哮喘患者运动相关生命质量：系统性综述
2012/07/06
摘要
目的：基于已有文献，分析哮喘患者体力活动对生活质量的影响。
方法：对2000年1月～2010年8月间的随机对照试验（RCT）进行检索，检索数据库包括Academic Search Complete, Directory of Open Access Journals, Elsevier-Science Direct, Highwire Press, PubMed, Scielo Global, Scirus, Scopus, SpringerLink, Taylor & Francis和Wiley Interscience，关键词为哮喘、生活质量、体力活动、运动、训练和项目及其任何可能的组合。同时每项研究的引用或参考文献也进行分析。
结果：共找到1075项研究，最终11项研究纳入分析。其中5项研究的参与者为7～15岁的儿童，其他研究受试者为成人。干预项目可分为有氧训练项目和呼吸运动项目。所有有氧训练项目显示能改善生活质量，表明有氧训练对哮喘能产生正面影响。
结论：较多研究证据显示，有氧训练项目有助于改善哮喘患者的生命质量。呼吸运动项目对生命质量的影响较小或结果存在分歧，因此，目前尚不能推荐采用呼吸运动项目来改善哮喘患者生命质量。有必要进行更多的、方法学上严格设计的RCT，研究体力活动对哮喘患者生命质量的影响。
(林江涛 审校)
J Asthma. 2012 May 3. [Epub ahead of print]
J Asthma. 2012 May 3. [Epub ahead of print]
Source
School of Allied Health Professions, Polytechnic Institute of Oporto , Oporto , Portugal.
Abstract
OBJECTIVE：The purpose of this review was to analyze, based on a review of the current literature, the effects of physical activity on the quality of life (QoL) of subjects with asthma.
METHODS：The authors conducted a search of randomized controlled trials (RCTs) between January 2000 and August 2010 in a group of major databases of health sciences (Academic Search Complete, Directory of Open Access Journals, Elsevier-Science Direct, Highwire Press, PubMed, Scielo Global, Scirus, Scopus, SpringerLink, Taylor & Francis, and Wiley Interscience) with the keywords asthma, QoL, physical activity, exercise, training, and program in all possible combinations. Citations and references of each study selected were also examined.
RESULTS：Of the 1075 studies identified, only 11 were included. Five of these studies were performed in children between the ages of 7 and 15 and the remaining studies were performed on adults. Intervention programs were divided into aerobic training programs and breathing exercises programs. All aerobic training programs showed improvements in QoL, demonstrating a positive influence of aerobic training on asthma.
CONCLUSIONS：There is a noticeable trend in the benefit of aerobic training programs in the QoL for individuals with asthma. The breathing exercises programs were few and heterogeneous, making it difficult to reach a positive conclusion on whether it could be recommended for the improvement of QoL in this pathology. There is a great need for more RCTs with methodological rigor
J Asthma. 2012 May 3. [Epub ahead of print]
上一篇：
旁遮普语和华语哮喘患者哮喘自我管理宣教干预的有效性：随机对照试验
下一篇：
加拿大胸科学会2012年指南更新：学龄前儿童、学龄期儿童和成人哮喘的诊断和处理
