Respiratory exercise program for elderly individuals with asthma

Ludmila Tais Yazbek Gomieiro, Andréia Nascimento, Luciana Kase Tanno, Rosana Agondi, Jorge Kalil, Pedro Giavina-Bianchi, Ludmila Tais Yazbek Gomieiro, Andréia Nascimento, Luciana Kase Tanno, Rosana Agondi, Jorge Kalil, Pedro Giavina-Bianchi

Abstract

Introduction: Asthma in older adults is frequently underdiagnosed, as reflected by approximately 60% of asthma deaths occurring in people older than age 65.

Objective: The present study evaluates the effects of a respiratory exercise program tailored for elderly individuals with asthma. We are not aware of any other reports examining breathing exercises in this population.

Methods: Fourteen patients concluded the 16-week respiratory exercise program. All the patients were evaluated with regard to lung function, respiratory muscle strength, aerobic capacity, quality of life and clinical presentation.

Results: After 16 weeks of this open-trial intervention, significant increases in maximum inspiratory pressure and maximum expiratory pressure (27.6% and 20.54%, respectively) were demonstrated. Considerable improvement in quality of life was also observed. The clinical evaluations and daily recorded-symptoms diary also indicated significant improvements and fewer respiratory symptoms. A month after the exercises were discontinued, however, detraining was observed.

Discussion: In conclusion, a respiratory exercise program increased muscle strength and was associated with a positive effect on patient health and quality of life. Therefore, a respiratory training program could be included in the therapeutic approach in older adults with asthma.

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