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indian j physiol pharmacol 2012 56 3 239 244 role of exercise and nutrition on cardiopulmonary fitness and pulmonary functions on residential and non residential school children jyoti p khodnapur ...

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                  Indian J Physiol Pharmacol 2012; 56(3): 239–244
                  ROLE OF EXERCISE AND NUTRITION ON CARDIOPULMONARY
                  FITNESS AND PULMONARY FUNCTIONS ON RESIDENTIAL
                  AND NON-RESIDENTIAL SCHOOL CHILDREN
                  JYOTI P. KHODNAPUR, GOPAL B. DHANAKSHIRUR*
                  AND MANJUNATHA AITHALA
                  Department of Physiology,
                  BLDEU’s Shri B.M. Patil Medical College,
                  Bijapur, Karnataka, India
                                                          (( Received on August 24, 2011Received on August 24, 2011 ))
                                                          ( Received on August 24, 2011)
                                                          (( Received on August 24, 2011Received on August 24, 2011 ))
                                    Abstract :Abstract :
                                    Abstract : Physical fitness is the prime criterion for survival and to lead
                                    Abstract :Abstract :
                                    a healthy life. Our aim is to find out effect of exercise and nutrition on
                                    physical fitness on growing children with scientific records. The present
                                    study was designed on healthy school children of a Residential-Sainik (100)
                                    and Non-Residential (100) school children (12-16 yrs) of Bijapur. To evaluate
                                    cardiopulmonary fitness parameters included are VO2Max (ml/kg/min) and
                                    Physical Fitness Index (PFI %). Harvard Step Test determined VO2 Max
                                    and PFI. Also recorded pulmonary function parameters like Forced
                                    Expiratory Volume in 1 sec (FEV1 in %) by recording spirometry. Peak
                                    Expiratory Flow Rate (PEFR in L/Min) by Peak flow meter and Maximal
                                    Expiratory Pressure (MEP in mmHg) by modified Black’s apparatus. We
                                    found statistically significant higher values (p=0.000) of VO2Max, PFI,
                                    FEV1, PEFR and MEP in residential school children compared to non-
                                    residential school children higher. So, our study shows that regular exercise
                                    and nutritious food increase the cardiopulmonary fitness values and
                                    pulmonary functions in Residential school children.
                                    Key words :Key words :
                                    Key words : residential school children        non-residential school children
                                    Key words :Key words :
                                                   VOmax            PFI          FEV1           PEFR          MEP
                                                       2
                                   INTRODUCTION                               and pressure under different circumstances
                                                                              where an unfit person would be ineffective
                       Physical fitness is defined as ability to              or would quit (1).
                  carry out daily tasks with vigor and alertness
                  without undue fatigue with ample of energy                      Regular physical exercise is known to
                  to enjoy leisure time pursuits, to meet                     have beneficial effects on health. As diseases
                  unusual situations and unforeseen                           are related to lack of fitness, Americans
                  emergencies (1). For a common man, the                      realized that there is a need to counteract a
                  physical fitness is ability to withstand stress             sedentary lifestyle with planned physical
                     *Corresponding Author: Dr. Gopal B. Dhanakshirur, Professor, Department of Physiology, BLDEU’s Shri B.
                                                M. Patil Medical College, Bijapur, Karnataka, India;  Email: gbdhanakshirur@gmail.com
                240 Khodnapur et al                                              Indian J Physiol Pharmacol 2012; 56(3)
                activity through sports and formal exercise.             Physically fit children are easily adapt
                This brought government’s attention to the           for stress. Their neuromuscular tension
                lack of fitness of its citizenry. This led to        is less. They do not suffer from easy
                the establishment of minimum fitness                 fatigability. Nutrition through diet provides
                standards in the country’s public schools            necessary energy substrates including
                (2).                                                 vitamins and minerals, which in turn provide
                                                                     enzymes that catalyze energy production.
                    In our country, we are getting acquainted
                with the modern amenities at a very fast                 Physical fitness not only assessed by
                rate. So, we are neglecting the natural              cardiopulmonary fitness parameters like VO
                physical activities. The present attractive                                                           2
                                                                     max and PFI but also by pulmonary function
                education system has helped to improve the           tests like FEV1, PEFR and MEP.
                education standards. But, the non-active
                sedentary stressful life has made the youth              The present study was undertaken to
                physically unfit. Now, the time has come to          show the effects of exercise and nutrition
                consider about the physical fitness and              on growing children by comparing the
                exercise in the adolescent age group.                cardiopulmonary test performance of
                Realizing this fact, educationalists have            residential and non-residential school
                recommended minimal physical exercise in             children.
                the curriculum (3).
                    The physical growth in boys and girls                   MATERIALS AND METHODS
                more or less is equal up to adolescence. So,             Our study included 200 students in the
                we have selected boys only.                          age range of 12 to 16 years from residential
                    The age between 12 and 16 years, the             (Sainik) and non-residential (Banjara) schools
                physique is changing. During this period of          of Bijapur city, North Karnataka.
                growth, height, weight and maximum
                                                                                                             
