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Physical training for asthma.

F S F Ram1, S M Robinson, P N Black

  • 1Massey University - Albany, School of Health Sciences, Private Bag 102 904, North Shore Mail Centre, Auckland, New Zealand. fsfram@yahoo.co.uk

The Cochrane Database of Systematic Reviews
|October 20, 2005
PubMed
Summary
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Physical training improves cardiopulmonary fitness in asthma patients without negatively impacting lung function or wheezing. This indicates that individuals with asthma can safely engage in regular physical activity.

Area of Science:

  • Pulmonary Medicine
  • Exercise Physiology

Background:

  • Physical training programs aim to enhance fitness, coordination, and confidence in individuals with asthma.
  • Regular physical activity can improve fitness and reduce ventilation during exercise, potentially lowering the risk of exercise-induced asthma.
  • Exercise may also mitigate breathlessness perception by strengthening respiratory muscles.

Purpose of the Study:

  • To evaluate the efficacy and effectiveness of physical training interventions for asthma management.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) identified through comprehensive database searches (Cochrane Airways Group, SportDiscus, Science Citation Index) up to May 2005.
  • Included RCTs involved asthmatic participants aged eight years and older, with physical training protocols of at least 20-30 minutes, 2-3 times weekly for a minimum of four weeks.

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  • Trial eligibility and quality assessment were conducted independently by two reviewers.

    • Main Results:

    • Thirteen studies involving 455 participants were analyzed.
    • Physical training demonstrated no adverse effects on resting lung function or the frequency of wheezing days.
    • Significant improvements were observed in cardiopulmonary fitness, evidenced by increased maximum oxygen uptake (5.4 ml/kg/min) and maximum expiratory ventilation (6.0 L/min).

    Conclusions:

    • Physical training enhances cardiopulmonary fitness in individuals with asthma without compromising lung function or increasing wheezing.
    • The translation of improved fitness into enhanced quality of life remains undetermined.
    • The findings support the safety and recommendation of regular physical activity for asthma patients.