1st Edition
by Thomas W. Rowland (Author), American College of Sports Medicine (Author, Editor), North American Society for Pediatric Exercise Medicine (NASPEM) (Author), Thomas W Rowland (Editor), North American Society for Pediatric Exercise Medicine (Naspem) (Editor), Thomas Rowland (Editor)
Exercise testing plays an
increasingly important role in the diagnosis and assessment of heart
disease and lung disease in children and adolescents. In Cardiopulmonary Exercise Testing in Children and Adolescents,
leading expert Thomas W. Rowland, backed by the American College of
Sports Medicine (ACSM) and the North American Society for Pediatric
Exercise Medicine (NASPEM), compiles the latest evidence-based research
to provide guidance for clinical exercise physiologists, cardiologists,
pulmonologists, and students of exercise physiology who conduct exercise
stress testing for young patients.
The core objective of the
book is to clarify the differences between clinical exercise testing for
children and testing for adults. Because of obvious differences between
the two populations, test protocols must be modified based on the
patient's age, size, level of physical fitness, body composition,
intellectual and emotional maturity, and state of cardiac and pulmonary
health.
Part I provides an introduction to pediatric exercise
testing. Part II examines exercise testing methodologies and discusses
blood pressure, cardiac output, electrocardiography, oxygen uptake, and
pulmonary function. Part III focuses on specific clinical issues
addressed by exercise testing, guiding readers through protocols for
diagnosis, evaluation, and exercise testing. Part IV explores testing in
special populations and focuses on topics such as childhood obesity,
neuromuscular disease, and intellectual disabilities.
Where
applicable, sample forms and checklists provide practitioners with
practical materials to use during exercise testing. Sidebars offer
readers insight into considerations such as the presence of parents
during testing and adjustments of cardiac measures for youth body
dimensions.
This book serves as a means of focusing and unifying
approaches to performing pediatric exercise testing in order to lay the
foundation for new and innovative approaches to exercise testing in the
health care of children and adolescents.
