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哮喘管理的运动建议与实际考量——一份欧洲变态反应和临床免疫学会立场文件

Exercise Recommendations and Practical Considerations for Asthma Management-An EAACI Position Paper.

作者信息

Price Oliver J, Papadopoulos Nikolaos G, Amérigo Darío Antolín, Backer Vibeke, Bougault Valérie, Del Giacco Stefano, Gawlik Radoslaw, Eguiluz-Gracia Ibon, Heffler Enrico, Janson Christer, McDonald Vanessa M, Moreira André, Simpson Andrew, Bonini Matteo

机构信息

School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds, UK.

Department of Respiratory Medicine, Leeds Teaching Hospital NHS Trust, Leeds, UK.

出版信息

Allergy. 2025 Jun;80(6):1572-1591. doi: 10.1111/all.16573. Epub 2025 May 6.

DOI:
10.1111/all.16573
PMID:40327018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12186601/
Abstract

Exercise is an important treatment for people with asthma and should be considered alongside pharmacological therapy when developing personalised asthma management plans. Despite this, there remains limited guidance concerning the practicalities of asthma-specific exercise prescription. This European Academy of Allergy and Clinical Immunology task force was therefore established to achieve three fundamental aims: first, to provide an up-to-date perspective concerning the role of exercise for asthma management (i.e., describe the disease modifying potential of exercise and associated impact on asthma-related extrapulmonary comorbidities); second, to develop pragmatic recommendations to facilitate safe and effective exercise prescription; and third, to identify key unmet needs and provide focused direction for future research. The position paper is structured as a practically focused document, with recommendations formulated according to best available scientific evidence and expert opinion, with an emphasis on providing healthcare providers with pragmatic advice that can be implemented during routine asthma review.

摘要

运动是哮喘患者的重要治疗方法,在制定个性化哮喘管理计划时,应与药物治疗一并考虑。尽管如此,关于哮喘特异性运动处方的实际操作,指导仍然有限。因此,成立了这个欧洲变态反应与临床免疫学会特别工作组,以实现三个基本目标:第一,提供关于运动在哮喘管理中作用的最新观点(即描述运动对疾病的改善潜力以及对哮喘相关肺外合并症的影响);第二,制定实用建议,以促进安全有效的运动处方;第三,确定关键的未满足需求,并为未来研究提供重点方向。本立场文件的结构是一份注重实际操作的文件,建议根据现有最佳科学证据和专家意见制定,重点是为医疗保健提供者提供在常规哮喘复查期间可实施的实用建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2110/12186601/73f3b8b69ff7/ALL-80-1572-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2110/12186601/8b5b0d6ba0ab/ALL-80-1572-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2110/12186601/66a2b23bc73a/ALL-80-1572-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2110/12186601/73f3b8b69ff7/ALL-80-1572-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2110/12186601/8b5b0d6ba0ab/ALL-80-1572-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2110/12186601/66a2b23bc73a/ALL-80-1572-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2110/12186601/73f3b8b69ff7/ALL-80-1572-g002.jpg

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本文引用的文献

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Asthma diagnosis: a comparison of established diagnostic guidelines in adults with respiratory symptoms.哮喘诊断:有呼吸道症状的成人既定诊断指南比较
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Effects of Combined Aerobic and Breathing Exercises on Asthma Control: A Randomized Controlled Trial.有氧运动与呼吸练习相结合对哮喘控制的影响:一项随机对照试验。
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Physical capacity and inactivity in obstructive airway diseases: a "can do, do do" analysis.
阻塞性气道疾病中的身体能力与缺乏运动:一项“能做,就去做”的分析。
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Effects of Moderate- Versus Vigorous-Intensity Exercise Training on Asthma Outcomes in Adults.中强度与高强度运动训练对成年人哮喘结局的影响。
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Physical Activity and Sedentary Behavior as Treatable Traits for Clinical Control in Moderate-to-Severe Asthma.体力活动和久坐行为可作为中重度哮喘临床控制的可治疗特征。
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Abnormal Exertional Breathlessness on Cardiopulmonary Cycle Exercise Testing in Relation to Self-Reported and Physiologic Responses in Chronic Airflow Limitation.慢性气流受限患者心肺循环运动试验中自觉用力呼吸困难与生理反应的关系
Chest. 2024 Jul;166(1):81-94. doi: 10.1016/j.chest.2024.02.034. Epub 2024 Feb 27.
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Core Function in Adults With Severe Asthma and Its Relationship With Breathing Symptoms.成人严重哮喘的核心功能及其与呼吸症状的关系。
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