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Physical exercise is a non-pharmacological method to manage asthma in peoples with asthma: Systematic review

Year 2024, Volume: 10 Issue: 4, 249 - 256
https://doi.org/10.31459/turkjkin.1530315

Abstract

Asthma is a chronic inflammatory disease of the airways that affects over 250 million people worldwide and is responsible for approximately 455,000 deaths annually. Characterized by variable expiratory flow and respiratory symptoms such as persistent cough, wheezing, shortness of breath, and chest tightness, asthma can significantly hinder daily activities and quality of life. While pharmacological treatments are essential for managing asthma, non-pharmacological interventions, including physical activity, nutritional changes, and psychological support, play a crucial role in alleviating symptoms and enhancing overall well-being. Aerobic training, in particular, has been shown to provide health benefits that are dose-dependent, improving the quality of life for asthma patients. Despite the potential benefits of physical activity, individuals with asthma may experience exercise-induced bronchoconstriction, which can trigger symptoms during exertion. Historically, patients were advised to avoid exercise; however, recent studies suggest that regular exercise can improve fitness levels and reduce exacerbations in asthmatics. This review highlights the importance of integrating structured physical activity into asthma management strategies for peoples who often face challenges related to obesity and inadequate asthma control. Regular moderate-intensity aerobic exercise can enhance lung function, improve asthma control, oxygen uptake, immune function, antioxidant capacity, and reduce septum eosinophil and fractional exhaled nitric oxide and promote social engagement, making it essential for asthmatics to remain active. Individuals with asthma can participate in exercises like those without the condition, aiming for 20-30 minutes of activity 2-3 days a week. It's important to consult a healthcare provider before starting any exercise program and to use beta-2 agonists if experiencing exercise-induced bronchoconstriction.

