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Effects of Physical Conditioning on Children and Adolescents with Asthma

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Abstract

More than 40 years ago, the effects of exertional dyspnoea and the associated fear of an asthma attack usually lead to an avoidance of physical activity amongst asthmatic children. This issue still exists today, particularly in children with severe asthma. This article presents a comprehensive review of published information concerning the effects of training programmes on children and adolescents with asthma. The primary focus of these investigations was to examine the effects of physical conditioning on aerobic fitness, the severity and incidence of exercise-induced asthma (EIA) and asthma symptoms.

The large majority of training studies of asthmatic children and adolescents demonstrate significant increases in aerobic fitness post-training or the achievement of normal levels of aerobic fitness. While there are a few reports of a reduced severity in EIA symptoms post-training, the majority of studies demonstrate no change in the occurrence or degree of EIA. However, a number of these studies have reported some reductions in hospitalisations, wheeze frequency, school absenteeism, doctor consultations and medication usage. It is, therefore, recommended that children and adolescents with asthma should participate in regular physical activity. This may improve asthma management and associated general health benefits, whilst minimising inactivity-related health risks.

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Table I
Table II

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References

  1. Hyde JS, Swarts CL. Effect of an exercise program on the perennially asthmatic child. Am J Dis Child 1968; 116 (4): 383–96

    PubMed  CAS  Google Scholar 

  2. Carroll N, Sly P. Exercise training as an adjunct to asthma management? Thorax 1999; 54: 190–1

    Article  PubMed  CAS  Google Scholar 

  3. Nickerson BG, Bautista DB, Namey MA, et al. Distance running improves fitness in asthmatic children without pulmonary complications or changes in exercise-induced bronchospasm. Pediatrics 1983; 71: 147–52

    PubMed  CAS  Google Scholar 

  4. Ludwick SK, Jones JW, Jones TK, et al. Normalization of cardiopulmonary endurance in severely asthmatic children after bicycle ergometry therapy. J Pediatr 1986; 109: 446–51

    Article  PubMed  CAS  Google Scholar 

  5. Strunk RC, Rubin D, Kelly L, et al. Determination of fitness in children with asthma. Am J Dis Child 1988; 142 (9): 940–4

    PubMed  CAS  Google Scholar 

  6. Henriksen JM, Toftegaard-Nielsen T, Dahl R. Effects of physical training on plasma citrate and exercise-induced asthma. Scand J Clin Lab Invest 1981; 41 (3): 225–9

    Article  PubMed  CAS  Google Scholar 

  7. Henriksen JM, Toftegaard-Nickerson T. Effect of physical training on exercise-induced bronchoconstriction. Acta Paediatr Scand 1983; 72: 31–6

    Article  PubMed  CAS  Google Scholar 

  8. van Veldhoven NH, Vermeer A, Bogaard JM, et al. Children with asthma and physical exercise: effects of an exercise program. Clin Rehabil 2001; 15 (4): 360–70

    Article  PubMed  Google Scholar 

  9. Counil FP, Varray A, Matecki S, et al. Training of aerobic and anaerobic fitness in children with asthma. J Pediatr 2003; 142: 179–84

    Article  PubMed  Google Scholar 

  10. Neder JA, Nery LE, Silva AC, et al. Short-term effects of aerobic training in the clinical management of moderate to severe asthma in children. Thorax 1999; 54 (3): 202–6

    Article  PubMed  CAS  Google Scholar 

  11. Leisti S, Finnilä M, Kiuru E. Effects of physical training on hormonal responses to exercise in asthmatic children. Arch Dis Child 1979; 54: 524–8

    Article  PubMed  CAS  Google Scholar 

  12. Orenstein DM, Reed ME, Grogan FT, et al. Exercise conditioning in children with asthma. J Pediatr 1985; 106 (4): 556–60