                                                                                                            
                                                                                                             
                                                                         Method of collection of dataMethod of collection of data (5)(5)::
                                                                         Method of collection of data (5): For
                aerobic capacity will reach their peak. So,              Method of collection of dataMethod of collection of data (5)(5)::
                to achieve good fitness in children sports           comparison, we divided the students into two
                programme should be arranged (4).                    groups.
                                                                         Group IGroup I ::
                                                                         Group I: It consisted of 100 male students
                    The exercise will help to attain                     Group IGroup I ::
                maximum physical fitness due to                      from residential (Sainik) school of Bijapur
                development of muscle and cardio respiratory         city, North Karnataka.
                strength as well as endurance of the children
                                                                         Group IIGroup II ::
                                                                         Group II: It consisted of 100 male students
                (4).                                                     Group IIGroup II ::
                                                                     from non-residential (Banjara) school of
                    The advantages of physical fitness are           Bijapur city, North Karnataka.
                many, like increase in the level of
                intelligence, tolerance, activity and social             The subjects represented almost all
                behavior.                                            socioeconomic sections and religions.
                     Indian J Physiol Pharmacol 2012; 56(3)                                Exercise, Nutrition & PFT on Residential & Nonresidential  241
                          Written consent was taken from                                       2)    Maximal aerobic power VO  Max (ml/
                                                                                                                                            2
                                                                                                                                                    
                     Principals of both the schools, as students                                     kg/min) by Margaria’s equation(7).
                     were minor.                                                                     It was obtained by using the formula.
                          The ethical clearance for the study was                                    VO2 Max = 111.33 – (0.42×Pmax)
                     obtained from the ethical committee of BLDE
                                                                                          Recording of Pulmonary Parameters (8,Recording of Pulmonary Parameters (8, 9)9)
                                                                                          Recording of Pulmonary Parameters (8,9)
                     University.                                                          Recording of Pulmonary Parameters (8,Recording of Pulmonary Parameters (8, 9)9)
                          The procedures were explained to                                1) FEV1% by using Benedict-Roth’s
                     children. Through thorough history and                                    recording spirometry.
                     detailed clinical examination, students were                         2) PEFR by using peak flow meter.
                     selected.                                                            3) MEP by using Modified Black’s apparatus
                          Subjects were taken into confidence and                              (10).
                     data was collected at the school campus                                                       RESULTS
                     during working hours between 12 noon to
                     2pm during resting period.
                                                                                               Group I: Residential (Sainik) school
                     Inclusion criteriaInclusion criteria ::                              children=100 students.
                     Inclusion criteria:
                     Inclusion criteriaInclusion criteria ::
                          1)    Apparently healthy                                             Group II: Non-Residential (Banjara)
                          2)    Age: 12-16 yrs                                            school children=100 students.
                     Exclusion criteriaExclusion criteria ::
                     Exclusion criteria:
                     Exclusion criteriaExclusion criteria ::                                   Recording of cardiopulmonary fitness test
                          1)    Suffering from cardiopulmonary                            parameters and pulmonary function test
                                disorders                                                 parameters were shown below in table form.
                          2)    Any chronic diseases
                          3)    Any endocrine disorders                                        The mean age (yrs) for group I
                                                                                          (Residential) was 14.42±0.55 and group II
                          4)    H/O obesity or anemia                                     (Non-Residential) that was 14.21±0.81 (Table
                                                                                          I).
                     Cardiopulmonary fitness parametersCardiopulmonary fitness parameters ::
                     Cardiopulmonary fitness parameters:
                     Cardiopulmonary fitness parametersCardiopulmonary fitness parameters ::
                                                                                               The mean BMI (%) for group I
                          By using Modified Harvard Step Test                             (Residential) was 18.26±1.80 and group II
                     (HST): The test was done on Modified
                     Harvard Steps of 33 cm height. PFI and VO                              TABLE I: Shows mean values of age and BMI.
                                                                                    2
                     max were calculated by using following
                     formulae.                                                            Parameters               Group I                Group II
                                                                                                              (Sample size-100)      (Sample size-100)
                                                                                  
