Sadek Attalla Sara, Ow Nadya L, McNarry Melitta, De Simoni Anna
Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Applied Sports, Technology, Exercise and Medicine Research Centre, Asthma UK Centre for Applied Research (AUKCAR), Faculty of Science and Engineering, Swansea University, Swansey, Wales, UK.
BJGP Open. 2022 Sep 28;6(3). doi: 10.3399/BJGPO.2021.0162. Print 2022 Sep.
Engagement with exercise in adults with asthma is suboptimal. Limited information is available regarding factors affecting engagement with exercise.
To explore experiences of exercise and linked unmet needs in adults with asthma.
DESIGN & SETTING: Qualitative thematic analysis of posts in a UK asthma online community, written between 2015 and 2020.
Posts were identified using keywords searches. Posts in the 'Exercise' topic section were additionally included. Thematic analysis of posts was undertaken.
A total of 143 relevant posts were analysed. Ninety-two participants were identified through posts (11 male, 33 female, 48 sex not stated, aged 26-73 years). Emerging themes included the following: fear of experiencing asthma symptoms during exercise; lack of information about how to deal with symptoms; external barriers; emotional response; and involvement of healthcare providers. Environmental factors, concomitant life stressors, distrust of healthcare professionals, and embarrassment about displaying asthma symptoms during exercise were barriers to engagement. Facilitators included experiencing positive health outcomes following exercise and positive discussions regarding exercise with healthcare professionals. Strategies participants developed to enable exercise were warming up, increasing reliever and preventer inhalers when exercising, and finding exercises the individual felt were enjoyable.
Future interventions to address fears of exercise-induced physical symptoms, and clear instructions on the use of inhalers when exercising are needed. Exploring patients' attitudes to exercise in clinical consultations, especially in primary care, may be beneficial.
哮喘成人患者的运动参与情况不理想。关于影响运动参与的因素，现有信息有限。
探讨哮喘成人患者的运动体验及相关未满足的需求。
对2015年至2020年间英国哮喘在线社区发布的帖子进行定性主题分析。
通过关键词搜索确定帖子。另外纳入“运动”主题板块的帖子。对帖子进行主题分析。
共分析了143篇相关帖子。通过帖子确定了92名参与者（11名男性，33名女性，48名未说明性别，年龄26 - 73岁）。新出现的主题包括：运动期间害怕出现哮喘症状；缺乏应对症状的信息；外部障碍；情绪反应；以及医疗服务提供者的参与。环境因素、伴随的生活压力源、对医疗专业人员的不信任以及运动期间展示哮喘症状的尴尬是参与运动的障碍。促进因素包括运动后体验到积极的健康结果以及与医疗专业人员就运动进行积极讨论。参与者为能够运动而制定的策略包括热身、运动时增加缓解药物和预防药物吸入器的使用量，以及找到个人觉得有趣的运动。
未来需要采取干预措施来解决对运动诱发身体症状的恐惧，并提供运动时使用吸入器的明确指导。在临床会诊中，特别是在初级保健中，探讨患者对运动的态度可能会有所帮助。
