Avaliação espirométrica e da hiper-responsividade brônquica de crianças e adolescentes com asma atópica persistente moderada submetidos a natação

Wicher, Ivonne Bernardo; Ribeiro, Maria Ângela Gonçalves de Oliveira; Marmo, Denise Barbieri; Santos, Camila Isabel da S.; Toro, Adyléia Aparecida Dalbo Contrera; Mendes, Ronaldo Lopes Rodrigues; Cielo, Flávia Maria de Brito Lira; Ribeiro, José Dirceu

doi:10.1590/s0021-75572010000500006

Cited by 26 publications

(4 citation statements)

References 21 publications

(27 reference statements)

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“…These results support studies involving bronchial asthma (6,7,37,38) and cystic fibrosis (39 -41), in which sports activity improved lung function parameters.…”

Section: Discussionsupporting

confidence: 88%

“…The measurements were performed by the same examiner, in a quiet environment and previously conditioned with before and after a three-month swim training program. Spirometry has been considered a valid and useful method for the diagnosis and monitoring of the development of pediatric respiratory diseases (9), despite the challenges of its implementation in preschool age, due to the difficulty of understanding and collaboration for its implementation (6).…”

Section: Data Collectionmentioning

confidence: 99%

“…Even less frequent are researches involving healthy school-aged children who play sports (1). Sports activities differ from physical activities because those include athletic activities requiring physical skills and often involve institutionally regulated competitive activities (6). Following this approach, some publications report the effects of different sports modalities on the daily routine of children with lung diseases (7 -9).…”

Section: Introductionmentioning

confidence: 99%

“…In this context, spirometry has been the most frequently used test to monitor this population, as in the study conducted by Wicher et al (6), which investigated lung function of children with asthma…”

Section: Introductionmentioning

confidence: 99%

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Impact of sports activities on respiratory function and mechanics in children

et al. 2017

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Introduction: Being physically active in childhood may improve the quality of life in adulthood. So, it is extremely important to evaluate the respiratory function and mechanics of children who participate in sports activities, in order to determine the impact of physical activity on airway resistance. Objective: To analyze measures of respiratory function and mechanics in children who participate (PG) and who do not participate (CG) in sports activities regularly, as well as to compare and correlate the results. Methods: This is a cross-sectional analytical study of healthy school-aged children aged 6 to 12 years, assessed by impulse oscillometry tests (IOS) and spirometry. The sample was divided into PG and CG. The Student's t-Test or Mann-Whitney test was used to compare the groups according to normality of data tested by the ShapiroWilk test. The correlation between the tests and age, sex, weight, height and body mass index (BMI) was performed using Pearson's and Spearman correlation coefficient. Statistical data were processed by the SPSS® software, considering significance level at p < 0.05. Results: Forty children participated in the study, 20 in each group, with no differences regarding age, sex, weight, height and BMI. There were significant

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“…These results support studies involving bronchial asthma (6,7,37,38) and cystic fibrosis (39 -41), in which sports activity improved lung function parameters.…”

Section: Discussionsupporting

confidence: 88%

Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of sports activities on respiratory function and mechanics in children

et al. 2017

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Physical training for asthma

Carson

Chandratilleke

Picot

et al. 2013

Cochrane Database of Systematic Reviews

169

145

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BACKGROUND: People with asthma may show less tolerance to exercise due to worsening asthma symptoms during exercise or other reasons such as deconditioning as a consequence of inactivity. Some may restrict activities as per medical advice or family influence and this might result in reduced physical fitness. Physical training programs aim to improve physical fitness, neuromuscular coordination and self confidence. Subjectively, many people with asthma report that they are symptomatically better when fit, but results from trials have varied and have been difficult to compare because of different designs and training protocols. Also, as exercise can induce asthma, the safety of exercise programmes needs to be considered. OBJECTIVE: To gain a better understanding of the effect of physical training on the respiratory and general health of people with asthma, from randomised trials. METHODS: Search methods: We searched the Cochrane Airways Group Specialised Register of trials up to January 2013. Selection criteria: We included randomised trials of people over eight years of age with asthma who were randomised to undertake physical training or not. Physical training had to be undertaken for at least 20 minutes, two times a week, over a minimum period of four weeks. Data collection and analysis: Two review authors independently assessed eligibility for inclusion and undertook risk of bias assessment for the included studies. MAIN RESULTS: Twenty-one studies (772 participants) were included in this review with two additional 2012 studies identified as 'awaiting classification'. Physical training was well tolerated with no adverse effects reported. None of the studies mentioned worsening of asthma symptoms following physical training. Physical training showed marked improvement in cardiopulmonary fitness as measured by a statistically and clinically significant increase in maximum oxygen uptake (mean difference (MD) 4.92 mL/kg/min; 95% confidence interval (CI) 3.98 to 5.87; P < 0.00001; 8 studies on 267 participants); however, no statistically significant effects were observed for forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), minute ventilation at maximal exercise (VEmax) or peak expiratory flow rate (PEFR). Meta-analysis of four studies detected a statistically significant increase in maximum heart rate, and following a sensitivity analysis and removal of two studies significance was maintained (MD 3.67 bpm; 95% CI 0.90 to 3.44; P = 0.01). Although there were insufficient data to pool results due to diverse reporting tools, there was some evidence to suggest that physical training may have positive effects on healthrelated quality of life, with four of five studies producing a statistically and clinically significant benefit. AUTHORS' CONCLUSIONS: This review demonstrated that physical training showed significant improvement in maximum oxygen uptake, though no effects were observed in other measures of pulmonary function. Physical training was well tolerated among people with asthma in the inc...

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