Meta-Analysis of the Effect of Home-Based Aerobic Exercises on Some Psychological Indicators in Patients with Asthma
DOI:
https://doi.org/10.61838/kman.pdmd.3.2.1Keywords:
Home, based aerobic exercises, Psychological indicators, Asthma, Meta, analysisAbstract
Background and Objective: The aim of the present study was to meta-analyze the effect of home-based aerobic exercises on psychological indicators such as quality of life, motivational interviewing, anxiety, depression, fatigue, and asthma control in patients with asthma.
Methods and Materials: The research method was meta-analytic. The statistical population included all published internal and external resources in English from 2012 to 2021. The search results, based on keywords in databases, included 1848 cases, of which 87 were domestic studies and 1761 were foreign studies. After removing duplicate and unrelated studies, 11 studies were selected using a census method. Data collection was performed using a bibliographic and methodological characteristics checklist. Effect size calculation was conducted using Hedges' g index in both fixed and random effects models through CMA3 software.
Findings: Cochran's test and I2 squared results indicated heterogeneity in quality of life (p<0.05, Q=9.93, I2=79.86), motivational interviewing (p<0.05, Q=25.68, I2=64.95), and depression (p<0.05, Q=7.19, I2=58.28) and homogeneity in anxiety (p>0.05, Q=5.68, I2=47.22), fatigue (p>0.05, Q=1.97, I2=0), and asthma control (p>0.05, Q=0.15, I2=0). According to the results, the effect size of home-based aerobic exercises on improving quality of life was 0.935 and on motivational interviewing was 0.681, which, based on Cohen's classification, are considered large effect sizes. Additionally, the effect size of home-based aerobic exercises on improving anxiety was 0.316, depression 0.303, fatigue 0.426, and asthma control 0.275, which, according to Cohen's classification, are evaluated as moderate.
Conclusion: Based on the findings, the use of home-based aerobic exercises can be effective in improving psychological indicators, especially quality of life and motivational interviewing.
Downloads
References
Amini, M., Mirmoezzi, M., Salmanpour, M., & Khorshidi, D. (2018). Eight Weeks of Aerobic Exercises Improves the Quality
of Life in Healthy Aged Sedentary Men [Research Article]. Int J Sport Stud Health, 1(1), e67514.
https://doi.org/10.5812/intjssh.67514
Dogra, S., Kuk, J. L., Baker, J., & Jamnik, V. (2010). Exercise Is Associated With Improved Asthma Control in Adults.
European Respiratory Journal, 37(2), 318-323. https://doi.org/10.1183/09031936.00182209
Elkington, T. J., Cassar, S., Nelson, A. R., & Levinger, I. (2017). Psychological Responses to Acute Aerobic, Resistance, or
Combined Exercise in Healthy and Overweight Individuals: A Systematic Review. Clinical Medicine Insights Cardiology,
11, 117954681770172. https://doi.org/10.1177/1179546817701725
Faghfouriazar, M. (2023). The Effectiveness of Selected Perceptual-Motor Exercises on Working Memory and Quality of Life
of Elderly Women. Aging Psychology, 9(3), 310-293. https://doi.org/10.22126/jap.2023.9426.1719
França-Pinto, A., Mendes, F., Carvalho-Pinto, R. M., Agondi, R. C., Cukier, A., Stelmach, R., Saraiva-Romanholo, B. M.,
Kalil, J., Martins, M. A., Giavina‐Bianchi, P., & Carvalho, C. R. F. (2015). Aerobic Training Decreases BronchialHyperresponsiveness and Systemic Inflammation in Patients With Moderate or Severe Asthma: A Randomised Controlled
Trial. Thorax, 70(8), 732-739. https://doi.org/10.1136/thoraxjnl-2014-206070
Francisco, C. d. O., Bhatawadekar, S. A., Babineau, J., Reid, W. D., & Yadollahi, A. (2018). Effects of Physical Exercise
Training on Nocturnal Symptoms in Asthma: Systematic Review. PLoS One, 13(10), e0204953.
