Is It Time for Aerobic Exercise to be Included in Asthma Treatment Guidelines?

Bacon, Simon; Platts-Mills, Thomas A.E.

doi:10.1016/j.jaip.2020.08.003

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…The improvement in lung function in obese individuals with asthma appears to be related to a reduction in body weight. In contrast, in non-obese individuals with asthma, the improvement seems to be related to an improvement in FEV 1 , which might be explained by the bronchodilator effect of aerobic exercise (52). In addition, physical training can improve pulmonary elastic recoil, increasing pulmonary capacity (53) (Figure 2).…”

Section: Lung Functionmentioning

confidence: 99%

Physical training in adults with asthma: An integrative approach on strategies, mechanisms, and benefits

Lima

Pinheiro²,

Carvalho³

2023

Front. Rehabil. Sci.

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Asthma is a chronic airway disease characterized by airflow limitation and respiratory symptoms associated with chronic airway and systemic inflammation, bronchial hyperreactivity (BHR), and exercise-induced bronchoconstriction (EIB). Asthma is a heterogeneous disease classified according to distinct airway and systemic inflammation. Patients commonly present with several comorbidities, including anxiety, depression, poor sleep quality, and reduced physical activity levels. Individuals with moderate to severe asthma often have more symptoms and difficulty achieving adequate clinical control, which is associated with poor quality of life, despite proper pharmacological treatment. Physical training has been proposed as an adjunctive therapy for asthma. Initially, it was suggested that the effect of physical training might be attributed to the improved oxidative capacity and reduced production of exercise metabolites. However, in the last decade, there has been evidence that aerobic physical training promotes anti-inflammatory effects in asthma patients. Physical training improves BHR and EIB, asthma symptoms, clinical control, anxiety, and depression levels, sleep quality, lung function, exercise capacity, and dyspnea perception. Furthermore, physical training reduces medication consumption. The most commonly used exercise strategies are moderate aerobic and breathing exercises; however, other techniques, such as high-intensity interval training, have shown promising effects. In the present study, we reviewed the strategies and beneficial effects of exercise on clinical and pathophysiological asthma outcomes.

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Section: Lung Functionmentioning

confidence: 99%

Physical training in adults with asthma: An integrative approach on strategies, mechanisms, and benefits

Lima

Pinheiro²,

Carvalho³

2023

Front. Rehabil. Sci.

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“…In this way, some of the randomized controlled trial studies in this area ( 223–227 ) indicate that aerobic exercise produces a physiological improvement in lung functioning and a decrease in asthma exacerbations. The well-known bronchodilator effect of aerobic exercise associated with lung expansion ( 228 ) produces that this type of exercise was the most recommended activity in patients with asthma.…”

Section: Physical Activity Interventionsmentioning

confidence: 99%

Basis of preventive and non-pharmacological interventions in asthma

Clemente-Suárez,

Mielgo-Ayuso,

Ramos-Campo

et al. 2023

Front. Public Health

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Asthma is one of the most common atopic disorders in all stages of life. Its etiology is likely due to a complex interaction between genetic, environmental, and lifestyle factors. Due to this, different non-pharmacological interventions can be implemented to reduce or alleviate the symptoms caused by this disease. Thus, the present narrative review aimed to analyze the preventive and non-pharmacological interventions such as physical exercise, physiotherapy, nutritional, ergonutritional, and psychological strategies in asthma treatment. To reach these aims, an extensive narrative review was conducted. The databases used were MedLine (PubMed), Cochrane (Wiley), Embase, PsychINFO, and CinAhl. Asthma is an immune-mediated inflammatory condition characterized by increased responsiveness to bronchoconstrictor stimuli. Different factors have been shown to play an important role in the pathogenesis of asthma, however, the treatments used to reduce its incidence are more controversial. Physical activity is focused on the benefits that aerobic training can provide, while physiotherapy interventions recommend breathing exercises to improve the quality of life of patients. Nutritional interventions are targeted on implement diets that prioritize the consumption of fruits and vegetables and supplementation with antioxidants. Psychological interventions have been proposed as an essential non-pharmacological tool to reduce the emotional problems associated with asthma.

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“…21 In recognition of the benefits for asthma-related outcomes, experts in the field are now calling for aerobic exercise training to be embedded within standard asthma care. 22 Current asthma clinical practice guidelines do not provide specific recommendations regarding frequency, intensity, time, and type of PA, which has prompted a call for evidence-based asthma-specific PA guidelines. 23 The only systematic review and meta-analysis that synthesized findings for HRPF was conducted in 2013, with the latest included study published in 2011.…”

mentioning

confidence: 99%

Exercise Training Programs Improve Cardiorespiratory and Functional Fitness in Adults With Asthma

Valkenborghs

Anderson

Scott

et al. 2022

Journal of Cardiopulmonary Rehabilitation and Prevention

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This systematic review describes the characteristics and effects of exercise training interventions on improving performance-based measures of health-related physical fitness in adults with asthma. Supervised exercise training programs, particularly those aerobic in nature, are effective in eliciting clinically meaningful improvements in cardiorespiratory and functional fitness in adults with asthma.

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Is It Time for Aerobic Exercise to be Included in Asthma Treatment Guidelines?

Cited by 6 publications

References 11 publications

Physical training in adults with asthma: An integrative approach on strategies, mechanisms, and benefits

Physical training in adults with asthma: An integrative approach on strategies, mechanisms, and benefits

Basis of preventive and non-pharmacological interventions in asthma

Exercise Training Programs Improve Cardiorespiratory and Functional Fitness in Adults With Asthma

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