Self-directed exercise improves perceived measures of health in adults with partly controlled asthma

Dogra, Shilpa; Jamnik, Veronica; Baker, Joseph

doi:10.1080/02770903.2010.508857

Cited by 19 publications

(57 citation statements)

References 24 publications

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“…The studies included in the systematic review assessed nocturnal symptoms and subjective sleep quality using different methods summarized in Tables 1 [ 41 – 45 ] and 2 [ 46 – 51 ]. To evaluate asthma symptoms, seven studies used the Asthma Control Questionnaire (ACQ) [ 41 , 45 – 47 , 49 – 51 ].…”

Section: Methodsmentioning

confidence: 99%

Effects of physical exercise training on nocturnal symptoms in asthma: Systematic review

et al. 2018

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IntroductionNocturnal worsening of asthma symptoms is a common feature of asthma. Physical exercise training improves general asthma control; however, there is no evidence showing the effects of physical exercise on nocturnal asthma symptoms. Indeed, asthma patients with daytime and nighttime symptoms are physiologically different, and thus the effects of physical exercise on asthma may also be different in these two groups. The objective of this systematic review is to explore the effects of physical exercise on nocturnal asthma symptoms.MethodsSearches were conducted in MEDLINE, Embase, Cochrane Central Register of Controlled Trials, CINAHL and SPORTdiscus (last search on November 2017). Authors from studies that did not report nocturnal symptoms but used questionnaires and/or diaries were contacted for detailed information. Studies that provided results on nocturnal symptoms before and after physical activity intervention were included. Prevalence of nocturnal symptoms was calculated for each study from the percentage of study participants with nocturnal symptoms before and after intervention.ResultsEleven studies were included (5 with children and 6 with adults). The prevalence of nocturnal symptoms at baseline ranged from 0% to 63% among children and from 50–73% among adults. In children and adults with nocturnal asthma, aerobic physical exercise reduced the prevalence and frequency of nocturnal symptoms.ConclusionsAerobic physical exercise improves nocturnal asthma in children and adults by reducing the prevalence and frequency of nocturnal symptoms. Physical exercise training could be used with conventional treatments to improve quality of life and asthma control in patients with nocturnal worsening of asthma.

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Section: Methodsmentioning

confidence: 99%

Effects of physical exercise training on nocturnal symptoms in asthma: Systematic review

et al. 2018

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“… 18 19 Unfortunately similar benefits were not replicated following a 12-week self-directed exercise programme suggesting that supervision was a key factor for a positive outcome. 20 A further randomised controlled trial (RCT) reported no adverse events with exercise training in moderate-to-severe asthma. 21 However, there were limited data regarding the applicability to adults with severe or refractory asthma as the majority of study participants had moderate asthma based on the Global Initiative for Asthma criteria.…”

Section: Introductionmentioning

confidence: 99%

“… 13 To date, self-directed exercise has been unsuccessful in this group. 20 The UK Department of Health suggests that patients with severe chronic disease require highly adapted, supervised exercise programmes. 16 All these factors may cause potential barriers to exercise in patients with severe asthma.…”

Section: Introductionmentioning

confidence: 99%

Protocol for a feasibility study to inform the development of a multicentre randomised controlled trial of asthma-tailored pulmonary rehabilitation versus usual care for individuals with severe asthma

et al. 2016

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IntroductionPulmonary rehabilitation with core components of exercise training and multiprofessional education is an integral part of the management of patients with chronic lung disease. International guidelines for individuals with asthma recommend exercise as exercise improves symptoms, indices of cardiopulmonary efficiency, health status and psychosocial outcome. However, there is little published evidence evaluating safety and acceptability of exercise training for individuals with severe asthma and there are concerns regarding exercise-induced asthma. We propose a feasibility study for a multicentre randomised controlled trial (RCT) of asthma-tailored pulmonary rehabilitation (asthma-tailored PR) versus usual care in individuals with severe asthma.Methods and analysisThe study will be conducted in three stages. Adults with severe asthma will be included if they have persistent symptoms despite being at step 4 or 5 of the British Thoracic Society guidelines. Stage 1: semistructured interviews will be used in a sample of 20–30 individuals with severe asthma to understand the experience and attitudes of this population towards exercise. Stage 2: eight focus groups of at least six healthcare professionals involved in the care of patients with severe asthma will be conducted to understand their attitudes towards exercise for this population. Stage 3: a small-scale RCT of the proposed multicentre RCT of asthma-tailored PR versus usual care for individuals with severe asthma will be conducted. The primary outcome measures will be recruitment, retention and adverse event rates. Semistructured interviews with participants of stage 3 will be used to identify further barriers or facilitators to participation in PR and the trial. Thematic analysis will be used for the interpretation of all interviews.Ethics and disseminationThe study results will inform the design of a larger multicentre RCT. The National Research Ethics Service Committee East Midland approved the study protocol.Trial registration numberISRCTN96143888.

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“…Low exercise adherence is a problem among adults with asthma as well. For example, participants in a 12-week selfdirected exercise program completed only 40% of prescribed weekly exercise (Dogra et al 2010). A potential reason for low adherence rates among those with respiratory diseases is that exercise is associated with shortness of breath or dyspnea, tightening of the airways, and wheezing (Dogra et al 2010); thus phys-ical activity may be avoided for fear of triggering symptoms (Randolph 2009;Thorpe et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Physical activity among Canadian adults with obstructive respiratory diseases

Jagroop

Dogra

2018

Appl. Physiol. Nutr. Metab.

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The objective of this study was to investigate the amount and modes of physical activity in which adults with obstructive respiratory disease engage. Data from respondents with self-reported asthma (n = 4293), chronic obstructive pulmonary disease (COPD) (n = 3118), both diseases (n = 1569), and neither obstructive respiratory disease (n = 64 175); these data are from the Canadian Community Health Survey (2011-2012). Logistic regressions were used to assess associations between modes of physical activity and type of respiratory disease. Linear regressions were used to investigate the association between daily energy expenditure and respiratory disease. Adults with COPD and both diseases had the lowest participation in all modes of physical activity. Those with both diseases were less likely to report walking (odds ratio (OR) = 0.74, 95% confidence interval (CI) = 0.63-0.88), while those with COPD were less likely to report participation in endurance activities (OR = 0.79, 95% CI = 0.68-0.92), compared with those with neither obstructive respiratory disease. Those with asthma had similar daily energy expenditure levels and physical activity preferences compared with those with neither obstructive respiratory disease. In conclusion, adults with COPD and both asthma and COPD were less likely to engage in common activities such as walking, while physical activity levels among adults with asthma did not differ from the general population.

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Self-directed exercise improves perceived measures of health in adults with partly controlled asthma

Cited by 19 publications

References 24 publications

Effects of physical exercise training on nocturnal symptoms in asthma: Systematic review

Effects of physical exercise training on nocturnal symptoms in asthma: Systematic review

Protocol for a feasibility study to inform the development of a multicentre randomised controlled trial of asthma-tailored pulmonary rehabilitation versus usual care for individuals with severe asthma

Physical activity among Canadian adults with obstructive respiratory diseases

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