Short term effects of aerobic training in the clinical management of moderate to severe asthma in children

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dc.contributor.authorNeder, Jose Alberto [UNIFESP]
dc.contributor.authorNery, Luiz Eduardo [UNIFESP]
dc.contributor.authorSilva, Antonio Carlos da [UNIFESP]
dc.contributor.authorCabral, Ana Lucia Barros
dc.contributor.authorFernandes, Ana Luísa Godoy [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2018-06-18T12:12:13Z
dc.date.available2018-06-18T12:12:13Z
dc.date.issued1999-03-01
dc.description.abstractBackground-Aerobic training has a number of well known beneficial effects in both normal and asthmatic children. However, the impact of training on the clinical management of the underlying bronchial asthma remains controversial, particularly in the most severe patients.Methods-Clinical evaluation, spirometric tests, symptom limited maximum exercise testing, and exercise challenge tests were performed in a group of children with stable moderate to severe asthma. Forty two patients (24 boys) aged 8-16 were evaluated twice: before and after supervised aerobic training (group 1, n = 26) and two months apart (untrained group 2, n = 16).Results-Spirometric and maximal exercise variables in the initial evaluation were significantly reduced in group 1 (p<0.05) but medication and clinical scores and the occurrence of exercise induced bronchospasm (EIB) did not differ between the two groups. Aerobic improvement with training (maximal oxygen uptake and/or anaerobic threshold increment >10% and 100 mi) was inversely related to the baseline level of fitness and was independent of disease severity. Although the clinical score and the occurrence of EIB did not change after training, aerobic improvement was associated with a significant reduction in the medication score and the daily use of both inhaled and oral steroids (p<0.05).Conclusions-Aerobic improvement with Methods training in less fit asthmatic children is related to a short term decrease in the daily use of inhaled and oral steroids, independent of the severity of the disease.en
dc.description.affiliationUniv Fed Sao Paulo, Paulista Sch Med, Dept Med, Div Resp, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Paulista Sch Med, Dept Physiol, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Paulista Sch Med, Dept Med, Div Resp, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Paulista Sch Med, Dept Physiol, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)pt
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)pt
dc.format.extent202-206
dc.identifierhttps://dx.doi.org/10.1136/thx.54.3.202
dc.identifier.citationThorax. London: British Med Journal Publ Group, v. 54, n. 3, p. 202-206, 1999.
dc.identifier.doi10.1136/thx.54.3.202
dc.identifier.issn0040-6376
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/45652
dc.identifier.wosWOS:000079065100006
dc.language.isoeng
dc.publisherBritish Med Journal Publ Group
dc.relation.ispartofThorax
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAsthmaen
dc.subjectChildrenen
dc.subjectExercise trainingen
dc.subjectMaximal oxygen uptakeen
dc.subjectAnaerobic thresholden
dc.subjectPhysical fitnessen
dc.titleShort term effects of aerobic training in the clinical management of moderate to severe asthma in childrenen
dc.typeinfo:eu-repo/semantics/article
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