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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
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Effect of exercise intervention on lung function in asthmatic adults: a network meta-analysis
Shuangtao Xing1, Shijie Feng1, Dan Zeng1
1School of Physical Education, Henan normal university Henan, Xinxiang, China.
Annals of Medicine
|August 10, 2023
Summary
Appropriate exercise training, including breathing (BT), aerobic (AT), relaxation (RT), and yoga training (YG), significantly improves pulmonary function in asthma patients. Breathing combined with aerobic training (BT+AT) and yoga training (YG) show the most significant benefits for lung function.
Area of Science:
- Pulmonary Medicine
- Respiratory Physiology
- Exercise Science
Background:
- Traditionally, exercise was contraindicated for asthma patients due to risk of exacerbations.
- Recent evidence suggests tailored exercise programs can enhance respiratory function and exercise capacity in adults with asthma.
Purpose of the Study:
- To compare the efficacy of various exercise interventions on pulmonary function in adult asthma patients.
- To identify the most effective exercise types for improving lung function parameters.
Main Methods:
- A systematic literature search was conducted across major databases for randomized controlled trials (RCTs) up to February 2023.
- Network meta-analysis of 28 RCTs involving 2,155 asthma patients was performed using Stata 17.0 and Revman 5.4.
Main Results:
- Breathing training (BT), aerobic training (AT), relaxation training (RT), yoga training (YG), and combined BT+AT improved Forced Expiratory Volume in the first second (FEV1).
- AT, BT, YG, and BT+AT enhanced Forced Vital Capacity (FVC).
- RT demonstrated the most significant improvement in FEV1 (SMD=1.13), BT+AT in FVC (SMD=0.71), and YG in Peak Expiratory Flow (PEF) (SMD=0.79).
Conclusions:
- Breathing combined with aerobic training (BT+AT) and yoga training (YG) appear most beneficial for improving overall lung function in adult asthma patients.
- Specific exercise modalities show distinct advantages for different pulmonary function metrics.
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