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Effect of aerobic exercise training on asthma in adults - A systematic review and meta-analysis

Erik Soeren Halvard Hansen, Anders Pitzner-Fabricius, Louise Lindhardt Toennesen, Hanne Kruuse Rasmusen, Morten Hostrup, Ylva Hellsten, Vibeke Backer, Marius Henriksen
European Respiratory Journal 2020; DOI: 10.1183/13993003.00146-2020
Erik Soeren Halvard Hansen
1Centre for Physical Activity Research (CFAS), Rigshospitalet, Kobenhavn, Denmark
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  • ORCID record for Erik Soeren Halvard Hansen
  • For correspondence: erik.soeren.halvard.hansen@regionh.dk
Anders Pitzner-Fabricius
1Centre for Physical Activity Research (CFAS), Rigshospitalet, Kobenhavn, Denmark
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Louise Lindhardt Toennesen
2Department of Internal Medicine, Zealand University Hospital, Roskilde, Denmark
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Hanne Kruuse Rasmusen
3Department of Cardiology, Copenhagen University Hospital Bispebjerg-Frederiksberg, Kobenhavn, Denmark
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Morten Hostrup
4Department of Nutrition, Exercise and Sports (NEXS), University of Copenhagen, Kobenhavn, Denmark
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Ylva Hellsten
4Department of Nutrition, Exercise and Sports (NEXS), University of Copenhagen, Kobenhavn, Denmark
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Vibeke Backer
1Centre for Physical Activity Research (CFAS), Rigshospitalet, Kobenhavn, Denmark
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Marius Henriksen
5Department of Physical and Occupational Therapy, Copenhagen University Hospital Bispebjerg-Frederiksberg, Copenhagen, Denmark
6The Parker Institute, Copenhagen University Hospital Bispebjerg-Frederiksberg, Frederiksberg, Denmark
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Abstract

Objective To evaluate the effect of aerobic exercise training on asthma control, lung function and airway inflammation in adults with asthma.

Design Systematic review and meta-analysis (PROSPERO-ID: CRD42019130156)

Methods Eligibility criteria: Randomised controlled trials investigating the effect of at least 8 weeks of aerobic exercise training on outcomes for asthma control, lung function and airway inflammation in adults with asthma. Information sources: Medline, EMBase, CINAHL, PEDro, Cochrane Central Register of Controlled Trials (CENTRAL) were searched up to 3 April 2019. Risk of bias: Risk of bias was assessed by the “Cochrane Risk of Bias Tool”.

Results Included studies: We included 11 studies with a total of 543 adults with asthma. Participants' mean age was 36.5 years (range: 22 to 54 years); 74.8% of participants were women and the mean body mass index (BMI) was 27.6 kg·m−2 (range: 23.2 to 38.1 kg·m−2). Interventions had a median duration of 12 weeks (range: 8 to 12 weeks) and included walking, jogging, spinning, treadmill running and other unspecified exercise training programmes. Synthesis of results: Exercise training improved asthma control with a standard mean difference (SMD) of −0.48 (−0.81 to −0.16). Lung function slightly increased with an SMD of −0.36 (−0.72 to 0.00) in favour of exercise training. Exercise training had no apparent effect on markers of airway inflammation [SMD: −0.03 (−0.41 to 0.36)].

Conclusions In adults with asthma, aerobic exercise training has potential to improve asthma control and lung function but not airway inflammation.

Footnotes

This manuscript has recently been accepted for publication in the European Respiratory Journal. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article.

Conflict of interest: Dr. Hansen has nothing to disclose.

Conflict of interest: Dr. Pitzner-Fabricius has nothing to disclose.

Conflict of interest: Dr. Toennsen has nothing to disclose.

Conflict of interest: Dr. Rasmusen has nothing to disclose.

Conflict of interest: Dr. Hostrup has nothing to disclose.

Conflict of interest: Dr. Hellsten has nothing to disclose.

Conflict of interest: Dr. Backer has nothing to disclose.

Conflict of interest: Dr. Henriksen reports personal fees from Thuasne, outside the submitted work.

This is a PDF-only article. Please click on the PDF link above to read it.

  • Received January 23, 2020.
  • Accepted April 7, 2020.
  • Copyright ©ERS 2020
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Effect of aerobic exercise training on asthma in adults - A systematic review and meta-analysis
Erik Soeren Halvard Hansen, Anders Pitzner-Fabricius, Louise Lindhardt Toennesen, Hanne Kruuse Rasmusen, Morten Hostrup, Ylva Hellsten, Vibeke Backer, Marius Henriksen
European Respiratory Journal Jan 2020, 2000146; DOI: 10.1183/13993003.00146-2020

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Effect of aerobic exercise training on asthma in adults - A systematic review and meta-analysis
Erik Soeren Halvard Hansen, Anders Pitzner-Fabricius, Louise Lindhardt Toennesen, Hanne Kruuse Rasmusen, Morten Hostrup, Ylva Hellsten, Vibeke Backer, Marius Henriksen
European Respiratory Journal Jan 2020, 2000146; DOI: 10.1183/13993003.00146-2020
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