A systematic review of the characteristics of interventions that promote physical activity in adults with asthma

Semlyen, Joanna; Wilson, Andrew; Hardeman, Wendy; Stratton, Gareth; Marquette, Malcolm

doi:10.1177/13591053211059386

Cited by 9 publications

(18 citation statements)

References 116 publications

(198 reference statements)

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“…Freitas et al, on the other hand, demonstrated the short-term effectiveness of supervised exercise training (two 60-minute sessions of moderate-vigorous intensity aerobic and resistance exercises per week) 29,30 combined with a weight-loss programme, in increasing PA (steps/day and time spent undertaking MVPA and light-intensity PA) in obese adults with moderate-severe asthma compared to a weight-loss programme alone. This is consistent with the findings of the recent review by Tyson et al 36 . In this review, effective PA interventions in the general asthma population typically comprised of aerobic exercise and/or resistance/strength training of 30-60minutes in duration, 2-3 times a week 9 .…”

Section: Discussionsupporting

confidence: 94%

“…The second aim of this review was to examine the effect of PA interventions on asthma-and health-related outcomes. The findings of our meta-analyses demonstrated an overall positive effect of PA interventions on exercise capacity, asthma control and HRQoL in individuals with moderate-to-severe asthma, which complements previous reviews 16,17,36 . Interestingly however, of the two studies we identified that reported significant improvements in PA in favour of the intervention, only Freitas et al reported a significant improvement in clinical outcomes 29,30 .…”

Section: Discussionsupporting

confidence: 86%

“…The reasons for physical inactivity in severe asthma are likely to be heterogenous and complex. However, due to the adverse clinical implications of physical inactivity in severe asthma 6 and the observed benefits of targeting physical inactivity 16,17,36 , there is an urgent need to develop interventions aimed at addressing this behaviour. Furthermore, in people with severe asthma, physical inactivity has been shown to cluster with obesity, increased sedentary time, and increased symptoms of anxiety and/or depression 49 .…”

Section: Discussionmentioning

confidence: 99%

“…Tyson et al published a systematic review examining the effects of interventions on PA, sedentary behaviour and health outcomes in people with asthma 20 . However, as the intervention components were similar across all studies regardless of their effectiveness, a definitive conclusion regarding the optimal intervention for this population was unable to be drawn.…”

Section: Introductionmentioning

confidence: 99%

“…However, as the intervention components were similar across all studies regardless of their effectiveness, a definitive conclusion regarding the optimal intervention for this population was unable to be drawn. Tyson et al 20 also excluded pulmonary rehabilitation (PR) interventions, which have been shown to improve PA levels in other chronic respiratory diseases 21 , and included all asthma severities, which makes it difficult to determine if the findings are applicable to a severe asthma cohort who experience more disease burden. To our knowledge, the effectiveness of interventions in increasing PA in people with severe asthma explicitly has not yet been systematically reviewed.…”

Section: Introductionmentioning

confidence: 99%

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Increasing physical activity in severe asthma: a systematic review and meta-analysis

et al. 2022

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Introduction/AimPhysical inactivity is common in asthma and is recognised as an important modifiable risk for poor clinical outcomes such as impaired asthma control and health-related quality of life (HRQoL). Despite evidence supporting the role of physical activity (PA) in reducing the risk of these outcomes, little is known about optimal interventions for increasing PA in those with severe disease. This systematic review and meta-analysis evaluates the effectiveness of interventions in increasing PA in severe asthma.MethodsMedline, CINAHL, EMBASE, PubMed, Informit, SPORTDiscus and Cochrane databases were searched up to September 2021 for PA-based intervention studies that assessed PA outcomes (e.g. steps·day−1, time spent undertaking PA) in adults with severe asthma. Data on asthma-related (e.g. asthma control) and health-related outcomes (e.g. HRQoL) were assessed as secondary outcomes. The Revised Cochrane ROB tool was used to assess risk of bias. Random-effects meta-analyses synthesised data where possible. PROSPERO ID: CRD42021210968ResultsFour RCTs (all 12-weeks in duration) including 176 adults with moderate-to-severe asthma were included. An increase in PA was reported with a moderate-vigorous intensity aerobic and resistance training intervention (steps·day−1 and time spent undertaking PA), and an unsupervised pedometer-based intervention (steps·day−1). Meta-analyses showed that PA interventions had an overall positive effect on steps·day−1 (MD=1588, 95% CI:399, 2778; p=0.009, I2=23), asthma control (MD=-0.65, 95% CI: −0.95, −0.35; p<0.0001, I2=0%), and HRQoL (MD=0.56, 95% CI:0.10,1.01; p=0.02, I2=16%) compared to control.ConclusionWhile there is some evidence supporting the effectiveness of interventions in improving PA in adults with severe asthma, higher-quality, large-scale studies of longer duration are needed to determine the optimal intervention.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Increasing physical activity in severe asthma: a systematic review and meta-analysis

et al. 2022

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Physical capacity and inactivity in obstructive airway diseases: a “can do, do do” analysis

