Exercise ın Osteoporosis, Asthma and Psychiatric Diseases

Abstract

Physical activity plays an important role in the treatment of osteoporosis, asthma and psychiatric diseases which are common. In patients with osteoporosis, physical activity should be applied at the submaximal level below the anaerobic threshold to show osteogenic effect in bone. In psychiatric disorders such as major depression, anxiety disorder, schizophrenia, bipolar disorder and substance abuse, 30 minutes moderate aerobic exercise program can be applied three times in a week. For asthma patients, walking or aerobic exercises involving a large muscle mass are recommended. Depending on the intensity of exercise, exercise may have an asthma triggering effect as well as a protective effect against asthma.

Keywords

• Exercise; osteoporosis; asthma; psychiatric diseases.

Osteoporoz, Astım ve Psikiyatrik Hastalıklarda Egzersiz

Öz

Sık görülen hastalıklardan olan osteoporoz, astım ve psikiyatrik hastalıkların tedavisinde, fiziksel aktivite önemli bir yer tutmaktadır. Osteoporoz hastalarında, fiziksel aktivitenin kemikte osteojenik etki göstermesi için; anaerobik eşiğe yakın, submaksimal düzeyde uygulanması gerekmektedir. Majör depresyon, anksiyete bozukluğu, şizofreni, bipolar bozukluk ve madde bağımlılığı gibi psikiyatrik hastalıklarda, haftada üç kez 30 dakika orta şiddette aerobik egzersiz programı uygulanabilir. Astım hastalarında ise yürüyüş ya da geniş kas kitlesini içeren aerobik egzersizler önerilmektedir. Egzersiz yoğunluğuna bağlı olarak, egzersizin astıma karşı koruyucu etkisinin yanı sıra, astımı tetikleyici etkisi de olabilmektedir.

Anahtar Kelimeler

• Exercise;
• osteoporosis
• asthma; psychiatric diseases

Kaynakça

1. 1. Fariz B. Psikiyatrik hastalıklar ve egzersiz. Spor Hekimliği Dergisi. 2015;50:131-8.
2. 2. Arıkan H. (2018), Klinik Egzersiz Fizyolojisi. 1. basım. İstanbul: İstanbul Tıp Kitap Evleri.
3. 3. Aydoğ ST. Osteoporoz ve egzersiz, Turkiye Klinikleri J Sports Med-Special Topics. 2017;3:124-35
4. 4. Demiral E. (15.05.2012). Kemik erimesi (Osteoporoz) ve egzersiz. Erişim tarihi: 12.05.2019,https://www.yenialanya.com/kemik-erimesi-osteoporoz-ve-egzersiz-makale,3126.html.
5. 5. Wolman RL, ABC of sports medicine. Osteoporosis and exercise. BMJ. 1994 :6; 309: 400–3.
6. 6. Kelley GA, Kelley KS, Kohrt WM. Exercise and bone mineral density in premenopausal women: a meta-analysis of randomized controlled trials. Int J Endocrinol. 2013;2013:741639.
7. 7. Turner CH, Robling AG. Mechanisms by which exercise improves bone strength. J Bone Miner Metab. 2005;23Suppl:16-22.
8. 8. Turner CH. Aging and fragility of bone. J Musculoskelet Neuronal Interact. 2007;7:342-3.

9. 9. Nikander R, Kannus P, Dastidar P, et al. Targeted exercises against hip fragility. Osteoporos Int. 2009;20:1321-8.
10. 10. Hamilton CJ, Swan VJ, Jamal SA. The effects of exercise and physical activity participation on bone mass and geometry in postmenopausal women: a systematic review of pQCT studies. Osteoporosis Int. 2010;21:11-23.
11. 11. Arnold CM, Busch AJ, Schachter CL, et al. A randomized clinical trial of aquatic versus land exercise to improve balance, function, and quality of life in older women with osteoporosis. Physiother Can. 2008;60:296-306.
12. 12. Moreira LD, Oliveira ML, Lirani-Galvao AP, et al. Physical exercise and osteoporosis: effects of different types of exercises on bone and physical function of postmenopausal women. Arq Bras Endocrinol Metabol. 2014;58:514-22.
13. 13. Atalay E, Osteoporoz ve egzersiz. Spor Hekimliği Dergisi. 2015;50:139-49.
14. 14. Weiler JM, Anderson SD, Randolph C, et al. Pathogenesis, prevalence, diagnosis, and management of exercise-induced bronchoconstriction: a practice parameter. Ann Allergy Asthma Immunol. 2010;105:1-47.
15. 15. Türk Toraks Derneği. Astım tanı ve tedavi rehberi. Türk Toraks Dergisi. 2009;10:6-9.
16. 16. Moreira A, Delgado L, Carlsen KH. Exercise-induced asthma: why is it so frequent in Olympic athletes? Expert Rev Resp Med. 2011;5:1-3.
17. 17. Bozdoğan H. Astım ve Egzersiz. Spor Hekimliği Dergisi. 2015;50: 151-62.
18. 18. Del Giacco SR, Scorcu M, Argiolas F, et al. 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.
19. 19. Del Giacco SR, Firinu D, Bjermer L,et al. Exercise and asthma: an overview. Eur Clin Respir J. 2015;2:27984.
20. 20. American Thoracic Society. Pulmonary rehabilitation-1999. Am J Respir Crit Care Med. 1999;159:1666-82.
21. 21. Crapo RO, Casaburi R, Coates AL, et al. Guidelines for methacoline and exercise challenge testing-1999. This official statement of the American Thoracic Society was adopted by the ATS Board of Directors, July 1999. Am J Respir Crit Care Med. 2000;161:309-29.
22. 22. Fariz B. Psikiyatrik hastalıklar ve egzersiz. Spor Hekimliği Dergisi. 2015; 50:131-8.
23. 23. Josefsson T, Lindwall M, Archer T. Physical exercise intervention in depressive disorders: meta-analysis and systematic review. Scand J Med Sci Sports. 2014:24:259-72.
24. 24. Krough J, Speyer H, Norgaard HC, et al. Can exercise increase fitness and reduce weight in patients with schizophrenia and depression? Front Psychiatry. 2014;5:89.
25. 25. Kemp DE. Managing the side effects associated with commonly used treatments for bipolar depression. J Affect Disord. 2014;169 Suppl 1:S34-44.
26. 26. Stubbs B, Eggermont L, Soundy A, et al. What are the factors associated with physical activity (PA) participation in community dwelling adults with dementia? A systematic review of PA correlates. Arch Gerontol Geriatr. 2014;59:195-203.
27. 27. Zimmerman M, McGlinchey JB, Young D, et al. Diagnosing major depressive disorder IV: relationship between number of symptoms and the diagnosis of disorder. J Nerv Ment Dis. 2006;194:450-3 28. Trivedi MH, Greer TL, Church TS, et al. Exercise as an augmentation treatment for nonremitted major depressive disorder: a randomized, parallel dose comparison. J Clin Psychiatry. 2011;72:677-84.
28. 29. Cooney GM, Dwan K, Greig CA, et al. Exercise for depression. Cochrane Database Syst Rev. 2013;9:CD004366.