Objective To understand the effect of exercise prescriptions on the condition control of asthmatic children,so as to provide evidence for the appropriate application of exercise prescriptions in the management of asthma in children. Methods A total of 156 asthmatic children in outpatient of Children's Hospital of Chongqing Medical University from June 2017 to June 2018 were enrolled in this study,and were randomly divided into exercise group(n=80) and control group(n=76).Both groups received medication therapy,and the exercise group was given exercise prescriptions additionally.After 3 months of intervention,related indicators were compared between the two groups,including the daytime and nighttime asthma symptom scores,the emergency medication score,the participation in physical activity and adverse reactions,the asthma quality of life scale score,and lung function changes. Results The daytime and nighttime asthma symptom scores,as well as the medication scores of the exercise group were significantly lower than those of the control group after exercise prescrispton(t=-3.25,-2.27,-26.69,P＜0.05).While the asthma quality of life scale scores of the exercise group were significantly higher than those of the control group(t=3.39,22.44,4.50,P＜0.05).There was no significant differences on lung function between the two groups except peak expiratory velocity(PEF) after exercise prescription(P＞0.05).Moreover,no serious adverse reactions were observed in the exercise group during the trial. Conclusion Exercise prescription is safe and effective for the control of asthma in children,so it should be promoted and applied in clinical practice.
Key words
exercise prescription /
asthma /
children /
Asthma Quality Life Questionnaire /
Asthma Control Questionnaire
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 鲍一笑,陈爱欢,符州,等.儿童支气管哮喘诊断与防治指南(2016)[J].中华儿科杂志,2016,54(3):167-181.
[2] Wong GW,Kwon N,Hong JG,et al.Pediatric asthma control in Asia:phase 2 of the Asthma Insights and Reality in Asia-Pacific(AIRIAP 2) survey[J].Allergy,2013,68(4):524-530.
[3] Lucas SR,Platts-Mills TA.Physical activity and exercise in asthma:relevance to etiology and treatment[J].J Allergy Clin Immunol,2005,115(5):928-934.
[4] 李红,张际,蒋永慧,等.运动处方在哮喘儿童情绪障碍中的效果分析[J].第三军医大学学报,2012,34(22):2341-2342.
[5] Bhagat D,Fagnano M,Halterman JS,et al.Asthma symptoms,interactive physical play and behavioral and academic outcomes in urban children with persistent asthma[J].J Asthma,2018,1-8.doi:10.1080/02770903.2018.1488978.
[6] Williams B,Powell A,Hoskins G,et al.Exploring and explaining low participation in physical activity among children and young people with asthma:a review[J].BMC Fam Pract,2008,9(1):40.
[7] 程波利,黄英,舒畅,等.355例哮喘患儿运动现况调查[J].第三军医大学学报,2009,31(20):2016-2018.
[8]Global Initiative for Asthma.Global strategy for asthma management and prevention,2018[R].Available from:www.ginasthma.org.
[9] Meyer A,Gunther S,Volmer T,et al.A 12-month,moderate-intensity exercise training program improves fitness and quality of life in adults with asthma:a controlled trial[J].BMC Pulm Med,2015,15(1):56.
[10] Wanrooij VH,Willeboordse M,Dompeling E,et al.Exercise training in children with asthma:a systematic review[J].Br J Sports Med,2014,48(13):1024-1031.
[11] Eichenberger PA,Diener SN,Kofmehl R,et al.Effects of exercise training on airway hyperreactivity in asthma:a systematic review and meta-analysis[J].Sports Med,2013,43(11):1157-1170.
[12] Mancuso CA,Choi TN,Westermann H,et al.Improvement in asthma quality of life in patients enrolled in a prospective study to increase lifestyle physical activity[J].J Asthma,2013,50(1):103-107.
[13]Carson KV,Chandratilleke MG,Picot J,et al.Physical training for asthma[J].Cochrane Database Syst Rev,2013,(9):CD001116.
[14] Mendes FA,Almeida FM,Cukier A,et al.Effects of aerobic training on airway inflammation in asthmatic patients[J].Med Sci Sports Exerc,2011,43(2):197-203.
[15] Silva RA,Almeida FM,Olivo CR,et al.Exercise reverses OVA-induced inhibition of glucocorticoid receptor and increases anti-inflammatory cytokines in asthma[J].Scand J Med Sci Sports,2016,26(1):82-92.
[16] 马原.有氧运动对支气管哮喘幼鼠模型支气管周围白细胞激活的影响研究[J].中国妇幼保健,2016,31(2):396-399.
[17] Carew C,Cox DW.Laps or lengths? The effects of different exercise programs on asthma control in children[J].J Asthma,2018,55(8):877-881.
[18] Wang JS,Hung WP.The effects of a swimming intervention for children with asthma[J].Respirology,2009,14(6):838-842.
[19] Marefati H,Vizvari E,Esmaeilizadeh M,et al.The effect of climatic conditions on exercise-induced bronchoconstriction in 10-12 year old students[J]. J Bodyw Mov Ther,2016,20(3):549-553.
PDF(599 KB)
