The Feasibility of a Lifestyle Physical Activity Intervention for Black Women with Asthma

Obesity and Asthma

“…Our own group has found that patients with obesity and asthma, which frequently affects minority populations, were associated with marked impairments in quality of life related to physical health, and low levels of physical activity, 89 suggesting that weight loss interventions that include significant exercise component will likely need to be tailored for people with marked impairments in physical health. 90 Short of weight loss, focusing on dietary quality may be another strategy to improve asthma control. Wood et al showed that a meal high in saturated fatty acids upregulated IL1β and TLR4 in nonobese asthmatics, though they did not see a significant effect in obese asthmatics.…”

“…Our own group has found that patients with obesity and asthma, which frequently affects minority populations, were associated with marked impairments in quality of life related to physical health, and low levels of physical activity, 89 suggesting that weight loss interventions that include significant exercise component will likely need to be tailored for people with marked impairments in physical health. 90…”

Exercise and asthma – trigger or treatment?

“…Studies evaluating physical activity promotion in the context of chronic airways disease have historically focussed on people with COPD, with a recent systematic review and meta-analysis highlighting a paucity of evidence in other respiratory conditions characterised by exertional dyspnoea and activity limitation [46]. However, four RCTs have recently been published specifically evaluating the efficacy of physical activity promotion in people with asthma [47][48][49][50] (Table 4).…”

“…The findings from this study indicate that whilst yoga is feasible and beneficial to health-related quality of life in people with severe asthma, all other parameters, including daily physical activity, remained unchanged. Finally, Nyenhuis et al [50] assessed the acceptability and feasibility of a culturally tailored physical activity promotion intervention designed specifically for low-active urban black women with uncontrolled asthma (i.e., asthma education, Fitbit, monthly group sessions, text messaging, individual step goals and a study manual). In total, 92% remained in the intervention and 76% completed the 24-week outcome assessment.…”

Social Determinants of Health in Asthma Through the Life Course

“…More support for community-based programs for adults is necessary and effective. 44 Follow-up. Offering flexibility of appointments, virtual versus in-person options, and leveraging technology can also improve access to care and have the potential to reduce barriers in place due to the SDOH.…”