6 years) who were surgically corrected. All children underwent physical examination, ECG at rest, and a maximal exercise stress test on a treadmill to measure the duration of exercise, maximal heart rate and blood pressure, maximal oxygen uptake (VO<jats:sub>2<\/jats:sub>\u2009max and VO<jats:sub>2<\/jats:sub>\u2009ml\/kg\/min). Lung function testing to measure forced vital capacity (FVC), forced expiratory volume in 1\u2009sec (FEV<jats:sub>1<\/jats:sub>), and peak expiratory flow (PEF) was also performed. Following the stress test, the Dalhousie dyspnea and effort scale was shown to children as a pictorial panel with three groups of increasing (from 1 to 7) levels of effort perception, throat discomfort, and chest dyspnea. Children were divided into group A (sedentary) and group B (regular physical participation). There was no difference in CDH severity between the two groups. Group A had a statistically significant lower duration of exercise (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01), maximal oxygen consumption (VO<jats:sub>2<\/jats:sub>\u2009max <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001), VO<jats:sub>2<\/jats:sub>\u2009ml\/kg\/min (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), higher throat closing feeling (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.004), chest dyspnea (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), and effort perception (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.04) compared to group B. No differences were found in lung function tests.<\/jats:p><jats:p>In conclusion, our data may suggest that children with a history of CDH who are active maintain a higher level of performance with less perception of dyspnea and effort. Pediatr. Pulmonol. 2011; 46:1000\u20131006. \u00a9 2011 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ppul.21471","type":"journal-article","created":{"date-parts":[[2011,4,25]],"date-time":"2011-04-25T20:05:46Z","timestamp":1303761946000},"page":"1000-1006","source":"Crossref","is-referenced-by-count":15,"title":["Physical activity, fitness, and dyspnea perception in children with congenital diaphragmatic hernia"],"prefix":"10.1002","volume":"46","author":[{"given":"Attilio","family":"Turchetta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danilo","family":"Fintini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Cafiero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armando","family":"Calzolari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ugo","family":"Giordano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renato","family":"Cutrera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Morini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annabella","family":"Braguglia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pietro","family":"Bagolan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,4,25]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-008-2257-y"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-2845"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.3.532"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800831231"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2003.11.009"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-005-1557-8"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2001.20031"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.155.1.9001308"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.78.2.137"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(96)90094-9"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.20359"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.152.3.7663792"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00181408"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1183\/09041950.005s1693"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(78)90134-0"},{"key":"e_1_2_6_17_2","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1164\/rccm.167.2.211","article-title":"Statement on cardiopulmonary exercise testing","volume":"167","author":"American Thoracic Society, American College of Chest Physicians, ATS\/ACCP","year":"2003","journal-title":"Am J Respir Crit Care Med"},{"key":"e_1_2_6_18_2","first-page":"27","article-title":"Exercise testing on treadmill in normal children","volume":"3","author":"Calzolari A","year":"1994","journal-title":"Int J Sport Cardiol"},{"key":"e_1_2_6_19_2","volume-title":"Pediatric exercise medicine. From physiologic principles to healthcare application","author":"Bar\u2010Or O","year":"2004"},{"key":"e_1_2_6_20_2","first-page":"5","article-title":"Dalhousie dyspnea scales: construct and content validity of pictorial scales for measuring dyspnea","volume":"3","author":"McGrath PJ","year":"2005","journal-title":"BMC Pediatr"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1066154"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.05.037"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(96)90095-0"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.20609"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.20579"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2003.12.006"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.20062"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.20193"},{"key":"e_1_2_6_29_2","unstructured":"Decree of the Italian Ministry of Health February 18 1982. Rules concerning the medical protection of athletic activity. Gazzetta Ufficiale della Repubblica Italiana March 5 1982: 63."},{"key":"e_1_2_6_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.06.053"},{"key":"e_1_2_6_31_2","doi-asserted-by":"publisher","DOI":"10.1249\/00005768-199505000-00005"},{"key":"e_1_2_6_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4612-5593-2"},{"key":"e_1_2_6_33_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.80.4.392"},{"key":"e_1_2_6_34_2","first-page":"853","article-title":"Ventilatory muscle endurance training in normal subjects and patients with cystic fibrosis","volume":"116","author":"Keens TG","year":"1977","journal-title":"Am Rev Res Dis"},{"key":"e_1_2_6_35_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2008.156158"},{"key":"e_1_2_6_36_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.20073"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fppul.21471","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.21471","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T09:47:18Z","timestamp":1700560038000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.21471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4,25]]},"references-count":35,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2011,10]]}},"alternative-id":["10.1002\/ppul.21471"],"URL":"https:\/\/doi.org\/10.1002\/ppul.21471","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4,25]]}}}