References

  • American College of Sports Medicine. (2013). ACSM's guidelines for exercise testing and prescription. Lippincott Williams & Wilkins.
  • Ang, J., Moussa, R., Shaikh, S., & Mele, S. (2023). Effects of aerobic exercise on asthma control and quality of life in adults: a systematic review. J Asthma, 60(5), 845-855.
  • Bacon, S. L., & Platts-Mills, T. A. (2020). Is it time for aerobic exercise to be included in asthma treatment guidelines? J Allergy Clin Immunol Pract, 8(9), 2997-2998.
  • Beggs, S., Foong, Y. C., Le, H. C., Noor, D., Wood-Baker, R., & Walters, J. A. (2013). Swimming training for asthma in children and adolescents aged 18 years and under. Cochrane Database Syst Rev, (4), CD009607.
  • Carlsen, K. H., & Carlsen, K. C. (2002). Exercise-induced asthma. Paediatr Respir Rev, 3(2), 154-160.
  • Chandratilleke, M. G., Carson, K. V., Picot, J., Brinn, M. P., Esterman, A. J., & Smith, B. J. (2012). Physical training for asthma. Cochrane Database Syst Rev, (5), CD001116.
  • Clemente-Suárez, V. J., Mielgo-Ayuso, J., Ramos-Campo, D. J., Beltran-Velasco, A. I., Martínez-Guardado, I., Navarro Jimenez, E., Redondo-Flórez, L., Yáñez-Sepúlveda, R., & Tornero-Aguilera, J. F. (2023). Basis of preventive and non-pharmacological interventions in asthma. Front Public Health, 11, 1172391.
  • de Lima, F. F., Pinheiro, D. H. A., & Carvalho, C. R. F. D. (2023). Physical training in adults with asthma: An integrative approach on strategies, mechanisms, and benefits. Front Rehabil Sci, 4, 1115352.
  • de Vasconcellos, M. B., & do Nascimento, J. D. A. (2023). Pathophysiological factors, benefits and recommendations in swimming for asthmatics. International Seven Journal of Health Research, 2(4), 571-592.
  • Evaristo, K. B., Mendes, F. A. R., Saccomani, M. G., Cukier, A., Carvalho-Pinto, R. M., Rodrigues, M. R., ... & Carvalho, C. R. (2020). Effects of aerobic training versus breathing exercises on asthma control: a randomized trial. The Journal of Allergy and Clinical Immunology: In Practice, 8(9), 2989-2996.
  • Evaristo, K. B., Mendes, F. A. R., Saccomani, M. G., Cukier, A., Carvalho-Pinto, R. M., Rodrigues, M. R., Santaella, D. F., Saraiva-Romanholo, B. M., Martins, M. A., & Carvalho, C. R. F. (2020). Effects of aerobic training versus breathing exercises on asthma control: a randomized trial. J Allergy Clin Immunol Pract, 8(9), 2989-2996.
  • Fanelli, A., Cabral, A. L., Neder, J. A., Martins, M. A., & Carvalho, C. R. (2007). Exercise training on disease control and quality of life in asthmatic children. Med Sci Sports Exerc, 39(9), 1474-1480.
  • Farid, R., Azad, F. J., Atri, A. E., Rahimi, M. B., Khaledan, A., Talaei-Khoei, M., Ghafari, J., & Ghasemi, R. (2005). Effect of aerobic exercise training on pulmonary function and tolerance of activity in asthmatic patients. Iran J Allergy Asthma Immunol, 4(3), 133-138.
  • França-Pinto, A., Mendes, F. A., de Carvalho-Pinto, R. M., Agondi, R. C., Cukier, A., Stelmach, R., Saraiva-Romanholo, B. M., Kalil, J., Martins, M. A., Giavina-Bianchi, P., & Carvalho, C. R. (2015). Aerobic training decreases bronchial hyperresponsiveness and systemic inflammation in patients with moderate or severe asthma: a randomised controlled trial. Thorax, 70(8), 732-739.
  • Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I. M., Nieman, D. C., Swain, D. P., & American College of Sports Medicine. (2011). American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc, 43(7), 1334-1359.
  • Greenfield, K., Verling, W., Larcombe, T., & Connett, G. J. (2023). Case report: Open water swimming as a possible treatment for asthma. Front Med, 10, 1169639.
  • Jaakkola, J. J., Aalto, S. A., Hernberg, S., Kiihamäki, S. P., & Jaakkola, M. S. (2019). Regular exercise improves asthma control in adults: A randomized controlled trial. Sci Rep, 9(1), 12088.
  • Jarab, A. S., Al-Qerem, W., Heshmeh, S. A., Mukattash, T. L., Beiram, R., & Aburuz, S. (2023). Factors associated with poor health-related quality of life among patients with asthma: A hospital-based study from Jordan. Electron J Gen Med, 220(5), em517.
  • Kharaba, Z., Feghali, E., El Husseini, F., Sacre, H., Abou Selwan, C., Saadeh, S., Hallit, S., Jirjees, F., AlObaidi, H., Salameh, P., & Malaeb, D. (2022). An assessment of quality of life in patients with asthma through physical, emotional, social, and occupational aspects. A cross-sectional study. Front Public Health, 10, 883784. Kippelen, P., Anderson, S. D., & Hallstrand, T. S. (2018). Mechanisms and biomarkers of exercise-induced bronchoconstriction. Immunol Allergy Clin North Am, 38(2), 165-182.
  • Kostakou, E., Kaniaris, E., Filiou, E., Vasileiadis, I., Katsaounou, P., Tzortzaki, E., Koulouris, N., Koutsoukou, A., & Rovina, N. (2019). Acute severe asthma in adolescent and adult patients: current perspectives on assessment and management. J Clin Med, 8(9), 1283.
