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Neumol Pediatr 2018; 13 (2): 48-55

C o n t e n i d o d i s p o n i b l e e n h t t p : / / www. n e umo l o g i a - p e d i a t r i c a . cl

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Evaluación de la disnea asociada al ejercicio

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OTRAS ENFERMEDADES RESPIRATORIAS

La casi totalidad de las enfermedades respiratorias crónicas pueden producir disnea asociada al ejercicio; sin embargo, la mayoría

presentarán disnea cuando esta enfermedad se encuentra en un estado avanzado y su diagnóstico ya se ha establecido previamente. En

estos casos, la magnitud de los síntomas con el ejercicio tendrá una clara correlación con el grado de compromiso de la función pulmonar

y será progresiva en el tiempo en forma paralela al avance de la enfermedad respiratoria como ocurre en Fibrosis quística o Enfermedades

neuromusculares.

Independiente de la enfermedad respiratoria crónica a considerar, el ejercicio es parte fundamental del tratamiento permanente

puesto que mejora la limpieza bronquial a través de la tos. Especialmente útil es considerar el ejercicio como tratamiento en aquellas

enfermedades con alta producción de expectoración como fibrosis quística y disquinesia ciliar. Adicionalmente el ejercicio mejora la capacidad

aeróbica a través del entrenamiento muscular, lo que permite disminuir exacerbaciones por ejemplo en enfermedades neuromusculares.

Dependiendo del tipo de enfermedad respiratoria crónica, existe una variable respuesta al ejercicio regular que debe indicarse en forma

específica para cada una de ellas.

Los autores declaran no presentar conflicto de intereses