Ty -Jour T1-高强度肺康复计划对肥胖患者的短期和长期影响:一项随机对照试验JF-欧洲呼吸杂志JO -EUR RESSIR J DO -10.1183/13993003.018203.01820-2019 VL-56 IS -1 SP -1901820 Au -Türk,Yasemin au -Theel,Willy au -van Huisstede,Astrid au -van de geijn,Gert -Jan M. Au -Birnie -birnie,Erwin au -hiemstra -hiemstra,pieter S. au- au -so au- sont,Jacob K. Au -Taube,Christian au -Braunstahl,Gert -Jan Y1-2020/07/01 Ur -http://www.qdcxjkg.com/content.com/content/56/1/1901820.ABSTRACT.ABSTRART- 肥胖哮喘患者的高强度肺康复计划对哮喘控制,身体组成,肺功能和运动能力的期限和长期影响。方法患有肥胖症患者(体重指数(BMI)≥30kg·M-2)和次优控制的哮喘(哮喘控制问卷(ACQ)≥0.75)被随机分配到3个月的肺部康复计划(仅PR),使用基于互联网的自我管理支持计划(PR+SMS)或通常的护理,肺康复计划。肺部康复计划包括高强度间隔训练,营养干预和心理小组会议。建议通常的护理组中的患者减肥和运动。主要结果是3个月后仅PR和PR+SM之间的ACQ变化差异。总随访时间为12个月。研究中包括34例患者(仅14个PR,9个PR+SMS,11个对照)。 Compared with patients in usual care, patients in the PR only group had a significant reduction in BMI and significant improvements in asthma control, exercise capacity and aerobic capacity after 3 months. These improvements persisted during 12 months of follow-up. No difference in ACQ between PR+SMS and PR only groups was observed. However, users of the SMS programme had a significantly lower BMI after 12 months compared with subjects in the PR only group.Conclusion A high-intensity pulmonary rehabilitation programme provides sustained improvements in asthma control, body composition and exercise capacity in obese asthmatics that are not optimally controlled and, therefore, should be considered in the treatment of these patients.Short-term pulmonary rehabilitation programme with high intensity interval training and internet self-management programme is feasible and improves asthma control, aerobic capacity and body weight in suboptimally controlled obese patients with asthma http://bit.ly/2mT8A9r ER -