Respiratory Functions, Physical Activity and Quality of Life in A Child with Iron Deficiency Anaemia: An Evaluation-Case Report

Yıl 2025, Cilt: 5 Sayı: 1, 112 - 119, 31.01.2025

Özden Gökçek , Yağmur Çam , Miray Başer , Çiğdem El

https://doi.org/10.52369/togusagbilderg.1467278

Öz

Childhood iron deficiency anemia (IDA) is one of the most common disorders worldwide, causing fatigue and respiratory distress. These negative symptoms of childhood IDA significantly affect the quality of life (QoL). This case report aims to evaluate pulmonary function, physical activity, and QoL in IDA. A 13-year-old girl diagnosed with childhood IDA ten years ago was admitted to the hospital. The patient's demographic information and hemogram values were recorded. Respiratory function tests (PFTs), respiratory muscle strength (RMS), and a 6-minute walk test (6MWT) were performed. Physical activity and QoL were assessed with the Children's Leisure Activities Study Questionnaire (CLASS) and Pediatric Quality of Life InventoryTM (PedsQL) 4.0, respectively. The patient's PFTs, RMS, and 6 MWT values were lower than expected. Additionally, the patient's QoL was negatively affected. This case report suggests that patients with childhood IDA should undergo physiotherapy evaluation in addition to medical treatment and be included in pulmonary rehabilitation programs.

Anahtar Kelimeler

Anemia, Case Report, Exercise, Quality Of Life, Respiratory Function Tests.

Etik Beyan

The case was approved by Hatay Mustafa Kemal University Tayfur Ata Sökmen Medical Faculty Clinical Research Ethics Committee with protocol number 2021/167.

Demir Eksikliği Anemisi Olan Bir Çocukta Solunum Fonksiyonları, Fiziksel Aktivite ve Yaşam Kalitesi: Bir Değerlendirme-Vaka Raporu

Öz

Çocukluk çağı demir eksikliği anemisi (DEA), yorgunluk ve solunum sıkıntısına neden olan dünya çapında en yaygın hastalıklardan biridir. Çocukluk çağı DEA'sının bu olumsuz semptomları yaşam kalitesini (YK) önemli ölçüde etkilemektedir. Bu olgu sunumunda, DEA'da solunum fonksiyonları, fiziksel aktivite ve yaşam kalitesinin değerlendirilmesi amaçlanmıştır. On yıl önce çocukluk çağı DEA tanısı konulan 13 yaşında bir kız çocuğu hastaneye yatırıldı. Hastanın demografik bilgileri ve hemogram değerleri kaydedildi. Solunum fonksiyon testleri (SFT), solunum kas gücü (RMS) ve 6 dakika yürüme testi (6DYT) yapıldı. Fiziksel aktivite ve yaşam kalitesi sırasıyla Çocuk Boş Zaman Aktiviteleri Çalışma Anketi (CLASS) ve Pediatrik Yaşam Kalitesi EnvanteriTM (PedsQL) 4.0 ile değerlendirildi. Hastanın SFT'leri, RMS ve 6 MWT değerleri beklenenden düşüktü. Ek olarak, hastanın yaşam kalitesi olumsuz etkilenmiştir. Bu vaka raporu, çocukluk çağı DEA hastalarının tıbbi tedaviye ek olarak fizyoterapi değerlendirmesinden geçmesi ve pulmoner rehabilitasyon programlarına dahil edilmesi gerektiğini göstermektedir.

Anahtar Kelimeler

Anemi, Olgu Sunumu, Egzersiz, Yaşam Kalitesi, Solunum Fonksiyon Testleri.

Kaynakça

• 1. Marks PW. Anemia: clinical approach. Concise Guide to Hematology. 2019:21-7.
• 2. Gedfie S, Getawa S, Melku M. Prevalence and associated factors of iron deficiency and iron deficiency anemia among under-5 children: a systematic review and meta-analysis. Global Pediatric Health. 2022;9:2333794X221110860.
• 3. Melenovsky V, Hlavata K, Sedivy P, Dezortova M, Borlaug BA, Petrak J, et al. Skeletal muscle abnormalities and iron deficiency in chronic heart failure: an exercise 31P magnetic resonance spectroscopy study of calf muscle. Circulation: Heart Failure. 2018;11(9):e004800.
• 4. Von Haehling S, Gremmler U, Krumm M, Mibach F, Schön N, Taggeselle J, et al. Prevalence and clinical impact of iron deficiency and anaemia among outpatients with chronic heart failure: The PrEP Registry. Clinical Research in Cardiology. 2017;106:436-43.
• 5. Benotti PN, Wood GC, Still CD, Gerhard GS, Rolston DD, Bistrian BR. Metabolic surgery and iron homeostasis. Obesity Reviews. 2019;20(4):612-20.
• 6. Jannah K, editor The effect of jogging exercise to improve hemoglobin levels. Journal of Physics: Conference Series; 2020: IOP Publishing.
• 7. Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardisation of spirometry. Eur Respir J. 2005;26(2):319-38.
• 8. Laboratories ACoPSfCPF. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166(1):111-7.
• 9. Varni JW, Seid M, Kurtin PS. PedsQL™ 4.0: Reliability and Validity of the Pediatric Quality of Life Inventory™ Version 4.0 Generic Core Scales in Healthy and Patient Populations. Medical Care. 2001;39(8).
• 10. Memik NÇ, Ağaoğlu B, Coşkun A, Üneri ÖŞ, Karakaya I. Çocuklar için yaşam kalitesi ölçeğinin 13-18 yaş ergen formunun geçerlik ve güvenilirliği. Türk Psikiyatri Dergisi. 2007;18(4):353-63.
• 11. İşler O, Demirci N, Karaca A. Adaptation of Children's Leisure Activities Study Survey: Validity and Reliability Study. Hacettepe Journal of Sport Sciences. 2020;31(1):9-19.
• 12. Ali MK, Kim RY, Karim R, Mayall JR, Martin KL, Shahandeh A, et al. Role of iron in the pathogenesis of respiratory disease. The international journal of biochemistry & cell biology. 2017;88:181-95.
• 13. Ha EK, Kim JH, Lee E, Sung M, Jee HM, Baek HS, et al. Abnormal iron status is independently associated with reduced oscillometric lung function in schoolchildren. The Clinical Respiratory Journal. 2021;15(8):870-7.
• 14. Çakmak HM, Sungur MA, Kocabay K. Evaluation and Management of Severe Childhood Anemia: A Single Center Experience. Duzce Medical Journal. 2020;22(1):46-50.
• 15. Brugnara C, Oski FA, Nathan DG. 10 Diagnostic Approach to the Anemic Patient. Nathan and Oski's Hematology of Infancy and Childhood E-Book. 2008:455.
• 16. Organization WH. Global Recommendations on Physical Activity for Health. Geneva2010. Available from: https://www.ncbi.nlm.nih.gov/books/NBK305060/.
• 17. Ruegsegger GN, Booth FW. Health benefits of exercise. Cold Spring Harbor perspectives in medicine. 2018;8(7):a029694.
• 18. Sales CH, Rogero MM, Sarti FM, Fisberg RM. Prevalence and factors associated with iron deficiency and anemia among residents of urban areas of São Paulo, Brazil. Nutrients. 2021;13(6):1888.