A Behavior Change Intervention Aimed at Increasing Physical Activity Improves Clinical Control in Adults With Asthma A Randomized Controlled Trial
Carregando...
Citações na Scopus
21
Tipo de produção
article
Data de publicação
2021
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER
Autores
CAVALHERI, Vinicius
HILL, Kylie
Citação
CHEST, v.159, n.1, p.46-57, 2021
Resumo
BACKGROUND: Higher levels of physical activity have been associated with better asthma clinical control. RESEARCH QUESTION: Does a behavior change intervention aimed at increasing physical activity change asthma clinical control, physical activity, sedentary time, health-related quality of life (HRQoL), and anxiety and depression symptoms? STUDY DESIGN AND METHOD: This single-blind, randomized controlled trial included participants who were allocated to an intervention group (IG) or to a control group (CG). Both groups received usual care and disease-specific education. Participants in the IG also underwent an 8-week behavior change intervention aimed at increasing physical activity. Prior to and following the intervention period, measures were made of asthma clinical control (Asthma Control Questionnaire [ACQ] ), physical activity, sedentary time and sleep quality (ActiGraph), HRQoL (Asthma Quality of Life Questionnaire), and anxiety and depression symptoms (Hospital Anxiety and Depression Scale). Data on asthma exacerbations were recorded 12 months prior to and throughout the intervention period. RESULT: Fifty-one participants were included (CG, n = 26; IG, n = 25). On completion of the intervention period, compared with the CG, those in the IG exhibited improvements in asthma control (mean difference [95% CI] in ACQ score, -0.8 [-1.1 to -0.4]); in daily step count, 3,605 [1,937 to 8,867] steps/d; in sleep efficiency, 9.2% [-7.1% to 21.9%]; and a reduction in sedentary time, -1.1 [-2.9 to -0.6] h/d). No between-group difference in HRQoL was observed. The percentage of participants who experienced exacerbations during the intervention period was 27% in the IG vs 60% in the CG (P = .04). The change in time spent in moderate-intensity physical activity was inversely associated with change in ACQ (r = -0.60). Compared with the CG, a higher percentage of participants in the IG reported a reduction in anxiety symptoms (43% vs 0%; P < .02). INTERPRETATION: In adults with moderate to severe asthma, a comprehensive behavior change intervention that increased physical activity also produced improvements in asthma clinical control, sedentary time, sleep quality, and anxiety symptoms.
Palavras-chave
asthma, behavior intervention, clinical control, physical activity, sedentary time
Referências
- Bandura A., 1997, SELF EFFICACY EXERCI
- Botega NJ, 1995, REV SAUDE PUBL, V29, P355, DOI 10.1590/S0034-89101995000500004
- Carson K, 2013, COCHRANE DB SYST REV, V9
- Coelho CM, 2018, J SPORT SCI, V36, P1186, DOI 10.1080/02640414.2017.1364402
- Cordova-Rivera L, 2018, J ALLER CL IMM-PRACT, V6, P1968, DOI 10.1016/j.jaip.2018.02.027
- de Carvalho-Pinto RM, 2012, RESP MED, V106, P47, DOI 10.1016/j.rmed.2011.08.013
- De Oliveira MA, 2005, J ASTHMA, V42, P41, DOI 10.1081/JAS-200044772
- Dias SA, 2014, EUR RESPIR J, V43, P1368, DOI 10.1183/09031936.00053413
- Dogra S, 2011, EUR RESPIR J, V37, P318, DOI 10.1183/09031936.00182209
- Donnelly JE, 2009, ACSMS GUIDELINES EXE, P226
- Franca-Pinto A, 2015, THORAX, V70, P732, DOI 10.1136/thoraxjnl-2014-206070
- Freitas PD, 2019, BMC SPORTS SCI MED R, V11, DOI 10.1186/s13102-019-0128-6
- Freitas PD, 2017, AM J RESP CRIT CARE, V195, P32, DOI [10.1164/rccm.201603-0446OC, 10.1164/rccm.201603-0446oc]
- Freitas PD, 2015, BMC PULM MED, V15, DOI 10.1186/s12890-015-0111-2
- Freitas Patricia Duarte, 2021, Eur Respir J, V57, DOI 10.1183/13993003.00240-2020
- Freitas PD, 2018, MED SCI SPORT EXER, V50, P1367, DOI 10.1249/MSS.0000000000001574
- Garber CE, 2011, MED SCI SPORT EXER, V43, P1334, DOI 10.1249/MSS.0b013e318213fefb
- Global Initiative for Asthma (GINA), 2017, GLOB STRAT ASTHM MAN
- Global Initiative for Asthma (GINA), 2019, GLOB STRAT ASTHM MAN
- Gordon CC, 1988, ANTHROPOMETRIC STAND, P3
- Juniper E, 2001, AM J RESP CRIT CAR 2, V163
- Juniper EF, 2006, RESP MED, V100, P616, DOI 10.1016/j.rmed.2005.08.012
- KEENAN NL, 1992, AM J EPIDEMIOL, V135, P678, DOI 10.1093/oxfordjournals.aje.a116347
- Lynch BM, 2019, CANCER-AM CANCER SOC, V125, P2856, DOI 10.1002/cncr.32142
- Mancuso CA, 2012, ARCH INTERN MED, V172, P337, DOI 10.1001/archinternmed.2011.1316
- McDonald VM, 2019, RESPIROLOGY, V24, P37, DOI 10.1111/resp.13389
- Mendes FAR, 2010, CHEST, V138, P331, DOI 10.1378/chest.09-2389
- Michie S, 2013, ANN BEHAV MED, V46, P81, DOI 10.1007/s12160-013-9486-6
- Moher D, 2001, JAMA-J AM MED ASSOC, V285, P1992, DOI 10.1001/jama.285.15.1992
- Neder JA, 1999, THORAX, V54, P202, DOI 10.1136/thx.54.3.202
- Ng LWC, 2012, CHRON RESP DIS, V9, P17, DOI 10.1177/1479972311430335
- Reddel HK, 2009, AM J RESP CRIT CARE, V180, P59, DOI 10.1164/rccm.200801-060ST
- Ribeiro MA, 2007, SAO PAULO MED J, V125, P115, DOI 10.1590/S1516-31802007000200010
- Sawyer A, 2019, INTERN MED J, V49, P1209, DOI 10.1111/imj.14141
- Trost SG, 2005, MED SCI SPORT EXER, V37, pS531, DOI 10.1249/01.mss.0000185657.86065.98
- Tudor-Locke C, 2004, SPORTS MED, V34, P1, DOI 10.2165/00007256-200434010-00001
- Westermann H, 2008, ANN ALLERG ASTHMA IM, V101, P488, DOI 10.1016/S1081-1206(10)60287-6
- Word Health Organization, ASTHM GLOB PREV
- ZIGMOND AS, 1983, ACTA PSYCHIAT SCAND, V67, P361, DOI 10.1111/j.1600-0447.1983.tb09716.x
Coleções
Artigos e Materiais de Revistas Científicas - FM/MCM
Artigos e Materiais de Revistas Científicas - FM/MFT
Artigos e Materiais de Revistas Científicas - FM/MPT
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/05
Carregar mais Artigos e Materiais de Revistas Científicas - FM/MFT
Artigos e Materiais de Revistas Científicas - FM/MPT
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/05