{"title":"运动对儿童哮喘的影响：随机对照试验的系统回顾和荟萃分析。","authors":"Zhenghui Zha, Yuli Zhang, Cuiyun Tian, Dongxiang Huang, Tuming Shen, Songtao Wang","doi":"10.1007/s11882-025-01219-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>Asthma is a heterogeneous respiratory condition and a common childhood disease. The effects of exercise on childhood asthma have not been fully clarified. This study aims to systematically evaluate the impact of exercise on children with asthma, specifically examining lung function, exercise capacity, airway inflammation, and health-related quality of life (HRQoL).</p><p><strong>Recent findings: </strong>13 randomized controlled trials (RCTs) involving 673 children with asthma, with a mean age ranging from 7.3 to 14 years, were included. The results of the meta-analysis showed that exercise can improve the six-minute walk test (6MWT) distance and the pediatric asthma quality of life questionnaire (PAQLQ) scores in children with asthma but cannot reduce the fractional exhaled nitric oxide (FeNO) level. Exercise intervention within 8 weeks only had a positive effect on forced vital capacity percentage (FVC%) and forced expiratory flow between 25% and 75% of forced vital capacity (FEF 25-75%) in children with asthma but had no positive effect on forced expiratory volume in 1 s percentage (FEV1%). Exercise intervention for more than 8 weeks had no positive effect on the above indicators. In children with asthma, exercise training has the potential to improve exercise ability and health quality of life but not inflammation. Additionally, exercise intervention does not provide sustained improvement of lung function, although training within 8 weeks can temporarily increase FVC% and FEF 25-75%.</p>","PeriodicalId":55198,"journal":{"name":"Current Allergy and Asthma Reports","volume":"25 1","pages":"39"},"PeriodicalIF":4.6000,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effect of Exercise on Asthma in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.\",\"authors\":\"Zhenghui Zha, Yuli Zhang, Cuiyun Tian, Dongxiang Huang, Tuming Shen, Songtao Wang\",\"doi\":\"10.1007/s11882-025-01219-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose of review: </strong>Asthma is a heterogeneous respiratory condition and a common childhood disease. The effects of exercise on childhood asthma have not been fully clarified. This study aims to systematically evaluate the impact of exercise on children with asthma, specifically examining lung function, exercise capacity, airway inflammation, and health-related quality of life (HRQoL).</p><p><strong>Recent findings: </strong>13 randomized controlled trials (RCTs) involving 673 children with asthma, with a mean age ranging from 7.3 to 14 years, were included. The results of the meta-analysis showed that exercise can improve the six-minute walk test (6MWT) distance and the pediatric asthma quality of life questionnaire (PAQLQ) scores in children with asthma but cannot reduce the fractional exhaled nitric oxide (FeNO) level. Exercise intervention within 8 weeks only had a positive effect on forced vital capacity percentage (FVC%) and forced expiratory flow between 25% and 75% of forced vital capacity (FEF 25-75%) in children with asthma but had no positive effect on forced expiratory volume in 1 s percentage (FEV1%). Exercise intervention for more than 8 weeks had no positive effect on the above indicators. In children with asthma, exercise training has the potential to improve exercise ability and health quality of life but not inflammation. Additionally, exercise intervention does not provide sustained improvement of lung function, although training within 8 weeks can temporarily increase FVC% and FEF 25-75%.</p>\",\"PeriodicalId\":55198,\"journal\":{\"name\":\"Current Allergy and Asthma Reports\",\"volume\":\"25 1\",\"pages\":\"39\"},\"PeriodicalIF\":4.6000,\"publicationDate\":\"2025-09-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Current Allergy and Asthma Reports\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s11882-025-01219-4\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ALLERGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Allergy and Asthma Reports","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11882-025-01219-4","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ALLERGY","Score":null,"Total":0}
The Effect of Exercise on Asthma in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Purpose of review: Asthma is a heterogeneous respiratory condition and a common childhood disease. The effects of exercise on childhood asthma have not been fully clarified. This study aims to systematically evaluate the impact of exercise on children with asthma, specifically examining lung function, exercise capacity, airway inflammation, and health-related quality of life (HRQoL).
Recent findings: 13 randomized controlled trials (RCTs) involving 673 children with asthma, with a mean age ranging from 7.3 to 14 years, were included. The results of the meta-analysis showed that exercise can improve the six-minute walk test (6MWT) distance and the pediatric asthma quality of life questionnaire (PAQLQ) scores in children with asthma but cannot reduce the fractional exhaled nitric oxide (FeNO) level. Exercise intervention within 8 weeks only had a positive effect on forced vital capacity percentage (FVC%) and forced expiratory flow between 25% and 75% of forced vital capacity (FEF 25-75%) in children with asthma but had no positive effect on forced expiratory volume in 1 s percentage (FEV1%). Exercise intervention for more than 8 weeks had no positive effect on the above indicators. In children with asthma, exercise training has the potential to improve exercise ability and health quality of life but not inflammation. Additionally, exercise intervention does not provide sustained improvement of lung function, although training within 8 weeks can temporarily increase FVC% and FEF 25-75%.
期刊介绍：
The aim of Current Allergy and Asthma Reports is to systematically provide the views of highly selected experts on current advances in the fields of allergy and asthma and highlight the most important papers recently published. All reviews are intended to facilitate the understanding of new advances in science for better diagnosis, treatment, and prevention of allergy and asthma.
We accomplish this aim by appointing international experts in major subject areas across the discipline to review select topics emphasizing recent developments and highlighting important new papers and emerging concepts. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. Over a one- to two-year period, readers are updated on all the major advances in allergy and asthma.
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