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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Exercise training on disease control and quality of life in asthmatic children

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Autor(es):
Fanelli, Adriana ; Cabral, Anna Lucia Barros ; Neder, Jose Alberto ; Martins, Milton Arruda [4] ; Carvalho, Celso Ricardo Fernandes
Número total de Autores: 5
Tipo de documento: Artigo Científico
Fonte: MEDICINE AND SCIENCE IN SPORTS AND EXERCISE; v. 39, n. 9, p. 1474-1480, Sept. 2007.
Área do conhecimento: Ciências da Saúde - Medicina
Assunto(s):Doenças respiratórias   Asma   Broncoconstrição   Exercício físico   Exercícios respiratórios   Qualidade de vida
Resumo

Aerobic training has been shown to be effective in improving cardiopulmonary fitness in asthmatic children. However, the actual impact of physical training on clinical indicators of disease control remains controversial. Thirty-eight children with moderate to severe persistent asthma were randomly assigned to control (N = 17) and training (N = 21) groups. Spirometry, exercise challenge, and maximum incremental cardiopulmonary exercise tests were performed 16 wk apart. Daily doses of inhaled steroids and Pediatric Asthma Quality of Life Questionnaire (PAQLQ) scores were also recorded. Physical training was associated with significant improvements in physiological variables at peak and submaximal exercise (P < 0.05); in contrast, no significant changes were found in controls. Severity of exercise-induced bronchoconstriction (EIB) and postexercise breathlessness were significantly lessened in trained patients; improvement in fitness and EIB, however, were not linearly related (P > 0.05). In addition, PAQLQ scores improved only in trained children (P < 0.01). Daily doses of inhaled steroids were reduced in trained patients (52%), but they remained unchanged or increased in controls (70.6%) (P = 0.07). Supervised exercise training might be associated with beneficial effects on disease control and quality of life in asthmatic children. These data suggest an adjunct role of physical conditioning on clinical management of patients with more advanced disease. (AU)

Processo FAPESP: 02/08422-7 - Mecanismos de inflamação pulmonar na asma: estudos clínicos e experimentais
Beneficiário:Milton de Arruda Martins
Linha de fomento: Auxílio à Pesquisa - Temático