Faculty of Health Sciences (Kinesiology), University of Ontario Institute of Technology, Oshawa, ON L1G 0C5, Canada.
Department of Kinesiology and Physical Education, McGill University, Montreal, QC H2W 1S4, Canada.
Int J Environ Res Public Health. 2020 Mar 10;17(5):1789. doi: 10.3390/ijerph17051789.
: Many countries have clinical practice guidelines (CPG) for asthma that serve as an important resource for healthcare professionals and inform the development of policies and practices relevant to asthma care. The purpose of this scoping review was to search for CPGs related to asthma to determine what recommendations related to the 24-h movement behaviours are provided. : We searched for the most recent CPGs published by a national authoritative body from 195 countries. Guidelines were reviewed for all movement behaviours; that is, physical activity, sedentary behaviour, and sleep. : In total, 82 documents were searched for eligibility and 19 were included in our review. Of these, only 10 CPGs provided information on physical activity; none provided recommendations consistent with the FITT principle, while seven recommended activity levels similar to the general population. None of the guidelines included information on sedentary behaviour. Nine guidelines included information on sleep: recommendations mostly focused on changes to medication to reduce disruptions in sleep. : It is recommended that future work be conducted to create comprehensive movement behaviour guidelines accompanied with relevant precautions and strategies to ensure that adults with asthma are able to safely and effectively engage in movement behaviours throughout the day.
许多国家都有哮喘临床实践指南 (CPG)，这些指南是医疗保健专业人员的重要资源，并为与哮喘护理相关的政策和实践的制定提供信息。本范围综述的目的是搜索与哮喘相关的 CPG，以确定提供了哪些与 24 小时运动行为相关的建议。
我们从 195 个国家的国家权威机构中搜索了最新发布的 CPG。指南对所有运动行为进行了审查，即体力活动、久坐行为和睡眠。
总共搜索了 82 份文件以确定其是否符合入选标准，最终有 19 份被纳入我们的综述。其中，只有 10 份 CPG 提供了关于体力活动的信息；没有一份建议符合 FITT 原则，而有 7 份建议的活动水平与一般人群相似。没有一份指南包含久坐行为的信息。9 份指南包含了关于睡眠的信息：建议主要集中在改变药物以减少对睡眠的干扰。
建议未来开展工作，制定全面的运动行为指南，并附有相关的预防措施和策略，以确保哮喘患者能够全天安全有效地参与运动行为。
