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Table 1 Basic characteristics of the included studies

From: Effects of exercise-based pulmonary rehabilitation on adults with asthma: a systematic review and meta-analysis

Study

Country

Design

Participants

Interventions

Outcomes

Notes

França-Pinto et al. [24]

Brazil

RCT,

2 arms

Participant status:

Sex(F/M): EG: 17/5; CG: 17/4

Age(years): EG: 40 ± 11; CG: 44 ± 9

Participants randomly assigned:

43 participants were randomly assigned

Analysed: EG: 22; CG: 21

EG: breathing exercise programme + educational programme + aerobic training programme

CG: breathing exercise programme + educational programme

Duration of treatments: 3 months

IL-5, IL-6, IL-8, IL-10, MCP-1, IgE, clinical control (asthma symptom-free days, ACQ), AQLQ, induced sputum, exercise capacity (VO2 max, maximal workload, pulmonary function (FEV1, FEV1% predicted)

 

Cochrane and Clark [25]

Scotland

RCT,

2 arms

Participant status:

Sex(F/M): 22/14

Age(years): EG: 27 ± 7; CG: 28 ± 8

Participants randomly assigned:

36 participants were randomly assigned

Analysed: EG: 18; CG: 18

EG: physical training (aerobic exercises, stretching exercises) + educational sessions

CG: educational sessions

Duration of treatments: 3 months

FEV1, FEV1% pre, VO2 max, oxygen pulse, body fat, cholesterol, LDL, HDL, max heart rate, VE max, VT, RR, VEO2, DI max (%)

 

Refaat and Gawish [26]

Kuwait

RCT,

2 arms

Participant status:

Sex(F/M): EG: 21/17; CG: 16/14

Age(years): EG: 35.8 ± 1.7; CG: 38 ± 5.3

Participants randomly assigned:

68 participants were randomly assigned

Analysed: EG: 38; CG: 30

EG: physical training + standard medical care

CG: standard medical care

Duration of treatments: 3 months

AQLQ, pulmonary function (FEV1, FVC, PEF)

 

Toennesen et al. [27]

Denmark

RCT,

4 arms

Participant status:

Sex(F/M): EG: 22/7; CG: 25/8

Age(years): EG: 43.7 ± 13.9; CG: 40.7 ± 14.7

Participants randomly assigned:

62 participants were randomly assigned

Analysed: EG: 29; CG: 33

EG: high-intensity interval training

CG: diet

Duration of treatments: 8 weeks

AQLQ, ACQ, VO2 max, FEV1%pred, FVC %pred, FENO, serum IL-6, serum hs-CRP, blood eosinophils, sputum eosinophils (%), sputum neutrophils (%)

Data from exercise and diet groups were analysed

Turner et al. [28]

Australia

RCT,

2 arms

Participant status:

Sex(F/M): EG: 11/8; CG: 8/7

Age(years): EG: 65.3 ± 10.8, CG: 71.0 ± 9.7

Participants randomly assigned:

34 participants were randomly assigned

Analysed: EG: 19; CG: 15

EG: exercise training + standard medical care

CG: standard medical care

Duration of treatments: 3 months

AQLQ, ACQ, SF-36, 6 MWD, HADS, peak heart rate, SpO2 end test, dyspnoea end test, Quadriceps strength (% of pre), Hand grip strength (% of pre)

 

Shaw and Shaw [29]

South Africa

RCT,

4 arms

Participant status:

Sex(F/M): EG: 8/14; CG: 8/14

Age(years): EG: 21.95 ± 3.87; CG: 21.90 ± 3.89

Participants randomly assigned:

44 participants were randomly assigned

Analysed: EG: 22; CG: 22

EG: aerobic exercise

CG: normal daily activities

Duration of treatments: 8 weeks

FEV1, FVC, FEV1/FVC, PEF, MVV, IVC, VE, VT, mean chest circumferences at the height of the second intercostal space

Data from aerobic exercise (AE) and nonexercise control (NE) groups were analysed

Cambach et al. [30]

the Netherlands

RCT,

2 arms

Participant status:

Sex(F/M): EG: 18/4; CG: 14/7

Age(years): EG: 40 ± 10; CG: 53 ± 15

Participants randomly assigned:

43 participants were randomly assigned

Analysed: EG: 22; CG: 21

EG: PR + drug treatment

CG: drug treatment

Duration of treatments: 3 months

QOL, exercise tolerance (endurance time, cardiac frequency, 6 MWD)

A crossover design study, data of phase 1(from baseline to 3 months) were analysed

Freitas et al. [31]

Brazil

RCT,

2 arms

Participant status:

Sex(F/M): EG: 25/1; CG: 25/0

Age(years): EG: 45.9 ± 7.7; CG: 48.5 ± 9.6

Participants randomly assigned:

51 participants were randomly assigned

Analysed: EG: 26; CG: 25

EG: a weight-loss programme + exercise

CG: a weight-loss programme + sham exercise

Duration of treatments: 3 months

AQLQ, ACQ, pulmonary function (FEV1, FVC, TLC, ERV), strength of muscle, VO2 max, work rate

Sham exercise; stretching exercise and breathing exercise that did not affect asthma control

Freitas et al. [32]

Brazil

RCT,

2 arms

Participant status:

Sex(F/M): EG: 25/1; CG: 25/0

Age(years): EG: 45.9 ± 7.7; CG: 48.5 ± 9.6

Participants randomly assigned:

51 participants were randomly assigned

Analysed: EG: 26; CG: 25

EG: a weight-loss programme + exercise

CG: a weight-loss programme + sham exercise

Duration of treatments: 3 months

asthma symptom-free days

Sham exercise; stretching exercise and breathing exercise that did not affect asthma control

Coelho et al. [33]

Brazil

RCT,

2 arms

Participant status:

Sex(F/M): EG: 18/2; CG: 14/3

Age(years): EG: 45.0 ± 19.0; CG: 47.0 ± 14.0

Participants randomly assigned:

37 participants were randomly assigned

Analysed: EG: 20; CG: 17

EG: physical activity + usual care

CG: usual care

Duration of treatments: 3 months

AQLQ, ACQ, HADS, daily steps, 6 MWD

 
  1. F female, M male, IL-5 interleukin 5, MCP monocyte chemoattractant protein, IgE immunoglobulin E, LDL low-density lipoprotein, HDL high-density lipoprotein, VE minute venFtilation, VT maximum tidal volume, RR maximum respiratory rate, VEO2 ventilatory equivalent for oxygen at maximal exercise, DI max dyspnoea index at maximal exercise, FENO fractional exhaled nitric oxide, CRP C-reactive protein, HADS hospital anxiety and depression scale, SpO2 percutaneous oxygen saturation, MVV maximal voluntary ventilation, IVC inspiratory vital capacity, TLC total lung capacity, ERV expiratory reserve volume