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. 2025 Jun;80(6):1572-1591.
doi: 10.1111/all.16573. Epub 2025 May 6.

Exercise Recommendations and Practical Considerations for Asthma Management-An EAACI Position Paper

Oliver J Price  1   2 , Nikolaos G Papadopoulos  3   4 , Darío Antolín Amérigo  5 , Vibeke Backer  6 , Valérie Bougault  7 , Stefano Del Giacco  8 , Radoslaw Gawlik  9 , Ibon Eguiluz-Gracia  10 , Enrico Heffler  11   12 , Christer Janson  13 , Vanessa M McDonald  14 , André Moreira  15   16   17 , Andrew Simpson  18 , Matteo Bonini  19   20
Affiliations

Exercise Recommendations and Practical Considerations for Asthma Management-An EAACI Position Paper

Oliver J Price et al. Allergy. 2025 Jun.

Abstract

Exercise is an important treatment for people with asthma and should be considered alongside pharmacological therapy when developing personalised asthma management plans. Despite this, there remains limited guidance concerning the practicalities of asthma-specific exercise prescription. This European Academy of Allergy and Clinical Immunology task force was therefore established to achieve three fundamental aims: first, to provide an up-to-date perspective concerning the role of exercise for asthma management (i.e., describe the disease modifying potential of exercise and associated impact on asthma-related extrapulmonary comorbidities); second, to develop pragmatic recommendations to facilitate safe and effective exercise prescription; and third, to identify key unmet needs and provide focused direction for future research. The position paper is structured as a practically focused document, with recommendations formulated according to best available scientific evidence and expert opinion, with an emphasis on providing healthcare providers with pragmatic advice that can be implemented during routine asthma review.

Keywords: asthma; bronchoconstriction; exercise; management; physical activity; rehabilitation.

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Conflict of interest statement

O.J.P. confirms responsibility for the content of the manuscript on behalf of all EAACI task force members.

O.J.P. reports grants from Merck and AstraZeneca outside the submitted work. D.A.A. reports grants from the Spanish Society of Allergology and Clinical Immunology (SEAIC), consulting fees from ALK‐Abelló, AstraZeneca, Chiesi, and Gebro, and speaker fees from AstraZeneca, Chiesi, Gebro, GlaxoSmithKline, Leti Pharma, Menarini, Novartis, Roxall, and Sanofi, all outside the submitted work. S.D.G. reports grants, advisory board, and speaker fees from AstraZeneca, Chiesi, GSK, CSL‐Behring, Novartis, Sanofi, and Takeda, outside the submitted work. V.M.M. reports grants from GlaxoSmithKline and advisory board and speaker fees from GlaxoSmithKline, Menarini, and Boehringer Ingelheim outside the submitted work. M.B. reports grants, advisory board, and speaker fees from AstraZeneca, Chiesi, Grifols, GlaxoSmithKline, Lallemand, Lusofarmaco, Menarini, Omron, and Sanofi outside the submitted work. N.G.P., Vibeke Backer, Valérie Bougault, R.G., I.E.G., E.H., C.J., A.M., and A.S. have declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Impact of exercise training on asthma‐related outcomes and extrapulmonary comorbidities (summary of evidence from recent RCTs).
FIGURE 2
FIGURE 2
Exercise‐induced bronchoconstriction contributing to exercise avoidance in pre‐existing asthma.
FIGURE 3
FIGURE 3
Flowchart summarising approach to exercise prescription in people with asthma (*physically active defined as undertaking a minimum of 30‐min aerobic exercise five times per week, or vigorous‐intensity aerobic exercise for a minimum of 20‐min, three times per week).
See this image and copyright information in PMC

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