High intensity interval training increases the clinical control, aerobic fitness and decreases dyspnea in severe asthmatics

Silva, Ronaldo Aparecido da; Rocco, Patrícia Gonçalves Leite; Mazzucatto, Flávio; Cukier, Alberto; Stelmach, Rafaël; Martins, Mílton A.; Carvalho, Celso Ricardo Fernandes

doi:10.1183/13993003.congress-2016.pa1560

Cited by 3 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, there is inconsistent evidence. One trial that explored high-intensity activity reported improvements in asthma control and reduced dyspnoea compared to steady-state training [47]. Other trials have reported reduced hyperventilation [48] and reduced asthma symptoms and acute asthma care required after the higher-intensity exercise [49].…”

Section: Exercise Interventionsmentioning

confidence: 99%

Evidence for lifestyle interventions in asthma

Stoodley

Williams

Thompson

et al. 2019

Breathe

View full text Add to dashboard Cite

Asthma is a chronic inflammatory airways disease, estimated to affect 300 million people worldwide. Asthma management plans focus on optimisation of asthma pharmacotherapy. Lifestyle interventions also hold great promise for asthma sufferers as they are accessible, low cost and have minimal side-effects, thus making adherence more likely. This review explores lifestyle interventions that have been tested in asthma, including improving nutrition, increasing physical activity and introduction of relaxation therapies such as yoga and massage therapy. Available evidence suggests a protective effect of increasing fruit, vegetable and wholegrain intake and increasing physical activity levels in asthma. Weight loss is recommended for obese asthmatic patients, as just 5–10% weight loss has been found to improve quality of life and asthma control in most obese asthmatic patients. Other lifestyle interventions such as meditation, yoga and massage therapy show promise, with positive effects on asthma seen in some studies. However, the study protocols are highly variable and the results are inconsistent. Additional research is needed to further develop and refine recommendations regarding lifestyle modifications that can be implemented to improve asthma.Key pointsImproving diet quality, by increasing fruit, vegetable and wholegrain intake and reducing saturated fat intake, should be recommended in asthma, as there is evidence suggesting that this leads to improvements in airway inflammation, asthma control and exacerbation risk.Regular physical activity should be promoted for people with asthma, as it can improve quality of life and lung function, as well as general health.In obese asthmatic patients, weight loss should be recommended, as it leads to numerous health benefits, including improvements in asthma. Even small amounts of weight loss in adults (5–10% body weight) have been shown to improve asthma quality of life and asthma control in the majority of people with asthma.There is some evidence of benefit of meditation, yoga and breathing exercises for adults with asthma, while massage therapy shows promise in children with asthma. However, the evidence is inconsistent and more research is needed to make definitive recommendations.Educational aimsTo summarise current knowledge on lifestyle interventions in asthma.To improve awareness of how lifestyle modification can be used in asthma management.To identify areas for future research on lifestyle interventions in asthma.

show abstract

Section: Exercise Interventionsmentioning

confidence: 99%

Evidence for lifestyle interventions in asthma

Stoodley

Williams

Thompson

et al. 2019

Breathe

View full text Add to dashboard Cite

show abstract

“…High-intensity interval training (HIIT) provides a potent stimulus to cardiorespiratory fitness and cardiometabolic health in youth (Logan et al 2014;Costigan et al 2015;Eddolls et al 2017). Potentially beneficial effects of HIIT have also been reported for body composition (Westergren et al 2016;Bailey et al 1995) and some, although not all (Aparecido da Silva et al 2016), have suggested that HIIT is less likely to induce bronchoconstriction (O'Neill et al 2017;Good et al 2019). However, the generalizability of these findings to a real-world setting is limited by a reliance on laboratory-based protocols, relatively short interventions and a lack of follow-up (Costigan et al 2015;Eddolls et al 2017;Logan et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Asthma and high-intensity interval training have no effect on clustered cardiometabolic risk or arterial stiffness in adolescents

et al. 2021

View full text Add to dashboard Cite

Purpose Cardiometabolic risk, including arterial stiffness, is increasing in youth. Those with asthma are suggested to be particularly at risk of cardiovascular disease. Efficient and effective strategies are required to prevent the atherosclerotic process in youth. The purpose of this study was to investigate the effect of 6 months high-intensity interval training (HIIT) on cardiometabolic risk in youth with and without asthma. Methods 65 adolescents (31 mild asthma; 34 non-asthma) were recruited, 32 (16 asthma) of whom were randomly allocated to receive HIIT three times per week for 6 months. At baseline, mid-intervention, post-intervention and at a 3-month follow-up, anthropometric, metabolic and vascular determinants of cardiometabolic risk were assessed. Following principal component analysis (PCA), linear mixed models were used to assess the influence of asthma, HIIT and their interaction. Results Seven factors were identified which explained 88% of the common variance shared among the parameters. Those with asthma demonstrated lower arterial stiffness factor scores mid-intervention (P = 0.047) and lower cholesterol factor scores post-intervention (P = 0.022) but there was no effect of the intervention, or interaction effects, on any PCA-identified factor, at any time-point. HIIT was associated with a lower low-density lipoprotein and diastolic blood pressure at mid-intervention. Discussion Neither arterial stiffness nor clustered cardiometabolic risk are influenced by HIIT in adolescents with or without asthma, despite important changes in blood lipid and pressure profiles. Blood pressure, augmentation and pulse wave velocity should be considered physiologically distinct constructs and as potential markers of cardiovascular health.

show abstract