D Coëtmeur1, É Parrat2, C Nocent-Ejnaini3, G Mangiapan4, A Prud'homme5, J-Ph Oster6, C Appere De Vecchi7, C Maurer8, C Raherison9, D Debieuvre10, L Portel11. 1. Centre hospitalier de Saint Brieuc, France. 2. Centre hospitalier de Polynésie Française, hôpital du Taaone, Papeete, Polynésie Française. 3. Centre hospitalier de la Côte Basque, Bayonne, France. 4. Centre hospitalier intercommunal de Créteil, Créteil, France. 5. Centre hospitalier intercommunal de Bigorre, Tarbes, France. 6. Centre hospitalier Louis-Pasteur, Colmar, France. 7. Centre hospitalier d'Argenteuil, France. 8. Groupe hospitalier intercommunal Le Raincy-Montfermeil, France. 9. Groupe hospitalier Sud, hôpital du Haut-Lévêque, Pessac, France. 10. Groupe hospitalier de la Région Mulhouse Sud-Alsace, hôpital Émile-Muller, Mulhouse, France. 11. Centre hospitalier Robert-Boulin, Libourne, France. Electronic address: laurent.portel@ch-libourne.fr.
Abstract
INTRODUCTION: Data on physical activity in severe asthma are scarce. From May 2016 to June 2017, 1502 adult patients with severe asthma visiting a pulmonologist practicing in one of the 104 non-academic hospitals participating in the study were included in this prospective, cross-sectional, multicenter study, provided they gave consent. Physical activity was classified according to 4 levels: 1 (no activity), 2 (occasional), 3 (regular), or 4 (frequent). Clinical and therapeutic parameters were described according to these levels. RESULTS: Respectively, 440, 528, 323, and 99 patients had physical activity of level 1, 2, 3, and 4. The percentage of patients with controlled asthma increased with physical activity. Treatment adherence did not differ with physical activity. Percentages of obese patients, patients with FEV1 <60%, and patients with anxiety, depressive syndrome, gastro-esophageal reflux disease, arterial hypertension, diabetes, obstructive sleep apnoea-hypopnoea syndrome, and osteoporosis decreased with physical activity. Respiratory rehabilitation was offered to only 5% of patients. CONCLUSIONS: In this large study, physical activity is associated with disease control in severe asthma and with less comorbidity. Its practice should be encouraged and respiratory rehabilitation offered more often.
INTRODUCTION: Data on physical activity in severe asthma are scarce. From May 2016 to June 2017, 1502 adult patients with severe asthma visiting a pulmonologist practicing in one of the 104 non-academic hospitals participating in the study were included in this prospective, cross-sectional, multicenter study, provided they gave consent. Physical activity was classified according to 4 levels: 1 (no activity), 2 (occasional), 3 (regular), or 4 (frequent). Clinical and therapeutic parameters were described according to these levels. RESULTS: Respectively, 440, 528, 323, and 99 patients had physical activity of level 1, 2, 3, and 4. The percentage of patients with controlled asthma increased with physical activity. Treatment adherence did not differ with physical activity. Percentages of obesepatients, patients with FEV1 <60%, and patients with anxiety, depressive syndrome, gastro-esophageal reflux disease, arterial hypertension, diabetes, obstructive sleep apnoea-hypopnoea syndrome, and osteoporosis decreased with physical activity. Respiratory rehabilitation was offered to only 5% of patients. CONCLUSIONS: In this large study, physical activity is associated with disease control in severe asthma and with less comorbidity. Its practice should be encouraged and respiratory rehabilitation offered more often.