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Asthma, exercise and metabolic dysregulation in paediatrics
- Source :
- Allergologia et Immunopathologia. 47:289-294
- Publication Year :
- 2019
- Publisher :
- Codon Publications, 2019.
-
Abstract
- Asthma is the most frequent chronic disease in childhood. Chest tightness, cough, wheezing and dyspnoea during or after exercise may be unique manifestations of asthma in up to 90% of subjects. Physical activity may be reduced by uncontrolled asthma symptoms and parental beliefs, impairing physical fitness of asthmatic children. Clinicians working in the field of allergy are aware of evidence supporting the benefits of physical activity for patients with asthma. Treatment of asthma is required in order to obtain its control and to avoid any limitation in sports and active play participation. As exercise performance in children with controlled asthma is not different from that of healthy controls, any exercise limitation cannot be accepted. Overweight and obesity may interfere with asthma and exercise, leading to dyspnoea symptoms. Evidences on the effect of insulin resistance on airway smooth muscle and on bronchial hyperactivity are presented. CONCLUSION: Exercise is part of the strategy to obtain the best control of asthma in childhood, but we have to optimise the asthma control therapy before starting exercise programming. Furthermore, it is crucial to give best attention on the effects of obesity and insulin resistance, because they could in turn influence patients' symptoms.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Allergy
Myocytes, Smooth Muscle
Respiratory System
Immunology
Physical fitness
Overweight
Pediatrics
03 medical and health sciences
0302 clinical medicine
Insulin resistance
Smooth muscle
Hyperinsulinaemia
immune system diseases
Internal medicine
Asthma control
Control
Exercise performance
medicine
Animals
Humans
Immunology and Allergy
Obesity
Child
Exercise
Asthma
business.industry
General Medicine
KEYWORDS: Asthma
medicine.disease
respiratory tract diseases
Asthma, Exercise-Induced
Dyspnea
Italy
030228 respiratory system
Insulin Resistance
medicine.symptom
business
030215 immunology
Subjects
Details
- ISSN :
- 03010546
- Volume :
- 47
- Database :
- OpenAIRE
- Journal :
- Allergologia et Immunopathologia
- Accession number :
- edsair.doi.dedup.....402ef528d65355fbdc4924cc05546b4e