Evidence map›Paper›PMID 23758826›Full record

SynthesisBMC pulmonary medicine2013

Effect of physical training on airway inflammation in bronchial asthma: a systematic review.

Smita Pakhale, Vanessa Luks, Andrew Burkett, Lucy Turner

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC pulmonary medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. A Systematic Review of the Effect of Physical Activity on Asthma Outcomes.The journal of allergy and clinical immunology. In practice · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Winter Exercise Reduces Allergic Airway Inflammation: A Randomized Controlled Study.International journal of environmental research and public health · 2019
    Trial
  6. Trial
  7. Trial
  8. Asthma-related lung function and physical activity patterns among children living in urban neighborhoods.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
    Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Defining a role for exercise training in the management of asthma.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  15. Observational
  16. Evidence for lifestyle interventions in asthma.Breathe (Sheffield, England) · 2019
    Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Smita PakhaleThe Ottawa Hospital, 501 Smyth Road, Ottawa, Ontario K1H 8L6, Canada. spakhale@ohri.ca
Vanessa Luks
Andrew Burkett
Lucy Turner
University of Ottawa · CAOttawa Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe majority of the global population cannot afford existing asthma pharmacotherapy. Physical training as an airway anti-inflammatory therapy for asthma could potentially be a non-invasive, easily available, affordable, and healthy treatment modality. However, effects of physical training on airway inflammation in asthma are currently inconclusive. The main objective of this review is to summarize the effects of physical training on airway inflammation in asthmatics.

methodsA peer reviewed search was applied to Medline, Embase, Web of Science, Cochrane, and DARE databases. We included all observational epidemiological research studies and RCTs. Studies evaluating at least one marker of airway inflammation in asthmatics after a period of physical training were selected. Data extraction was performed in a blinded fashion. We decided a priori to avoid pooling of the data in anticipation of heterogeneity of the studies, specifically heterogeneity of airway inflammatory markers studied as outcome measures.

resultsFrom the initial 2635 studies; 23 studies (16 RCTs and 7 prospective cohort studies) were included. Study sizes were generally small (median sample size = 30). There was a reduction in C-reactive protein, malondialdehyde, nitric oxide, sputum cell counts and IgE in asthmatics with physical training. Mixed results were observed after training for fractional excretion of nitric oxide and bronchial hyperresponsiveness. The data was not pooled owing to significant heterogeneity between studies, and a funnel plot tests for publication bias were not performed because there were less than 10 studies for almost all outcome measures. Physical training intervention type, duration, intensity, frequency, primary outcome measures, methods of assessing outcome measures, and study designs were heterogeneous.

conclusionDue to reporting issues, lack of information and heterogeneity there was no definite conclusion; however, some findings suggest physical training may reduce airway inflammation in asthmatics.

Indexed as

AdolescentAdultAgedAsthmaChildChild, PreschoolC-Reactive ProteinExerciseFemaleHumansImmunoglobulin EMaleMalondialdehydeMiddle AgedNitric OxidePneumoniaC-Reactive ProteinImmunoglobulin EMalondialdehydeNitric Oxide

Identifiers

PMID23758826
PMCPMC3751945
OpenAlexW2089412912

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.