Comparative assessment of cardiorespiratory function and physical fitness in students with chronic respiratory diseases versus healthy students
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Abstract
This study aimed to evaluate the functional performance of the cardiovascular and respiratory systems, as well as the physical fitness levels, of students aged 14–17 years with chronic respiratory diseases compared to their healthy peers. Methods: A mixed-methods approach was employed, including analysis of scientific literature, pedagogical observation, and functional assessments. A pedagogical experiment was conducted at two secondary schools in Mostaganem, Algeria, involving 26 students with chronic respiratory conditions (17 boys, 9 girls) and 25 healthy peers (18 boys, 7 girls). Key indicators such as systolic and diastolic blood pressure, heart rate, vital lung capacity, and results from the Stange and Henchi tests were measured. Physical fitness was assessed through a 30-meter sprint, medicine ball throws, pull-ups, and flexibility tests. Results: Significant differences were observed between the two groups. Students with chronic respiratory diseases exhibited higher diastolic blood pressure (p < .05) and elevated heart rates at rest, post-exercise, and during recovery, indicating reduced cardiovascular adaptability. Respiratory function tests revealed substantial age lags (Stange: 21.7% in boys, 21.0% in girls; Henchi: 47.5% in boys, 39.7% in girls). Vital lung capacity was significantly lower (43.7% lag in boys, 51.8% in girls). Physical fitness tests demonstrated notable deficits in speed, strength, and flexibility, with significant differences (p < .05) across all metrics. Discussion: The findings highlight the profound impact of chronic respiratory diseases on cardiovascular and respiratory function, as well as physical fitness, in students. These results underscore the need for personalised physical education programs and healthcare interventions to address these differences. Implementing inclusive strategies and targeted support can enhance the quality of life and long-term health outcomes for students with chronic respiratory conditions.
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References
Abdelkader, B., Adel, B., Yassine, Z., Otmane, B., Lalia, C., & Mohamed, S. (2021). Implementation of An Adapted Physical Activity Therapy Protocol for Patients with Low Back Pain. Gymnasium: Scientific Journal of Education, Sports & Health, 22(1). https://doi.org/10.29081/gsjesh.2021.22.1.06 DOI: https://doi.org/10.29081/gsjesh.2021.22.1.06
Adel, B., Abdelkader, B., Alia, C., Othman, B., Mohamed, S., & Houcin, A. (2019). The Effect of High-Intensity Exercise on Changes of Blood Concentration Components in Algerian National Judo Athletes. Acta Facultatis Educationis Physicae Universitatis Comenianae, 59(2). https://doi.org/10.2478/afepuc-2019-0013 DOI: https://doi.org/10.2478/afepuc-2019-0013
Beard, J. R., Officer, A., de Carvalho, I. A., Sadana, R., Pot, A. M., Michel, J.-P., … Chatterji, S. (2016). The World report on ageing and health : A policy framework for healthy ageing. Lancet (London, England), 387(10033), 2145‑2154. https://doi.org/10.1016/S0140-6736(15)00516-4 DOI: https://doi.org/10.1016/S0140-6736(15)00516-4
Beboucha, W., Belkadi, A., Benchehida, A., & Bengoua, A. (2021). The anthropometric and physiological characteristics of young Algerian soccer players. Acta Facultatis Educationis Physicae Universitatis Comenianae, 61(1). https://doi.org/10.2478/afepuc-2021-0004 DOI: https://doi.org/10.2478/afepuc-2021-0004
Belkadi, A., Alia, C., & Mohammed, Z. (2020). Algerian Judo Competition Modality and its Impacts on Upper and Lower Limbs Strength Perseverance and Limitations. Orthopedics and Sports Medicine: Open Access Journal, 3(4), 293‑299. https://doi.org/10.32474/OSMOAJ.2020.03.000168 DOI: https://doi.org/10.32474/OSMOAJ.2020.03.000168
Belkadi, A., Beboucha, W., Benhammou, S., Moussa, M., Bouzoualegh, M., & Dairi, A. (2025). Effects of concurrent in-season training on physiological functions required for top handball performance athletes. Scientific Journal of Sport and Performance, 4(1), 40‑54. https://doi.org/10.55860/JIXW8099 DOI: https://doi.org/10.55860/JIXW8099
Belkadi, A., Othman, B., Mohamed, S., M, B. H., Gleyse, J., Adel, B., … Gleyse, J. (2015). Contribution to the Identification of the Professional Skills Profile of Coaches in the Algerian Sport Judo System. International Journal of Sports Science, 5(4), 145‑150.
