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Exercise training in children with asthma: a systematic review
Vera H M Wanrooij1, Maartje Willeboordse1, Edward Dompeling1
1Department of Paediatric Pulmonology, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands.
British Journal of Sports Medicine
|March 26, 2013
Summary
Physical exercise is safe and beneficial for children with asthma, improving cardiorespiratory fitness and potentially exercise-induced bronchoconstriction (EIB). Recommended programs involve at least 3 months of training twice weekly.
Area of Science:
- Pediatric Pulmonology
- Sports Medicine
- Exercise Physiology
Background:
- Exercise can trigger asthma symptoms like dyspnea in children.
- Exercise-induced bronchoconstriction (EIB) affects a significant percentage of children with asthma.
- Physical activity offers benefits for overall physical fitness.
Purpose of the Study:
- To systematically review the literature on exercise training effects in children with asthma.
- To examine impacts on EIB, asthma control, pulmonary function, and cardiorespiratory parameters.
- To assess effects on underlying pathophysiological mechanisms.
Main Methods:
- Systematic literature search across multiple databases.
- Inclusion of controlled trials focusing on physical training programs for children aged 6-18 with asthma.
- Analysis of 29 selected studies.
Main Results:
- Exercise training demonstrated positive effects on cardiorespiratory fitness parameters.
- Some studies indicated improvements in EIB, particularly when baseline EIB was significant.
- Peak expiratory flow was the primary lung function parameter substantially improved by training.
Conclusions:
- Physical exercise is safe and recommended for children with asthma.
- Optimal training involves a minimum of 3 months, two 60-minute sessions weekly, at the personalized ventilatory threshold.
- Further research is needed on exercise effects on asthma control and pathophysiological mechanisms.
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