The effect of combined continuous run, circuit training, and high-intensity interval training on lung function, asthma control, and VO2max in asthma patients: A quasi-experimental study

Jaffry Zakaria

The effect of combined continuous run, circuit training, and high-intensity interval training on lung function, asthma control, and VO2max in asthma patients: A quasi-experimental study

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Title

The effect of combined continuous run, circuit training, and high-intensity interval training on lung function, asthma control, and VO2max in asthma patients: A quasi-experimental study

Type

Article

Main Author

Jaffry Zakaria

Subject

GV Recreation Leisure

ISSN

2247-8051

Language Code

eng

Bibliographic Details

Place of Production

Tanjung Malim

Publisher

Fakulti Sains Sukan Dan Kejurulatihan

Year of publication

2023

Notes

Journal of Physical Education and Sport

Degree Type

Not related

Corporate Name

Universiti Pendidikan Sultan Idris

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Abstract

Background: The serious implications of asthma stem largely from inadequate control of the condition, affecting individuals with both regular and irregular physical activities. Objective: This study aims to assess the effect of Continuous Run (CR), Circuit Training (CT), and High-Intensity Interval Training (HIIT) over a 3-month period on reducing, controlling, and improving fitness in individuals with asthma. Methods: The research employed a quasi-experimental study design with a one-group pretest-posttest approach. The treatment involved physical exercise programs (CR, CT, and HIIT) conducted at the athletic field of Padang State University from June 2023 to August 2023. A total of 21 participants (16 males and 5 females) were recruited to participate in this research. They were chosen after meeting inclusion criteriaasthma diagnosis, physical inactivity, between 17 and 40 years old, willingness to refrain from other treatments except using an inhaler in case of relapse, and providing informed consent. Participants who willingly signed and completed the study were distributed to treatment groups, receiving the same exercise program with identical dosages and intensities of CR, CT, and HIIT. The exercise program lasted 75 minutes per session, three times a week for 12 weeks. Data were collected using several instruments. First, spirometry was employed to examine lung function (Forced Vital Capacity [FVC] and Forced Expiratory Volume in one second [FEV1]) with a cut-point of 0.75. Meanwhile, asthma symptom control was measured by the Asthma Control Questionnaire (ACQ), and VO2Max was assessed through a 2.4-kilometer run. The data were then analyzed using the Wilcoxon signed-rank test through the IBM SPSS Statistics version 25. Results: All participants completed the combined CR, CT, and HIIT exercise program over 12 weeks. Data analysis revealed significant improvement in lung function, with the average FVC score increasing from 61.62 7.37 to 81.90 4.06, representing a 35.52% increase. Furthermore, the pretest and posttest FVC results indicated an increase from 71.09 4.75 to 90.00 4.46, corresponding to a 27.17% reduction in FVC score, suggesting enhanced lung function. ACQ scores demonstrated a decrease from 1.58 0.17 to 1.20 0.13, representing a 23.34% reduction. Inferential statistical tests revealed significant differences (P < 0.05) between pretest and posttest values for FEV1, FVC, ACQ, and VO2Max in each group. Conclusion: The CR, CT, and HIIT exercise program has been verified as effective in improving lung function, asthma control, and VO2Max. This study provides new insights into asthma treatment through CR, CT, and HIIT exercise programs. JPES.

References

Balyi, Istvan; Way, Richard; Higgs, C. (Ed.). (2013). Long-Term Athlete Development (1st ed.). Human Kinetics.

Bompa, T., & Buzzichelli, C. (2015). Periodization training for sports, 3e. Human kinetics.

Bossmann, T., Bickmeyer, M., Woll, A., & Wagner, I. (2023). Effects of whole-body high-intensity interval training and different running-based high-intensity interval training protocols on aerobic capacity and strength endurance in young physical education students. Journal of Physical Education and Sport, 23(2), 360–371. https://doi.org/10.7752/jpes.2023.02043

Breuer, C., & Wicker, P. (2009). Decreasing sports activity with increasing age? Findings from a 20-year longitudinal and cohort sequence analysis. Research Quarterly for Exercise and Sport, 80(1), 22–31. https://doi.org/10.1080/02701367.2009.10599526

Bush, A. (2019). Pathophysiological mechanisms of asthma. Frontiers in Pediatrics, 7(MAR), 1–17. https://doi.org/10.3389/fped.2019.00068

