Dilek Doğruel, Derya Ufuk Altıntaş, Mustafa Yılmaz

Astımlı çocuklarda fiziksel egzersizin klinik ve fonksiyonel parametrelere etkisi

Amaç: Çalışmamızın amacı astımlı çocuklarda, düzenli egzersizin astım semptomları, astım tedavi ihtiyacı skoru, yaşam kalitesi ve solunum fonksiyonları üzerindeki etkilerini araştırmaktır.Gereç ve Yöntem: Bu çalışmaya 17 farklı okuldan 73 (32 erkek, 41 kız) astımlı öğrenci seçildi. İki yüz otuz iki öğrenciye çalışmanın başlangıcında solunum fonksiyon testi yapılıp, yaşam kalite skoru, astım tedavi ihtiyacı ve semptom skoru tespit edildi. Ortalama yaş 12±2,3 (7-16 yaş) idi. Yetmiş üç öğrencinin 27’si yüzme, 26’sı sokak basketbolu,11’i atletizm, 9’u ise badminton grubunda çalışmışlardı. Bağımsız değişkenlerin karşılaştırılmasında Student’s t–test kullanıldı.Bulgular: Sokak basketbolu ve badminton grubundaki hastaların semptom skorunda anlamlı azalma saptandı. Yüzme ve atletizm grubunda olan hastaların yaşam kalite skorlarında artış belirlendi. Yüzme, sokak basketbolu ve badminton grubundaki hastaların birinci saniye zorlu ekspirasyon volümü değerlerinde istatistiksel olarak anlamlı yükselme saptandı. Sonuç: Solunum fonksiyonları ve yaşam kalitesi üzerindeki etkileri nedeni ile düzenli egzersiz, çocukluk çağı astım tedavisinin bir parçası olmalıdır.

Anahtar Kelimeler:

Astım, egzersiz, spor

Effects of physical exercise on clinic and functional parameters in children with asthma

Purpose: The aim of our study was to investigate the effect of regular exercise on asthma symptoms, score for asthma medication requirement, quality of life and pulmonary function tests in children with asthma.Materials and Methods: Seventy three children (32 males and 41 females) with asthma were participated from 17 different schools. At the beginning of the study, pulmonary function test was performed to the subjects along with the questionnaire of their life quality, current medication and symptom scores. Mean age of the participants was 12±2,3 years (7-16). Among these 73 students, 27 had practiced in the swimming group, 26 in the street basketball group, 11 in the athleticism group and 9 in the badminton group before participating in the study. Student’s t–test was used to compare the independent variables.Results: Symptom scores were significantly decreased in patients who practiced in the street basketball group and badminton group. Quality of life was significantly increased in patients who practiced in the swimming group and athleticism group. There was a significant increase in forced expiratory volume in 1 second at the end of the study when compared from baseline measurements in swimming, badminton and street basketball groups. Conclusion: We observed beneficial effects of exercise on quality of life and pulmonary function in children with asthma. Regular exercise should be encouraged as part of childhood asthma management.

Keywords:

Asthma exercise, sports, quality of life,

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