Water-based exercise for adults with asthma

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dc.contributor.authorGrande, Antonio Jose
dc.contributor.authorSilva, Valter [UNIFESP]
dc.contributor.authorSilva, Brenda Nazaré Gomes da [UNIFESP]
dc.contributor.authorRiera, Rachel
dc.contributor.authorParra, Sérgio Alencar
dc.contributor.authorPeccin, Maria Stella [UNIFESP]
dc.contributor.institutionUniv Extremo Sul Catarinense
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionCtr Estudos Saude Baseada Evidencias & Avaliacaos
dc.contributor.institutionUniversidade Estadual de Londrina (UEL)
dc.date.accessioned2016-01-24T14:34:54Z
dc.date.available2016-01-24T14:34:54Z
dc.date.issued2014-01-01
dc.description.abstractBackgroundAsthma is a common condition characterised by airway inflammation and airway narrowing, which can result in intermittent symptoms of wheezing, coughing and chest tightness, possibly limiting activities of daily life. Water-based exercise is believed to offer benefits for people with asthma through pollen-free air, humidity and effects of exercise on physical function.ObjectivesTo evaluate the effectiveness and safety of water-based exercise for adults with asthma.Search methodsWe searched the Cochrane Airways Group Specialised Register of Trials (CAGR), the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Allied and Complementary Medicine Database (AMED), PsycINFO, the Latin American and Caribbean Health Science Information Database (LILACS), the Physiotherapy Evidence Database (PEDro), the System for Information on Grey Literature in Europe (SIGLE) and Google Scholar on 13 May 2014. We handsearched ongoing clinical trial registers and meeting abstracts of the American Thoracic Society (ATS), the European Respiratory Society (ERS) and the British Thoracic Society (BTS).Selection criteriaWe included all randomised controlled trials (RCTs) of adults with asthma comparing a water-based exercise group versus one or more of the following groups: usual care, land-based exercise, non-exercise.Data collection and analysisTwo review authors (AJG, VS) independently extracted data fromthe primary studies using a standard form developed for this purpose, which includes methods, participants, interventions and outcomes. We contacted trial authors to request additional data. Data were input by one review author and were double-checked by a second review author.Main resultsIn this systematic review, we provide a narrative synthesis of available evidence from three small studies including 136 adult participants. the studies were at high risk of bias. No meta-analysis was possible because of methodological and interventional heterogeneity between included studies. the primary outcomes of quality of life and exacerbations leading to use of steroids were not reported by these studies. for exacerbations leading to health centre/hospital visits, uncertainty was wide because a very small number of events was reported (in a single study). Secondary outcomes symptoms, lung function, changes in medication and adverse effects, where available, described for each included study. the overall quality of the studies was very low, and no clear differences were noted between water-based exercise and comparator treatments. Therefore, we remain very uncertain about the effects of water-based exercise for adults with asthma.Authors' conclusionsThe small number of participants in the three included studies, the clinical and methodological heterogeneity observed and the high risk of bias assessed mean that we are unable to assess the place of water-based exercise in asthma. Randomised controlled trials are needed to assess the efficacy and safety of water-based exercise for adults with asthma. for future research, we suggest greater methodological rigour (participant selection, blinding of outcome assessors, reporting of all outcomes analysed and registering of the study protocol).en
dc.description.affiliationUniv Extremo Sul Catarinense, Dept Publ Hlth, BR-88806000 Criciuma, SC, Brazil
dc.description.affiliationFed Univ São Paulo UNIFESP, São Paulo, Brazil
dc.description.affiliationCtr Estudos Saude Baseada Evidencias & Avaliacaos, Brazilian Cochrane Ctr, São Paulo, Brazil
dc.description.affiliationUniv Estadual Londrina, Londrina, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Human Movement Sci, Santos, Brazil
dc.description.affiliationUnifespFed Univ São Paulo UNIFESP, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Human Movement Sci, Santos, Brazil
dc.description.sourceWeb of Science
dc.format.extent38
dc.identifierhttps://dx.doi.org/10.1002/14651858.CD010456.pub2
dc.identifier.citationCochrane Database of Systematic Reviews. Hoboken: Wiley-Blackwell, n. 7, 38 p., 2014.
dc.identifier.doi10.1002/14651858.CD010456.pub2
dc.identifier.issn1469-493X
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/37110
dc.identifier.wosWOS:000339710000044
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofCochrane Database of Systematic Reviews
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dc.titleWater-based exercise for adults with asthmaen
dc.typeinfo:eu-repo/semantics/article
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