Severely reduced physical performance is already present at the time of admission for stem cell transplantation
Objectives Paediatric patients with cancer undergoing allogeneic haematopoietic stem cell transplantation (allo-HSCT) face a high risk for life-threatening infections and transplant-related complications. Therefore, these children should be in the best possible physical condition beforehand. The stu...
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| Language: | English |
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BMJ Publishing Group
2024-06-01
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| Series: | BMJ Open Sport & Exercise Medicine |
| Online Access: | https://bmjopensem.bmj.com/content/10/2/e001907.full |
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| author | Dirk Reinhardt Ronja Beller Gabriele Gauß Oliver Basu Stefan Schönberger Michaela Höfs |
| author_facet | Dirk Reinhardt Ronja Beller Gabriele Gauß Oliver Basu Stefan Schönberger Michaela Höfs |
| author_sort | Dirk Reinhardt |
| collection | DOAJ |
| description | Objectives Paediatric patients with cancer undergoing allogeneic haematopoietic stem cell transplantation (allo-HSCT) face a high risk for life-threatening infections and transplant-related complications. Therefore, these children should be in the best possible physical condition beforehand. The study aims to evaluate the fitness status before allo-HSCT and identify correlations between fitness, quality of life and fatigue, clinical data, and previous exercise sessions.Methods Paediatric patients with cancer ≥4 years old, treated with allo-HSCT, were recruited for the ANIMAL trial ('Effects of a low vs. moderate intense exercise program on immune recovery during paediatric allo-HSCT.', DRKS ID:DRKS00019865). Assessed at admission for HSCT were (1) clinical and anthropometric data, (2) motor performance (strength, endurance and balance) and (3) psychological parameters. Values were compared with published reference values (normative data from the literature) of healthy children, and correlation analyses were conducted.Results 22 paediatric patients undergoing pre-allo-HSCT (23% female, 9.4±4.5 years, 73% leukaemia) exhibited substantial reduced differences in all motor performance parameters, with up to −106%±98 (mean difference to reference value) in static stance, −37%±45 in sit-to-stand, −52%±16 in leg extension and −48%±22 in hand grip strength compared with reference values. Correlations were observed among age and fitness parameters, the number of inpatient days and fatigue, and many previous exercise sessions correlated with better hand grip strength.Conclusion These results indicate a poorer fitness status in children before HSCT compared with healthy children, recommending the need for structured exercise programmes for children undergoing HSCT. Differently directed correlations between age/body mass index and endurance/strength and between exercise sessions and strength show the importance of individualised training recommendations and the effect of training. |
| format | Article |
| id | doaj-art-a75964cf1ef1450dbdcaaef0fced6660 |
| institution | DOAJ |
| issn | 2055-7647 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Sport & Exercise Medicine |
| spelling | doaj-art-a75964cf1ef1450dbdcaaef0fced66602025-08-20T03:13:07ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472024-06-0110210.1136/bmjsem-2024-001907Severely reduced physical performance is already present at the time of admission for stem cell transplantationDirk Reinhardt0Ronja Beller1Gabriele Gauß2Oliver Basu3Stefan Schönberger4Michaela Höfs5Children`s Hospital, University of Hannover, Hannover, GermanyClinics for Paediatrics III, Department of Paediatric Haematology/Oncology, West German Cancer Centre, University Hospital Essen, Essen, GermanyClinics for Paediatrics III, Department of Paediatric Haematology/Oncology, West German Cancer Centre, University Hospital Essen, Essen, GermanyClinics for Paediatrics III, Department of Paediatric Haematology/Oncology, West German Cancer Centre, University Hospital Essen, Essen, GermanyClinics for Paediatrics III, Department of Paediatric Haematology/Oncology, West German Cancer Centre, University Hospital Essen, Essen, GermanyClinics for Paediatrics III, Department of Paediatric Haematology/Oncology, West German Cancer Centre, University Hospital Essen, Essen, GermanyObjectives Paediatric patients with cancer undergoing allogeneic haematopoietic stem cell transplantation (allo-HSCT) face a high risk for life-threatening infections and transplant-related complications. Therefore, these children should be in the best possible physical condition beforehand. The study aims to evaluate the fitness status before allo-HSCT and identify correlations between fitness, quality of life and fatigue, clinical data, and previous exercise sessions.Methods Paediatric patients with cancer ≥4 years old, treated with allo-HSCT, were recruited for the ANIMAL trial ('Effects of a low vs. moderate intense exercise program on immune recovery during paediatric allo-HSCT.', DRKS ID:DRKS00019865). Assessed at admission for HSCT were (1) clinical and anthropometric data, (2) motor performance (strength, endurance and balance) and (3) psychological parameters. Values were compared with published reference values (normative data from the literature) of healthy children, and correlation analyses were conducted.Results 22 paediatric patients undergoing pre-allo-HSCT (23% female, 9.4±4.5 years, 73% leukaemia) exhibited substantial reduced differences in all motor performance parameters, with up to −106%±98 (mean difference to reference value) in static stance, −37%±45 in sit-to-stand, −52%±16 in leg extension and −48%±22 in hand grip strength compared with reference values. Correlations were observed among age and fitness parameters, the number of inpatient days and fatigue, and many previous exercise sessions correlated with better hand grip strength.Conclusion These results indicate a poorer fitness status in children before HSCT compared with healthy children, recommending the need for structured exercise programmes for children undergoing HSCT. Differently directed correlations between age/body mass index and endurance/strength and between exercise sessions and strength show the importance of individualised training recommendations and the effect of training.https://bmjopensem.bmj.com/content/10/2/e001907.full |
| spellingShingle | Dirk Reinhardt Ronja Beller Gabriele Gauß Oliver Basu Stefan Schönberger Michaela Höfs Severely reduced physical performance is already present at the time of admission for stem cell transplantation BMJ Open Sport & Exercise Medicine |
| title | Severely reduced physical performance is already present at the time of admission for stem cell transplantation |
| title_full | Severely reduced physical performance is already present at the time of admission for stem cell transplantation |
| title_fullStr | Severely reduced physical performance is already present at the time of admission for stem cell transplantation |
| title_full_unstemmed | Severely reduced physical performance is already present at the time of admission for stem cell transplantation |
| title_short | Severely reduced physical performance is already present at the time of admission for stem cell transplantation |
| title_sort | severely reduced physical performance is already present at the time of admission for stem cell transplantation |
| url | https://bmjopensem.bmj.com/content/10/2/e001907.full |
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