Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Sep 15;12(18):5998.
doi: 10.3390/jcm12185998.

Key Considerations When Addressing Physical Inactivity and Sedentary Behaviour in People with Asthma

Paola D Urroz Guerrero  1   2   3 , Joice M Oliveira  2   3   4   5 , Hayley Lewthwaite  1   2   3 , Peter G Gibson  1   2   6   7 , Vanessa M McDonald  1   2   3   7
Affiliations
Review

Key Considerations When Addressing Physical Inactivity and Sedentary Behaviour in People with Asthma

Paola D Urroz Guerrero et al. J Clin Med. .

Abstract

People with asthma tend to be less physically active and more sedentary than people without asthma. This narrative review aimed to present key considerations when addressing physical inactivity and sedentary behaviour in people with asthma by identifying barriers and facilitators, determinants and correlates, and intervention approaches. Using a search strategy, electronic databases were searched for relevant studies. Data extracted from studies were qualitatively synthesised. A total of 26 studies were included in the review. Six studies reported asthma symptoms as a barrier to physical activity, while four studies reported having a supportive network as a physical activity facilitator. Across studies, physical activity correlates/determinants were pulmonary function, exercise capacity, body mass index, dyspnoea, psychological health, and asthma control. Interventions that effectively improved physical activity in the short term were a step-based prescription programme, a weight loss programme incorporating aerobic and resistance training, and a weight loss lifestyle intervention, while a high-intensity interval training pulmonary rehabilitation program was effective in the long term. The collective findings suggest that a personalised physical activity programme incorporating different strategies is needed. There was minimal evidence to provide recommendations to optimise sedentary behaviour in asthma, and more research is needed on the topic.

Keywords: asthma; physical activity; sedentary behaviour.

PubMed Disclaimer

Conflict of interest statement

Paola Urroz Guerrero and Joice M de Oliveira declare no conflicts of interest. Hayley Lewthwaite reports consulting fees from Boehringer Ingelheim, grants from HMRI and Diabetes Australia, speaking fees from Lung Foundation Australia, TSANZ, Exercise and Sports Science Australia, and European Respiratory Society, and shares in 4DMedical outside the submitted work. Peter Gibson reports personal fees from AstraZeneca, GlaxoSmithKline, and Novartis and grants from AstraZeneca and GlaxoSmithKline outside the submitted work. Vanessa McDonald reports personal fees from AstraZeneca, GlaxoSmithKline, and Boehringer Ingelhiem. VMMcD reports other grants from AstraZeneca, GlaxoSmithKline and Cyclomedica outside the submitted work.

Figures

Figure 1
Figure 1
Movement behaviour profiles.
Figure 2
Figure 2
PRISMA flowchart.
Figure 3
Figure 3
Summary of key considerations when addressing physical inactivity and sedentary behaviour in people with asthma.
See this image and copyright information in PMC

References

    1. Global Asthma Network The Global Asthma Report. [(accessed on 1 June 2023)]. Available online: http://globalasthmareport.org/resources/Global_Asthma_Report_2022.pdf.
    1. Barnes P.J. Severe asthma: Advances in current management and future therapy. J. Allergy Clin. Immunol. 2012;129:48–59. doi: 10.1016/j.jaci.2011.11.006. - DOI - PubMed
    1. Calhoun W.J., Chupp G.L. The new era of add-on asthma treatments: Where do we stand? Allergy Asthma Clin. Immunol. 2022;18:42. doi: 10.1186/s13223-022-00676-0. - DOI - PMC - PubMed
    1. Ko F.W.S., Fleming L. Advancement of asthma management in the past decade. Lancet Respir. Med. 2023;11:15–17. doi: 10.1016/S2213-2600(22)00496-9. - DOI - PubMed
    1. Clark V.L., Gibson P.G., McDonald V.M. The Patients’ Experience of Severe Asthma Add-On Pharmacotherapies: A Qualitative Descriptive Study. J. Asthma Allergy. 2021;14:245–258. doi: 10.2147/JAA.S296147. - DOI - PMC - PubMed

LinkOut - more resources