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THE IMPACT OF REGULAR PHYSICAL ACTIVITY ON REDUCING EXACERBATION FREQUENCY, ENHANCING DISEASE CONTROL, AND IMPROVING QUALITY OF LIFE IN PATIENTS WITH BRONCHIAL ASTHMA

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Title: THE IMPACT OF REGULAR PHYSICAL ACTIVITY ON REDUCING EXACERBATION FREQUENCY, ENHANCING DISEASE CONTROL, AND IMPROVING QUALITY OF LIFE IN PATIENTS WITH BRONCHIAL ASTHMA
Authors: null Kamil Kerknawi, null Paulina Mikulec, null Michalina Zagalska, null Marta Turek, null Angelika Kędzierska, null Natalia Nafalska, null Krzysztof Feret, null Małgorzata Stopyra, null Aleksandra Ćwirko-Godycka
Source: International Journal of Innovative Technologies in Social Science; Vol 3 No 3(47) (2025): International Journal of Innovative Technologies in Social Science
International Journal of Innovative Technologies in Social Science; Том 3 № 3(47) (2025): International Journal of Innovative Technologies in Social Science
Publisher Information: RS Global Sp. z O.O., 2025.
Publication Year: 2025
Subject Terms: Asthma, Exercise-Induced Asthma, Physical Activity, Bronchoconstriction, Asthma Exacerbations
Description: Introduction: Bronchial asthma is a chronic inflammatory airway disease with variable obstruction and hyperresponsiveness. Symptoms such as wheezing, dyspnea, chest tightness, and coughing fluctuate over time. Globally, asthma affects over 235 million people and represents a major health and economic burden. While physical exertion was once discouraged due to exercise-induced bronchoconstriction (EIB), current guidelines, including GINA, recommend regular physical activity as part of management. Objective: To evaluate whether physical activity benefits asthma patients of varying severity by improving control, reducing exacerbations, and enhancing quality of life. Methods: A narrative literature review was performed using PubMed. Inclusion criteria: English-language full texts from 2013–2025, limited to reviews and RCTs. Eighteen relevant articles were analyzed. Results: Exercise improves asthma control (e.g., 23% ACQ improvement in REACT) and quality of life (AQLQ). It reduces exacerbations and reliever use (53% vs. 20% exacerbation-free in one study). Aerobic training enhances FEV1 and FVC, while Inspiratory Muscle Training increases PImax. No consistent effect on airway inflammation was observed. Recommended modalities include aerobic, resistance, and flexibility training individualized via the FITT principle. Aquatic exercise may lower EIB risk due to humid air. EIB is managed by warm-up routines, pre-exercise SABAs, ICS for control, and optional ICS-LABA or LTRA. Benefits are pronounced in obese and moderate/severe asthma, especially with weight loss. Monitoring air quality and symptoms during activity is essential. Conclusion: Regular physical activity is safe, cost-effective, and improves asthma outcomes when tailored and combined with appropriate EIB management.
Document Type: Article
File Description: application/pdf
ISSN: 2544-9435
2544-9338
DOI: 10.31435/ijitss.3(47).2025.3974
Access URL: https://rsglobal.pl/index.php/ijitss/article/view/3974
Rights: CC BY
Accession Number: edsair.doi.dedup.....07d31fba7ebe4c23f2657b833c66a054
Database: OpenAIRE
Description
Abstract:Introduction: Bronchial asthma is a chronic inflammatory airway disease with variable obstruction and hyperresponsiveness. Symptoms such as wheezing, dyspnea, chest tightness, and coughing fluctuate over time. Globally, asthma affects over 235 million people and represents a major health and economic burden. While physical exertion was once discouraged due to exercise-induced bronchoconstriction (EIB), current guidelines, including GINA, recommend regular physical activity as part of management. Objective: To evaluate whether physical activity benefits asthma patients of varying severity by improving control, reducing exacerbations, and enhancing quality of life. Methods: A narrative literature review was performed using PubMed. Inclusion criteria: English-language full texts from 2013–2025, limited to reviews and RCTs. Eighteen relevant articles were analyzed. Results: Exercise improves asthma control (e.g., 23% ACQ improvement in REACT) and quality of life (AQLQ). It reduces exacerbations and reliever use (53% vs. 20% exacerbation-free in one study). Aerobic training enhances FEV1 and FVC, while Inspiratory Muscle Training increases PImax. No consistent effect on airway inflammation was observed. Recommended modalities include aerobic, resistance, and flexibility training individualized via the FITT principle. Aquatic exercise may lower EIB risk due to humid air. EIB is managed by warm-up routines, pre-exercise SABAs, ICS for control, and optional ICS-LABA or LTRA. Benefits are pronounced in obese and moderate/severe asthma, especially with weight loss. Monitoring air quality and symptoms during activity is essential. Conclusion: Regular physical activity is safe, cost-effective, and improves asthma outcomes when tailored and combined with appropriate EIB management.
ISSN:25449435
25449338
DOI:10.31435/ijitss.3(47).2025.3974