Effect of lifestyle on asthma control in Japanese patients: importance of periodical exercise and raw vegetable diet.

BACKGROUND: The avoidance of inhaled allergens or tobacco smoke has been known to have favorable effects on asthma control. However, it remains unclear whether other lifestyle-related factors are also related to asthma control. Therefore, a comprehensive study to examine the associations between var...

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Main Authors: Motoyasu Iikura, Siyan Yi, Yasunori Ichimura, Ai Hori, Shinyu Izumi, Haruhito Sugiyama, Koichiro Kudo, Tetsuya Mizoue, Nobuyuki Kobayashi
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3706625?pdf=render
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author Motoyasu Iikura
Siyan Yi
Yasunori Ichimura
Ai Hori
Shinyu Izumi
Haruhito Sugiyama
Koichiro Kudo
Tetsuya Mizoue
Nobuyuki Kobayashi
author_facet Motoyasu Iikura
Siyan Yi
Yasunori Ichimura
Ai Hori
Shinyu Izumi
Haruhito Sugiyama
Koichiro Kudo
Tetsuya Mizoue
Nobuyuki Kobayashi
author_sort Motoyasu Iikura
collection DOAJ
description BACKGROUND: The avoidance of inhaled allergens or tobacco smoke has been known to have favorable effects on asthma control. However, it remains unclear whether other lifestyle-related factors are also related to asthma control. Therefore, a comprehensive study to examine the associations between various lifestyle factors and asthma control was conducted in Japanese asthmatic patients. METHODS: The study subjects included 437 stable asthmatic patients recruited from our outpatient clinic over a one-year period. A written, informed consent was obtained from each participant. Asthma control was assessed using the asthma control test (ACT), and a structured questionnaire was administered to obtain information regarding lifestyle factors, including tobacco smoking, alcohol drinking, physical exercise, and diet. Both bivariate and multivariate analyses were conducted. RESULTS: The proportions of total control (ACT = 25), well controlled (ACT = 20-24), and poorly controlled (ACT < 20) were 27.5%, 48.1%, and 24.5%, respectively. The proportions of patients in the asthma treatment steps as measured by Global Initiative for Asthma 2007 in step 1, step 2, step 3, step 4, and step 5 were 5.5%, 17.4%, 7.6%, 60.2%, and 9.4%, respectively. Body mass index, direct tobacco smoking status and alcohol drinking were not associated with asthma control. On the other hand, younger age (< 65 years old), passive smoking, periodical exercise (> 3 metabolic equivalents-h/week), and raw vegetable intake (> 5 units/week) were significantly associated with good asthma control by bivariate analysis. Younger age, periodical exercise, and raw vegetable intake were significantly associated with good asthma control by multiple linear regression analysis. CONCLUSIONS: Periodical exercise and raw vegetable intake are associated with good asthma control in Japanese patients.
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spelling doaj.art-8f58de212b664a5fbf3d5a940223b6172022-12-22T01:53:58ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0187e6829010.1371/journal.pone.0068290Effect of lifestyle on asthma control in Japanese patients: importance of periodical exercise and raw vegetable diet.Motoyasu IikuraSiyan YiYasunori IchimuraAi HoriShinyu IzumiHaruhito SugiyamaKoichiro KudoTetsuya MizoueNobuyuki KobayashiBACKGROUND: The avoidance of inhaled allergens or tobacco smoke has been known to have favorable effects on asthma control. However, it remains unclear whether other lifestyle-related factors are also related to asthma control. Therefore, a comprehensive study to examine the associations between various lifestyle factors and asthma control was conducted in Japanese asthmatic patients. METHODS: The study subjects included 437 stable asthmatic patients recruited from our outpatient clinic over a one-year period. A written, informed consent was obtained from each participant. Asthma control was assessed using the asthma control test (ACT), and a structured questionnaire was administered to obtain information regarding lifestyle factors, including tobacco smoking, alcohol drinking, physical exercise, and diet. Both bivariate and multivariate analyses were conducted. RESULTS: The proportions of total control (ACT = 25), well controlled (ACT = 20-24), and poorly controlled (ACT < 20) were 27.5%, 48.1%, and 24.5%, respectively. The proportions of patients in the asthma treatment steps as measured by Global Initiative for Asthma 2007 in step 1, step 2, step 3, step 4, and step 5 were 5.5%, 17.4%, 7.6%, 60.2%, and 9.4%, respectively. Body mass index, direct tobacco smoking status and alcohol drinking were not associated with asthma control. On the other hand, younger age (< 65 years old), passive smoking, periodical exercise (> 3 metabolic equivalents-h/week), and raw vegetable intake (> 5 units/week) were significantly associated with good asthma control by bivariate analysis. Younger age, periodical exercise, and raw vegetable intake were significantly associated with good asthma control by multiple linear regression analysis. CONCLUSIONS: Periodical exercise and raw vegetable intake are associated with good asthma control in Japanese patients.http://europepmc.org/articles/PMC3706625?pdf=render
spellingShingle Motoyasu Iikura
Siyan Yi
Yasunori Ichimura
Ai Hori
Shinyu Izumi
Haruhito Sugiyama
Koichiro Kudo
Tetsuya Mizoue
Nobuyuki Kobayashi
Effect of lifestyle on asthma control in Japanese patients: importance of periodical exercise and raw vegetable diet.
PLoS ONE
title Effect of lifestyle on asthma control in Japanese patients: importance of periodical exercise and raw vegetable diet.
title_full Effect of lifestyle on asthma control in Japanese patients: importance of periodical exercise and raw vegetable diet.
title_fullStr Effect of lifestyle on asthma control in Japanese patients: importance of periodical exercise and raw vegetable diet.
title_full_unstemmed Effect of lifestyle on asthma control in Japanese patients: importance of periodical exercise and raw vegetable diet.
title_short Effect of lifestyle on asthma control in Japanese patients: importance of periodical exercise and raw vegetable diet.
title_sort effect of lifestyle on asthma control in japanese patients importance of periodical exercise and raw vegetable diet
url http://europepmc.org/articles/PMC3706625?pdf=render
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