Astımlı çocuklarda fiziksel egzersizin klinik ve fonksiyonel parametrelere etkisi

Dilek Doğruel; Derya Ufuk Altıntaş; Mustafa Yılmaz

doi:10.17826/cumj.366166

TR EN

Astımlı çocuklarda fiziksel egzersizin klinik ve fonksiyonel parametrelere etkisi

Abstract

Amaç: Çalışmamızın amacı astımlı çocuklarda, düzenli egzersizin astım semptomları, astım tedavi ihtiyacı skoru, yaşam kalitesi ve solunum fonksiyonları üzerindeki etkilerini araştırmaktır.

Gereç ve Yöntem: Bu çalışmaya 17 farklı okuldan 73 (32 erkek, 41 kız) astımlı öğrenci seçildi. İki yüz otuz iki öğrenciye çalışmanın başlangıcında solunum fonksiyon testi yapılıp, yaşam kalite skoru, astım tedavi ihtiyacı ve semptom skoru tespit edildi. Ortalama yaş 12±2,3 (7-16 yaş) idi. Yetmiş üç öğrencinin 27’si yüzme, 26’sı sokak basketbolu,11’i atletizm, 9’u ise badminton grubunda çalışmışlardı. Bağımsız değişkenlerin karşılaştırılmasında Student’s t–test kullanıldı.

Bulgular: Sokak basketbolu ve badminton grubundaki hastaların semptom skorunda anlamlı azalma saptandı. Yüzme ve atletizm grubunda olan hastaların yaşam kalite skorlarında artış belirlendi. Yüzme, sokak basketbolu ve badminton grubundaki hastaların birinci saniye zorlu ekspirasyon volümü değerlerinde istatistiksel olarak anlamlı yükselme saptandı.

Sonuç: Solunum fonksiyonları ve yaşam kalitesi üzerindeki etkileri nedeni ile düzenli egzersiz, çocukluk çağı astım tedavisinin bir parçası olmalıdır.

Keywords

Astım,egzersiz,spor

Effects of physical exercise on clinic and functional parameters in children with asthma

Abstract

Purpose: The aim of our study was to investigate the effect of regular exercise on asthma symptoms, score for asthma medication requirement, quality of life and pulmonary function tests in children with asthma.

Materials and Methods: Seventy three children (32 males and 41 females) with asthma were participated from 17 different schools. At the beginning of the study, pulmonary function test was performed to the subjects along with the questionnaire of their life quality, current medication and symptom scores. Mean age of the participants was 12±2,3 years (7-16). Among these 73 students, 27 had practiced in the swimming group, 26 in the street basketball group, 11 in the athleticism group and 9 in the badminton group before participating in the study. Student’s t–test was used to compare the independent variables.

Results: Symptom scores were significantly decreased in patients who practiced in the street basketball group and badminton group. Quality of life was significantly increased in patients who practiced in the swimming group and athleticism group. There was a significant increase in forced expiratory volume in 1 second at the end of the study when compared from baseline measurements in swimming, badminton and street basketball groups.

Conclusion: We observed beneficial effects of exercise on quality of life and pulmonary function in children with asthma. Regular exercise should be encouraged as part of childhood asthma management.

Keywords

Asthma,exercise,sports,quality of life

References

1. Sapan N, Canıtez Y, Öneş Ü. Astımlı çocuğun tedavisinde astım kamplarının yeri. Güncel Pediatri 2003;1:96-100.
2. Taylor WR, Newacheck PW. Impact of childhood asthma upon health. Pediatrics 1992;90(5):657-62.
3. van Gent R, van der Ent CK, van Essen-Zandvliet, et al. No differences in physical activity in(un)diagnosed asthma and healthy controls. Pediatr Pulmonol 2007;42(11): 1018-23.
4. Cambach W, Chadwick-Straver RV, Wagenaar RC, van Keim-pema ARJ, Kemper HC. The effects of a community-based pulmonary rehabilitation programme on exercise tolerance and quality of life: a randomized controlled trial. Eur Respir J 1997;10(1):104-13.
5. Cochrane LM, Clark CJ. Benefits and problems of a physical training program for asthmatic patients. Thorax 1990;45(5):345-51.
6. Satta A. Exercise training in asthma. J Sports Med Phys Fitness 2000;40(4):277-83.
7. Del Giacco SR, Firinu D, Bjermer L, Carlsen KH. Exercise and asthma:an overview. Eur Clin Respir J 2015;2:27984.
8. Moreira A, Delgado L, Haahtela T, et al. Physical training does not increase allergic inflammation in asthmatic children. Eur Respir J 2008;32(6):1570-5.
9. Del Giacco SR, Scorcu M, Argiolas F, Firinu D, Del Giacco GS. Exercise training, lymphocyte subsets and their cytokines production:experience of an Italian professional football team and their impact on allergy. Biomed Res Int 2014;2014:429248.
10. 2014 GINA Report, Global strategy for asthma management and prevention. Updated December 2011. Available from:http://www.ginasthma.org/GINA-Report-Global-Strategy-for-Asthma-Management-and-Prevention.

