Asthma in children and adolescents: promoting the sport for a better quality of life
Every child with asthma can and should play sports, insisted Dr. Chantal Karila, service pediatric pulmonology and allergy at the Hospital Necker-Enfants Malades in Paris (fifteenth arrondissement).
Adolescence: a more difficult time with asthma
This Parisian specialist reports on the value of sport for young people with asthma during the press conference of presentation of the "Asthma Academy" program *, a kit of training materials for health workers and teachers (Science life and land, Physical Education) schools and to improve the quality of life of adolescents with asthma.
Affecting 8-10% of children and adolescents (or 2 or 3 known or undiagnosed patients in a class of thirty students), asthma is the first chronic childhood disease and its frequency among the leading causes of school absenteeism, said Dr. Pierre Scheinmann, service pediatric pulmonology and allergy at the Hospital Necker-Enfants Malades in Paris (fifteenth arrondissement).
Adolescence is a "difficult period", during which the "absolute desire for independence", the denial and the challenge of the disease often leads to a "therapeutic anarchy," he said.
Treatment compliance problems, smoking beginner, are all elements of why the risk of serious asthma-related accident shows at least five times higher among the young aged 10 to 19 years than in the older child May-October years, he said.
Raise the sport rank asthma
But a sporting activity helps prevent these abuses because it allows the young asthmatic to "take in hand, at least partially," continued the Parisian specialist. It is a gateway that allows the child to be of interest to his illness and make an active partner in his care.
Besides the sports involved in the fight against obesity, which ranks factors persistence of asthma after puberty and promotes social integration, he said.
In general, children with asthma is not sports, which leads him into a spiral of deconditioning, added Dr. Chantal Karila, service pediatric pulmonology and allergy at the Necker Hospital. The fact that it is prone to asthma and shortness of breath on exertion will lead to athletic failure (sometimes because it is too often excused overprotected and sports) and is socially isolating these comrades. Inactivity and disease will be self-entrenir in a vicious circle.
To avoid reaching such extremes, it must give the asthmatic child's love of sport from a young age and avoid grant exemptions sports unnecessary, she said. Indeed, "the sport is more consistent and integrated into daily life, more profits will prove important."
The training to fight against exercise-induced asthma
The exercise training is "preventive medicine" and sport must be integrated "as a treatment of asthma," insisted Dr. Chantal Karila explaining how sport and asthma were related.
Exercise-induced asthma is an asthma attack that occurs between five and ten minutes after stopping exercise, she said. Indeed, during exercise (whether you are asthmatic or not), bronchi dilate, before declining after stopping exercise.
Patients with asthma, the constriction will cause wheezing and difficulty breathing. In addition, asthma, whatever the intensity of the activity they practice, break down more strongly than those who do not suffer from this respiratory disease, and this element increases itself the likelihood of a crisis.
The exercise training will help to reduce the impact of this physiological reaction, pushing the threshold for the asthmatic is slowing, and increasing the capacity of the lungs to dilate during exercise.
Learning to deal with his illness and is proving he is able to do so, the asthmatic child is going to see decrease the frequency of asthma attacks and effort of its shortness, but also improve its social relations and therefore their quality of life, she said.
The "Asthma Academy" program, sponsored by the Ministry of Education, was developed under the auspices of the Asthma and Allergy Association, and his scientific work was coordinated by Professor Pierre Scheinmann. The tool kit can be requested from the standard pharmaceutical laboratory that supported this program at 01.47.54.87.00.
5 Tips to move safely
Deborah Fuchs, professor of adapted physical activities in the center of rehabilitation training of the Necker-Enfants Malades Hospital, said that the practice of sport by asthma depends on a good management of the disease. She also distilled some helpful tips.
* Learn diaphragmatic breathing: breathe through the belly can request fewer muscles to respiratory activity, which increases as the amount of oxygen available to the working muscles during physical activity
* Think of the bronchodilator therapy: children needing preventive treatment should take 15 minutes before exercise and asthma should consider bring their rescue bronchodilator
* Warm up before and after exercise: a fifteen minute walk, running low intensity exercise or split, depending on the level of training.
* Environment and hydration: wear a silk scarf on the nose by cold and dry (to warm and humidify the air) and drink a glass of water every 20 minutes.
