Association between regular exercise and asthma control among adults: The population-based Northern Finnish Asthma Study
Autoři:
Maritta S. Jaakkola aff001; Sirpa A. M. Aalto aff001; Henna Hyrkäs-Palmu aff001; Jouni J. K. Jaakkola aff001
Působiště autorů:
Center for Environmental and Respiratory Health Research (CERH), University of Oulu, Oulu, Finland
aff001; Medical Research Center Oulu (MRC Oulu), University of Oulu, Oulu, Finland
aff002; Biocenter Oulu, University of Oulu, Oulu, Finland
aff003
Vyšlo v časopise:
PLoS ONE 15(1)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0227983
Souhrn
Previously those with asthma were often advised to avoid strenuous exercise because of fear for exercise-induced asthmatic reactions, but recent findings suggest many beneficial effects on health related to exercise. We elaborated on the relation between regular exercise and asthma control among adults. This was a population-based cross-sectional Northern Finnish Asthma Study (NoFAS), in which altogether 1922 adult subjects 17–73 years old living in Northern Finland answered the NoFAS questionnaire. The determinant of interest was the total amount of regular exercise during leisure time, measured in hours per week and categorized into no, low (>0≤2h per week), medium (>2 ≤5h), high (>5≤10h) and very high (>10h) exercise categories. The outcome of interest was asthma control, which was assessed based on the Asthma Control Test (ACT). As statistical methods we applied analysis of variance (ANOVA) and Poisson regression. ACT score increased gradually, i.e. asthma control improved, with an increasing amount of exercise from no exercise (mean ACT = 19.4; difference from the reference: -1.57, 95% CI -2.12 to -1.01) to high exercise reference category (mean = 21.0), but was slightly lower (mean = 20.3; -0.64, 95% CI -1.27 to -0.02) in the very high exercise category. Such non-linear relation was present both in women and in men. In conclusion, we provide evidence that moderate to high regular exercise improves asthma control among adults with asthma. Advice about regular exercise should be included as an important part of asthma management for adults.
Klíčová slova:
Asthma – Dyspnea – Exercise – Finland – Physical activity – Sports and exercise medicine – Women's health – Home education
Zdroje
1. To T, Stanojevic S, Moores G, Gershon AS, Bateman ED, Cruz AA, et al. Global asthma prevalence in adults: findings from the cross-sectional world health survey. BMC Public Health 2012; 12: 204. doi: 10.1186/1471-2458-12-204 22429515
2. Henneberger PK, Redlich CA, Callahan DB, Harber P, Lemiere C, Martin J, et al. An official American Thoracic Society statement: Work-exacerbated asthma. Am J Respir Crit Care Med 2011; 184: 368–378. doi: 10.1164/rccm.812011ST 21804122
3. Jaakkola MS, Nordman H, Piipari R, Uitti J, Laitinen J, Karjalainen A, et al. Indoor dampness and molds and development of adult-onset asthma: a population-based incident case-control study. Environ Health Perspect 2002; 110: 543–547. doi: 10.1289/ehp.02110543 12003761
4. Pallasaho P, Juusela M, Lindqvist A, Sovijärvi A, Lundbäck B, Rönmark E. Allergic rhinoconjunctivitis doubles the risk for incident asthma—results from a population study in Helsinki, Finland. Respir Med 2011; 105: 1449–1456. doi: 10.1016/j.rmed.2011.04.013 21600752
5. Heikkinen SAM, Quansah R, Jaakkola JJK, Jaakkola MS. Effects of regular exercise on adult asthma. Eur J Epidemiol 2012; 27: 397–407. doi: 10.1007/s10654-012-9684-8 22531972