Del Giacco, S. R., Firinu, D., Bjermer, L., & Carlsen, K.-H. (2015). Exercise and asthma: an overview. European Clinical Respiratory Journal, 2(1), 27984. https://doi.org/10.3402/ecrj.v2.27984

Ekblom, Ö., Ekblom-Bak, E., Rosengren, A., Hallsten, M., Bergström, G., & Börjesson, M. (2018). Correction: Cardiorespiratory Fitness, Sedentary Behaviour and Physical Activity Are Independently Associated with the Metabolic Syndrome, Results from the SCAPIS Pilot Study. PloS One, 13(5), e0197801. https://doi.org/10.1371/journal.pone.0197801

Gawlik, R., Kurowski, M., Kowalski, M., Ziętkowski, Z., Pokrywka, A., Krysztofiak, H., Krzywański, J., Bugajski, A., & Bartuzi, Z. (2019). Asthma and exercise-induced respiratory disorders in athletes. The position paper of the Polish Society of Allergology and Polish Society of Sports Medicine. Postepy Dermatologii i Alergologii, 36(1), 1–10. https://doi.org/10.5114/ada.2019.82820

Hamasaki, H. (2020). Effects of Diaphragmatic Breathing on Health: A Narrative Review. Medicines (Basel, Switzerland), 7(10). https://doi.org/10.3390/medicines7100065

Kaneko, Y., Masuko, H., Sakamoto, T., Iijima, H., Naito, T., Yatagai, Y., Yamada, H., Konno, S., & Nishimura, M. (2013). Asthma Phenotypes in Japanese Adults - Their Associations with the CCL5 and ADRB2 Genotypes. Allergology International, 62(1), 113–121. https://doi.org/10.2332/allergolint.12-OA-0467

Kemenkes RI. (2018). Keputusan_Menteri_Kesehatan_RI_Tentang_Pedoman_Pengendalian_Asma1.pdf (p. 34). Kuder, M. M., Clark, M., Cooley, C., Prieto-Centurion, V., Danley, A., Riley, I., Siddiqi, A., Weller, K., Kitsiou,

S., & Nyenhuis, S. M. (2021). A Systematic Review of the Effect of Physical Activity on Asthma Outcomes. Journal of Allergy and Clinical Immunology: In Practice, 9(9), 3407-3421.e8. https://doi.org/10.1016/j.jaip.2021.04.048

Lennelöv, E., Irewall, T., Naumburg, E., Lindberg, A., & Stenfors, N. (2019). The Prevalence of Asthma and Respiratory Symptoms among Cross-Country Skiers in Early Adolescence. Canadian Respiratory Journal, 2019, 1–5. https://doi.org/10.1155/2019/1514353

Majellano, E. C., Clark, V. L., Winter, N. A., Gibson, P. G., & McDonald, V. (2019).

Approaches to the assessment of severe asthma: barriers and strategies

. Journal of Asthma and Allergy, Volume 12, 235–251. https://doi.org/10.2147/jaa.s178927

Martin-Smith, R., Cox, A., Buchan, D. S., Baker, J. S., Grace, F., & Sculthorpe, N. (2020). High Intensity Interval Training (HIIT) Improves Cardiorespiratory Fitness (CRF) in Healthy, Overweight and Obese Adolescents: A Systematic Review and Meta-Analysis of Controlled Studies. International Journal of Environmental Research and Public Health, 17(8). https://doi.org/10.3390/ijerph17082955

Montgomery, D. C. (2013). Design and Analysis of Experiments. In L. Ratts, L. Buonocore, A. Melhorn, C. Ruel, H. Nolan, & M. Eide (Eds.), Design (8th ed., Vol. 2). John Wiley & Sons, Inc. http://cataleg.uab.cat/record=b1764873~S1*cat

Morjaria, J. B., & Polosa, R. (2010). Recommendation for optimal management of severe refractory asthma. Journal of Asthma and Allergy, 3, 43–56. https://doi.org/10.2147/JAA.S6710

Pavord, I. D., Beasley, R., Agusti, A., Anderson, G. P., Bel, E., Brusselle, G., Cullinan, P., Custovic, A., Ducharme, F. M., Fahy, J. V., Frey, U., Gibson, P., Heaney, L. G., Holt, P. G., Humbert, M., Lloyd, C. M., Marks, G., Martinez, F. D., Sly, P. D., … Bush, A. (2018). After asthma: redefining airways diseases. The Lancet, 391(10118), 350–400. https://doi.org/10.1016/S0140-6736(17)30879-6 Permenkes. (2017). Permenkes RI. In Menteri Kesehatan.

