Cardiorespiratory Benefit of Aerobic Exercise for Patients With Asthma
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Fran Nanadiego
Carson KV, Chandratilleke MG, Picot J, Brinn MP, Esterman AJ, Smith BJ. Physical training for asthma. Cochrane Database Syst Rev. 2013;(9):CD001116. doi:10.1002/14651858.CD001116.pub4
Researchers conducted a systematic review and meta-analysis to explore the effects of physical training on the cardiorespiratory function of patients with asthma. Randomized controlled trials that included patients aged 8 years or older who had asthma and undertook physical training were considered. Physical training intervention had to include full-body aerobic exercise lasting at least 20 minutes, performed twice per week for at least 4 weeks. Twenty-one studies met these criteria. The researchers’ primary outcome measure was asthmatic symptoms, and secondary outcome measures included physiologic measurements and quality of life.
Nine studies examined the effect of physical training on the symptoms of patients with asthma. Five of the 9 studies reported no difference between the symptoms of the patients in the intervention and control groups after the intervention. Three of the 9 studies reported that physical training decreased the frequency of asthmatic symptoms, and 1 study reported that it lessened the severity of the symptoms.
Studies that measured forced expiratory volume, forced vital capacity, or peak expiratory flow rate found that physical training had no significant effect on these measures. Although not statistically significant, studies found that physical training improved ventilation at maximal exercise, led to an increase in maximal heart rate, improved maximal ventilatory ventilation, and led to an increase in 6-minute walking distance. Additionally, 4 studies reported statistically significant improvements in the self-reported quality of life of patients in the intervention groups.
This review provides evidence that aerobic exercise does not worsen the severity or frequency of asthma or cardiorespiratory functions and may improve the quality of life of patients with asthma. It would be of interest in future studies if participants were treated for related somatic dysfunction with osteopathic manipulative treatment before undergoing aerobic conditioning to explore whether outcomes would be different for forced expiratory volume, forced vital capacity, or peak expiratory flow rate. These factors depend on airway and costal cage resistance, which osteopathic manipulative treatment could address by balancing autonomic tone to dilate the bronchial airways and improve compliance of the costal cage.
© 2017 American Osteopathic Association
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Artikel in diesem Heft
- EDITORIAL
- 10.7556/jaoa.2017.049
- LETTERS TO THE EDITOR
- Osteopathic Manipulative Treatment During the Third Trimester of Pregnancy
- RESPONSE
- Response
- CORRECTION
- Correction
- AOA COMMUNICATION
- Official Call: 2017 Annual Business Meeting of the American Osteopathic Association
- ORIGINAL CONTRIBUTION
- Employer-Funded Complete Health Improvement Program: Preliminary Results of Biomarker Changes
- EVIDENCE-BASED CLINICAL REVIEW
- Vitamin D Deficiency, Its Role in Health and Disease, and Current Supplementation Recommendations
- CLINICAL PRACTICE
- An Osteopathic Approach to Chronic Pain Management
- MEDICAL EDUCATION
- Preparing Physicians for Rural-Based Primary Care Practice: A Preliminary Evaluation of Rural Training Initiatives at OSU-COM
- SPECIAL COMMUNICATION
- Introducing High School Students to Careers in Osteopathic Medicine
- THE SOMATIC CONNECTION
- Cardiorespiratory Benefit of Aerobic Exercise for Patients With Asthma
- Cost-Effective Management of Low Back and Joint Pain by Specialty
- Benefit of OMT in Patients Who Underwent Heart Surgery
- Addition of Osteopathic Visceral Manipulation to OMT for Low Back Pain Decreases Pain and Increases Quality of Life
- Effectiveness of OMT and OCMM for Temporomandibular Disorders
- Noninvasive Interventions Efficacious in Reducing Symptoms of Low Back Pain
- The Fundamental Frequency: A New Approach to Concussion Diagnosis in Children
- CLINICAL IMAGES
- Pacemaker Twiddler Syndrome
- Retroperitoneal Fibrosis
Artikel in diesem Heft
- EDITORIAL
- 10.7556/jaoa.2017.049
- LETTERS TO THE EDITOR
- Osteopathic Manipulative Treatment During the Third Trimester of Pregnancy
- RESPONSE
- Response
- CORRECTION
- Correction
- AOA COMMUNICATION
- Official Call: 2017 Annual Business Meeting of the American Osteopathic Association
- ORIGINAL CONTRIBUTION
- Employer-Funded Complete Health Improvement Program: Preliminary Results of Biomarker Changes
- EVIDENCE-BASED CLINICAL REVIEW
- Vitamin D Deficiency, Its Role in Health and Disease, and Current Supplementation Recommendations
- CLINICAL PRACTICE
- An Osteopathic Approach to Chronic Pain Management
- MEDICAL EDUCATION
- Preparing Physicians for Rural-Based Primary Care Practice: A Preliminary Evaluation of Rural Training Initiatives at OSU-COM
- SPECIAL COMMUNICATION
- Introducing High School Students to Careers in Osteopathic Medicine
- THE SOMATIC CONNECTION
- Cardiorespiratory Benefit of Aerobic Exercise for Patients With Asthma
- Cost-Effective Management of Low Back and Joint Pain by Specialty
- Benefit of OMT in Patients Who Underwent Heart Surgery
- Addition of Osteopathic Visceral Manipulation to OMT for Low Back Pain Decreases Pain and Increases Quality of Life
- Effectiveness of OMT and OCMM for Temporomandibular Disorders
- Noninvasive Interventions Efficacious in Reducing Symptoms of Low Back Pain
- The Fundamental Frequency: A New Approach to Concussion Diagnosis in Children
- CLINICAL IMAGES
- Pacemaker Twiddler Syndrome
- Retroperitoneal Fibrosis
