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Exercise training to address lifelong consequences of preterm birth: a survey of perceived needs - 01/09/25

Doi : 10.1016/j.rmed.2025.108284 
Cassidy Du Berry a, b, c, f, Shannon J. Simpson c, d, Alicia J. Spittle e, f, g, Anne E. Holland a, h, i, Amber Bates c, j, Narelle S. Cox a, h,
a Respiratory Research@Alfred, Monash University, Melbourne, Victoria, Australia 
b Department of Respiratory and Sleep Medicine, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia 
c Wal-yan Respiratory Research Centre, The Kids Research Institute Australia, Nedlands, Western Australia, Australia 
d Curtin School of Allied Health, Curtin University, Bentley, Western Australia, Australia 
e Department of Physiotherapy, The University of Melbourne, Parkville, Victoria, Australia 
f Murdoch Children's Research Institute, Parkville, Victoria, Australia 
g Department of Physiotherapy, The Royal Women's Hospital, Parkville, Victoria, Australia 
h Institute for Breathing and Sleep, Melbourne, Victoria, Australia 
i Department of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia 
j Tiny Sparks, Shenton Park, Western Australia, Australia 

Corresponding author. Respiratory Research@Alfred, Monash University, Melbourne, Victoria, Australia Respiratory Research@Alfred Monash University Melbourne Victoria Australia

Abstract

Background

The identification of a COPD etiotype associated with preterm birth (COPD-developmental) has expedited calls for intervention strategies that may improve health outcomes for survivors of preterm birth (<37 weeks’ gestation). Pulmonary-rehabilitation style training interventions achieve physiological and symptom improvement in older people with COPD, but whether similar training interventions are suitable for young people is unclear. We sought to understand the perceived need and requirements of an exercise training intervention for children, adolescents and adults born preterm.

Methods

An online survey of individuals (≥12 years old) born preterm, and parents of preterm children (≥3 years old), was undertaken. 14 survey items (11 closed questions; 3 free-text) assessed perceptions to current engagement in exercise, as well as perceived needs of an exercise intervention.

Results

Sixty-six responses (n = 37 (56 %) adolescents/adults; n = 29 (44 %) parent proxy for child) were recorded. Regular (≥2x/week) exercise participation was common, with perceived exercise facilitators being more time, establishing a routine and having support, and motivation and enjoyment. The majority (63 %) supported an exercise intervention for people born preterm. Preferred intervention components were 1–2 sessions/week (51 %) for ≥10 weeks, with health professional supervision (61 %). In-person or remotely delivered sessions were equally favored, with two-thirds desiring integration of performance monitoring devices or mobile applications.

Conclusion

There exists a perceived need for specific and targeted exercise training interventions for children and adults born preterm. Development and evaluation of tailored exercise programs that address the motivational and unique physiological needs of those born preterm are required.

Il testo completo di questo articolo è disponibile in PDF.

Highlights

Those born preterm are at risk of poor lung health and reduced physical capacity, which may be lessened by exercise training.
Young adults, and parents of children, born preterm perceive a need for targeted exercise training interventions.
Key components, and effect, of an exercise training intervention for people born preterm remain to be explored.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : Preterm birth, Exercise training, Pulmonary rehabilitation, Prematurity-associated lung disease, COPD


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© 2025  The Authors. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
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