The effectiveness of an indoor intermittent training program for improving lung function, physical capacity, body composition and quality of life in children with asthma

Román, Pedro Ángel Latorre; Navarro-Martínez, Ana Vanesa; García‐Pinillos, Felipe

doi:10.3109/02770903.2014.888573

Cited by 33 publications

(61 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Whilst the present study is consistent with the majority of the literature which similarly found that exercise did not affect lung function (Wanrooij et al, 2014), it is pertinent to note that two studies reported a significant increase in FEV1% (8-20%), both of which implemented intermittent training (Latorre-Roman et al, 2014, Sidiropoulou et al, 2007. This discrepancy may, in part, be related to the severity of asthma, with the majority of participants in this study having mild asthma, or to the intervention duration; although longer than many previous studies (Moreira et al, 2008, Wicher et al, 2010, 6-months may have been insufficient to elicit significant adaptations in lung function.…”

Section: Discussionsupporting

confidence: 91%

“…Furthermore, as 70% of the participants were on inhaled corticosteroids, this may have masked any potential exercise effects. Interestingly, although weight reduction has previously been shown to improve lung function in the obese/overweight (Latorre-Roman et al, 2014), within the present study, the increase in BMI in the control group did not manifest in any reduction in lung function. Consequently, future studies incorporating a longer duration intervention should endeavour to clarify effects on BMI and lung function.…”

Section: Discussioncontrasting

confidence: 72%

“…However, in recent reviews, the beneficial effects of HIIT have been shown in clinical populations (Guiraud et al, 2012, Hwang et al, 2011, Kessler et al, 2012, Ross et al, 2016, Weston et al, 2014a. With regard to asthma, in all studies utilising HIIT no asthma attacks were shown to be caused by the exercise protocols and the participants tolerated the exercise well (Counil et al, 2003, Latorre-Roman et al, 2014, Varray et al, 1991.…”

Section: Exercise Intervention Designmentioning

confidence: 99%

“…Previously HIIT was considered unsafe for non-athlete populations due to risk of injury (MacDonald & Currie, 2009). Although the use of HIIT is limited in asthma populations, participants were found to tolerate the exercise well (Counil et al, 2003, Latorre-Roman et al, 2014. The intermittent nature of HIIT may also facilitate a decrease in end expiratory lung volume during the resting phase (Beauchamp et al, 2010), reducing the risk of an asthma attack.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Influence of high-intensity interval training in adolescents with asthma

Winn¹

View full text Add to dashboard Cite

Low levels of fitness are associated with increased body mass index (BMI), both of which are related to quality of life (QoL) and the occurrence and severity of asthma. Therefore, the purpose of this thesis was to co-develop and implement a six-month high-intensity interval training (HIIT) intervention targeting aerobic fitness, BMI and QoL improvements in adolescents with asthma. Six-hundred and sixteen adolescents (13.0±1.1years; 155 asthma; 85% mild asthma as defined by medication-step) participated in the study, with 223 enrolled in the school based HIIT intervention (50 asthma), consisting of 10-30second bouts at >90%age-predicted maximum heart-rate with equal rest, 3x30minutes/week. Formative group interviews to elicit the views of adolescents with and without asthma on asthma and exercise were used to inform the design of the intervention. Anthropometrics, aerobic fitness, lung function and QoL were measured at baseline, mid-point and post-intervention to evaluate the intervention's impact; follow-up measures were also taken to evaluate sustainability. Focus groups revealed participants with asthma had a fear of asthma attack through exercise, although fear did not act as a barrier, and that the intervention should be varied to circumvent activity-specific anxieties. Participants with asthma were found to have higher BMI and lower physical activity in comparison to their peers, but no difference in cardiorespiratory fitness. The intervention elicited significant improvements in peak cardiorespiratory fitness, irrespective of asthma, while maintaining BMI which increased in the controls; no changes were observed in the sub-maximal exercise parameters, QoL or lung function. The present findings suggest that HIIT may be effective at increasing peak cardiorespiratory fitness and preventing increases in BMI in adolescents, irrespective of asthma status. Overall, the series of studies show that asthma does not deleteriously influence maximal and sub-maximal aerobic fitness, or trainability in adolescents, and that HIIT is a safe exercise modality for adolescents with asthma.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussioncontrasting

confidence: 72%

Section: Exercise Intervention Designmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Influence of high-intensity interval training in adolescents with asthma

Winn¹

View full text Add to dashboard Cite

show abstract

“…These limitations seemed to be a common feature among adolescents with asthma and showed that it is important that health care professionals focus on physical function when providing asthma care in adolescence. Studies have shown that physical activity improves quality of life among children and adolescents with asthma (162,163).…”

Section: Daily Life With Asthma (Studies III and Iv)mentioning

confidence: 99%

Experiences of living with asthma – a focus group study with adolescents and parents of children with asthma

et al. 2013

View full text Add to dashboard Cite

show abstract

Exercise rehabilitation in pediatric asthma: A systematic review and network meta‐analysis

Jiang

Zhang

Huang³

et al. 2022

Pediatric Pulmonology

View full text Add to dashboard Cite

Objective This systematic review delineates various exercise‐based pulmonary rehabilitation (PR) designs and quantifies how they may be optimized in pediatric asthma treatment. Design Comprehensive systematic review, network meta‐analysis, and quality analyses using PubMed, Embase, Cochrane Library, Web of Science Core Collection, and Medline searches. Interventions Discrete and combined endurance, respiratory, resistance, strength, and interval training. Main Outcome Measures Forced expiratory volume at 1 s to predicted value ratio (FEV1% pred), forced vital capacity to predicted value ratio (FVC% pred), forced expiratory flow between 25% and 75% of vital capacity ratio (FEF25%–75%), the Pediatric Asthma Quality of Life Questionnaire (PAQLQ), and the 6‐min walk test (6MWT). Results Twenty‐four randomized controlled trials (RCTs) involving a combined 1031 patients were included. Endurance training was the most common form of PR (58.3%), typically conducted through outpatient clinics (29.2%). Network meta‐analysis showed that compared with other PR, interval training significantly improved PAQLQ total scores, and activity, symptom, and emotional domains. Interval training also had a significant effect on the 6MWT. No adverse events were reported. Exercise training did not have a significant effect on FEV1% pred; however, combined endurance and respiratory training significantly improved both FVC% pred and FEF25%–75%. Conclusions Exercise‐based PR is safe and effective in childhood asthma treatment. Interval training may be a core component for improving quality of life and exercise capacity in this patient population, while combined respiratory and endurance training may significantly affect lung function. The clinical efficacy of these results should be confirmed through high‐quality RCTs.

show abstract

The effectiveness of an indoor intermittent training program for improving lung function, physical capacity, body composition and quality of life in children with asthma

Cited by 33 publications

References 24 publications

Influence of high-intensity interval training in adolescents with asthma

Influence of high-intensity interval training in adolescents with asthma

Experiences of living with asthma – a focus group study with adolescents and parents of children with asthma

Exercise rehabilitation in pediatric asthma: A systematic review and network meta‐analysis

Contact Info

Product

Resources

About