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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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Comprehensive exercise recommendations for pediatric asthma: an evidence synthesis.
Hong-Zhen Xu1, Nan Lin2, Guan-Nan Bai3
1Nursing Department, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China. 6184020@zju.edu.cn.
World Journal of Pediatrics : WJP
|October 11, 2025
Summary
Exercise is beneficial for children with asthma, improving lung function and quality of life. These recommendations guide safe and effective exercise programs for pediatric asthma management.
Area of Science:
- Pediatric Respiratory Medicine
- Sports and Exercise Science
- Clinical Pediatrics
Background:
- Childhood asthma is a prevalent chronic respiratory condition.
- Historically, exercise has been restricted due to concerns about exercise-induced bronchoconstriction.
- Current evidence supports exercise as crucial for improving health outcomes in children with asthma.
Purpose of the Study:
- To systematically review and describe the safety and benefits of exercise for children with asthma.
- To provide evidence-based recommendations for exercise prescription in pediatric asthma.
- To identify key factors influencing exercise participation and management in this population.
Main Methods:
- Development of recommendations by a multidisciplinary expert team.
- Comprehensive literature search across major databases up to May 2025.
- Evaluation of evidence quality using the Oxford Centre for Evidence-Based Medicine levels.
- Formulation of final recommendations through two rounds of Delphi expert voting.
Main Results:
- Recommendations cover nine domains: safety, benefits, screening, prescription, progression, preparation, monitoring, assessment, and managing exercise-induced bronchoconstriction.
- Guidance provided for individualized exercise planning considering asthma control, fitness, habits, and environment.
- Includes strategies for aerobic, resistance, and flexibility training, intensity monitoring, and pharmacologic/non-pharmacologic management of bronchoconstriction.
Conclusions:
- Provides scientific and practical guidance for individualized exercise prescriptions in pediatric asthma.
- Emphasizes multidisciplinary collaboration and exercise as a core component of asthma management.
- Highlights the need for further research to optimize protocols and evaluate long-term outcomes.
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