哮喘联盟

   摘要
   背景:体育活动在哮喘患者中，尤其是儿童中已经显示出各种健康益处。然而,有关成年患者业余体育活动与哮喘控制关系的数据仍很有限。
   目的:本研究目的是确定体育活动和哮喘控制之间关系的本质，尤其关注活动强度和季节性变化的影响。
   方法:电话采访643例确诊的哮喘成年患者 (平均年龄 (SD)=53(15)岁, 60%为女性)。患者完成哮喘控制问卷(ACQ)、哮喘生存质量问卷和用来评价业余体育活动(LTPA)的1年期体育活动回顾问卷。
   结果:总 LTPA与哮喘控制相关 (β (95% CI)=-0.013 (-0.030 to 0.006)), 达到推荐LTPA水平者哮喘控制的概率是不活动患者的2.5倍。通过对季节性运动习惯的分析发现，冬季LTPA(β=-0.027 (-0.048 to -0.006)) 比夏季LTPA(β=-0.019 (-0.037 to -0.001))与ACQ分数相关性更强。校正了年龄、性别、季节变化、吸入的皮质类固醇剂量、体质指数和现阶段吸烟状况后，相关性的强度降低了。
   结论:数据表明，在成年哮喘患者中，更高的LTPA水平与更好的哮喘控制相关，而在达到推荐活动水平的患者中似乎具有更显著的相关性。
 

（杨冬 审校）
BMJ Open Respir Res. 2015 Jul 24;2(1):e000083. doi: 10.1136/bmjresp-2015-000083. eCollection 2015.

 

Association between patterns of leisure time physical activity and asthma control in adult patients.
 

Bacon SL1, Lemiere C2, Moullec G3, Ninot G4, Pepin V1, Lavoie KL5.
 

Abstract
BACKGROUND:Physical activity has been shown to have various health benefits in patients with asthma, especially in children. However, there are still limited data on the nature of the association between physical activity and asthma control in adults.
OBJECTIVE:The objective of the current study was to determine the nature of the association between physical activity and asthma control, with particular emphasis on the intensity of the activity and seasonal variations.
METHODS:643 adult patients with objectively confirmed asthma (mean age (SD)=53 (15) years, 60% women) were interviewed by telephone. Patients completed the asthma control questionnaire (ACQ), the asthmaquality of life questionnaire, and a 1-year physical activity recall questionnaire to assess leisure time physical activity (LTPA).
RESULTS:Total LTPA was related to control (β (95% CI)=-0.013 (-0.030 to 0.006)), with those doing recommended levels of LTPA being nearly 2.5 times more likely to have good control compared with inactive patients. Analysis of seasonal exercise habits found that winter LTPA (β=-0.027 (-0.048 to -0.006)) was more strongly associated with ACQ scores than summer LTPA (β=-0.019 (-0.037 to -0.001)). Adjustment for age, sex, season of assessment, inhaled corticosteroid (ICS) dose, body mass index, and current smoking status reduced the strength of the relationships.
CONCLUSIONS:Data indicate that higher levels of LTPA are associated with better levels of asthma control in adult patients with asthma, and that this seems to be more pronounced among asthmatics who do the recommended levels of exercise.
 

BMJ Open Respir Res. 2015 Jul 24;2(1):e000083. doi: 10.1136/bmjresp-2015-000083. eCollection 2015.