  • Mendes, F. A., Almeida, F. M., Cukier, A., Stelmach, R., Jacob-Filho, W., Martins, M. A., & Carvalho, C. R. (2011). Effects of aerobic training on airway inflammation in asthmatic patients. Med Sci Sports Exerc, 43(2), 197-203.
  • Meyer, A., Günther, S., Volmer, T., Taube, K., & Baumann, H. J. (2015). A 12-month, moderate-intensity exercise training program improves fitness and quality of life in adults with asthma: a controlled trial. BMC Pulm Med, 15, 56.
  • Miller, K. R., McClave, S. A., Jampolis, M. B., Hurt, R. T., Krueger, K., Landes, S., & Collier, B. (2016). The health benefits of exercise and physical activity. Curr Nutr Rep, 5, 204-212.
  • Moeini, M., Eizadi, M., & Sohaily, S. (2018). Effect of aerobic training on total antioxidant capacity and pulmonary function in asmatic men. J Gorgan Univ Med Sci, 20(2), 62-68.
  • Morton, A. R., & Fitch, K. D. (2011). Australian association for exercise and sports science position statement on exercise and asthma. J Sci Med Sport, 14(4), 312-316.
  • Nyenhuis, S. M., Kahwash, B., Cooke, A., Gregory, K. L., Greiwe, J., & Nanda, A. (2022). Recommendations for physical activity in asthma: a work group report of the AAAAI Sports, Exercise, and Fitness Committee. J Allergy Clin Immunol Pract, 10(2), 433-443.
  • Oudjedi, A., & Aissa, K. S. (2020). Associations between obesity, asthma and physical activity in children and adolescents. Apunts Sports Med, 55(205), 39-48.
  • Pakhale, S., Luks, V., Burkett, A., & Turner, L. (2013). Effect of physical training on airway inflammation in bronchial asthma: a systematic review. BMC Pulm Med, 13, 1-10.
  • Panagiotou, M., Koulouris, N. G., & Rovina, N. (2020). Physical activity: a missing link in asthma care. J Clin Med, 9(3), 706.
  • Pescatello, L. S. (Ed.). (2014). ACSM's guidelines for exercise testing and prescription. Lippincott Williams & Wilkins.
  • Pescatello, L., Arena, R., Riebe, D., & Thompson, P. (2013). General principles of exercise prescription. ACSM’s guidelines for exercise testing and prescription. Philadelphia: Wolters Kluwer.
  • Privitera, A., & Privitera, S. (2023). Physical exercise in asthma adolescents: a concept review. Multidiscip Respir Med, 18(1), 924.
  • Refaat, A., & Gawish, M. (2015). Effect of physical training on health-related quality of life in patients with moderate and severe asthma. Egypt J Chest Dis Tuberc, 64(4), 761-766.
  • Silva, R. A., Vieira, R. P., Duarte, A. C., Lopes, F. D., Perini, A., Mauad, T., Martins, M. A., & Carvalho, C. R. (2010). Aerobic training reverses airway inflammation and remodelling in an asthma murine model. Eur Respir J, 35(5), 994-1002.
  • Stickland, M. K., Rowe, B. H., Spooner, C. H., Vandermeer, B., & Dryden, D. M. (2012). Effect of warm-up exercise on exercise-induced bronchoconstriction. Med Sci Sports Exerc, 44(3), 383-391.
  • Sumartiningsih, S., & Charng, L. J. (2017). Physiological Benefits of Physical Activity in Asthmatic Population. Journal of Physical Education and Sport Science, (25), 11-26.
  • Sýkorová, K. (2022). Effect of physical activities and sport among patients with asthma on their life. AUC Kinanthropologica, 58(2), 115-126.
  • Tan, R. A., & Spector, S. L. (2002). Exercise-induced asthma: diagnosis and management. Ann Allergy Asthma Immunol, 89(3), 226-236.
  • Tong, X., Zhang, X., Wang, M., Wang, Z., Dong, F., Gong, E., Zuberbier, T., & Li, Y. (2024). Non‐pharmacological interventions for asthma prevention and management across the life course: Umbrella review. Clin Transl Allergy, 14(3), e12344.
  • van 't Hul, A. J., Frouws, S., van den Akker, E., van Lummel, R., Starrenburg-Razenberg, A., van Bruggen, A., Braunstahl, G. J., & In 't Veen, J. C. (2016). Decreased physical activity in adults with bronchial asthma. Respir Med, 114, 72-77.
  • Vos, T., Lim, S. S., Abbafati, C., Abbas, K. M., Abbasi, M., Abbasifard, M. … Murray, C. J. L. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet, 396(10258), 1204-1222.
  • Wu, X., Gao, S., & Lian, Y. (2020). Effects of continuous aerobic exercise on lung function and quality of life with asthma: a systematic review and meta-analysis. J Thorac Dis, 12(9), 4781.
  • Xiang, Y., Luo, T., Chen, X., Zhang, H., & Zeng, L. (2024). Effect of inspiratory muscle training in children with asthma: a systematic review and meta-analysis of randomized controlled trials. Front Pediatr, 12, 1367710. Xing, S., Feng, S., & Zeng, D. (2023). Effect of exercise intervention on lung function in asthmatic adults: a network meta-analysis. Ann Med, 55(2), 2237031.
  • Zhu, Q., Zhu, J., Wang, X., & Xu, Q. (2022). A meta-analysis of physical exercise on improving lung function and quality of life among asthma patients. J Asthma Allergy, 15, 939-955.
Year 2024, Volume: 10 Issue: 4, 249 - 256
https://doi.org/10.31459/turkjkin.1530315

