Effects of exercise training on physical and psychosocial health in children with chronic respiratory disease: a systematic review and meta-analysis

Joschtel, Barbara; Gomersall, Sjaan R.; Tweedy, Sean M.; Petsky, Helen; Chang, Anne B.; Trost, Stewart G.

doi:10.1136/bmjsem-2018-000409

Cited by 42 publications

(35 citation statements)

References 56 publications

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“…However, since the 1990s, there has been little evidence exploring different physical training styles and their effects on asthma. Systematic reviews in both children and adults highlight the need for more research in this area [42, 50, 51], as studies are too heterogenous to compare between varying intensities and different exercise modalities such as aerobic and strength training. This research is urgently needed so that more specific physical activity recommendations can be developed for this population.…”

Section: Exercise Interventionsmentioning

confidence: 99%

Evidence for lifestyle interventions in asthma

Stoodley

Williams

Thompson

et al. 2019

Breathe

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Asthma is a chronic inflammatory airways disease, estimated to affect 300 million people worldwide. Asthma management plans focus on optimisation of asthma pharmacotherapy. Lifestyle interventions also hold great promise for asthma sufferers as they are accessible, low cost and have minimal side-effects, thus making adherence more likely. This review explores lifestyle interventions that have been tested in asthma, including improving nutrition, increasing physical activity and introduction of relaxation therapies such as yoga and massage therapy. Available evidence suggests a protective effect of increasing fruit, vegetable and wholegrain intake and increasing physical activity levels in asthma. Weight loss is recommended for obese asthmatic patients, as just 5–10% weight loss has been found to improve quality of life and asthma control in most obese asthmatic patients. Other lifestyle interventions such as meditation, yoga and massage therapy show promise, with positive effects on asthma seen in some studies. However, the study protocols are highly variable and the results are inconsistent. Additional research is needed to further develop and refine recommendations regarding lifestyle modifications that can be implemented to improve asthma.Key pointsImproving diet quality, by increasing fruit, vegetable and wholegrain intake and reducing saturated fat intake, should be recommended in asthma, as there is evidence suggesting that this leads to improvements in airway inflammation, asthma control and exacerbation risk.Regular physical activity should be promoted for people with asthma, as it can improve quality of life and lung function, as well as general health.In obese asthmatic patients, weight loss should be recommended, as it leads to numerous health benefits, including improvements in asthma. Even small amounts of weight loss in adults (5–10% body weight) have been shown to improve asthma quality of life and asthma control in the majority of people with asthma.There is some evidence of benefit of meditation, yoga and breathing exercises for adults with asthma, while massage therapy shows promise in children with asthma. However, the evidence is inconsistent and more research is needed to make definitive recommendations.Educational aimsTo summarise current knowledge on lifestyle interventions in asthma.To improve awareness of how lifestyle modification can be used in asthma management.To identify areas for future research on lifestyle interventions in asthma.

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Section: Exercise Interventionsmentioning

confidence: 99%

Evidence for lifestyle interventions in asthma

Stoodley

Williams

Thompson

et al. 2019

Breathe

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“…В частности, показано, что эстрогены могут вызывать гиперреактивность бронхов, повышать абсорбцию кадмия, продукцию свободных радикалов [14]. Не менее важную роль в снижении эффективности лечения БОД играют табакокурение, неполноценное питание, низкая физическая активность [15][16][17][18][19].…”

Section: результаты и их обсуждениеunclassified

Main indicators dynamics of the hospital beds at the pulmonology profile in the North-Western federal district for 2015–2018

2019

MedAlliance

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Экологические, демографические, геополитические особенности Северо-Западного федерального округа (СЗФО) способствуют высокой распространенности среди населения болезней органов дыхания. В настоящее время в субъектах округа продолжались реструктуризация и сокращение пульмонологического коечного фонда, что повлияло на эффективность его работы и потребовало анализа ее динамики. Материалы и методы. Проанализированы статистические данные о работе коечного фонда стационаров по профилю «пульмонология» субъектов СЗФО. Результаты. За 2015–2018 гг. число пульмонологических коек стационаров в СЗФО уменьшилось на 6,1% (в целом по РФ уменьшение составило 0,7%), сокращение числа пульмонологических коек произошло в основном за счет Вологодской, Калининградской и Новгородской области (19 коек). В СЗФО отмечена следующая динамика основных показателей работы пульмонологического коечного фонда: снизились обеспеченность койками (с 1,06 до 0,99 на 1000 населения — на 6,6%), средняя длительность пребывания на койке (с 12,3 до 11,4 — на 7,3%), возросли число дней работы койки в году (с 338 до 352 дней — на 4,1%) и показатель оборота койки (с 27,4 до 31 — на 13,1%). Схожая тенденция прослеживается в большинстве субъектов СЗФО. Заключение. Показатели работы пульмонологического коечного фонда значительно различаются по субъектам СЗФО, что свидетельствует о несбалансированности проводимых его преобразований на базе исходно разного уровня заболеваемости и смертности населения субъектов региона, об отсутствии научно обоснованной нормативной базы для реструктуризации пульмонологического коечного фонда, зависимости проводимых преобразований от финансовых возможностей конкретного региона, тарифов на медицинские услуги.

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“…The main physical therapies for asthma are breathing exercises, inspiratory muscle training, and physical training. [16–18]…”

Section: Introductionmentioning

confidence: 99%

Effects of physical therapy on lung function in children with asthma

et al. 2019

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Background: Morbidity of asthma in children is increasing, which is significantly affecting children's life quality. Despite the medication therapy, physical therapies, including breathing exercises, inspiratory muscle training and physical training, are widely used to improve children's condition. However, the effectiveness of physical therapy remains unclear. This systematic review and meta-analysis is aiming to evaluate the effects of physical therapy on lung function in children with asthma and to assess which physical therapy is more effective. Methods: Three main databases (PubMed, Embase, and the Cochrane Library) will be searched from inception to November 30, 2018 for randomized controlled trials investigating the effects of physical therapy on lung function in children (age < 18 years old) with asthma published in English. In addition, a manual search of the references of relevant published studies in English will also be considered. Two independent reviewers will conduct studies selection, data extraction, and risk of bias assessment. Outcome measures will be the Peak Expiratory Flow (PEF), the Forced Expiratory Volume in the first second (FEV1), and the Forced Vital Capacity (FVC). Subgroup analyses will be performed according to the physical therapy (breathing exercises, inspiratory muscle training, and physical training) and the outcome (PEF, FEV1, FVC). Results: The results will provide useful information about the effect of physical therapy on lung function in children with asthma and demonstrate which physical therapy is more effective. Conclusion: The findings of this study will be published in a peer-reviewed journal. Prospero registration number: CRD42019121627

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Effects of exercise training on physical and psychosocial health in children with chronic respiratory disease: a systematic review and meta-analysis

Cited by 42 publications

References 56 publications

Evidence for lifestyle interventions in asthma

Evidence for lifestyle interventions in asthma

Main indicators dynamics of the hospital beds at the pulmonology profile in the North-Western federal district for 2015–2018

Effects of physical therapy on lung function in children with asthma

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