Secondary, we aim to explore the patients’ experience with the NW program. Thus, the primary aim of this clinical trial is to determine whether the effect of a NW training program plus education and usual care is superior to education and usual care only, in terms of exercise tolerance and other health-related outcomes, in patients with asthma. Therefore, we hypothesize that similar benefits with NW can also be achieved in patients with asthma. ![]() COPD and asthma are both respiratory diseases that share common symptoms and signs, such as cough, dyspnea and limited air flow, as well as limited exercise tolerance. In COPD, NW improved exercise tolerance (measured as meters walked in six-minute walking test-6MWT) daily physical activity levels dyspnea anxiety and HRQoL. The evidence is still scarce, but it has shown benefits in exercise tolerance and HRQoL in other chronic conditions, such as metabolic syndrome, musculoskeletal disorders, Parkinson disease, cardiovascular diseases and chronic obstructive pulmonary disease (COPD). ![]() It was born in Finland during the 1930s as a cross-country skiers training, and it was been developed, transitioning from skiers to university and educative fields, and then to literature and scientific publications. The main difference between NW and conventional walking is the use of two poles to boost the walk, involving for instance the upper limb during the march. Nordic walking (NW) is one of the exercise programs that could have potential benefits for people with asthma. There is some evidence showing a positive effect of exercise programs, such as walking, jogging or cycling, reducing exacerbations and rescue medication use, and improving asthma-related symptoms, asthma control, lung function, exercise tolerance, and HRQoL. Nevertheless, recommendations on how to perform physical activity or exercise as a part of their treatment is missing in this guideline. Īccording to the Global Initiative for Asthma (GINA), adults with asthma should engage in physical activity and exercise programs for their overall health benefit. ![]() In its turn, inactivity can lead to worsening in asthma symptoms and control, health-related quality of life (HRQoL), and a decline in lung function, particularly in forced expiratory volume in one second (FEV 1), in FEV 1/forced vital capacity (FVC) ratio, and peak expiratory flow (PEF). They also commonly exercise at lower intensities, mostly because they believe that their disease is a barrier to exercise. Due to these symptoms, patients with asthma, in comparison to their peers, are characterized by lower levels of physical activity. Īsthma is characterized by a reversible airway obstruction presented with any combination of the following manifestations and symptoms: wheezing, dyspnea, cough, chest tightness, mucus hypersecretion and airway hyperresponsiveness. It is considered a major social and health concern, being associated with a high economic burden, related to days out of work and school, emergency department visits, hospitalizations and mortality. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Ĭompeting interests: The authors have declared that no competing interests exist.Īsthma is one of the world´s largest non-communicable diseases, affecting 339 million people. Decathlon® donated part of the walking poles. The University of A Coruña donated part of the walking poles. Official College of Physiotherapists from Galicia (CoFiGa), giving 7000€. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: All data from pilot study are available from Zenodo repository ( ).įunding: Funding: This trial was partially funded from: - Spanish Society of Pulmonology and Thoracic Surgery (SEPAR), giving 15000€. Received: DecemAccepted: JanuPublished: March 9, 2023Ĭopyright: © 2023 Vilanova-Pereira et al. ![]() PLoS ONE 18(3):Įditor: Hugh Cowley, Public Library of Science, UNITED KINGDOM (2023) Effectiveness of nordic walking in patients with asthma: A study protocol of a randomized controlled trial. Citation: Vilanova-Pereira M, Jácome C, Rial Prado MJ, Barral-Fernández M, Blanco Aparicio M, Fontán García-Boente L, et al.
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