Short term effects of aerobic training in the clinical management of moderate to severe asthma in children

Short term effects of aerobic training in the clinical management of moderate to severe asthma in children

Author Neder, Jose Alberto Autor UNIFESP Google Scholar
Nery, Luiz Eduardo Autor UNIFESP Google Scholar
Silva, A. C. Google Scholar
Cabral, Ana Lucia Barros|Fernandes, Ana Luísa Godoy Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Background-Aerobic training has a number of well known beneficial effects in both normal and asthmatic children. However, the impact of training on the clinical management of the underlying bronchial asthma remains controversial, particularly in the most severe patients.Methods-Clinical evaluation, spirometric tests, symptom limited maximum exercise testing, and exercise challenge tests were performed in a group of children with stable moderate to severe asthma. Forty two patients (24 boys) aged 8-16 were evaluated twice: before and after supervised aerobic training (group 1, n = 26) and two months apart (untrained group 2, n = 16).Results-Spirometric and maximal exercise variables in the initial evaluation were significantly reduced in group 1 (p<0.05) but medication and clinical scores and the occurrence of exercise induced bronchospasm (EIB) did not differ between the two groups. Aerobic improvement with training (maximal oxygen uptake and/or anaerobic threshold increment >10% and 100 mi) was inversely related to the baseline level of fitness and was independent of disease severity. Although the clinical score and the occurrence of EIB did not change after training, aerobic improvement was associated with a significant reduction in the medication score and the daily use of both inhaled and oral steroids (p<0.05).Conclusions-Aerobic improvement with Methods training in less fit asthmatic children is related to a short term decrease in the daily use of inhaled and oral steroids, independent of the severity of the disease.
Keywords asthma
exercise training
maximal oxygen uptake
anaerobic threshold
physical fitness
Language English
Date 1999-03-01
Published in Thorax. London: British Med Journal Publ Group, v. 54, n. 3, p. 202-206, 1999.
ISSN 0040-6376 (Sherpa/Romeo, impact factor)
Publisher British Med Journal Publ Group
Extent 202-206
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000079065100006

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