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Paed Asthma – Reducing breathlessness and perceived effort during physical activity

Evidence Summary
One prospective study looked at perceived effort during physical activity and two prospective studies looked at the sensation of dyspnoea. In the exercise groups less perceived effort and a reduction in dyspnoea was found compared to the control groups.


Quality of Evidence
Grade B – moderate evidence
Strength of Recommendation
1C. Strong recommendation, low quality evidence due to limited studies.


Conclusion
Perceived effort and dyspnoea are both named as limitations or barriers to physical activity in asthmatic groups. Lowering these allows for a greater physical exercise tolerance and reduces possible barriers to being physically active.


References
Andrade, L. B., M. C. Britto, N. Lucena-Silva, R. G. Gomes and J. N. Figueroa (2014). “The efficacy of aerobic training in improving the inflammatory component of asthmatic children. Randomized trial.” Respir Med 108(10): 1438-1445.
Latorre-Roman, P. A., A. V. Navarro-Martinez and F. Garcia-Pinillos (2014). “The effectiveness of an indoor intermittent training program for improving lung function, physical capacity, body composition and quality of life in children with asthma.” J Asthma 51(5): 544-551.

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