Comparison of aerobic training versus relaxation therapy on anxiety and depression in children with asthma: a pilot study

Authors

  • Pratibha Gaikwad Department of Physiotherapy, Lommany Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
  • Bharati Asgoankar Department of Physiotherapy, Topiwala Nair Medical College and BYL Nair Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20251116

Keywords:

Anxiety, Children with asthma, Aerobic

Abstract

Background: Asthma in growing children affects their emotional, intellectual, and physical development. Aerobic training has been advised for asthmatics to increase fitness and cardio-respiratory endurance, decrease dyspnoea, and improve quality of life. However, studies regarding aerobic training and its effect on anxiety and depression in the paediatric population are limited. Psychological treatments can decrease emotional distress as a result of symptoms, but does not improve their physical capacity. Thus, the aim of our study was to study the effects of eight weeks of aerobic training versus Jacobson’s relaxation technique on anxiety and depression in asthmatic children with mild to moderate severity.

Methods: It was a single centre prospective comparative study. 45 asthmatic children satisfying the inclusion criteria were screened for anxiety and depression by using revised children's anxiety and depression scale (RCADS) scale. They were divided into 3 groups. Group A received diagrammatic breathing exercises, group B children received aerobic training, and group C received Jacobson’s relaxation. Pre- and post-8-week effects training effects were assessed.

Results: Study results showed there was a significant difference between aerobic and relaxation on anxiety score with p value of 0.004. There was no significant difference on depression score between aerobic and relaxation with p value of 0.086.

Conclusion: The study results showed that an aerobic training program reduces anxiety and depression levels in asthmatic children aged 6-11 years.

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References

Daniel RA, Aggarwal P, Kalaivani M, Gupta SK. Prevalence of asthma among children in India: A systematic review and meta-analysis. Lung India. 2022;39(4):357-67. DOI: https://doi.org/10.4103/lungindia.lungindia_706_21

Mathew P, Indiradevi ER, Soniya UR, Poonnen SB, Alex ST, Solomon S. Prevalence and risk factors for respiratory morbidity, among high school students of South India. Int J Res Med Sci. 2015;3(5):1149-52. DOI: https://doi.org/10.5455/2320-6012.ijrms20150522

Licari A, Ciprandi R, Marseglia G, Ciprandi G. Anxiety and Depression in Adolescents with Severe Asthma and in Their Parents: Preliminary Results after 1 Year of Treatment. Behav Sci (Basel). 2019;9(7):78. DOI: https://doi.org/10.3390/bs9070078

Lehrer P, Feldman J, Giardino N, Song HS, Schmaling K. Psychological aspects of asthma. J Consult Clin Psychol. 2002;70(3):691-711. DOI: https://doi.org/10.1037//0022-006X.70.3.691

Gonçalves RC, Nunes MPT, Cukier A, Stelmach R, Martins MA, Carvalho CRF. Effects of an aerobic physical training program on psychosocial characteristics, quality-of-life, symptoms and exhaled nitric oxide in individuals with moderate or severe persistent asthma. Braz J Phys Ther. 2008;12(2):127-35. DOI: https://doi.org/10.1590/S1413-35552008000200009

Amer AAA, Maksod YHA, EI Bakry ST, El-Yamany WHA. Anxiety and depression among children with chronic diseases. Middle East Curr Psychiatr. 2013;20:146-55. DOI: https://doi.org/10.1097/01.XME.0000430426.13729.3d

Katon WJ, Richardson L, Lozano P, McCauley E. The relationship of asthma and anxiety disorders. Psychosom Med. 2004;66(3):349-55. DOI: https://doi.org/10.1097/00006842-200405000-00010

Bahreinian S, Ball GDC, Colman I, Becker AB, Kozyrskyj AL. Depression is more common in girls with nonatopic asthma. Chest. 2011;140(5):1138-45. DOI: https://doi.org/10.1378/chest.11-0219

Andrade LB, Britto MC, Lucena-Silva N, Gomes RG, Figueroa JN. The efficacy of aerobic training in improving the inflammatory component of asthmatic children. Randomized trial. Respir Med. 2014;108(10):1438-45. DOI: https://doi.org/10.1016/j.rmed.2014.07.009

Kösters MP, Chinapaw MJ, Zwaanswijk M, van der Wal MF, Koot HM. Structure, reliability, and validity of the revised child anxiety and depression scale (RCADS) in a multi-ethnic urban sample of Dutch children. BMC Psychiatry. 2015;15:132. DOI: https://doi.org/10.1186/s12888-015-0509-7