* Endurance: the activity must be at a level that corresponds to a position of respiratory comfort, just below the threshold at which the slowdown appears (the child must be able to talk while exercising). "This optimal zone allows both to grow and work safely to avoid crises," she said.
Adolescence: a more difficult time with asthma
This Parisian specialist reports on the value of sport for young people with asthma during the press conference of presentation of the "Asthma Academy" program *, a kit of training materials for health workers and teachers (Science life and land, Physical Education) schools and to improve the quality of life of adolescents with asthma.
Affecting 8-10% of children and adolescents (or 2 or 3 known or undiagnosed patients in a class of thirty students), asthma is the first chronic childhood disease and its frequency among the leading causes of school absenteeism, said Dr. Pierre Scheinmann, service pediatric pulmonology and allergy at the Hospital Necker-Enfants Malades in Paris (fifteenth arrondissement).
Adolescence is a "difficult period", during which the "absolute desire for independence", the denial and the challenge of the disease often leads to a "therapeutic anarchy," he said.
Treatment compliance problems, smoking beginner, are all elements of why the risk of serious asthma-related accident shows at least five times higher among the young aged 10 to 19 years than in the older child May-October years, he said.
Raise the sport rank asthma
But a sporting activity helps prevent these abuses because it allows the young asthmatic to "take in hand, at least partially," continued the Parisian specialist. It is a gateway that allows the child to be of interest to his illness and make an active partner in his care.
Besides the sports involved in the fight against obesity, which ranks factors persistence of asthma after puberty and promotes social integration, he said.
In general, children with asthma is not sports, which leads him into a spiral of deconditioning, added Dr. Chantal Karila, service pediatric pulmonology and allergy at the Necker Hospital. The fact that it is prone to asthma and shortness of breath on exertion will lead to athletic failure (sometimes because it is too often excused overprotected and sports) and is socially isolating these comrades. Inactivity and disease will be self-entrenir in a vicious circle.
To avoid reaching such extremes, it must give the asthmatic child's love of sport from a young age and avoid grant exemptions sports unnecessary, she said. Indeed, "the sport is more consistent and integrated into daily life, more profits will prove important."
The training to fight against exercise-induced asthma
The exercise training is "preventive medicine" and sport must be integrated "as a treatment of asthma," insisted Dr. Chantal Karila explaining how sport and asthma were related.
Exercise-induced asthma is an asthma attack that occurs between five and ten minutes after stopping exercise, she said. Indeed, during exercise (whether you are asthmatic or not), bronchi dilate, before declining after stopping exercise.
Patients with asthma, the constriction will cause wheezing and difficulty breathing. In addition, asthma, whatever the intensity of the activity they practice, break down more strongly than those who do not suffer from this respiratory disease, and this element increases itself the likelihood of a crisis.
The exercise training will help to reduce the impact of this physiological reaction, pushing the threshold for the asthmatic is slowing, and increasing the capacity of the lungs to dilate during exercise.
Learning to deal with his illness and is proving he is able to do so, the asthmatic child is going to see decrease the frequency of asthma attacks and effort of its shortness, but also improve its social relations and therefore their quality of life, she said.
The "Asthma Academy" program, sponsored by the Ministry of Education, was developed under the auspices of the Asthma and Allergy Association, and his scientific work was coordinated by Professor Pierre Scheinmann. The tool kit can be requested from the standard pharmaceutical laboratory that supported this program at 01.47.54.87.00.
5 Tips to move safely
Deborah Fuchs, professor of adapted physical activities in the center of rehabilitation training of the Necker-Enfants Malades Hospital, said that the practice of sport by asthma depends on a good management of the disease. She also distilled some helpful tips.
* Learn diaphragmatic breathing: breathe through the belly can request fewer muscles to respiratory activity, which increases as the amount of oxygen available to the working muscles during physical activity
* Think of the bronchodilator therapy: children needing preventive treatment should take 15 minutes before exercise and asthma should consider bring their rescue bronchodilator
* Warm up before and after exercise: a fifteen minute walk, running low intensity exercise or split, depending on the level of training.
* Environment and hydration: wear a silk scarf on the nose by cold and dry (to warm and humidify the air) and drink a glass of water every 20 minutes.
* Endurance: the activity must be at a level that corresponds to a position of respiratory comfort, just below the threshold at which the slowdown appears (the child must be able to talk while exercising). "This optimal zone allows both to grow and work safely to avoid crises," she said.
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