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Comprehensive exercise program based on optimal physiotherapy for asthma-related quality of life: a systematic review
Danli Song1, Junchao Zhang1, Zeyang Zhao2
1Sports Coaching College, Beijing Sport University, Beijing, China.
Frontiers in Sports and Active Living
|February 5, 2026
Summary
Comprehensive exercise programs, including yoga and HIIT, significantly improve asthma-related quality of life. The duration of exercise impacts rehabilitation effectiveness, highlighting the importance of tailored exercise prescriptions for asthma patients.
Area of Science:
- Pulmonary Medicine
- Rehabilitation Science
- Exercise Physiology
Background:
- Exercise is a recognized treatment for asthma, yet optimal exercise modalities remain debated.
- Asthma management benefits from interventions that improve quality of life (QOL).
Purpose of the Study:
- To compare and rank different exercise types for improving asthma-related QOL.
- To analyze QOL total scores and subdomain scores (symptoms, activity limitations, emotional functions, environmental stimulants).
Main Methods:
- Network meta-analysis of randomized controlled trials (RCTs).
- Included 10 exercise types (single-mode and comprehensive-mode) for adults (≥16 years).
- Standardized mean differences (SMDs) with 95% credible intervals (CrIs) were used to assess effect sizes.
Main Results:
- All comprehensive exercises (yoga, aerobic + breathing/resistance) significantly improved asthma-related QOL.
- Yoga showed the largest effect size (SMD 2.26), followed by HIIT (SMD 1.06).
- HIIT showed promising trends over moderate-intensity aerobic exercise; Buteyko ranked highest among breathing exercises.
Conclusions:
- Comprehensive exercise modes are most effective for enhancing asthma-related QOL.
- Exercise duration is a key factor influencing the effectiveness of asthma rehabilitation programs.
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