De Ross R, Gullone E, Chorpita BF. The Revised Child Anxiety and Depression Scale: A Psychometric Investigation with Australian Youth. Behaviour Change. 2002;19(2):90-101. DOI: https://doi.org/10.1375/bech.19.2.90

Ciprandi G, Schiavetti I, Rindone E, Ricciardolo FL. The impact of anxiety and depression on outpatients with asthma. Ann Allergy Asthma Immunol. 2015;115(5):408-14. DOI: https://doi.org/10.1016/j.anai.2015.08.007

Goodwin RD, Bandiera FC, Steinberg D, Ortega AN, Feldman JM. Asthma and mental health among youth: etiology, current knowledge and future directions. Expert Rev Respir Med. 2012;6(4):397-406. DOI: https://doi.org/10.1586/ers.12.34

Huntley A, White AR, Ernst E. Relaxation therapies for asthma: a systematic review. Thorax. 2002;57(2):127-31. DOI: https://doi.org/10.1136/thorax.57.2.127

Jerath R, Crawford MW, Barnes VA, Harden K. Self-regulation of breathing as a primary treatment for anxiety. Appl Psychophysiol Biofeedback. 2015;40(2):107-15. DOI: https://doi.org/10.1007/s10484-015-9279-8

Jindal SK, Aggarwal AN, Gupta D, Agarwal R, Kumar R, Kaur T, et al. Indian study on epidemiology of asthma, respiratory symptoms and chronic bronchitis in adults (INSEARCH). Int J Tuberc Lung Dis. 2012;16(9):1270-7. DOI: https://doi.org/10.5588/ijtld.12.0005

Chiang LC, Ma WF, Huang JL, Tseng LF, Hsueh KC. Effect of relaxation-breathing training on anxiety and asthma signs/symptoms of children with moderate-to-severe asthma: a randomized controlled trial. Int J Nurs Stud. 2009;46(8):1061-70. DOI: https://doi.org/10.1016/j.ijnurstu.2009.01.013

Crosbie A. The effect of physical training in children with asthma on pulmonary function, aerobic capacity and health-related quality of life: a systematic review of randomized control trials. Pediatr Exerc Sci. 2012;24(3):472-89. DOI: https://doi.org/10.1123/pes.24.3.472

Mahon AD, Marjerrison AD, Lee JD, Woodruff ME, Hanna LE. Evaluating the prediction of maximal heart rate in children and adolescents. Res Q Exerc Sport. 2010;81(4):466-71. DOI: https://doi.org/10.5641/027013610X13088600029337

Turner S, Eastwood P, Cook A, Jenkins S. Improvements in symptoms and quality of life following exercise training in older adults with moderate/severe persistent asthma. Respiration. 2011;81(4):302-10. DOI: https://doi.org/10.1159/000315142

Farid R, Azad FJ, Atri AE, Rahimi MB, Khaledan A, Talaei-Khoei M, et al. Effect of aerobic exercise training on pulmonary function and tolerance of activity in asthmatic patients. Iran J Allergy Asthma Immunol. 2005;4(3):133-8.

Liu Y, Zhao Y, Liu F, Liu L. Effects of Physical Exercises on Pulmonary Rehabilitation, Exercise Capacity, and Quality of Life in Children with Asthma: A Meta-Analysis. Evid Based Complement Alternat Med. 2021;2021:5104102. DOI: https://doi.org/10.1155/2021/5104102

Milanese M, Miraglia Del Giudice E, Peroni DG. Asthma, exercise and metabolic dysregulation in paediatrics. Allergol Immunopathol (Madr). 2019;47(3):289-94. DOI: https://doi.org/10.1016/j.aller.2018.03.010

Philpott JF, Houghton K, Luke A. Physical activity recommendations for children with specific chronic health conditions: juvenile idiopathic arthritis, hemophilia, asthma, and cystic fibrosis. Clin J Sport Med. 2010;20(3):167-72. DOI: https://doi.org/10.1097/JSM.0b013e3181d2eddd

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Published

2025-04-24

How to Cite

Gaikwad, P., & Asgoankar, B. (2025). Comparison of aerobic training versus relaxation therapy on anxiety and depression in children with asthma: a pilot study. International Journal of Research in Medical Sciences, 13(5), 1908–1915. https://doi.org/10.18203/2320-6012.ijrms20251116

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Original Research Articles