Holzer F J, Schnall R, Landau L I
Aust Paediatr J. 1984 Nov;20(4):297-301. doi: 10.1111/j.1440-1754.1984.tb00098.x.
Sixty-nine children with asthma and 86 with cystic fibrosis (CF) were assessed for lung function, respiratory muscle function and exercise tolerance. Thirty-seven with asthma and 41 with CF subsequently undertook an at home exercise program and the remainder were matched controls. There was no significant change in pulmonary function after 3 months of the exercise program. Compliance with the program decreased markedly towards the end of the 3 months and this lack of compliance may have contributed to the failure to show any significant training effect. A previously supervised program showed increased fitness and increased peak pressures in children with asthma following intensive exercise. There appears limited value in promoting unsupervised home exercise programs for children with CF and asthma. In those groups of children who will benefit with increased physical activity, supervised programs and more interesting play activities may need to be organized to obtain optimal benefit.
对69名哮喘患儿和86名囊性纤维化(CF)患儿进行了肺功能、呼吸肌功能和运动耐力评估。37名哮喘患儿和41名CF患儿随后进行了家庭锻炼计划,其余为匹配的对照组。锻炼计划3个月后肺功能无显著变化。在3个月末,对该计划的依从性显著下降,而这种缺乏依从性可能导致未能显示出任何显著的训练效果。一项先前有监督的计划显示,哮喘患儿在强化运动后体能增强,峰值压力增加。对于CF患儿和哮喘患儿,推广无监督的家庭锻炼计划似乎价值有限。在那些可能从增加体力活动中受益的儿童群体中,可能需要组织有监督的计划和更有趣的游戏活动,以获得最佳益处。