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体育锻炼对哮喘儿童生活质量、运动能力和肺功能的影响。

Effects of physical exercise on quality of life, exercise capacity and pulmonary function in children with asthma.

作者信息

Basaran Sibel, Guler-Uysal Fusun, Ergen Nilay, Seydaoglu Gulsah, Bingol-Karakoç Gulbin, Ufuk Altintas Derya

机构信息

Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Cukurova University, Adana, Turkey.

出版信息

J Rehabil Med. 2006 Mar;38(2):130-5. doi: 10.1080/16501970500476142.

DOI:10.1080/16501970500476142
PMID:16546771
Abstract

OBJECTIVE

To investigate the effects of regular submaximal exercise on quality of life, exercise capacity and pulmonary function in asthmatic children.

PATIENTS AND METHODS

Sixty-two children with mild-moderate asthma (mean age 10.4 (SD 2.1) years) were randomly allocated into exercise and control groups. The exercise group underwent a moderately intensive basketball training program for 8 weeks. A home respiratory exercise program was advised to both groups. Pediatric Asthma Quality of Life Questionnaire (PAQLQ) was used for the evaluation of activity limitation, symptoms and emotional functions. Exercise capacity was evaluated through the physical work capacity (PWC 170 test) on a cycle ergometer and 6-minute walk test. Spirometric tests were also performed and medication and symptom scores were recorded.

RESULTS

Although PAQLQ scores improved in both groups, the improvement in the exercise group was significantly higher. The exercise group performed better in the PWC 170 and 6-minute walk tests, whereas no improvement was detected in the control group at the end of the trial. Medication scores improved in both groups, but symptom scores improved only in the exercise group. No significant changes were detected in pulmonary function in either group, except for peak expiratory flow values in the exercise group.

CONCLUSION

Eight weeks of regular submaximal exercise has beneficial effects on quality of life and exercise capacity in children with asthma. Submaximal basketball training is an effective alternative exercise program for asthmatic children.

摘要

目的

探讨规律的次极量运动对哮喘儿童生活质量、运动能力和肺功能的影响。

患者与方法

62例轻中度哮喘儿童(平均年龄10.4(标准差2.1)岁)被随机分为运动组和对照组。运动组进行为期8周的中等强度篮球训练项目。两组均建议进行家庭呼吸锻炼项目。采用儿童哮喘生活质量问卷(PAQLQ)评估活动受限、症状和情绪功能。通过在自行车测力计上进行体力工作能力(PWC 170测试)和6分钟步行测试来评估运动能力。还进行了肺量计测试,并记录药物和症状评分。

结果

虽然两组的PAQLQ评分均有所改善,但运动组的改善更为显著。运动组在PWC 170和6分钟步行测试中表现更好,而试验结束时对照组未发现改善。两组的药物评分均有所改善,但症状评分仅在运动组有所改善。除运动组的呼气峰值流速值外,两组的肺功能均未发现显著变化。

结论

为期8周的规律次极量运动对哮喘儿童的生活质量和运动能力有有益影响。次极量篮球训练是哮喘儿童一种有效的替代运动项目。

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