    Article  PubMed  CAS  Google Scholar 

  13. Ramazanoglu YM, Kraemer R. Cardiorespiratory response to physical conditioning in children with bronchial asthma. Pediatr Pulmonol 1985; 1 (5): 272–7

    Article  PubMed  CAS  Google Scholar 

  14. Ahmaidi SB, Varray AL, Savy-Precaux AM. Cardiorespiratory fitness evaluation by the shuttle test in asthmatic subjects during aerobic training. Chest 1993; 103: 1135–41

    Article  PubMed  CAS  Google Scholar 

  15. Matsumoto I, Araki H, Tsuda K, et al. Effects of swimming training on aerobic capacity and exercise induced bronchoconstriction in children with bronchial asthma. Thorax 1999; 54: 196–201

    Article  PubMed  CAS  Google Scholar 

  16. Fitch KD, Morton AR, Blanksby BA. Effects of swimming training on children with asthma. Arch Dis Child 1976; 51: 190–4

    Article  PubMed  CAS  Google Scholar 

  17. Svenonius E, Kautto R, Arborelius M. Improvement after training of children with exercise-induced asthma. Acta Paediatr Scand 1983; 72: 23–30

    Article  PubMed  CAS  Google Scholar 

  18. Szentagothai K, Gyene I, Szocska M, et al. Physical exercise program for children with bronchial asthma. Pediatr Pulmonol 1987; 3 (3): 166–72

    Article  PubMed  CAS  Google Scholar 

  19. Varray AL, Mercier JG, Terral CM, et al. Individualized aerobic and high intensity training for asthmatic children in an exercise readaptation program. Chest 1991; 99 (3): 579–85

    Article  PubMed  CAS  Google Scholar 

  20. Varray AL, Mercier JG, Prefaut CG. Individualized training reduces excessive exercise hyperventilation in asthmatics. Int J Rehabil Res 1995; 18: 297–312

    Article  PubMed  CAS  Google Scholar 

  21. Schnall RP, Ford P, Gillam I, et al. Swimming and dry land exercises in children with asthma. Aust Paediatr J 1982; 18: 23–7

    PubMed  CAS  Google Scholar 

  22. Fitch KD, Blitvich JD, Morton AR. The effect of running training on exercise-induced asthma. Ann Allegy 1986; 57: 90–4

    CAS  Google Scholar 

  23. Vavra J, Macek M, Mrzena B, et al. Intensive physical training in children with bronchial asthma. Acta Paediatr Scand Suppl 1971; 217: 90–2

    Article  PubMed  CAS  Google Scholar 

  24. Edenbrandt L, Olséni L, Svenonius E, et al. Effect of physiotherapy in asthmatic children: a one-year follow-up after physical training once a week. Acta Paediatr Scand 1990; 79: 973–5

    Article  PubMed  CAS  Google Scholar 

  25. Graff-Lonnevig V, Bevegård S, Eriksson BO, et al. Two years’ follow-up of asthmatic boys participating in a physical activity programme. Acta Paediatr Scand 1980; 69: 347–52

    Article  PubMed  CAS  Google Scholar 

  26. Sly RM, Harper RT, Rosselot I. The effect of physical conditioning upon asthmatic children. Ann Allergy 1972; 30: 86–94

    PubMed  CAS  Google Scholar 

  27. Olivia CKW. Physical conditioning programme for children with bronchial asthma. Acta Paediatr Jpn 1990; 32: 173–5

    Article  PubMed  CAS  Google Scholar 

  28. Petersen KH, McElhenney TR. Effects of a physical fitness program upon asthmatic boys. Pediatrics 1965; 35: 295–9

    PubMed  CAS  Google Scholar 

  29. Huang S-W, Veiga R, Sila U, et al. The effect of swimming in asthmatic children: participants in a swimming program in the city of Baltimore. J Asthma 1989; 26 (2): 117–21