Benhammou, S., Mourot, L., Mokkedes, M. I., Bengoua, A., & Belkadi, A. (2021). Assessment of maximal aerobic speed in runners with different performance levels : Interest of a new intermittent running test. Science & sports, 36(5), 413-e1. https://doi.org/10.1016/j.scispo.2020.10.002 DOI: https://doi.org/10.1016/j.scispo.2020.10.002
Boudehri, M. E. amine, Belkadi, A., Dahoune, O., & Atallah, A. (2023). The effects of circuit exercise training strategy on health-related physical fitness level and biomarkers in elderly people with cardiovascular diseases. Quality in Sport, 11(1), 16‑31. https://doi.org/10.12775/QS.2023.11.01.002 DOI: https://doi.org/10.12775/QS.2023.11.01.002
Carlson, S. A., Fulton, J. E., Schoenborn, C. A., & Loustalot, F. (2010). Trend and prevalence estimates based on the 2008 Physical Activity Guidelines for Americans. American Journal of Preventive Medicine, 39(4), 305‑313. https://doi.org/10.1016/j.amepre.2010.06.006 DOI: https://doi.org/10.1016/j.amepre.2010.06.006
Carnethon, M. R., Gidding, S. S., Nehgme, R., Sidney, S., Jacobs, J., David R., & Liu, K. (2003). Cardiorespiratory Fitness in Young Adulthood and the Development of Cardiovascular Disease Risk Factors. JAMA, 290(23), 3092‑3100. https://doi.org/10.1001/jama.290.23.3092 DOI: https://doi.org/10.1001/jama.290.23.3092
Chen, B.-Y., Chao, H. J., Chan, C.-C., Lee, C.-T., Wu, H.-P., Cheng, T.-J., … Guo, Y. L. (2011). Effects of ambient particulate matter and fungal spores on lung function in schoolchildren. Pediatrics, 127(3), e690-698. https://doi.org/10.1542/peds.2010-1038 DOI: https://doi.org/10.1542/peds.2010-1038
Cherara, L., Belkadi, A., Mesaliti, L., & Beboucha, W. (2022). Characteristics of Handgrip (Kumi-Kata) Profile of Georgian Elite Judo Athletes. GYMNASIUM, 23(1), 54‑66. https://doi.org/10.29081/gsjesh.2022.23.1.04 DOI: https://doi.org/10.29081/gsjesh.2022.23.1.04
Coe, D. P., Peterson, T., Blair, C., Schutten, M. C., & Peddie, H. (2013). Physical fitness, academic achievement, and socioeconomic status in school-aged youth. The Journal of School Health, 83(7), 500‑507. https://doi.org/10.1111/josh.12058 DOI: https://doi.org/10.1111/josh.12058
Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I.-M., … American College of Sports Medicine. (2011). American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults : Guidance for prescribing exercise. Medicine and Science in Sports and Exercise, 43(7), 1334‑1359. https://doi.org/10.1249/MSS.0b013e318213fefb DOI: https://doi.org/10.1249/MSS.0b013e318213fefb
Khelafi, R., Aissanou, A., Tarsift, S., & Skander, F. (2011). Epidemiology of chronic obstructive pulmonary disease in Algiers]. Revue Des Maladies Respiratoires, 28(1), 32‑40. https://doi.org/10.1016/j.rmr.2010.06.026 DOI: https://doi.org/10.1016/j.rmr.2010.06.026
Krivolapchuk, I., Chernova, M., & Gerasimova, A. (2020). Effect of regular physical activity of various intensity on the functional status of 5-6 and 6-7-year-old children. Human Sport Medicine, 20(2), 71‑79. https://doi.org/10.14529/hsm200209 DOI: https://doi.org/10.14529/hsm200209
Kuchma, V. R., Р, К. В., Sukhareva, L. M., М, С. Л., Rapoport, I. K., Калмановна, Р. И., … Ю, М. О. (2017). Population health of children, risks to health and sanitary and epidemiological wellbeing of students : Problems, ways of solution and technology of the activity. Hygiene and Sanitation, 96(10), 990‑995. https://doi.org/10.18821/0016-9900-2017-96-10-990-995 DOI: https://doi.org/10.18821/0016-9900-2017-96-10-990-995
Kuzmin, V. A., Kopylov, Y. A., Kudryavtsev, M. D., Tolstopyatov, I. A., Galimov, G. Y., & Ionova, O. M. (2016). Formation of professionally important qualities of students with weakened motor fitness using a health related and sport-oriented training program. Journal of Physical Education and Sport, 16(1), 136–145. https://doi.org/10.7752/jpes.2016.01023 DOI: https://doi.org/10.7752/jpes.2016.01023