Abstract

References

  • American College of Sports Medicine. (2013). ACSM's guidelines for exercise testing and prescription. Lippincott Williams & Wilkins.
  • Ang, J., Moussa, R., Shaikh, S., & Mele, S. (2023). Effects of aerobic exercise on asthma control and quality of life in adults: a systematic review. J Asthma, 60(5), 845-855.
  • Bacon, S. L., & Platts-Mills, T. A. (2020). Is it time for aerobic exercise to be included in asthma treatment guidelines? J Allergy Clin Immunol Pract, 8(9), 2997-2998.
  • Beggs, S., Foong, Y. C., Le, H. C., Noor, D., Wood-Baker, R., & Walters, J. A. (2013). Swimming training for asthma in children and adolescents aged 18 years and under. Cochrane Database Syst Rev, (4), CD009607.
  • Carlsen, K. H., & Carlsen, K. C. (2002). Exercise-induced asthma. Paediatr Respir Rev, 3(2), 154-160.
  • Chandratilleke, M. G., Carson, K. V., Picot, J., Brinn, M. P., Esterman, A. J., & Smith, B. J. (2012). Physical training for asthma. Cochrane Database Syst Rev, (5), CD001116.
  • Clemente-Suárez, V. J., Mielgo-Ayuso, J., Ramos-Campo, D. J., Beltran-Velasco, A. I., Martínez-Guardado, I., Navarro Jimenez, E., Redondo-Flórez, L., Yáñez-Sepúlveda, R., & Tornero-Aguilera, J. F. (2023). Basis of preventive and non-pharmacological interventions in asthma. Front Public Health, 11, 1172391.
  • de Lima, F. F., Pinheiro, D. H. A., & Carvalho, C. R. F. D. (2023). Physical training in adults with asthma: An integrative approach on strategies, mechanisms, and benefits. Front Rehabil Sci, 4, 1115352.
  • de Vasconcellos, M. B., & do Nascimento, J. D. A. (2023). Pathophysiological factors, benefits and recommendations in swimming for asthmatics. International Seven Journal of Health Research, 2(4), 571-592.
  • Evaristo, K. B., Mendes, F. A. R., Saccomani, M. G., Cukier, A., Carvalho-Pinto, R. M., Rodrigues, M. R., ... & Carvalho, C. R. (2020). Effects of aerobic training versus breathing exercises on asthma control: a randomized trial. The Journal of Allergy and Clinical Immunology: In Practice, 8(9), 2989-2996.
  • Evaristo, K. B., Mendes, F. A. R., Saccomani, M. G., Cukier, A., Carvalho-Pinto, R. M., Rodrigues, M. R., Santaella, D. F., Saraiva-Romanholo, B. M., Martins, M. A., & Carvalho, C. R. F. (2020). Effects of aerobic training versus breathing exercises on asthma control: a randomized trial. J Allergy Clin Immunol Pract, 8(9), 2989-2996.
  • Fanelli, A., Cabral, A. L., Neder, J. A., Martins, M. A., & Carvalho, C. R. (2007). Exercise training on disease control and quality of life in asthmatic children. Med Sci Sports Exerc, 39(9), 1474-1480.
  • Farid, R., Azad, F. J., Atri, A. E., Rahimi, M. B., Khaledan, A., Talaei-Khoei, M., Ghafari, J., & Ghasemi, R. (2005). Effect of aerobic exercise training on pulmonary function and tolerance of activity in asthmatic patients. Iran J Allergy Asthma Immunol, 4(3), 133-138.
  • França-Pinto, A., Mendes, F. A., de Carvalho-Pinto, R. M., Agondi, R. C., Cukier, A., Stelmach, R., Saraiva-Romanholo, B. M., Kalil, J., Martins, M. A., Giavina-Bianchi, P., & Carvalho, C. R. (2015). Aerobic training decreases bronchial hyperresponsiveness and systemic inflammation in patients with moderate or severe asthma: a randomised controlled trial. Thorax, 70(8), 732-739.
  • Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I. M., Nieman, D. C., Swain, D. P., & American College of Sports Medicine. (2011). American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc, 43(7), 1334-1359.