11. Liu LL, Galleher MM, Davis RL, Rutter CM, Lewis TC, Marcuse EK. Use of a respiratory clinical score among different providers. Pediatr Pulmonol 2004;37(3):243-8.
12. Barış S, Ozen A, Çagan H, et al. The Effect of Vitamin D Supplementation on Subcutaneous Allergen Immunotherapy in House Dust Mite Sensitive Asthmatic Children. Turk J Immunol 2015;3(2):54-63.
13. Juniper EF, Guyatt GH, Feeny DH, Ferrie PJ, Griffith LE, Townsend M. Measuring quality of life in children with asthma. Qual Life Res 1996; 5(1): 35-46. 14. Yüksel H, Yılmaz Ö. Çocukluk çağı astımı ve yaşam kalitesi. T Klin J Pediatr 2009; 5(3): 87-90.
15. İnci D, Guggenheim R, Altıntaş DU, Wildhaber JH, Moeller A. Reported exercise-related respiratory symptoms and exercise-induced bronchoconstriction in asthmatic children. J Clin Med Res 2017; 9(5):410-5.
16. Belányi K, Gyene I, Bak Z, Mezei G. Comparing the young asthmatics running fitness. Orv Hetil 2007;148(8):357-61.
17. Basaran S, Guler-Uysal F, Ergen N, Seydaoglu G, Bingol-Karakoç G, Altıntaş DU. Effects of physical exercise on quality of life, exercise capacity and pulmonary function in children with asthma. J Rehabil Med 2006;38(2):130-5.
18. Welsh L, Kemp JG, Roberts RG. Effects of physical conditioning on children and adolescents with asthma. Sports Med 2005;35(2):127-41.
19. Gunay O, Onur E, Yılmaz O, et al. Effects of physical exercise on lung injury and oxidant stress in children with asthma. Allergol Immunopathol 2012;40(1):20-24.
20. American Academy of Pediatrics: Section on Allergy and Immunology Section on Diseases of the Chest. Exercise and the Asthmatic child. Pediatrics 1989;84(2):392-3
21. Weisgerber MC, Guill M, Weisgerber JM, Butler H. Benefits of swimming in asthma: effect of a session of swimming lessons on symptoms and PFTs with review of the literature. J Asthma 2003;40(5):453-64.
22. Asthma and Sports. Bülent Karadağ. Çocuk Göğüs Hastalıkları BD, Marmara Üniversitesi Tıp Fakültesi, İstanbul. Turkiye Klinikleri J Pediatr Sci 2009;5(3):55-60.
23. Wardell CP, Isbister C.A Swimming program for children with asthma. Does it improve their quality of life? Med J Aust 2000;173(11-12):647-8.
24. 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(3):196-201

Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Dilek Doğruel ^* This is me
ÇUKUROVA ÜNİVERSİTESİ
0000-0003-3972-7277
Türkiye

Derya Ufuk Altıntaş
ÇUKUROVA ÜNİVERSİTESİ
0000-0003-2090-5248
Türkiye

Mustafa Yılmaz
0000-0002-6213-8289
Türkiye

Publication Date

June 30, 2018

Submission Date

November 14, 2017

Acceptance Date

December 17, 2017

Published in Issue

Year 2018 Volume: 43 Number: 2

DOI

https://doi.org/10.17826/cumj.366166

IZ

https://izlik.org/JA65KX63FW

APA

Doğruel, D., Altıntaş, D. U., & Yılmaz, M. (2018). Astımlı çocuklarda fiziksel egzersizin klinik ve fonksiyonel parametrelere etkisi. Cukurova Medical Journal, 43(2), 457-462. https://doi.org/10.17826/cumj.366166

AMA

1.Doğruel D, Altıntaş DU, Yılmaz M. Astımlı çocuklarda fiziksel egzersizin klinik ve fonksiyonel parametrelere etkisi. Cukurova Med J. 2018;43(2):457-462. doi:10.17826/cumj.366166

Chicago

Doğruel, Dilek, Derya Ufuk Altıntaş, and Mustafa Yılmaz. 2018. “Astımlı çocuklarda Fiziksel Egzersizin Klinik Ve Fonksiyonel Parametrelere Etkisi”. Cukurova Medical Journal 43 (2): 457-62. https://doi.org/10.17826/cumj.366166.

EndNote

Doğruel D, Altıntaş DU, Yılmaz M (June 1, 2018) Astımlı çocuklarda fiziksel egzersizin klinik ve fonksiyonel parametrelere etkisi. Cukurova Medical Journal 43 2 457–462.

IEEE

[1]D. Doğruel, D. U. Altıntaş, and M. Yılmaz, “Astımlı çocuklarda fiziksel egzersizin klinik ve fonksiyonel parametrelere etkisi”, Cukurova Med J, vol. 43, no. 2, pp. 457–462, June 2018, doi: 10.17826/cumj.366166.

ISNAD

Doğruel, Dilek - Altıntaş, Derya Ufuk - Yılmaz, Mustafa. “Astımlı çocuklarda Fiziksel Egzersizin Klinik Ve Fonksiyonel Parametrelere Etkisi”. Cukurova Medical Journal 43/2 (June 1, 2018): 457-462. https://doi.org/10.17826/cumj.366166.

JAMA

1.Doğruel D, Altıntaş DU, Yılmaz M. Astımlı çocuklarda fiziksel egzersizin klinik ve fonksiyonel parametrelere etkisi. Cukurova Med J. 2018;43:457–462.

MLA

Doğruel, Dilek, et al. “Astımlı çocuklarda Fiziksel Egzersizin Klinik Ve Fonksiyonel Parametrelere Etkisi”. Cukurova Medical Journal, vol. 43, no. 2, June 2018, pp. 457-62, doi:10.17826/cumj.366166.

Vancouver

1.Dilek Doğruel, Derya Ufuk Altıntaş, Mustafa Yılmaz. Astımlı çocuklarda fiziksel egzersizin klinik ve fonksiyonel parametrelere etkisi. Cukurova Med J. 2018 Jun. 1;43(2):457-62. doi:10.17826/cumj.366166

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