Fabiana S Kim, Jaqueline L Rocha, Adriana C Lunardi, Denielli Sg Bos, Eloise A Santos, Cibele Cb Marques da Silva, Alberto Cukier, Celso Rf Carvalho
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引用次数: 0
摘要
背景：呼吸和有氧运动是改善哮喘患者哮喘控制和生活质量的最推荐的非药物治疗方法。然而，将这两种干预措施结合起来对这些结果的益处却从未进行过测试：我们旨在评估有氧运动和呼吸运动相结合对中重度哮喘患者哮喘控制的影响：中重度哮喘患者被随机分配到有氧运动+肌肉拉伸组（对照组（CG），人数=25）或有氧运动+呼吸练习组（实验组（EG），人数=26）。有氧运动采用恒定负荷训练，呼吸练习采用布提科技术。训练计划持续 20 个疗程。所有受试者在干预前后均接受了哮喘控制、健康相关生活质量、焦虑和抑郁症状、睡眠质量、过度换气、运动能力、肺功能、体力活动水平和胸腹运动学方面的盲法评估。采用双向重复测量方差分析对组别 x 时间的交互作用进行了检验。使用皮尔逊相关性检验来检验结果之间的关联：结果：各组基线结果相似（P>0.05）。干预后，EG 和 CG 的所有结果均无组间差异：这些结果表明，在中重度哮喘患者中，与单独进行有氧运动相比，有氧运动和呼吸运动相结合并不能改善哮喘控制、社会心理症状、睡眠质量、过度换气、运动能力、肺功能、日常体力水平或胸腹运动学：临床试验注册：ClinicalTrials.gov，NCT04412720。
Effects of combined aerobic and breathing exercises on asthma control: An RCT.
Background: Breathing and aerobic exercises are the most recommended nonpharmacological treatments to improve asthma control and quality of life in patients with asthma. However, the benefits of combining both interventions in these outcomes have never been tested.
Objective: We aimed to evaluate the effects of the combination of aerobic and breathing exercises on asthma control in individuals with moderate-to-severe asthma.
Methods: Individuals with moderate-to-severe asthma were randomly assigned to the aerobic + muscle-stretching group (Control group (CG), n=25) or aerobic + breathing exercises group (Experimental group (EG), n=26). The aerobic exercise was performed using constant-load training and breathing exercises using the Buteyko technique. The training program lasted 20 sessions. All individuals were blindly assessed before and after the interventions for asthma control, health-related quality of life, anxiety and depression symptoms, sleep quality, hyperventilation, exercise capacity, lung function, levels of physical activity, and thoracoabdominal kinematics. Group x time interactions were tested using a two-way repeated measures analysis of variance. Pearson's correlation test was used to test the association between outcomes.
Results: The groups were similar at baseline (all p>0.05). After the intervention, there were no between-group differences for all outcomes comparing EG and CG.
Conclusion: These results suggest that a combination of aerobic and breathing exercises did not improve asthma control, psychosocial symptoms, sleep quality, hyperventilation, exercise capacity, lung function, levels of daily physical or thoracoabdominal kinematics compared with aerobic exercise alone in individuals with moderate-to-severe asthma.
期刊介绍：
JACI: In Practice is an official publication of the American Academy of Allergy, Asthma & Immunology (AAAAI). It is a companion title to The Journal of Allergy and Clinical Immunology, and it aims to provide timely clinical papers, case reports, and management recommendations to clinical allergists and other physicians dealing with allergic and immunologic diseases in their practice. The mission of JACI: In Practice is to offer valid and impactful information that supports evidence-based clinical decisions in the diagnosis and management of asthma, allergies, immunologic conditions, and related diseases.
This journal publishes articles on various conditions treated by allergist-immunologists, including food allergy, respiratory disorders (such as asthma, rhinitis, nasal polyps, sinusitis, cough, ABPA, and hypersensitivity pneumonitis), drug allergy, insect sting allergy, anaphylaxis, dermatologic disorders (such as atopic dermatitis, contact dermatitis, urticaria, angioedema, and HAE), immunodeficiency, autoinflammatory syndromes, eosinophilic disorders, and mast cell disorders.
The focus of the journal is on providing cutting-edge clinical information that practitioners can use in their everyday practice or to acquire new knowledge and skills for the benefit of their patients. However, mechanistic or translational studies without immediate or near future clinical relevance, as well as animal studies, are not within the scope of the journal.
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