                          1)    Physical fitness Index (%) (PFI %)(6)                     Age (yrs)               14.42±0.55             14.21±0.81
                                                                                          BMI (kg/mt2)            18.26±1.80             17.52±3.46
                                PFI=Duration of exercise in secs×100
                                            2(pulse 1+2+3)                                     Data are presented as Mean±SD.
                    242 Khodnapur et al                                                           Indian J Physiol Pharmacol 2012; 56(3)
                    (Non-Residential) which was 17.52±3.46                          residential school children was 73.83±25.50
                    (Table I).                                                      (p=0.000) (Table III).
                                                                                    Statistical analysisStatistical analysis
                                                                                    Statistical analysis
                        The mean PFI (%) for group I                                Statistical analysisStatistical analysis
                    (Residential) was 54.96±8.38, which was
                    significantly higher than that of group II                           All the values were presented as mean,
                    (Non-Residential) which was 44±5.05                             standard deviation and standard error.
                    (p=0.000) (Table II).                                           Comparison of mean values of parameters
                                                                                    was done between Group I and Group II using
                        The mean VO  max (ml/kg/min) for group                      Z test (11).
                                          2
                    I (Residential) was 66.03±7.06, which was
                    significantly higher than that of group II                                           DISCUSSION
                    (Non-Residential) which was 55.24±7.53
                    (p=0.000) (Table II).                                                Several studies have established that
                                                                                    physical fitness is necessary to carry out
                        FEV1 (Mean±SD) in residential was                           daily task. The effect of regular exercise is
                    91.21±7.53 & in non-residential school                          known to have beneficial effect on health.
                    children was 87.79±9.79 (p=0.000). PEFR                         Gymnastic activity in school curriculum was
                    (Mean±SD) in residential was 499.05±95.39                       introduced by John Bernard (2).
                    & in non-residential school children was
                    389.25±96.98 (p = 0.000). MEP (Mean±SD) in                           In our country, residential schools like
                    residential was 90.1±17.05 & in non-                            Sainik school, Navodaya school and many
                                                 TABLE II: Shows cardiopulmonary fitness parameters.
                                                    Group I (Sample size-100)        GroupII (Sample size-100)
                    Parameters                                                                                        Z values       P values
                                                      Mean±SD            SE           Mean±SD            SE
                    PFI (%)                          54.96±8.38        0.838          44.75±5.05        0.505          10.44       0.00001***
                    VO Max (ml/kg/min)               66.03±7.06        0.706          55.23±7.53        0.753          10.44       0.00001***
                       2
                        Data are presented as Mean±SD *P:<0.05: Significant, **P:<0.01: Highly significant, ***P:<0.001: Very
                        highly significant, NS: Non Significant.
                                                   TABLE III: Shows pulmonary function parameters.
                                                             Group I                          GroupII
                    Parameters                                                                                        Z values       P values
                                                      Mean±SD            SE           Mean±SD            SE
                    FEV1 (%)                         91.21±7.53        0.753         87.79±9.79         0.979           5.19        0.000***
                    PEFR (l/m)                     499.05±95.39        9.539        389.25±96.98        9.698           8.07        0.000***
                    MEP mmHg                          90.1±17.05       1.705         73.83±25.50        2.550           5.30        0.000***
                        *P: <0.05: Significant, **P: <0.01; Highly significant, ***P: <0.001: Very highly significant.
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...Indian j physiol pharmacol role of exercise and nutrition on cardiopulmonary fitness pulmonary functions residential non school children jyoti p khodnapur gopal b dhanakshirur manjunatha aithala department physiology bldeu s shri m patil medical college bijapur karnataka india received august abstract physical is the prime criterion for survival to lead a healthy life our aim find out effect growing with scientific records present study was designed sainik yrs evaluate parameters included are vomax ml kg min index pfi harvard step test determined vo max also recorded function like forced expiratory volume in sec fev by recording spirometry peak flow rate pefr l meter maximal pressure mep mmhg modified black apparatus we found statistically significant higher values compared so shows that regular nutritious food increase key words introduction under different circumstances where an unfit person would be ineffective defined as ability or quit carry daily tasks vigor alertness without und...

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