Araştırma Makalesi
BibTex RIS Kaynak Göster

Astımlı çocuklarda fiziksel egzersizin klinik ve fonksiyonel parametrelere etkisi

Yıl 2018, Cilt: 43 Sayı: 2, 457 - 462, 30.06.2018
https://doi.org/10.17826/cumj.366166

Öz

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.


Kaynakça

  • 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

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

Yıl 2018, Cilt: 43 Sayı: 2, 457 - 462, 30.06.2018
https://doi.org/10.17826/cumj.366166

Öz

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.


Kaynakça

  • 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
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma
Yazarlar

Dilek Doğruel Bu kişi benim 0000-0003-3972-7277

Derya Ufuk Altıntaş 0000-0003-2090-5248

Mustafa Yılmaz 0000-0002-6213-8289

Yayımlanma Tarihi 30 Haziran 2018
Kabul Tarihi 17 Aralık 2017
Yayımlandığı Sayı Yıl 2018 Cilt: 43 Sayı: 2

Kaynak Göster

MLA Doğruel, Dilek vd. “Astımlı çocuklarda Fiziksel Egzersizin Klinik Ve Fonksiyonel Parametrelere Etkisi”. Cukurova Medical Journal, c. 43, sy. 2, 2018, ss. 457-62, doi:10.17826/cumj.366166.