A Systematic Review of the Effect of Physical Activity on Asthma Outcomes

Kuder, Margaret; Clark, Maureen D.; Cooley, Caitlin; Prieto-Centurion, Valentin; Danley, Adam; Riley, Isaretta; Siddiqi, Aminaa; Weller, Katherine; Kitsiou, Spyros; Nyenhuis, Sharmilee M.

doi:10.1016/j.jaip.2021.04.048

Cited by 34 publications

(49 citation statements)

References 94 publications

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“…The conflicting results between studies may be due to the different sample size, study population, and measurements of PA and outcome between studies. Controversial conclusions are also found in studies on asthmatic adults, with some studies supported a positive relationship between PA and asthma outcomes 26 and control, 27 while others linked highly physically active to less well‐controlled asthma for asthmatic women, but not for men 16,28 . Taken together, considering the low PA level of children with asthma observed in our study, regular PA, at least some level of PA can be encouraged to improve asthma control.…”

Section: Discussioncontrasting

confidence: 49%

“…8 The conflicting results between studies may be due to the different sample size, study population, and measurements of PA and outcome between studies. Controversial conclusions are also found in studies on asthmatic adults, with some studies supported a positive relationship between PA and asthma outcomes 26 and a At least a first-or second-degree relative has a history of allergic disease.…”

Section: Discussionmentioning

confidence: 99%

“…Totally 303 children with asthma participated in the study with a mean (SD) age of 8.4 (2.1) years and 61.1% were boys. Most children reported alleviated illness trend (69.6%) with a median (IQR) C-ACT score of 27 (24)(25)(26)(27)(28)(29). However, the median PA level was 0 h per week.…”

Section: Characteristics Of Childrenmentioning

confidence: 99%

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Physical activity and childhood asthma control: Mediation and moderation role of body mass index

Zhang

Wang

et al. 2021

Pediatric Pulmonology

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Background Physical activity (PA) may be associated with asthma management. Whether PA is associated with childhood asthma control is not well studied, and the role of body mass index (BMI) in this association remains unclarified. This study aimed to evaluate the association between PA and childhood asthma control and investigate the potential mediating and modifying role of BMI in the association. Methods This cross‐sectional study involved 303 asthmatic children aged 5–14 years. Information on PA was collected from children. Asthma control was assessed using a valid questionnaire by children and their parents. Height and weight were objectively measured and BMI was calculated and classified. Multiple linear regression, mediation, and moderation analyses were performed. Results There was a positive association between PA and childhood asthma control with adjustment for variates (B = 0.144, p = .012). Mediation analysis indicated that BMI status negatively mediated the association (estimate = −0.656, 95% credit interval: −1.645, −0.006), and such indirect effect is lower than the direct effect (indirect effect/direct effect = 58.3%). No evidence of effect modification by BMI was observed (Pinteraction = 0.516). Stratified analyses showed that the significant association was only observed in children with overweight/obesity (normal weight: B = 0.863, p = .189; overweight/obese: B = 1.494, p = .044). Conclusions Increased PA is associated with improved childhood asthma control, especially for children with higher BMI. BMI exhibited a negative effect but not effect modification in this association. PA should be encouraged to improve asthma control for asthmatic children. Besides, mechanisms other than weight loss may explain the association.

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Section: Discussioncontrasting

confidence: 49%

Section: Discussionmentioning

confidence: 99%

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Physical activity and childhood asthma control: Mediation and moderation role of body mass index

Zhang

Wang

et al. 2021

Pediatric Pulmonology

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“…One important part of asthma management is to support the patient to physical activity. A recent systematic review evaluating the effects of physical activity on asthma outcomes suggests that physical activity improves quality of life, as well as asthma control, lung function parameters, and inflammatory serologies among patients with asthma 29 . Advice on the importance of physical activity can be provided by all HCP and should be a natural part of the meeting patients with asthma.…”

Section: Resultsmentioning

confidence: 99%

A multi‐disciplinary approach to the diagnosis and management of allergic diseases: An EAACI Task Force

Vassilopoulou

Skypala

Feketea

et al. 2021

Pediatric Allergy Immunology

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Background Guidelines for management of patients with allergic conditions are available, but the added value of nurses, allied healthcare professionals (AHPs), and general practitioners (GPs), in the management of allergic disease, has not been fully clarified. The European Academy of Allergy and Clinical Immunology (EAACI) appointed a task force to explore this issue. Aim To investigate the added value of nurses, AHPs, and GPs in management of allergic diseases, in an integrated model of care. Methods A search was made of peer‐reviewed literature published between 2010 and December 2020 (Cochrane Library, PubMed, and CINAHL) on the involvement of the various specific healthcare providers (HCPs) in the management of allergic diseases. Results Facilitative models of care for patients with allergies can be achieved if HCP collaborates in the diagnosis and management. Working in multi‐disciplinary teams (MDT) can increase patients' understanding of the disease, adherence to treatment, self‐care capabilities, and ultimately improve quality of life. The MDT competencies and procedures can be improved and enhanced in a climate of mutual respect and shared values, and with inclusion of patients in the planning of care. Patient‐centered communication among HCPs and emphasis on the added value of each profession can create an effective integrated model of care for patients with allergic diseases. Conclusion Nurses, AHPs, and GPs, both individually and in collaboration, can contribute to the improvement of the management of patients with allergic disease. The interaction between the HCPs and the patients themselves can ensure maximum support for people with allergies.

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“…Furthermore, there is increasing evidence in the literature regarding the benefits of exercise interventions (particularly aerobic exercise) in individuals with asthma. Indeed, current research suggests that engaging in moderate-intensity aerobic exercise for at least 30 min, 2-5 times per week, improves both physiological and psychological outcomes in this population (90,91). However, few studies to date have reported on the effectiveness of interventions in increasing physical activity in individuals with asthma (90).…”

Section: Management Of Physical Inactivity In Asthmamentioning

confidence: 99%

The Management of Extrapulmonary Comorbidities and Treatable Traits; Obesity, Physical Inactivity, Anxiety, and Depression, in Adults With Asthma

McLoughlin

McDonald

2021

Front. Allergy

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Asthma is a complex and heterogenous disease characterized by variability in disease expression and severity. Multiple extrapulmonary comorbidities and treatable traits are common in people with asthma, and there is an increasing appreciation of how these may complicate asthma management. This review will discuss the prevalence and impact of extrapulmonary comorbidities/risk factors or “traits,” which have been found to co-exist in asthma (obesity, symptoms of depression and/or anxiety and physical inactivity), the impact these traits have on future outcomes (including exacerbation risk and quality of life) and asthma management, and how we should target treatment in asthma when these extrapulmonary traits are present.

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A Systematic Review of the Effect of Physical Activity on Asthma Outcomes

Cited by 34 publications

References 94 publications

Physical activity and childhood asthma control: Mediation and moderation role of body mass index

Physical activity and childhood asthma control: Mediation and moderation role of body mass index

A multi‐disciplinary approach to the diagnosis and management of allergic diseases: An EAACI Task Force

The Management of Extrapulmonary Comorbidities and Treatable Traits; Obesity, Physical Inactivity, Anxiety, and Depression, in Adults With Asthma

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