  • Greenfield, K., Verling, W., Larcombe, T., & Connett, G. J. (2023). Case report: Open water swimming as a possible treatment for asthma. Front Med, 10, 1169639.
  • Jaakkola, J. J., Aalto, S. A., Hernberg, S., Kiihamäki, S. P., & Jaakkola, M. S. (2019). Regular exercise improves asthma control in adults: A randomized controlled trial. Sci Rep, 9(1), 12088.
  • Jarab, A. S., Al-Qerem, W., Heshmeh, S. A., Mukattash, T. L., Beiram, R., & Aburuz, S. (2023). Factors associated with poor health-related quality of life among patients with asthma: A hospital-based study from Jordan. Electron J Gen Med, 220(5), em517.
  • Kharaba, Z., Feghali, E., El Husseini, F., Sacre, H., Abou Selwan, C., Saadeh, S., Hallit, S., Jirjees, F., AlObaidi, H., Salameh, P., & Malaeb, D. (2022). An assessment of quality of life in patients with asthma through physical, emotional, social, and occupational aspects. A cross-sectional study. Front Public Health, 10, 883784. Kippelen, P., Anderson, S. D., & Hallstrand, T. S. (2018). Mechanisms and biomarkers of exercise-induced bronchoconstriction. Immunol Allergy Clin North Am, 38(2), 165-182.
  • Kostakou, E., Kaniaris, E., Filiou, E., Vasileiadis, I., Katsaounou, P., Tzortzaki, E., Koulouris, N., Koutsoukou, A., & Rovina, N. (2019). Acute severe asthma in adolescent and adult patients: current perspectives on assessment and management. J Clin Med, 8(9), 1283.
  • Mendes, F. A., Almeida, F. M., Cukier, A., Stelmach, R., Jacob-Filho, W., Martins, M. A., & Carvalho, C. R. (2011). Effects of aerobic training on airway inflammation in asthmatic patients. Med Sci Sports Exerc, 43(2), 197-203.
  • Meyer, A., Günther, S., Volmer, T., Taube, K., & Baumann, H. J. (2015). A 12-month, moderate-intensity exercise training program improves fitness and quality of life in adults with asthma: a controlled trial. BMC Pulm Med, 15, 56.
  • Miller, K. R., McClave, S. A., Jampolis, M. B., Hurt, R. T., Krueger, K., Landes, S., & Collier, B. (2016). The health benefits of exercise and physical activity. Curr Nutr Rep, 5, 204-212.
  • Moeini, M., Eizadi, M., & Sohaily, S. (2018). Effect of aerobic training on total antioxidant capacity and pulmonary function in asmatic men. J Gorgan Univ Med Sci, 20(2), 62-68.
  • Morton, A. R., & Fitch, K. D. (2011). Australian association for exercise and sports science position statement on exercise and asthma. J Sci Med Sport, 14(4), 312-316.
  • Nyenhuis, S. M., Kahwash, B., Cooke, A., Gregory, K. L., Greiwe, J., & Nanda, A. (2022). Recommendations for physical activity in asthma: a work group report of the AAAAI Sports, Exercise, and Fitness Committee. J Allergy Clin Immunol Pract, 10(2), 433-443.
  • Oudjedi, A., & Aissa, K. S. (2020). Associations between obesity, asthma and physical activity in children and adolescents. Apunts Sports Med, 55(205), 39-48.
  • Pakhale, S., Luks, V., Burkett, A., & Turner, L. (2013). Effect of physical training on airway inflammation in bronchial asthma: a systematic review. BMC Pulm Med, 13, 1-10.
  • Panagiotou, M., Koulouris, N. G., & Rovina, N. (2020). Physical activity: a missing link in asthma care. J Clin Med, 9(3), 706.
  • Pescatello, L. S. (Ed.). (2014). ACSM's guidelines for exercise testing and prescription. Lippincott Williams & Wilkins.
  • Pescatello, L., Arena, R., Riebe, D., & Thompson, P. (2013). General principles of exercise prescription. ACSM’s guidelines for exercise testing and prescription. Philadelphia: Wolters Kluwer.