Urroz Guerrero,

Lewthwaite,

Gibson

et al. 2024

ERJ Open Res

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Physical capacity is an important determinant of physical activity in people with obstructive airway disease (OAD). This study aimed to extend the “can do, do do” concept in people with OAD, to identify if people categorised into quadrants based on physical capacity and activity differ by clinical and movement behaviour characteristics. A total of 281 participants (bronchiectasis n=60, severe asthma n=93, COPD n=70 and control n=58) completed assessments to characterise physical capacity as “can do”versus“can't do” (6-minute walk distance<or ≥70%predicted) and physical activity as “do do”versus“don't do” (accelerometer derived moderate-to-vigorous intensity physical activity (MVPA)<or ≥150 min/week). The control group had a greater proportion of people in the “can do, do do” quadrant compared with the OAD groups (76%versus10–33%). People with OAD in the “can't do, don't do” quadrant had worse clinical characteristics (airflow limitation, comorbidities, quality of life and functional dyspnoea) and spent less time doing light-intensity physical activity (LPA) and more time being sedentary compared with the “can do, do do” quadrant. This study highlights that many people with OAD may be inactive because they do not have the physical capacity to participate in MVPA, which is further impacted by greater disease severity. It is important to consider the potential benefits of addressing LPA and sedentary behaviour due to sub-optimal levels of these movement behaviours across different quadrants. Future research is needed to investigate if tailoring intervention approaches based on quadrant allocation is effective in people with OAD.

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An online behavior change intervention to promote physical activity in adults with asthma: study protocol for a multicenter randomized controlled trial

Oliveira

Karloh

Matias

et al. 2022

Trials

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Background Behavior change interventions have been the focus of recent studies, and the COVID-19 pandemic highlighted the importance of online interventions. However, no previous studies have investigated behavior change techniques to improve physical activity in adults with asthma through online intervention. Methods This double-blind clinical trial will investigate the effectiveness of an online behavior change intervention in increasing physical activity and reducing sedentary behavior in adults with asthma, as well as in improving other clinical outcomes in short and medium terms. Patients with clinically stable moderate to severe asthma, who are physically inactive and do not have cardiovascular and/or osteoneuromuscular impairments will be randomized into control or intervention groups (23 in each). Both groups will carry out an online educational program (1 h). Additionally, the intervention group will receive weekly individual online sessions for 12 weeks of motivation-based behavior change intervention to promote an increase in physical activity and reduce sedentary behavior based on both self-determination theory and transtheoretical model. The intervention group will also receive an activity monitor with specific strategies related to it. Both groups will be reassessed immediately after the intervention and 6 months after that. The primary outcomes are physical activity and sedentary behavior, which will be objectively assessed by a triaxial accelerometer (Actigraph wGT3X-BT). Secondary outcomes are Asthma Control Questionnaire, Incremental Step Test, Sit-To-Stand, Timed Up-and-Go, 4-Metre Gait Speed, Asthma Quality of Life Questionnaire, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Actiwatch 2, and the Hospital Anxiety and Depression Scale. Discussion The intervention is unprecedented and was carefully developed to joint most characteristics and techniques of both behavioral strategies (transtheoretical model and self-determination theory). Therefore, this intervention has the potential to improve physical activity levels and asthma management and reduce sedentary behavior. As a consequence, this novel intervention will improve global health in this population and support its use in clinical practice. The intervention will be carried out online with direct weekly contact with the therapist. Consequently, it has low implementation costs, might improve patient’s attendance, and has the potential to be largely offered elsewhere. Trial registration ClinicalTrials.govNCT05241223. Registered on January 22, 2022.

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A systematic review of the characteristics of interventions that promote physical activity in adults with asthma

Cited by 9 publications

References 116 publications

Increasing physical activity in severe asthma: a systematic review and meta-analysis

Increasing physical activity in severe asthma: a systematic review and meta-analysis

Physical capacity and inactivity in obstructive airway diseases: a “can do, do do” analysis

An online behavior change intervention to promote physical activity in adults with asthma: study protocol for a multicenter randomized controlled trial

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