Latorre-Román, P. Á., Navarro-Martínez, A. V., & García-Pinillos, F. (2014). The effectiveness of an indoor intermittent training program for improving lung function, physical capacity, body composition and quality of life in children with asthma. Journal of Asthma, 51(5), 544‑551. https://doi.org/10.3109/02770903.2014.888573 DOI: https://doi.org/10.3109/02770903.2014.888573
Lee, D., Sui, X., Church, T. S., Lavie, C. J., Jackson, A. S., & Blair, S. N. (2012). Changes in Fitness and Fatness on the Development of Cardiovascular Disease Risk Factors : Hypertension, Metabolic Syndrome, and Hypercholesterolemia. Journal of the American College of Cardiology, 59(7), 665‑672. https://doi.org/10.1016/j.jacc.2011.11.013 DOI: https://doi.org/10.1016/j.jacc.2011.11.013
Levick, J. R. (1991). Chapter 13-Cardiovascular receptors, reflexes and central control. In J. R. Levick (Éd.), An Introduction to Cardiovascular Physiology (p. 224‑242). Butterworth-Heinemann. https://doi.org/10.1016/B978-0-7506-1028-5.50016-0 DOI: https://doi.org/10.1016/B978-0-7506-1028-5.50016-0
Luginina, V. V. (1960). The Stange-Hench test as a method of functional diagnosis of the cardiovascular system in children with diseases of the blood system]. Voprosy okhrany materinstva i detstva, 5, 62‑66.
Lytvynenko, A., & Prontenko, K. (2020). Dynamics of Respiratory System Indices of Cadets of Higher Military Educational Institutions During Kettlebell Lifting Training. Retrieved form [Accessed 2025, May 06]: http://openarchive.nure.ua/handle/document/12220
Maggio, A. B. R., Hofer, M. F., Martin, X. E., Marchand, L. M., Beghetti, M., & Farpour-Lambert, N. J. (2010). Reduced physical activity level and cardiorespiratory fitness in children with chronic diseases. European Journal of Pediatrics, 169(10), 1187‑1193. https://doi.org/10.1007/s00431-010-1199-2 DOI: https://doi.org/10.1007/s00431-010-1199-2
Mahishale, A., & Kulkarni, N. (2014). Comparison of cardiovascular fitness of children 13-16 years of age from rural and urban areas of Belgaum district : A cross sectional study. Journal of the Scientific Society, 41(2), 79. https://doi.org/10.4103/0974-5009.132828 DOI: https://doi.org/10.4103/0974-5009.132828
Manar, B., Adel, B., Lalia, C., & Saddak, B. (2023). Investigating the Impact of Physiological and Neuromuscular Performance in Highly Trained Judo Athletes of Different Weight Categories. Slobozhanskyi Herald of Science and Sport, 27(3), 118‑127. https://doi.org/10.15391/snsv.2023-3.002 DOI: https://doi.org/10.15391/snsv.2023-3.002
Meijer, A., Königs, M., de Bruijn, A. G. M., Visscher, C., Bosker, R. J., Hartman, E., & Oosterlaan, J. (2021). Cardiovascular fitness and executive functioning in primary school‐aged children. Developmental Science, 24(2), e13019. https://doi.org/10.1111/desc.13019 DOI: https://doi.org/10.1111/desc.13019
Mihailova, A., & Kaminska, I. (2016). Lung volumes related to physical activity, physical fitness, aerobic capacity and body mass index in students. SHS Web of Conferences, 30, 00017. https://doi.org/10.1051/shsconf/20163000017 DOI: https://doi.org/10.1051/shsconf/20163000017
Millar, A. L., Fernhall, B., & Burkett, L. N. (1993). Effects of aerobic training in adolescents with Down syndrome. Medicine and Science in Sports and Exercise, 25(2), 270‑274. https://doi.org/10.1249/00005768-199302000-00018 DOI: https://doi.org/10.1249/00005768-199302000-00018
Moawd, S. A., Azab, A. R., Ibrahim, Z. M., Verma, A., & Abdelbasset, W. K. (2020). Impacts of Respiratory Muscle Training on Respiratory Functions, Maximal Exercise Capacity, Functional Performance, and Quality of Life in School-Aged Children with Postoperative Congenital Diaphragmatic Hernia. Disease Markers, 2020, 8829373. https://doi.org/10.1155/2020/8829373 DOI: https://doi.org/10.1155/2020/8829373
