Weisgerber Michael, Webber Kathryn, Meurer John, Danduran Michael, Berger Stuart, Flores Glenn
Department of Pediatrics, Medical College of Wisconsin, Children's Research Institute, Children's Hospital of Wisconsin, Milwaukee, Wisconsin 53226, USA.
Pediatr Pulmonol. 2008 Dec;43(12):1175-82. doi: 10.1002/ppul.20895.
Previous research suggests that physical activity programs may improve fitness and reduce symptoms in children with asthma, but few studies have included severe asthmatics and focused on safety and parental satisfaction with the programs.
To examine safety, parental satisfaction, and pre- to post-intervention changes in symptoms and quality of life (QOL) in a pilot study of the impact of vigorous physical activity (swimming) and moderate-intensity activity (golf) on inner-city children with asthma.
DESIGN/METHODS: Children with asthma (7-14 years old) residing in Milwaukee's highest asthma prevalence zip codes were randomized to a 9-week swimming or golf program. Pre- and post-intervention data were obtained on safety, parental satisfaction, asthma symptoms, quality of life, and urgent asthma physician visits.
Twenty-eight children in the swimming group and 17 in the golf group completed the program. Combined group analysis (N = 45) revealed that only six symptom exacerbations occurred during 1,125 person-sessions of swimming and golf (all resolved with bronchodilator therapy), 92% of parents were very or extremely satisfied with the program, and post-exercise decreases were observed in asthma symptom severity scores (9.3-7.3, P < 0.001), improved parental QOL (4.9-5.4, P < 0.001), and reduced urgent physician visits for asthma (1.3-0.2 visits per person, P = 0.04). The study lacked sufficient power to perform intergroup comparisons.
Findings from this pilot study indicate that vigorous (swimming) and moderate-intensity (golf) physical activity programs are well-tolerated, safe, and achieve high parental satisfaction. Participants and parents reported reduced childhood asthma symptoms and physician office visits and improved parental QOL. These findings suggest a potentially beneficial role for moderate to vigorous physical activity in childhood asthma.
先前的研究表明，体育活动项目可能会改善哮喘患儿的健康状况并减轻症状，但很少有研究纳入重度哮喘患者，且未关注这些项目的安全性及家长满意度。
在一项关于剧烈体育活动（游泳）和中等强度活动（高尔夫）对城市中心哮喘患儿影响的试点研究中，考察安全性、家长满意度以及干预前后症状和生活质量（QOL）的变化。
设计/方法：居住在密尔沃基哮喘患病率最高邮政编码地区的哮喘患儿（7 - 14岁）被随机分配到为期9周的游泳或高尔夫项目。在干预前后获取了关于安全性、家长满意度、哮喘症状、生活质量以及哮喘急诊就诊情况的数据。
游泳组的28名儿童和高尔夫组的17名儿童完成了该项目。合并组分析（N = 45）显示，在1125人次的游泳和高尔夫活动期间仅发生了6次症状加重（均通过支气管扩张剂治疗得到缓解），92%的家长对该项目非常满意或极其满意，且运动后哮喘症状严重程度评分降低（9.3 - 7.3，P < 0.001），家长生活质量得到改善（4.9 - 5.4，P < 0.001），哮喘急诊就诊次数减少（每人1.3 - 0.2次就诊，P = 0.04）。该研究缺乏足够的效力进行组间比较。
这项试点研究的结果表明，剧烈（游泳）和中等强度（高尔夫）体育活动项目耐受性良好、安全且家长满意度高。参与者和家长报告称儿童哮喘症状减轻、医生门诊就诊次数减少且家长生活质量得到改善。这些发现表明，中等至剧烈体育活动在儿童哮喘中可能具有有益作用。
