Exercise in a Child with Systemic Lupus Erythematosus and Antiphospholipid Syndrome

Autor(es)

Prado, Danilo M. ^[1] ; Gualano, Bruno ^{[2, 3]} ; Pinto, Ana Lucia S. ^[3] ; Sallum, Adriana M. ^[2] ; Perondi, Maria B. ^[2] ; Roschel, Hamilton ^{[2, 3]} ; Silva, Clovis Artur ^{[3, 1]}

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Med, Pediat Rheumatol Unit, Sao Paulo - Brazil

^[2] Univ Sao Paulo, Sch Phys Educ & Sport, Sao Paulo - Brazil

^[3] Univ Sao Paulo, Sch Med, Div Rheumatol, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: MEDICINE AND SCIENCE IN SPORTS AND EXERCISE; v. 43, n. 12, p. 2221-2223, DEC 2011.
• Citações Web of Science: 7

Resumo

PRADO, D. M., B. GUALANO, A. L. S. PINTO, A. M. SALLUM, M. B. PERONDI, H. ROSCHEL, and C. A. SILVA. Exercise in a Child with Systemic Lupus Erythematosus and Antiphospholipid Syndrome. Med. Sci. Sports Exerc., Vol. 43, No. 12, pp. 2221-2223, 2011. Exercise training has emerged as a potential therapeutic strategy to counteract the decline in physical function and aerobic capacity in pediatric rheumatic disease. Purpose: We report for the first time on the effects of exercise training in juvenile systemic lupus erythematosus (JSLE) and antiphospholipid syndrome (APS). Methods: A 15-yr-old boy with JSLE and APS treated with warfarin, azathioprine, and prednisone underwent a 12-wk aerobic exercise training program to improve his physical capacity and functioning. Before and after the 12-wk exercise program, the patient was submitted to incremental cardiopulmonary tests to determine (V) over dotO(2peak), peak and submaximal exercise intensity, and time to exhaustion. In addition, a 6-min square-wave test was performed for assessing metabolic parameters. Functioning was assessed by using the visual analog scale. Laboratory parameters of inflammation were also assessed at baseline and 48 h after the last training session. Results: All the cardiopulmonary parameters (e. g., (V) over dotO(2max) = +36.0%, time to exhaustion = +67.8%, peak exercise intensity = +16.7%) and the metabolic cost of movement (e. g., energy expenditure = -28.3% to -33.3%, (V) over dotO(2) = -29.3% to -33.4%) were improved. Both disease activity and cumulative damage scores did not change after the intervention, and no evidence of exercise-induced exacerbation of inflammation was observed. Visual analog scale scores were also improved according to the patients' evaluation (before intervention = 8 vs after intervention = 10), parents' evaluation (before intervention = 8 vs after intervention = 10), and physicians' evaluation (before intervention = 6 vs after intervention = 9). Conclusions: This is the first evidence that a 12-wk supervised aerobic training program can be safe and effective in improving aerobic conditioning and physical function in a patient with JSLE and APS. In light of these findings, the therapeutic effects of exercise training in pediatric rheumatic diseases merit further investigations. (AU)

• Processo FAPESP: 10/51428-2 - Efeitos do treinamento de força associado à oclusão vascular em pacientes com osteoartrite de joelho: um estudo clínico controlado
• Beneficiário: Hamilton Augusto Roschel da Silva
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado