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. 2022 Aug 22;2022(8):CD013485. doi: 10.1002/14651858.CD013485.pub2

1. Summary of interventions.

Study Participants Setting Intervention Control Duration (weeks) Frequency Follow‐up (weeks)
Cambach 1997 Obstructive lung disease COPD/asthma OP (physiotherapy practices)
Supervised
Aerobic: cycle ergometer (60 to 75% Wmax), rower and stair walking (> 60% PMHR) x 2 sessions/week.
“Recreational activities” at > 60% PMHR x 1 session/week for 45 min
Education: breathing retraining, evacuation of mucus, relaxation sessions
Usual care (before cross‐over occurred) 12 3 OP sessions/week None
Cochrane 1990
 
 
Mild‐ moderate asthma OP (hospital)
Supervised
Aerobic: cycling, jogging, “aerobics” x 30 min. Target 75% PMHR. Audiotape instructions for home use if unable to attend.
Education: sessions to improve self‐management and principles of the training programme
Education sessions to improve self‐management 12 3 OP sessions/week None
Foglio 2001 COPD and asthma OP (hospital)
Supervised
Aerobic: cycling up to 30 min at 50% to 70% Wmax
resistance: abdominal, UL, LL progressively increasing light weights (300 to 500 g)
Education: “patient and family education”, nutritional programme, and psychosocial counselling when appropriate
Usual care 8 to 10 3 OP sessions/week 1 year
Majd 2020 Severe asthma
  OP (hospital)
Supervised
Aerobic: ground walking (85% VO2 peak), treadmill walking, cycling (60% to 80% peak VO2) x 20 to 30 minutes.
Resistance: UL, LL (6 to 12 reps at 80% 1 RM).
Education: 12 topics delivered by MDT + individualised session led by health psychologist
Usual care 12 2 OP sessions/week + HB (minimum 1 session/week) and daily walk encouraged 9 months
Manzak 2020 Asthma
  Home based Aerobic: regular physical activity such as walking
Resistance: strengthening exercises for upper and lower extremities
Other: stretching exercises, breathing exercises
Education: participants also provided with a pedometer and exercise diary
Booklets on breathing exercises and physical activity in addition to 1 education session on the course of the disease. Also provided with a pedometer and exercise diary 8 Minimum of 3 days per week, with 1 session supervised by a physiotherapist None
Nathell 2005 Asthma IP “Personal physical training programme”
Education: delivered by MDT covering “all aspects of asthma” plus coping skill acquisition
Usual care 4 No details provided. 1, 2, 3 years
Orooj 2020 Asthma/COPD overlap
  OP (hospital) Supervised Aerobic: endurance training on treadmill at 60% to 80% or VO2 peak 5 times per week. Resistance: upper and lower limbs resistance training at 50% to 70% 1 RM 3 times per week. Education: structured self‐management education programme including relaxation techniques, smoking cessation, and nutrition Usual care 6 5 OP sessions/ week None
Schultz 2021 Uncontrolled asthma ACT < 20
  IP Aerobic: outdoor sports and training in water x 5 sessions/week x 45 to 60 min.
Resistance: 3 sessions/week x 45 to 60 min.
Other: whole body vibration training x 7 sessions/week.
Education: asthma, inhalation technique, allergies, trigger avoidance, respiratory physiotherapy
Usual care (waitlist) 3 5 to 7 sessions per week 6, 9, 12 months
Toennesen 2017 Asthma ACQ > 1.0 OP (hospital)
Supervised
Aerobic: HIIT on spinning bikes. Progressively increased to four 5‐minute intervals using 10‐20‐30 concept.
Education: 5 group and 1 individual counselling sessions with a dietician
Usual care 8 3 OP sessions/week 12 months
Turk 2020 Asthma with ACQ > 0.75 and BMI > 30 OP (hospital)
Supervised
Aerobic: HIIT body weight exercises (90% VO2 max) x 40 to 60 min.
Education: psychological group sessions focusing on behavioural modification and motivational strategies.
Nutritional intervention: prescription of a caloric diet 1500 kcal/day
Usual care “advised to lose weight and to exercise” 12 3 OP sessions/week 12 months

ACQ: Asthma Control Questionnaire; ACT: Asthma Control Test; BMI: body mass index; COPD: chronic obstructive pulmonary disease. HB: home based; HIIT: high‐intensity interval training; IMT: inspiratory muscle training; IP inpatient; kcal: kilocalories; LL: lower limb; MDT: multidisciplinary team; OP: outpatient; PMHR: predicted maximum heart rate; RM: repetition maximum; UL; upper limb; VO2 max: maximal oxygen uptake; VO2 peak: peak oxygen uptake; Wmax: maximal workload.