Pignato, S., Penna, G., & Patania, V. M. (2019). Effects of high intensity aerobic training and circuit training on body composition in fitness men. Journal of Physical Education and Sport, 19(5), 1967–1971. https://doi.org/10.7752/jpes.2019.s5292

Pugh, C. J. A., Stone, K. J., Stöhr, E. J., McDonnell, B. J., Thompson, J. E. S., Talbot, J. S., Wakeham, D. J., Cockcroft, J. R., & Shave, R. (2018). Carotid artery wall mechanics in young males with high cardiorespiratory fitness. Experimental Physiology, 103(9), 1277–1286. https://doi.org/10.1113/EP087067

Quirt, J., Hildebrand, K. J., Mazza, J., Noya, F., & Kim, H. (2018). Asthma. 14(Suppl 2). https://doi.org/10.1186/s13223-018-0279-0

Rahman, M. S., Helgadóttir, B., Hallgren, M., Forsell, Y., Stubbs, B., Vancampfort, D., & Ekblom, Ö. (2018). Cardiorespiratory fitness and response to exercise treatment in depression. BJPsych Open, 4(5), 346–351. https://doi.org/10.1192/bjo.2018.45

Sakamoto, T., & Hizawa, N. (n.d.). Genetics in Asthma. 3–14. https://doi.org/10.1007/978-981-13-2790-2 Sawyer, A., Cavalheri, V., & Hill, K. (2020). Effects of high intensity interval training on exercise capacity in people with chronic pulmonary conditions: a narrative review. BMC Sports Science, Medicine & Rehabilitation, 12, 22. https://doi.org/10.1186/s13102-020-00167-y

Sillanpää, E., Heikkinen, A., Kankaanpää, A., Paavilainen, A., Kujala, U. M., Tammelin, T. H., Kovanen, V., Sipilä, S., Pietiläinen, K. H., Kaprio, J., Ollikainen, M., & Laakkonen, E. K. (2021). Blood and skeletal muscle ageing determined by epigenetic clocks and their associations with physical activity and functioning. Clinical Epigenetics, 13(1), 110. https://doi.org/10.1186/s13148-021-01094-6

Toennesen, L. L., Soerensen, E. D., Hostrup, M., Porsbjerg, C., Bangsbo, J., & Backer, V. (2018). Feasibility of high-intensity training in asthma. European Clinical Respiratory Journal, 5(1), 1468714. https://doi.org/10.1080/20018525.2018.1468714

Tomisa, G., Horváth, A., Szalai, Z., Müller, V., & Tamási, L. (2019). Prevalence and impact of risk factors for poor asthma outcomes in a large , specialist-managed patient cohort : a real-life study.

Wedell-Neergaard, A.-S., Krogh-Madsen, R., Petersen, G. L., Hansen, Å. M., Pedersen, B. K., Lund, R., & Bruunsgaard, H. (2018). Cardiorespiratory fitness and the metabolic syndrome: Roles of inflammation and abdominal obesity. PloS One, 13(3), e0194991. https://doi.org/10.1371/journal.pone.0194991

Winn, C. O. N., Mackintosh, K. A., Eddolls, W. T. B., Stratton, G., Wilson, A. M., McNarry, M. A., & Davies, G. A. (2019). Effect of high-intensity interval training in adolescents with asthma: The eXercise for Asthma with Commando Joe’s® (X4ACJ) trial. Journal of Sport and Health Science, 00. https://doi.org/10.1016/j.jshs.2019.05.009

Winn, C. O. N., Mackintosh, K. A., Eddolls, W. T. B., Stratton, G., Wilson, A. M., McNarry, M. A., & Davies, G. A. (2021). Effect of high-intensity interval training in adolescents with asthma: The eXercise for Asthma with Commando Joe’s® (X4ACJ) trial. Journal of Sport and Health Science, 10(4), 488–498. https://doi.org/10.1016/j.jshs.2019.05.009

Оnyshchuk, V., Bohuslavska, V., Pityn, M., Kyselytsia, O., & Dotsiuk, L. (2017). Substantiation of the integrated physical rehabilitation program for the higher educational establishment students suffering from bronchial asthma. Journal of Physical Education and Sport, 17(4), 2561–2567. https://doi.org/10.7752/jpes.2017.04290