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Intervention Review

Physical training for asthma

  1. Felix SF Ram2,
  2. Stewart Robinson3,
  3. Peter N Black4,
  4. Joanna Picot5

Editorial Group: Cochrane Airways Group

Published Online: 19 OCT 2005

Assessed as up-to-date: 4 JUL 2005

DOI: 10.1002/14651858.CD001116.pub2


How to Cite

Ram FSF, Robinson S, Black PN, Picot J. Physical training for asthma. Cochrane Database of Systematic Reviews 2005, Issue 4. Art. No.: CD001116. DOI: 10.1002/14651858.CD001116.pub2.

Author Information

  1. 2

    Massey University - Auckland, School of Health Sciences, Auckland, New Zealand

  2. 3

    School of Medicine, Department of Physiology, Auckland, New Zealand

  3. 4

    University of Auckland, Dept of Medicine, Auckland, New Zealand

  4. 5

    University of Southampton, Southampton Health Technology Assessments Centre, Southampton, Hampshire, UK

*Toby J Lasserson, Community Health Sciences, St George's, University of London, Cranmer Terrace, Tooting, London, SW17 ORE, UK. tlassers@sgul.ac.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 19 OCT 2005

SEARCH

This is not the most recent version of the article. View current version (30 SEP 2013)

 

Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Background

Physical training programmes have been designed for asthmatic subjects with the aim of improving physical fitness, neuromuscular coordination and self-confidence. Habitual physical activity increases physical fitness and lowers ventilation during mild and moderate exercise thereby reducing the likelihood of provoking exercise induced asthma. Exercise training may also reduce the perception of breathlessness through a number of mechanisms including strengthening respiratory muscles. Subjectively, many asthmatics report that they are symptomatically better when fit, but results from trials have varied and have been difficult to compare because of different designs and training protocols.

Objectives

The purpose of this review was to assess evidence for the efficacy and effectiveness of physical training in asthma.

Search methods

We searched the Cochrane Airways Group Specialised Register, SportDiscus and the Science Citation Index up to May 2005.

Selection criteria

Randomised trials in asthmatic subjects undertaking physical training. Subjects had to be eight years and older. Physical training had to be undertaken for at least 20 to 30 minutes, two to three times a week, over a minimum of four weeks.

Data collection and analysis

Eligibility for inclusion and quality of trials were assessed independently by two reviewers.

Main results

Thirteen studies (455 participants) were included in this review. Physical training had no effect on resting lung function or the number of days of wheeze. The results of this review have shown that lung function and wheeze is not worsened by physical training in patients with asthma. Physical training improved cardiopulmonary fitness as measured by an increase in maximum oxygen uptake of 5.4 ml/kg/min (95% confidence interval 4.2 to 6.6) and maximum expiratory ventilation 6.0 L/min (95% confidence interval 1.5 to 10.4). There were no data concerning quality of life measurements.

Authors' conclusions

In people with asthma, physical training can improve cardiopulmonary fitness without changing lung function. It is not known whether improved fitness is translated into improved quality of life. It is comforting to know that physical training does not have an adverse effect on lung function and wheeze in patients with asthma. Therefore, there is no reason why patients with asthma should not participate in regular physical activity.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Physical training for asthma

Asthmatic subjects often have worsening symptoms when they exercise (exercise induced asthma). This can prevent them playing sports or attempting to keep fit. Physical training programs have been designed to improve physical fitness, muscle coordination and confidence. The review of trials found that exercise training had no effect on resting lung function or the number of days of wheeze. However, the review found physical training does improve cardiopulmonary fitness. More research is needed.

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

背景

體能訓練與氣喘的關係

以增加體適能,促進神經肌肉協調度,及增加自信度為目標的體能訓練計畫,已經設計使用於氣喘病患。輕中度的習慣性體能活動可以增加體適能以及下肢血液循環,因而降低因運動而引發氣喘的可能性。藉由增加呼吸肌的強度等一連串的機制,運動訓練也可能減少患者喘不過氣來的感覺。主觀而言,許多氣喘病患表示當體能適當時,氣喘的症狀也較為緩解。然而,各試驗的研究結果有所不同,由於研究設計及體能訓練計畫均不相同,因此,較難針對各研究的結果進行比較

目標

本次文獻回顧的主要目的在於評估體能訓練對於氣喘病患的效度及有效性.

搜尋策略

我們搜尋了2005 年5月以前的Cochrane Airways Group Specialised Register, SportDiscus 以及 the Science Citation Index.

選擇標準

本篇文獻回顧的隨機試驗對象為接受體能訓練的氣喘患者. 受試者必須大於或等於八歲。其所接受的體能訓練至少需持續4週以上,每週必須至少2 – 3次體能訓練,每次須持續20 – 30分鐘

資料收集與分析

由兩位審閱者獨立地評估試驗是否合乎納入標準,以及臨床試驗的品質

主要結論

總計有13個試驗被納入此次文獻回顧中(455位受試者)。體能訓練對於休息時肺功能,以及氣喘哮鳴的天數並無影響。本篇文獻回顧的結果顯示氣喘病患的肺功能及哮鳴並不會因為體能訓練而惡化。 研究顯示體能訓練可增加心肺功能,經由以下測得數據可加以證實:最大氧氣攝取量增加至每分鐘每公斤5.4毫升(95% 信賴區間為 4.2 to 6.6),最大換氣速率達到每分鐘6.0公升(95% 信賴區間為 1.5 to 10.4)。 與生活品質相關的測量結果,則無法找到相關數據資料

作者結論

對於氣喘患者而言,體能訓練可以增加心肺適能;同時不會影響肺功能。目前無法確知是否體適能改變,也能改善生活品質。但可以知道的是,體能訓練並不會對氣喘病患的肺功能及哮鳴產生負面的影響。因此,氣喘病患應可從事規律的體能活動

翻譯人

本摘要由國泰綜合醫院劉怡敏翻譯

此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌

總結

當氣喘病患運動時,通常會加劇其症狀(運動引致的氣喘發作)。而這可能會使病患因而避免運動,或避免維持體適能狀態。體能訓練計畫已經設計用來使氣喘患者達到改善體能狀況,促進神經肌肉協調,以及增加自信度的目標。本篇回顧所納入的試驗結果顯示,運動訓練對於氣喘患者的肺功能及哮鳴的天數並無負面影響。 文獻回顧反而發現體能訓練確實對氣喘病患的心肺適能有所改善。有關此類探討,尚需進行更多研究