6. Heikkinen SAM, Mäkikyrö EMS, Hugg TT, Jaakkola MS, Jaakkola JJK. Effects of regular exercise on asthma control in young adults. J Asthma 2018; 55: 726–733. doi: 10.1080/02770903.2017.1366510 28846458
7. Russell MA, Janson C, Real FG, Johannessen A, Waatevik M, Benediktsdóttir B, et al. Physical activity and asthma: A longitudinal and multi-country study. J Asthma 2017;54:938–945. doi: 10.1080/02770903.2017.1281293 28635546
8. Loponen J, Ilmarinen P, Tuomisto LE, Niemelä O, Tommola M, Nieminen P, et al. Daily physical activity and lung function decline in adult-onset asthma: a 12-year follow-up study. Eur Clin Respir J 2018;5:1533753. doi: 10.1080/20018525.2018.1533753 30370021
9. World Health Organization. Global strategy on diet, physical activity and health. (https://www.who.int/health-topics/physical-activity)
10. Hyrkäs H, Ikäheimo TM, Jaakkola JJ, Jaakkola MS. Asthma control and cold weather-related respiratory symptoms. Respir Med 2016;113:1–7. doi: 10.1016/j.rmed.2016.02.005 27021573
11. Nathan RA, Sorkness CA, Kosinski M, Schatz M, Li JT, Marcus P, et al. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol 2004; 113: 59–65. http://www.healthstatus.sgul.ac.uk/sgrq doi: 10.1016/j.jaci.2003.09.008 14713908
12. Kleinman K and Horton NJ. Regression generalizations. In: SAS and R. Data Management, Statistical Analyses, and Graphics. CRC Press 2010: p. 131–135.
13. The Finnish Medical Society Duodecim: Best practice working group. Bronchial asthma. Current Care Guidelines. Helsinki:, 2012. Available online (in Finnish) at: www.kaypahoito.fi
14. Jaakkola JJK, Hwang BF, Jaakkola MS. Home dampness and molds as determinants of allergic rhinitis: a 6-year population-based cohort study. Am J Epidemiol 2010;172:451–459. doi: 10.1093/aje/kwq110 20639287
15. Heloma A, Jaakkola MS. Four-year follow-up of smoke exposure, attitudes and smoking behaviour following enactment of Finland’s national smoke-free workplace law. Addiction 2003; 98: 1111–1117. doi: 10.1046/j.1360-0443.2003.00429.x 12873245
16. Lucas SR, Platts-Mills TAE. Physical activity and exercise in asthma: relevance to etiology and treatment. J Allergy Clin Immunol 2005; 115: 928–934. doi: 10.1016/j.jaci.2005.01.033 15867847
17. Mendes FA, Almeida FM, Cukier A, Steinmach R, Jacob-FilhoW, Martins MA, et al. Effects of aerobic training on airway inflammation in asthmatic patients. Med Sci Sports Exerc 2011; 43: 197–203. doi: 10.1249/MSS.0b013e3181ed0ea3 20581719
18. Jaakkola JJK, Aalto SAM, Hernberg S, Kiihamäki SP, Jaakkola MS. Regular exercise improves asthma control in adults: A randomized controlled trial. Sci Rep 2019;9:12088. doi: 10.1038/s41598-019-48484-8 31427628
Článek vyšel v časopise
PLOS One
2020 Číslo 1
- Jak a kdy u celiakie začíná reakce na lepek? Možnou odpověď poodkryla čerstvá kanadská studie
- Pomůže v budoucnu s triáží na pohotovostech umělá inteligence?
- Spermie, vajíčka a mozky – „jednohubky“ z výzkumu 2024/38
- Infekce se v Americe po příjezdu Kolumba šířily nesrovnatelně déle, než se traduje
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
Nejčtenější v tomto čísle
- Severity of misophonia symptoms is associated with worse cognitive control when exposed to misophonia trigger sounds
- Chemical analysis of snus products from the United States and northern Europe
- Calcium dobesilate reduces VEGF signaling by interfering with heparan sulfate binding site and protects from vascular complications in diabetic mice
- Effect of Lactobacillus acidophilus D2/CSL (CECT 4529) supplementation in drinking water on chicken crop and caeca microbiome
Zvyšte si kvalifikaci online z pohodlí domova
Všechny kurzy