Beta
211059

The Effect of Rehabilitation Training Program on the Post-Exercise Bronchoconstriction in Primary School Children

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

-

Abstract

Bronchial asthma is a chronic respiratory disease that is worldwide distributed. Its prevalence increases by 50% every 10 years. Several risk factors have been identified. The socio-economic state may be implicated in the morbidity of the disease. Exercise-induced asthma [EIA] is a very common phenomenon especially among children. The objectives of this study were: first, to assess the implication of the socio-economic state on the morbidity of asthma disease, second, to assess the physiological effect of 12-week rehabilitation program [RP] on: baseline pulmonary functions, severity of asthma disease, and response to exercise in 150 primary school children [6 – 12 years] with mild to moderate asthma. Significant positive correlations have been found between the clinical severity score [CSS] & the number of persons sharing the same bed [P=0.044] and between the airway reactivity score [AWRS] & the family size [P = 0.02]. Moreover, an indirect relationship was detected between baseline forced expiratory volume in one second FEV, [% predicted] and family size [P = 0.02]. RP resulted in significant reduction in CSS and AWRS [mean + SD] [from 19.42 ± 6.11 to 12.15 ± 3.77 and from 10.59 4.82 to 6.56 ± 3.13 respectively], as well as significant increase in baseline pulmonary functions [FVC, FEV,, FEF25% - 75%] . Furthermore, RP resulted in significant increase in exercise heart rate [from 146.19 ± 17.59 to 152.12 ± 17.24 beats/min], work load [from 43.76 ± 14.45 to 56.43 ± 18.66 watt)], lowest post-exercise FEV, [from 1.41 ± 0.36 to 1.70 ± 0.36 L] together with decrease in the percent reduction in FEV, after exercise [from 15.27 ± 12.15% to 5.80 ± 5.70%] [mean ± SD] [P < 0.001]. Before RP 59 children out of the 150 [39.33%] developed exercise-induced bronchoconstriction [exercise responders before program, ERB] i.e. 15% or more reduction in baseline FEV,, whereas 13 cases only of them [8.67%] still had exercise induced bronchoconstriction after RP [exercise responder after program, ERA]. The ERB developed significant improvement in their baseline pulmonary functions after RP, whereas the ERA did not develop such improvement although they exhibited significant decrease in CSS and AWRS. In conclusion, the socio-economic state plays an important role in the morbidity of asthma disease. The exposure to respiratory infection and the bad ventilation of bedroom affect the quality of life adversely. The mild to moderate asthmatic children benefit from the rehabilitation program by improving: their quality of life, baseline pulmonary functions, severity of disease, and by decreasing the incidence, as well as the severity of exercise-induced asthma.

DOI

10.21608/jhiph.2002.211059

Keywords

Rehabilitation Training Program, Post-Exercise Bronchoconstriction, Primary School Children

Authors

First Name

Ibrahim

Last Name

El-Akkary

MiddleName

M.

Affiliation

Fromdthe Department of Physiology, Medical Research Institute, Alexandria University, Egypt

Email

-

City

-

Orcid

-

First Name

Mervat

Last Name

El-Seweify

MiddleName

E.

Affiliation

Fromdthe Department of Physiology, Medical Research Institute, Alexandria University, Egypt

Email

-

City

-

Orcid

-

First Name

Maha

Last Name

Ibrahim

MiddleName

S.

Affiliation

Fromdthe Department of Physiology, Medical Research Institute, Alexandria University, Egypt

Email

-

City

-

Orcid

-

First Name

Sally

Last Name

Gabbour

MiddleName

N.

Affiliation

Fromdthe Department of Physiology, Medical Research Institute, Alexandria University, Egypt

Email

-

City

-

Orcid

-

Volume

32

Article Issue

3

Related Issue

29405

Issue Date

2002-07-01

Receive Date

2021-12-28

Publish Date

2002-07-01

Page Start

615

Page End

632

Print ISSN

2357-0601

Online ISSN

2357-061X

Link

https://jhiphalexu.journals.ekb.eg/article_211059.html

Detail API

https://jhiphalexu.journals.ekb.eg/service?article_code=211059

Order

14

Type

Original Article

Type Code

511

Publication Type

Journal

Publication Title

Journal of High Institute of Public Health

Publication Link

https://jhiphalexu.journals.ekb.eg/

MainTitle

The Effect of Rehabilitation Training Program on the Post-Exercise Bronchoconstriction in Primary School Children

Details

Type

Article

Created At

22 Jan 2023