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Armand A, Rochette E, Grèze V, Monzy S, Dualé C, Pereira B, Isfan F, Doré E, Girard-Monin P, Pegon C, Labraise E, Duché P, Kanold J. Fitness and metabolic response to exercise in young adult survivors of childhood lymphoma. Support Care Cancer 2023; 31:358. [PMID: 37247034 DOI: 10.1007/s00520-023-07812-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Accepted: 05/13/2023] [Indexed: 05/30/2023]
Abstract
PURPOSE Childhood lymphoma survivors (CLSs) are at high risk of reduced daily activity. This work studied metabolic substrate use and cardiorespiratory function in response to exercise in CLSs. METHODS Twenty CLSs and 20 healthy adult controls matched for sex, age, and BMI took an incremental submaximal exercise test to determine fat/carbohydrate oxidation rates. Resting echocardiography and pulmonary functional tests were performed. Physical activity level, and blood metabolic and hormonal levels were measured. RESULTS CLSs reported more physical activity than controls (6317 ± 3815 vs. 4268 ± 4354 MET-minutes/week, p = 0.013), had higher resting heart rate (83 ± 14 vs. 71 ± 13 bpm, p = 0.006), and showed altered global longitudinal strain (- 17.5 ± 2.1 vs. - 19.8 ± 1.6%, p = 0.003). We observed no difference in maximal fat oxidation between the groups, but it was reached at lower relative exercise intensities in CLSs (Fatmax 17.4 ± 6.0 vs. 20.1 ± 4.1 mL/kg, p = 0.021). At V̇O2 peak, CLSs developed lower relative exercise power (3.2 ± 0.9 vs. 4.0 ± 0.7 W/kg, p = 0.012). CONCLUSION CLSs reported higher levels of physical activity but they attained maximal fat oxidation at lower relative oxygen uptake and applied lower relative power at V̇O2 peak. CLSs may thus have lower muscular efficiency, causing greater fatigability in response to exercise, possibly related to chemotherapy exposure during adolescence and childhood. Long-term follow-up is essential and regular physical activity needs to be sustained.
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Affiliation(s)
- Alexandre Armand
- CHU Clermont-Ferrand, Pédiatrie, 63000, Clermont-Ferrand, France.
- Unité CRECHE (INSERM CIC1405), Université Clermont Auvergne, 63000, Clermont-Ferrand, France.
| | - Emmanuelle Rochette
- CHU Clermont-Ferrand, Pédiatrie, 63000, Clermont-Ferrand, France
- Unité CRECHE (INSERM CIC1405), Université Clermont Auvergne, 63000, Clermont-Ferrand, France
- Université de Toulon, Laboratoire IAPS, 83041, Toulon, France
| | - Victoria Grèze
- CHU Clermont-Ferrand, Pédiatrie, 63000, Clermont-Ferrand, France
- Unité CRECHE (INSERM CIC1405), Université Clermont Auvergne, 63000, Clermont-Ferrand, France
| | | | - Christian Dualé
- CHU Clermont-Ferrand, Plateforme d'Investigation Clinique (INSERM CIC1405), F-63000, Clermont-Ferrand, France
| | - Bruno Pereira
- CHU Clermont-Ferrand, Délégation de La Recherche Clinique Et Innovations, 63000, Clermont-Ferrand, France
| | - Florentina Isfan
- CHU Clermont-Ferrand, Pédiatrie, 63000, Clermont-Ferrand, France
| | - Eric Doré
- CHU Clermont-Ferrand, Pédiatrie, 63000, Clermont-Ferrand, France
| | | | - Charline Pegon
- CHU Clermont-Ferrand, Pédiatrie, 63000, Clermont-Ferrand, France
| | - Emmanuelle Labraise
- CHU Clermont-Ferrand, Pédiatrie, 63000, Clermont-Ferrand, France
- Unité CRECHE (INSERM CIC1405), Université Clermont Auvergne, 63000, Clermont-Ferrand, France
| | - Pascale Duché
- Université de Toulon, Laboratoire IAPS, 83041, Toulon, France
| | - Justyna Kanold
- CHU Clermont-Ferrand, Pédiatrie, 63000, Clermont-Ferrand, France
- Unité CRECHE (INSERM CIC1405), Université Clermont Auvergne, 63000, Clermont-Ferrand, France
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