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太极拳运动可改善哮喘和非哮喘儿童的肺功能,降低呼出气一氧化氮水平,并提高哮喘儿童的生活质量。

Tai-Chi-Chuan Exercise Improves Pulmonary Function and Decreases Exhaled Nitric Oxide Level in Both Asthmatic and Nonasthmatic Children and Improves Quality of Life in Children with Asthma.

作者信息

Lin Hsin-Chia, Lin Hao-Pai, Yu Hsin-Hui, Wang Li-Chieh, Lee Jyh-Hong, Lin Yu-Tsan, Yang Yao-Hsu, Li Pei-Yi, Sun Wei-Zen, Chiang Bor-Luen

机构信息

Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.

Taiwan Tai Chi & Wushu Academy, Taipei, Taiwan.

出版信息

Evid Based Complement Alternat Med. 2017;2017:6287642. doi: 10.1155/2017/6287642. Epub 2017 Apr 13.

Abstract

Tai-Chi-Chuan (TCC) is an exercise of low-to-moderate intensity which is suitable for asthmatic patients. The aim of our study is to investigate improvements of the lung function, airway inflammation, and quality of life of asthmatic children after TCC. Participants included sixty-one elementary school students and they were divided into asthmatic ( = 29) and nonasthmatic ( = 32) groups by the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire. Among them, 20 asthmatic and 18 nonasthmatic children volunteered to participate in a 60-minute TCC exercise weekly for 12 weeks. Baseline and postintervention assessments included forced expiratory volume in one second (FEV1), forced vital capacity (FVC), peak expiratory flow rate (PEFR), fractional exhaled nitric oxide (FeNO) level, and Standardised Pediatric Asthma Quality of Life Questionnaire (PAQLQ(S)). After intervention, the level of FeNO decreased significantly; PEFR and the FEV1/FVC also improved significantly in both asthmatic group and nonasthmatic group after TCC. The asthmatic children also had improved quality of life after TCC. The results indicated that TCC could improve the pulmonary function and decrease airway inflammation in both children with mild asthma and those without asthma. It also improves quality of life in mild asthmatic children. Nevertheless, further studies are required to determine the effect of TCC on children with moderate-to-severe asthma.

摘要

太极拳(TCC)是一种低至中等强度的运动,适合哮喘患者。我们研究的目的是调查哮喘儿童在进行太极拳运动后肺功能、气道炎症和生活质量的改善情况。参与者包括61名小学生,他们通过儿童哮喘和过敏国际研究(ISAAC)问卷被分为哮喘组(n = 29)和非哮喘组(n = 32)。其中,20名哮喘儿童和18名非哮喘儿童自愿每周参加一次60分钟的太极拳运动,持续12周。基线和干预后评估包括一秒用力呼气量(FEV1)、用力肺活量(FVC)、呼气峰值流速(PEFR)、呼出一氧化氮分数(FeNO)水平以及标准化儿童哮喘生活质量问卷(PAQLQ(S))。干预后,FeNO水平显著下降;太极拳运动后,哮喘组和非哮喘组的PEFR以及FEV1/FVC也显著改善。哮喘儿童在进行太极拳运动后生活质量也有所提高。结果表明,太极拳可以改善轻度哮喘儿童和非哮喘儿童的肺功能,减少气道炎症。它还能提高轻度哮喘儿童的生活质量。然而,需要进一步研究来确定太极拳对中重度哮喘儿童的影响。

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