Effect of aerobic exercise training on asthma control in postmenopausal women (the ATOM-study): protocol for an outcome assessor, randomised controlled trial

Introduction Late-onset asthma in postmenopausal women is characterised by poor disease control with daily symptoms and reduced quality of life despite treatment with inhaled antiasthma therapies. These patients represent a phenotype that is characterised by low eosinophilic airway inflammation, sev...

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Main Authors: Ylva Hellsten, Vibeke Backer, Morten Hostrup, Erik Sören Halvard Hansen, Hanne Kruuse Rasmusen
Format: Article
Language:English
Published: BMJ Publishing Group 2021-04-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/4/e049477.full
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author Ylva Hellsten
Vibeke Backer
Morten Hostrup
Erik Sören Halvard Hansen
Hanne Kruuse Rasmusen
author_facet Ylva Hellsten
Vibeke Backer
Morten Hostrup
Erik Sören Halvard Hansen
Hanne Kruuse Rasmusen
author_sort Ylva Hellsten
collection DOAJ
description Introduction Late-onset asthma in postmenopausal women is characterised by poor disease control with daily symptoms and reduced quality of life despite treatment with inhaled antiasthma therapies. These patients represent a phenotype that is characterised by low eosinophilic airway inflammation, severe symptoms, moderate obesity and poor response to inhaled antiasthma therapies, which highlights the need of identification of alternative treatment strategies. Thus, this study aims to evaluate if regular high-intensity aerobic exercise improves symptom control in postmenopausal women with asthma.Methods and analysis This is an ongoing randomised controlled trial planning to enrol 40 postmenopausal women with late-onset asthma. Participants are randomised 1:1 either to supervised exercise training (spinning) three times per week for 12 weeks or to usual care. The primary outcome is change from baseline to follow-up in the Asthma Control Questionnaire. Secondary outcomes are changes in markers of systemic inflammation, airway inflammation, body composition and right ventricular function of the heart.Ethics and dissemination The study is approved by the Ethics Committee in the Capital Region of Denmark nr. H-18028966 and the Danish Data Protection Agency nr. VD-2019–59. The methods used in the study are well known and have a low risk with a chance of substantial improvement in disease control in this patient group. Results are planned to be published in an international peer-reviewed medical journal regardless of outcome.Trial registration number NCT03747211.
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spelling doaj-art-1a7e12e8347246b394e3ab7c0a49b8c32024-11-18T06:05:07ZengBMJ Publishing GroupBMJ Open2044-60552021-04-0111410.1136/bmjopen-2021-049477Effect of aerobic exercise training on asthma control in postmenopausal women (the ATOM-study): protocol for an outcome assessor, randomised controlled trialYlva Hellsten0Vibeke Backer1Morten Hostrup2Erik Sören Halvard Hansen3Hanne Kruuse Rasmusen41 Department of Nutrition Exercise and Sports, University of Copenhagen, Copenhagen, DenmarkDepartment of Otorhinolaryngology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, DenmarkDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, DenmarkCentre for Physical Activity Research, Copenhagen University Hospital - Rigshospitalet, Copenhagen, DenmarkDepartment of Cardiology, Bispebjerg and Frederiksberg Hospital, Copenhagen, DenmarkIntroduction Late-onset asthma in postmenopausal women is characterised by poor disease control with daily symptoms and reduced quality of life despite treatment with inhaled antiasthma therapies. These patients represent a phenotype that is characterised by low eosinophilic airway inflammation, severe symptoms, moderate obesity and poor response to inhaled antiasthma therapies, which highlights the need of identification of alternative treatment strategies. Thus, this study aims to evaluate if regular high-intensity aerobic exercise improves symptom control in postmenopausal women with asthma.Methods and analysis This is an ongoing randomised controlled trial planning to enrol 40 postmenopausal women with late-onset asthma. Participants are randomised 1:1 either to supervised exercise training (spinning) three times per week for 12 weeks or to usual care. The primary outcome is change from baseline to follow-up in the Asthma Control Questionnaire. Secondary outcomes are changes in markers of systemic inflammation, airway inflammation, body composition and right ventricular function of the heart.Ethics and dissemination The study is approved by the Ethics Committee in the Capital Region of Denmark nr. H-18028966 and the Danish Data Protection Agency nr. VD-2019–59. The methods used in the study are well known and have a low risk with a chance of substantial improvement in disease control in this patient group. Results are planned to be published in an international peer-reviewed medical journal regardless of outcome.Trial registration number NCT03747211.https://bmjopen.bmj.com/content/11/4/e049477.full
spellingShingle Ylva Hellsten
Vibeke Backer
Morten Hostrup
Erik Sören Halvard Hansen
Hanne Kruuse Rasmusen
Effect of aerobic exercise training on asthma control in postmenopausal women (the ATOM-study): protocol for an outcome assessor, randomised controlled trial
BMJ Open
title Effect of aerobic exercise training on asthma control in postmenopausal women (the ATOM-study): protocol for an outcome assessor, randomised controlled trial
title_full Effect of aerobic exercise training on asthma control in postmenopausal women (the ATOM-study): protocol for an outcome assessor, randomised controlled trial
title_fullStr Effect of aerobic exercise training on asthma control in postmenopausal women (the ATOM-study): protocol for an outcome assessor, randomised controlled trial
title_full_unstemmed Effect of aerobic exercise training on asthma control in postmenopausal women (the ATOM-study): protocol for an outcome assessor, randomised controlled trial
title_short Effect of aerobic exercise training on asthma control in postmenopausal women (the ATOM-study): protocol for an outcome assessor, randomised controlled trial
title_sort effect of aerobic exercise training on asthma control in postmenopausal women the atom study protocol for an outcome assessor randomised controlled trial
url https://bmjopen.bmj.com/content/11/4/e049477.full
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