有效视频游戏运动训练改善哮喘儿童的临床控制:随机对照试验
2015/11/20
摘要
目的:本研究旨在确定包含有效视频游戏系统的有氧运动能否改善中重度哮喘儿童的哮喘控制、气道炎症和运动耐力。
设计:本研究是一项随机、对照、单盲临床试验。36例中重度哮喘儿童随机分为视频游戏组(VGG; N = 20)或跑步机组(TG; n = 16)。两组都完成为期8周的监督项目,每两周训练40分钟。训练前后评估内容包括哮喘控制量表、呼出气一氧化氮水平(FeNO)、最大运动试验(Bruce协议)和肺功能。
结果:VGG和TG基线水平无明显差异。两组的哮喘控制和运动耐力都得到提高。然而,VGG的FeNO明显降低(p<0.05)。虽然两组在休息和运动训练时的平均能量消耗相似,但是VGG的最大能量消耗更高。
结论:本研究表明有效视频游戏方式的有氧训练对哮喘儿童的临床控制、运动耐力改善和降低肺部炎症有好的功效。
(苏欣 审校)
PLoSOne. 2015Aug24;10(8):e0135433.doi:10.1371/journal.pone.0135433.eCollection 2015.
Active Video Game Exercise Training Improves the Clinical Control of Asthma in Children: Randomized Controlled Trial.
Gomes EL1, Carvalho CR2, Peixoto-Souza FS1, Teixeira-Carvalho EF1, Mendonça JF1, Stirbulov R3, Sampaio LM1, Costa D1.
Abstract
OBJECTIVE:The aim of the present study was to determine whether aerobic exercise involving an active video game system improved asthma control, airway inflammation and exercise capacity in children with moderate to severe asthma.
DESIGN:A randomized, controlled, single-blinded clinical trial was carried out. Thirty-six children with moderate to severe asthma were randomly allocated to either a video game group (VGG; N = 20) or a treadmill group (TG; n = 16). Both groups completed an eight-week supervised program with two weekly 40-minute sessions. Pre-training and post-training evaluations involved the Asthma Control Questionnaire, exhaled nitric oxide levels (FeNO), maximum exercise testing (Bruce protocol) and lung function.
RESULTS:No differences between the VGG and TG were found at the baseline. Improvements occurred in both groups with regard to asthma control and exercise capacity. Moreover, a significant reduction in FeNO was found in the VGG (p < 0.05). Although the mean energy expenditure at rest and during exercise training was similar for both groups, the maximum energy expenditure was higher in the VGG.
CONCLUSION:The present findings strongly suggest that aerobic training promoted by an active video game had a positive impact on children with asthma in terms of clinical control, improvement in their exercise capacity and a reductionin pulmonary inflammation.
PLoSOne. 2015Aug24;10(8):e0135433.doi:10.1371/journal.pone.0135433.eCollection 2015.
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