Editorial
Exercise training as an adjunct to asthma management?
| The first 150 words of the full text of this article appear below. |
Whether the mechanism is respiratory heat loss1 or
increased osmolarity due to respiratory water loss,2
exercise is a potent stimulus for provoking asthma symptoms in
children. For this reason children with asthma may avoid exercise which
may in turn be detrimental to their physical and social conditioning. On this background the efficacy of exercise training in children with
asthma has generated continued interest over the years. The use of
exercise training programmes in the clinical management of children
with asthma is at best controversial. While a number of studies have
reported an improvement in lung function, aerobic capacity/conditioning, psychosocial behaviour, and a reduced incidence and severity of exercise induced bronchoconstriction,3-11
the findings in these studies have been variable and have not addressed the clinical efficacy of such programmes. The quality of the studies has varied and assessing the efficacy of such programmes depends on
which outcomes are assessed and how
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Vieira, R. P., de Andrade, V. F., Duarte, A. C. S., dos Santos, A. B. G., Mauad, T., Martins, M. A., Dolhnikoff, M., Carvalho, C. R. F.
(2008). Aerobic conditioning and allergic pulmonary inflammation in mice. II. Effects on lung vascular and parenchymal inflammation and remodeling. Am. J. Physiol. Lung Cell. Mol. Physiol.
295: L670-L679
[Abstract] [Full Text] -
Milgrom, H., Taussig, L. M.
(1999). Keeping Children With Exercise-induced Asthma Active. Pediatrics
104
: e38-e38
[Abstract] [Full Text]
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