Exercise and lifestyle changes in pediatric asthma

Asthma is the the most common chronic respiratory condition of childhood worldwide, with around 14% of children and young people affected. Despite the high prevalence, paediatric asthma outcomes are inadequate, and there are several avoidable deaths each year. Characteristic asthma features include wheeze, shortness of breath and cough, which are typically triggered by a number of possible stimuli. There are several diagnostic challenges, and as a result, both overdiagnosis and underdiagnosis of paediatric asthma remain problematic.Effective asthma management involves a holistic approach addressing both pharmacological and non-pharmacological management, as well as education and self-management aspects. Working in partnership with children and families is key in promoting good outcomes. Education on how to take treatment effectively, trigger avoidance, modifiable risk factors and actions to take during acute attacks via personalised asthma action plans is essential.This review aimed to provide an overview of good clinical practice in the diagnosis and management of paediatric asthma. We discuss the current diagnostic challenges and predictors of life-threatening attacks. Additionally, we outline the similarities and differences in global paediatric asthma guidelines and highlight potential future developments in care. It is hoped that this review will be useful for healthcare providers working in a range of child health settings.

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“… 46 Healthy eating interventions can help reduce body mass index and improve the quality of life of both young people and their caregivers. 47 …”

Section: Management Of Asthma In Childrenmentioning

confidence: 99%

“…A number of short-term exercise interventions have demonstrated improvements in lung function and symptom control 46. Healthy eating interventions can help reduce body mass index and improve the quality of life of both young people and their caregivers 47…”

Section: Management Of Asthma In Childrenmentioning

confidence: 99%

Diagnosis and management of asthma in children

Martin

Townshend

Brodlie

2022

bmjpo

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“…20,22,23 The type of diet may impact an asthmatic patient's immune response and symptom severity, but there are limited data on the best approach. 24 Until the best approach is determined, the primary care provider should continue to rely on tracking anthropometric measurements (i.e., BMI) over time, routinely assessing for obesity-related risk factors, assessing dietary intake, and maintaining awareness that obesity can develop in this patient population (and may place the patient at increased risk). 8,17 Our study has several limitations.…”

Section: Bmi Percentile Outcomesmentioning

confidence: 99%

Frequency of persistent obesity 5 years after first time diagnosis of status asthmaticus

Krawiec

Fang

Zhou

et al. 2021

Clinical Respiratory J

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Background/Objectives: When a severe asthma exacerbation occurs in an obese pediatric patient, it is unknown if this body type persists in future encounters. Persistent obesity can lead to future asthma exacerbations. The main study objective is to evaluate the persistence of a BMI percentile ≥85th in children 5 years after the first reported diagnosis of status asthmaticus. We hypothesized that a hospital admission for status asthmaticus was associated with persistence of a BMI percentile ≥85th.Methods: This was a long-term retrospective observational cohort study utilizing TriNetX ® electronic health record (EHR) data. We included subjects aged 2 to 18 years of age with a diagnosis of status asthmaticus. Study population was divided into two groups based on their admission body mass index percentile: (underweight/healthy weight [<85th percentile] and overweight/obese [≥85th percentile]) and evaluated for the following outcomes: age, race, ethnicity, diagnostic codes, and BMI percentiles (initially and 5 years after diagnosis of status asthmaticus). Results: A total of 129 subjects (n%) (76 [58.9%] underweight/healthy weight and 53 [41.1%] overweight/obese) were included. Children that were initially overweight/obese with status asthmaticus had significantly increased odds of continuing to be overweight/obese 5 years after diagnosis compared to children who were underweight/healthy weight at baseline (OR = 7.50 [95% confidence interval, 3.20-17.60; p < 0.001]).Conclusions: Overweight/obese asthmatic children are at risk of continuing to be obese several years after being diagnosed with status asthmaticus. This study reinforces the notion that when an asthmatic obese child presents with status asthmaticus, a thorough evaluation of nutrition, physical activity, and asthma control should be considered to reduce the risk of persistent obesity and possibly future asthma exacerbations.

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“…Many studies show that walking, dancing, jogging, cycling, as well as static and dynamic gymnastics improve the course of the disease, improve the rates of external respiration, anxiety and depression at any stage of the disease [79, 80, 81 , 82, 83]. The following sports have a particularly positive effect on asthma control: football, basketball, swimming [84], and in patients with "night" asthma aerobic exercise reduces the frequency of nocturnal symptoms in both adults and children [85], increases aerobic endurance [ 86], but do not affect the activity of airway inflammation [87,88]. However, a year later there was no significant difference in VO2 and ACQ (asthma control questionnaire) [89].…”

Section: Elimination Of Allergensmentioning

confidence: 99%

Non-drug treatments and rehabilitation of patients with bronchial asthma

Mytskan

Ostapiak

Mytskan

2020

HSR

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The aim is to analyze the effectiveness of non-drug methods of treatment and rehabilitation of children and adults with bronchial asthma.Methods. To realize the purpose of the study, a system-functional analysis of special literature and materials of the Internet was used.Results. The standard approach to antiasthmatic therapy does not always lead to a controlled course. Reducing the impact of allergens both in the home and in the workplace is an effective measure to control the disease. Phytotherapy and reflexology are widely and effectively used. Diet therapy is ineffective, the use of vitamin D in the treatment and rehabilitation of patients with bronchial asthma is encouraging. The vaccine does not increase the risk of the disease, but it is not effective for prevention. Increasing physical activity is the most effective method of rehabilitating patients. Evidence from recent studies suggests that interventions aimed at eliminating a single allergen may be effective in reducing allergen levels and asthma incidence, and this approach deserves further study. Currently, a comprehensive multifaceted study of acupuncture, which will be able to provide reliable clinical evidence of the effectiveness of acupuncture for the treatment and prevention of asthma. At the same time, there is a need for comprehensive research in the field of phytotherapy and training of respiratory muscles.Conclusion. Non-drug methods of prevention and rehabilitation are widely used (as additional) in bronchial asthma. Despite many years of use of phytotherapy, acupuncture, breathing exercises in the treatment and rehabilitation of asthma, so far there are no clear recommendations for their use: indications, dosage, duration, frequency and the lack of standardization makes it difficult to use them.

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Exercise and lifestyle changes in pediatric asthma

Cited by 30 publications

References 60 publications

Diagnosis and management of asthma in children

Diagnosis and management of asthma in children

Frequency of persistent obesity 5 years after first time diagnosis of status asthmaticus

Non-drug treatments and rehabilitation of patients with bronchial asthma

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