Comparison among different instruments to evaluate the clinical control in asthmatic patients submitted to aerobic training
EUROPEAN RESPIRATORY JOURNAL(2015)
摘要
There are evidences suggesting that aerobic training improves clinical control in asthmatic patients; however, remains unclear, which instrument is more reliable to detect such benefits. Aim: To compare three different instruments regarding the ability to identify change on asthma control in asthmatics submitted to aerobic training. Methods: 110 patients with moderate or severe asthma were divided in two groups: Control (CG; educational program+breathing exercise as placebo; n=71) or Training (TG; similar to CG+aerobic training; n=39). Interventions were composed of 24 sessions, Clinical control was evaluated before and after interventions by using the questionnaires: Asthma control test (ACT) and two versions of the Asthma clinical control: ACQ-6 and ACQ-7. The data were analyzed using t-test (p Results: Both groups were similar in the baseline data (pu003e0.05). Surprisingly, only ACQ-6 and ACQ-7 were able to identify a significantly improvement on asthma control in TG compared to CG (ACQ-6: 0.58±0.88 vs 0.14±0.88; p=0.01 and ACQ-7: 0.44±0.77 vs 0.11±0.75; p=0.03), however only the ACQ-6 detected a clinical improvement between TG and CG. The ACT not identify improvement on asthma control between the groups (2.41±3.62 vs 1.41±3.48; p=0.16). Although these results, it was not found difference on the percentage of improves on clinical control when compared ACQ-6, ACQ-7 and ACT in each group (TG: 23.9%, 15.4%, 18.1%; and CG: 6.4%, 2.3%, 13.3%, respectively) (pu003e0.05). Conclusions: Our results suggest that ACQ-6 is more reliable to identity clinical and significantly improvement on asthma control in patients that performed the exercise training.
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关键词
Exercise,Asthma - management,Rehabilitation
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