https://doi.org/10.1371/journal.pone.0204953
Grznár, Ľ., Sucháň, D., Labudová, J., Odráška, L., & Matúš, I. (2022). Influences of Breathing Exercises and Breathing Exercise
Combined With Aerobic Exercise on Changes in Basic Spirometry Parameters in Patients With Bronchial Asthma. Applied
Sciences, 12(14), 7352. https://doi.org/10.3390/app12147352
Kashmari, A., Shahabizadeh, F., Ahi, G., & Mahmoudi Rad, A. (2024). Comparison of the Effectiveness of Cognitive
Behavioral Therapy Combined with Self-Compassion and Cognitive-Motor Activities Versus Cognitive-Motor
Intervention Alone on Death Anxiety and Aging Perception in the Elderly. Journal of Psychological Dynamics in Mood
Disorders (PDMD), 3(1), 86-99. https://doi.org/10.22034/pdmd.2024.453836.1083
Keramati, M. R. (2021). A Comparison of Health-Related Quality of Life and Job Satisfaction in Physically Active and
Sedentary Faculty Members. International Journal of Education and Cognitive Sciences, 2(3), 23-32.
https://doi.org/10.22034/injoeas.2021.160725
Lu, K. D., Haddad, F., & Radom‐Aizik, S. (2018). Four Months of a School-Based Exercise Program Improved Aerobic Fitness
and Clinical Outcomes in a Low-Ses Population of Normal Weight and Overweight/Obese Children With Asthma.
Frontiers in Pediatrics, 6. https://doi.org/10.3389/fped.2018.00380
Mendes, F., Almeida, F. M. d., Cukier, A., Stelmach, R., Jacob‐Filho, W., Martins, M. A., & Carvalho, C. R. F. (2011). Effects
of Aerobic Training on Airway Inflammation in Asthmatic Patients. Medicine & Science in Sports & Exercise, 43(2), 197
203. https://doi.org/10.1249/mss.0b013e3181ed0ea3
Pastva, A. M., Estell, K., Schoeb, T. R., Atkinson, T. P., & Schwiebert, L. M. (2004). Aerobic Exercise Attenuates Airway
Inflammatory Responses in a Mouse Model of Atopic Asthma. The Journal of Immunology, 172(7), 4520-4526.
https://doi.org/10.4049/jimmunol.172.7.4520
Perić, R., Drobnic, F., & Baker, J. S. (2019). Feasibility of Individualized Aerobic Threshold-Based Exercise on Ventilatory
Efficiency in Sedentary Adult Asthma Patients. Minerva Pneumologica, 57(4). https://doi.org/10.23736/s0026
4954.18.01829-1
Romberg, A., Virtanen, A., Ruutiainen, J., Aunola, S., Karppi, S.-L., Vaara, M., Surakka, J., Pohjolainen, T., & Seppänen, A.
(2004). Effects of a 6-month exercise program on patients with multiple sclerosis. Neurology, 63(11), 2034-2038.
https://doi.org/10.1212/01.WNL.0000145761.38400.65
Valkenborghs, S. R., Anderson, S. L., Scott, H. A., & Callister, R. (2022). Exercise Training Programs Improve
Cardiorespiratory and Functional Fitness in Adults With Asthma. Journal of Cardiopulmonary Rehabilitation and
Prevention, 42(6), 423-433. https://doi.org/10.1097/hcr.0000000000000698
Vieira, R. P., Claudino, R. C., Duarte, A. C. S., Ângela Batista Gomes dos, S., Perini, A., Neto, H. C. C., Mauad, T., Martins,
M. A., Dolhnikoff, M., & Carvalho, C. R. F. (2007). Aerobic Exercise Decreases Chronic Allergic Lung Inflammation and
Airway Remodeling in Mice. American Journal of Respiratory and Critical Care Medicine, 176(9), 871-877.
https://doi.org/10.1164/rccm.200610-1567oc
Zhu, Q., Zhu, J., Wang, X., & Xu, Q. (2022). A Meta Analysis of Physical Exercise on Improving Lung Function and Quality
of Life Among Asthma Patients. Journal of Asthma and Allergy, Volume 15, 939-955. https://doi.org/10.2147/jaa.s369811
Downloads
Publication Timeline
- Submitted
- Revised
- Accepted
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.