    Article  PubMed  CAS  Google Scholar 

  30. Wardell CP, Isbister C. A swimming program for children with asthma: does it improve their quality of life? Med J Aust 2000; 173: 647–8

    PubMed  CAS  Google Scholar 

  31. Engström I, Fällström K, Karlberg E, et al. Psychological and respiratory physiological effects of a physical exercise programme on boys with severe asthma. Acta Paediatr Scand 1991; 80 (11): 1058–65

    Article  PubMed  Google Scholar 

  32. Armstrong N, Welsman J. Young people and physical activity. New York: Oxford University Press, 1997

    Google Scholar 

  33. American College of Sports Medicine. American College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc 1998; 30 (6): 975–91

    Article  Google Scholar 

  34. Leger LA, Lambert J. A maximal multistage 20-m shuttle run test to predict V̇O2max. Eur J Appl Physiol 1982; 49 (1): 1–12

    Article  CAS  Google Scholar 

  35. Bernard A, Carbonnelle S, Michel O, et al. Lung hyperpermeability and asthma prevalence in schoolchildren: unexpected associations with the attendance at indoor chlorinated swimming pools. Occup Environ Med 2003; 60: 385–94

    Article  PubMed  CAS  Google Scholar 

  36. Fitch KD, Morton AR. Specificity of exercise in exercise induced asthma. BMJ 1971; 4: 577–81

    Article  PubMed  CAS  Google Scholar 

  37. Inbar O, Dotan R, Dlin RA, et al. Breathing dry or humid air and exercise-induced asthma during swimming. Eur J Appl Physiol 1980; 44: 43–50

    Article  CAS  Google Scholar 

  38. Ram FS, Robinson SM, Black PN. Effects of physical training in asthma: a systematic review. Br J Sports Med 2000; 34: 162–7

    Article  PubMed  CAS  Google Scholar 

  39. American Academy of Pediatrics. Medical conditions affecting sports participation. Pediatrics 2001; 107: 1205–8

    Article  Google Scholar 

  40. Roberts R, Buttifant D, Naughton GA, et al. Asthma in children induced by high intensity intermittent exercise [abstract]. Am J Respir Crit Care Med 1995; 151: A590

    Google Scholar 

  41. Johansson H, Foucard T, Petterson LG. Exercise tests in large groups of children are not a suitable screening procedure for undiagnosed asthma. Allergy 1997; 52 (11): 1128–32

    Article  PubMed  CAS  Google Scholar 

  42. Wilkerson LA. Exercise-induced asthma. J Am Osteopath Assoc 1998; 11 (4): 322–31

    Google Scholar 

  43. Colland VT, Fournier EP. The Asthma Coping Test: a test for asthmatic children aged 8 to 13 years [in Dutch]. Gedrag Gezond 1990; 18: 68–77

    Google Scholar 

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Acknowledgements

Liam Welsh is funded by the Australian Research Council for an Australian Postgraduate Award with Industry (APAI) grant. This work was also supported by a ‘Convoy for Kids’ grant from Asthma Victoria. The authors have no conflicts of interest that are directly relevant to the content of this review.

The authors would like to thank Dr Sarath Ranganathan for his helpful suggestions concerning table II.

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Authors and Affiliations

  1. Department of Respiratory Medicine, Royal Children’s Hospital, Flemington Road, Parkville, Melbourne, Victoria, 3052, Australia

    Liam Welsh &  Richard G. D. Roberts

  2. School of Exercise Science, Australian Catholic University, Melbourne, Victoria, Australia

    Liam Welsh & Justin G. Kemp

Authors
  1. Liam Welsh
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  2. Justin G. Kemp
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  3. Richard G. D. Roberts
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Correspondence to Richard G. D. Roberts.

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Welsh, L., Kemp, J.G. & Roberts, R.G.D. Effects of Physical Conditioning on Children and Adolescents with Asthma. Sports Med 35, 127–141 (2005). https://doi.org/10.2165/00007256-200535020-00003

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