  • Privitera, A., & Privitera, S. (2023). Physical exercise in asthma adolescents: a concept review. Multidiscip Respir Med, 18(1), 924.
  • Refaat, A., & Gawish, M. (2015). Effect of physical training on health-related quality of life in patients with moderate and severe asthma. Egypt J Chest Dis Tuberc, 64(4), 761-766.
  • Silva, R. A., Vieira, R. P., Duarte, A. C., Lopes, F. D., Perini, A., Mauad, T., Martins, M. A., & Carvalho, C. R. (2010). Aerobic training reverses airway inflammation and remodelling in an asthma murine model. Eur Respir J, 35(5), 994-1002.
  • Stickland, M. K., Rowe, B. H., Spooner, C. H., Vandermeer, B., & Dryden, D. M. (2012). Effect of warm-up exercise on exercise-induced bronchoconstriction. Med Sci Sports Exerc, 44(3), 383-391.
  • Sumartiningsih, S., & Charng, L. J. (2017). Physiological Benefits of Physical Activity in Asthmatic Population. Journal of Physical Education and Sport Science, (25), 11-26.
  • Sýkorová, K. (2022). Effect of physical activities and sport among patients with asthma on their life. AUC Kinanthropologica, 58(2), 115-126.
  • Tan, R. A., & Spector, S. L. (2002). Exercise-induced asthma: diagnosis and management. Ann Allergy Asthma Immunol, 89(3), 226-236.
  • Tong, X., Zhang, X., Wang, M., Wang, Z., Dong, F., Gong, E., Zuberbier, T., & Li, Y. (2024). Non‐pharmacological interventions for asthma prevention and management across the life course: Umbrella review. Clin Transl Allergy, 14(3), e12344.
  • van 't Hul, A. J., Frouws, S., van den Akker, E., van Lummel, R., Starrenburg-Razenberg, A., van Bruggen, A., Braunstahl, G. J., & In 't Veen, J. C. (2016). Decreased physical activity in adults with bronchial asthma. Respir Med, 114, 72-77.
  • Vos, T., Lim, S. S., Abbafati, C., Abbas, K. M., Abbasi, M., Abbasifard, M. … Murray, C. J. L. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet, 396(10258), 1204-1222.
  • Wu, X., Gao, S., & Lian, Y. (2020). Effects of continuous aerobic exercise on lung function and quality of life with asthma: a systematic review and meta-analysis. J Thorac Dis, 12(9), 4781.
  • Xiang, Y., Luo, T., Chen, X., Zhang, H., & Zeng, L. (2024). Effect of inspiratory muscle training in children with asthma: a systematic review and meta-analysis of randomized controlled trials. Front Pediatr, 12, 1367710. Xing, S., Feng, S., & Zeng, D. (2023). Effect of exercise intervention on lung function in asthmatic adults: a network meta-analysis. Ann Med, 55(2), 2237031.
  • Zhu, Q., Zhu, J., Wang, X., & Xu, Q. (2022). A meta-analysis of physical exercise on improving lung function and quality of life among asthma patients. J Asthma Allergy, 15, 939-955.
There are 44 citations in total.

Details

Primary Language English
Subjects Physical Activity and Health
Journal Section Review Articles
Authors

Kefelegn Zenebe 0000-0001-5342-8439

Muhabaw Zewde This is me 0009-0009-3356-9897

Early Pub Date December 1, 2024
Publication Date
Submission Date August 8, 2024
Acceptance Date November 24, 2024
Published in Issue Year 2024 Volume: 10 Issue: 4

Cite

APA Zenebe, K., & Zewde, M. (2024). Physical exercise is a non-pharmacological method to manage asthma in peoples with asthma: Systematic review. Turkish Journal of Kinesiology, 10(4), 249-256. https://doi.org/10.31459/turkjkin.1530315

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