Neves, L. M. T., Karsten, M., Neves, V. R., Beltrame, T., Borghi-Silva, A., & Catai, A. M. (2014). Respiratory muscle endurance is limited by lower ventilatory efficiency in post-myocardial infarction patients. Brazilian Journal of Physical Therapy, 18(1), 1‑8. https://doi.org/10.1590/S1413-35552012005000134 DOI: https://doi.org/10.1590/S1413-35552012005000134
Raghuveer, G., Hartz, J., Lubans, D., Takken, T., Wiltz, J., Mietus-Snyder, M., … Edwards, N. (2020). Cardiorespiratory Fitness in Youth - An Important Marker of Health : A Scientific Statement From the American Heart Association. Circulation, 142(7), e101‑e118. https://doi.org/10.1161/CIR.0000000000000866 DOI: https://doi.org/10.1161/CIR.0000000000000866
Rimdeikienė, I. (2023). The Improvement of Functional Condition and the Impact of Physiotherapy for Residual Symptoms in Patients Diagnosed with Post-Covid Syndrome. World Physiotherapy Congress 2023 : 2-4 June 2023, in Dubai, UAE / World Physiotherapy. [London] : World Physiotherapy, 2023. Retrieved form [Accessed 2025, May 06]: https://hdl.handle.net/20.500.12512/119320
Singh, R., Pattisapu, A., & Emery, M. S. (2020). US Physical Activity Guidelines : Current state, impact and future directions. Trends in Cardiovascular Medicine, 30(7), 407‑412. https://doi.org/10.1016/j.tcm.2019.10.002 DOI: https://doi.org/10.1016/j.tcm.2019.10.002
Soldatov, I. K., Константинович, С. И., Evdokimov, V. I., Иванович, Е. В., Arsentiev, V. G., Геннадиевич, А. В., … Юрьевна, Г. В. (2024). Indicators of health groups of pupils of general education organizations of the Russian Ministry of Defense (2010-2022). Russian Military Medical Academy Reports, 43(1), 41‑48. https://doi.org/10.17816/rmmar623206 DOI: https://doi.org/10.17816/rmmar623206
Tarmure, S., Alexescu, T. G., Orasan, O., Negrean, V., Sitar-Taut, A. V., Coste, S. C., & Todea, D. A. (2020). Influence of pesticides on respiratory pathology-A literature review. Annals of Agricultural and Environmental Medicine: AAEM, 27(2), 194‑200. https://doi.org/10.26444/aaem/121899 DOI: https://doi.org/10.26444/aaem/121899
Wittberg, R. A., Northrup, K. L., & Cottrell, L. A. (2012). Children's aerobic fitness and academic achievement : A longitudinal examination of students during their fifth and seventh grade years. American Journal of Public Health, 102(12), 2303‑2307. https://doi.org/10.2105/AJPH.2011.300515 DOI: https://doi.org/10.2105/AJPH.2011.300515
World Medical Association, W. M. (2013). World Medical Association Declaration of Helsinki : Ethical principles for medical research involving human subjects. JAMA, 310, 2191‑2194. https://doi.org/10.1001/jama.2013.281053 DOI: https://doi.org/10.1001/jama.2013.281053
Yacine, Z., Othmane, B., Adel, B., Mohamed, S., Aabdelkader, B., & Lalia, C. (2020). Functional movement screening as a predictor of injury in highly trained female's martial arts athletes. Polish Hyperbaric Research, 71(2), 67‑74. https://doi.org/10.2478/phr-2020-0012 DOI: https://doi.org/10.2478/phr-2020-0012
Yang, Y. J. (2019). An Overview of Current Physical Activity Recommendations in Primary Care. Korean Journal of Family Medicine, 40(3), 135‑142. https://doi.org/10.4082/kjfm.19.0038 DOI: https://doi.org/10.4082/kjfm.19.0038
Zhu, K. Y., Yuan, F., & Yang, H. O. (2024). New progress in laboratory detection of respiratory infectious diseases in children. Zhonghua Yu Fang Yi Xue Za Zhi [Chinese Journal of Preventive Medicine], 58(9), 1458‑1464.
Сарыг, С. К., Куулар, Ш. В., & Ондар, А. О. (2021). Adaptive features of the respiratory system of students who arrived from different regions of the republic of rt. Естественные и технические науки. https://doi.org/10.25633/ETN.2021.12.25 DOI: https://doi.org/10.25633/ETN.2021.12.25