对于哮喘运动的建议

jacky · 发表于 2012-2-21 09:47:45

Exercise Recommendations

When training clients with asthma or EIA, you should take the following steps recommended by Nieman (1998) and others:

Seek a physician’s clearance prior to beginning an exercise program.
Become familiar with any medications taken by your client and the possible side effects.
Plan a dynamic warm-up of approxi- mately 15 minutes at 60 percent VO2 max, or 12 to 14 on the RPE scale (McKenzie, McLuckie & Stirling 1994).
If possible, recommend exercises that are less likely to trigger symptoms of EIA. Aquatic exercise is good because the warm, humid air near the water surface helps prevent the cooling and drying of the lung airways. Exercising indoors, as long as the air is unpolluted, is generally preferable to exercising outdoors. Stop-and-go sports and team games like tennis and volleyball are also less conducive to EIA for some people (Storms 2003).
When practical, avoid exercises that are most conducive to EIA. Outdoor running is often regarded as the work- out most likely to cause symptoms. Next in line are treadmill running and cycling.
When incorporating interval training into an exercise program, show prudence with the higher intensities.
Try a prolonged cool-down. Yoga may enhance relaxation and exercise tolerance (Vedanthan et al. 1998).
Teach clients to use slow nasal breathing with low- to moderate-intensity exercise. (Breathing through the nose warms and humidifies the air.)
Advise clients to wear a mask or scarf over the face in cold weather to increase the temperature and humidity of the inhaled air, thereby reducing irritation to the air passageways.
Closely monitor clients for any signs of an asthma attack.
Avoid exercise environments that are high in pollutants, pollen and other asthma triggers (e.g., a recently mowed grass field, an area with many flowers, high-traffic roads).
In the case of an asthma attack, imme- diately decrease exercise intensity. If symptoms do not subside, seek medical attention.
As with all clients, advise proper hydration before, during and after exercise.