Comprehensive exercise recommendations for pediatric asthma: an evidence synthesis

作者：Hongzhen Xu, Nan Lin, Guannan Bai, Yulin Liu, Xiaohui Jia, Cong Huang, Liang Hu, Hanqing Shao, Qi-Yun Shang, Lifang Zhang, Yingshuo Wang, Yuan-Yuan Zhang, Lanfang Tang, Yunlian Zhou, Guo-Hong Zhu, Jianguo Hong, Zhimin Chen · 发表于：World Journal of Pediatrics · 年份：2025 · DOI：10.1007/s12519-025-00976-6 · 被引用次数：4 · 研究领域：Asthma and respiratory diseases、Delphi Technique in Research、Chronic Obstructive Pulmonary Disease (COPD) Research

BACKGROUND: Bronchial asthma is a common chronic respiratory disease in children. For many years, concerns about exercise-induced bronchoconstriction have limited physical activity in this population, with negative consequences for both physical and mental health. Recent evidence indicates that exercise should be incorporated into the daily routine of children with asthma, with appropriately prescribed programs shown to improve disease control, lung function, and quality of life. This study aims to systematically describe the safety, benefits and key factors of exercise for children with asthma. DATA SOURCES: Initiated by the National Clinical Research Center for Child Health, this set of recommendations was developed by a multidisciplinary team of 17 experts. A comprehensive Literature search was conducted across PubMed, Embase, Cochrane and other databases, yielding 64 studies that met inclusion criteria up to May 2025. The Oxford Centre for Evidence-Based Medicine 2011 levels of evidence were used to evaluate evidence quality. Two rounds of expert voting were conducted using Delphi methodology to formulate final recommendations on key clinical topics. RESULTS: Recommendations were formulated across nine core domains: exercise safety, exercise-related benefits, pre-exercise screening, exercise prescription design, plan adjustment and progression, pre-exercise preparation, exercise monitoring, outcome assessment and the management of exercise-induced bronchoconstriction. Spe...