哮喘联盟

   摘要
   背景：体育锻炼能够提高哮喘患者运动能力。多数研究关注儿童和青年人。在此之前，最长项目持续6个月。较低强度并持续超过6个月的项目是否能获得相同的结果尚未可知。本对照试验旨在研究为期1年的中等强度门诊训练项目对成年哮喘患者身体素质和生活质量的影响。
   方法：21例成年哮喘患者（平均年龄56±10岁）被分为门诊训练（n=13）和标准治疗（n=8）两组。体育锻炼每周1次，每次60分钟中等强度锻炼。分别于基线水平及1年后评估运动心肺试验、健康状况调查问卷简表-36及哮喘患者生活质量问卷。
   结果：1年锻炼后，锻炼组最大工作能力 (p = 0.005)、摄氧量峰值(p < 0.005)、指脉氧 (p < 0.05)、最大通气量(p < 0.005)及多数生活质量领域均有提高。对照组未发现任何变化。
   结论：由理疗师带领的、长期的中等强度的锻炼项目持续一年能够促使积极主动的成年哮喘患者在运动能力和健康相关的生活质量方面有临床相关的改善。
 

（苏欣 审校）
 BMC Pulm Med. 2015 May 7;15(1):56. doi: 10.1186/s12890-015-0053-8.

 

A 12-month, moderate-intensity exercise training program improves fitness and quality of life in adults with asthma: a controlled trial.
 

Meyer A1, Günther S2, Volmer T3, Taube K4, Baumann HJ5.
Author information
 

Abstract
BACKGROUND:Physical training has been shown to improve exercise capabilities in patients with asthma. Most studies focused on children and younger adults. Previously, the maximum program duration was six months. It is not known whether the same results may be obtained with lower intensity programs and sustained for time periods longer than 6 months. This controlled study was undertaken to investigate the effects of a moderate intensity outpatient training program of one year duration on physical fitness and quality of life in adults with asthma.
METHODS:21 adult asthmatics (mean age 56 ± 10 years) were allocated to outpatient training (n = 13) or standard care (n = 8). Exercise consisted of once weekly, 60-minute sessions of moderate intensity. Assessments at baseline and after one year included cardiopulmonary exercise testing and Short Form-36 and Asthma Quality of Life Questionnaires.
RESULTS:Following one year of exercise, relevant improvements were observed in the training group for maximum work capacity (p = 0.005), peak oxygen uptake (p < 0.005), O2pulse (p < 0.05), maximum ventilation (p < 0.005), and most of the quality of life domains. No changes were observed in the control group.
CONCLUSIONS:A physiotherapist-led, long-term, moderate-intensity exercise program of one year duration can induce clinically relevant improvements in exercise capabilities and health-related quality of life in well-motivated adults with asthma.
 

BMC Pulm Med. 2015 May 7;15(1):56. doi: 10.1186/s12890-015-0053-8.