Abstract

Asthma is a heterogeneous disease with respiratory symptoms that vary over time and intensity. Exercise-induced asthma patients are advised to avoid strenuous physical activity, which can trigger bronchospasm. However, appropriate exercise can improve asthma control and lung function in stable asthma patients. A literature search was conducted on PubMed, COCHRANE, and EMBASE databases using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines according to the specified eligibility criteria. Those studies were critically appraised using the Oxford Critical Appraisal Tool 4.0. Four articles were selected based on the PRISMA search strategy flowchart to assess their validity, importance, and applicability. There was a significant effect of aerobic exercise on lung function (p-value = 0.05) and asthma control (p-value = 0.004). There was a significant effect of breathing exercise on the quality-of-life outcome group (p-value <0.05) and Forced Expiratory Volume in 1 second (FEV1)% predicted (p-value <0.001). Physical exercise for 30 minutes two to three times per week or yoga exercise for 60 minutes per day for 3-5 days improves lung function and asthma control in stable asthma patients.

References

1. Global Initiative for Asthma (GINA). 2023 GINA Main Report: Global strategy for asthma management and prevention. Fontana, WA: Global Initiative for Asthma (GINA); 2023.

2. World Health Organization. Fact sheet no 307: Asthma. Geneva: World Health Organization; 2024.

3. Jayasinghe H, Kopsaftis Z, Carson K. Asthma bronchiale dan exercise-induced bronchoconstriction. Respiration. 2015; 89 (6): 505-512. DOI: 10.1159/000433559.

4. Lang JE. The impact of exercise on asthma. Curr Open Allergy Clin Immunol. 2019; 19 (2): 118-125. DOI: 10.1097/ACI.0000000000000510.

5. Kippelen P, Anderson SD, Hallstrand TS. Mechanisms and biomarkers of exercise-induced bronchoconstriction. Immunol Allergy Clin North Am. 2018; 38 (2): 165-182. DOI: 10.1016/j.iac.2018.01.008.

6. Kuder MM, Clark M, Cooley C, et al. A systematic review of the effect of physical activity on asthma outcomes. J Allergy Clin Immunol Pract. 2021; 9: 3407-3421. DOI: 10.1016/j.jaip.2021.04.048.

7. Hansen ESH, Fabricus AP, Toennesen LL, et al. Effect of aerobic exercise training on asthma in adults: A systematic review and meta-analysis. Eur Respir J. 2020; 56 (1): 2000146. DOI: 10.1183/13993003.00146-2020.

8. Jaakkola JJK, Aalto SAM, Kiihamaki SP, et al. Regular exercise improves asthma control in adults: A randomized controlled trial. Sci Rep. 2019; 9 (1): 12088. DOI: 10.1038/s41598-019-48484-8.

9. Santino TA, Chaves GS, Freitas DA, et al. Breathing exercises for adults with asthma. Cochrane Database Syst Rev. 2020; 3 (3): CD001277. DOI: 10.1002/14651858.CD001277.

10. Pothirat C, Chaiwong W, Phetsuk N, et al. Peak expiratory flow rate as a surrogate for forced expiratory volume in 1 second in COPD severity classification in Thailand. Int J Chron Obstruct Pulmon Dis. 2015; 10: 1213-1218. DOI: 10.2147/COPD.S85166.

11. Wu X, Gao S, Lian Y. Effects of continuous aerobic exercise on lung function and quality of life with asthma: A systematic review and meta- analysis. J Thorac Dis. 2020; 12 (9): 4781-4795. DOI: 10.21037/jtd-19-2813.

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