Combined Lifestyle Interventions in the Prevention and Management of Asthma and COPD: A Systematic Review

Charlotte D C Born; Rohini Bhadra; George D'Souza; Stef P J Kremers; Sucharita Sambashivaiah; Annemie M W J Schols; Rik Crutzen; Rosanne J H C G Beijers; P4O2 Consortium

doi:10.3390/nu16101515

Combined Lifestyle Interventions in the Prevention and Management of Asthma and COPD: A Systematic Review

Charlotte D C Born, Rohini Bhadra, George D'Souza, Stef P J Kremers, Sucharita Sambashivaiah, Annemie M W J Schols, Rik Crutzen, Rosanne J H C G Beijers^*, P4O2 Consortium

^*Corresponding author for this work

Research output: Contribution to journal › (Systematic) Review article › peer-review

Abstract

(1) Background: A healthy lifestyle has a protective role against the onset and management of asthma and chronic obstructive pulmonary disease (COPD). Therefore, combined lifestyle interventions (CLIs) are a potentially valuable prevention approach. This review aims to provide an overview of existing CLIs for the prevention and management of asthma or COPD. (2) Methods: A systematic literature search was conducted using PubMed, EMBASE, and PsycInfo. Studies were included if CLIs targeted at least two lifestyle factors. (3) Results: Among the 56 included studies, 9 addressed asthma and 47 addressed COPD management, with no studies focusing on prevention. For both conditions, the most prevalent combination of lifestyle targets was diet and physical activity (PA), often combined with smoking cessation in COPD. The studied CLIs led to improvements in quality of life, respiratory symptoms, body mass index/weight, and exercise capacity. Behavioural changes were only measured in a limited number of studies and mainly showed improvements in dietary intake and PA level. (4) Conclusions: CLIs are effective within asthma and COPD management. Next to optimising the content and implementation of CLIs, these positive results warrant paying more attention to CLIs for persons with an increased risk profile for these chronic respiratory diseases.

Original language	English
Article number	1515
Number of pages	42
Journal	Nutrients
Volume	16
Issue number	10
DOIs	https://doi.org/10.3390/nu16101515
Publication status	Published - 17 May 2024

Keywords

COPD
asthma
chronic respiratory disease
combined lifestyle intervention
management
Humans
Pulmonary Disease, Chronic Obstructive/therapy prevention & control
Asthma/therapy prevention & control
Exercise
Quality of Life
Smoking Cessation/methods
Healthy Lifestyle
Life Style
Male
Female
Diet

Access to Document

10.3390/nu16101515Licence: CC BY

Cite this

@article{a81264d57ac6405792661a4cf4b38d6d,

title = "Combined Lifestyle Interventions in the Prevention and Management of Asthma and COPD: A Systematic Review",

abstract = "(1) Background: A healthy lifestyle has a protective role against the onset and management of asthma and chronic obstructive pulmonary disease (COPD). Therefore, combined lifestyle interventions (CLIs) are a potentially valuable prevention approach. This review aims to provide an overview of existing CLIs for the prevention and management of asthma or COPD. (2) Methods: A systematic literature search was conducted using PubMed, EMBASE, and PsycInfo. Studies were included if CLIs targeted at least two lifestyle factors. (3) Results: Among the 56 included studies, 9 addressed asthma and 47 addressed COPD management, with no studies focusing on prevention. For both conditions, the most prevalent combination of lifestyle targets was diet and physical activity (PA), often combined with smoking cessation in COPD. The studied CLIs led to improvements in quality of life, respiratory symptoms, body mass index/weight, and exercise capacity. Behavioural changes were only measured in a limited number of studies and mainly showed improvements in dietary intake and PA level. (4) Conclusions: CLIs are effective within asthma and COPD management. Next to optimising the content and implementation of CLIs, these positive results warrant paying more attention to CLIs for persons with an increased risk profile for these chronic respiratory diseases.",

keywords = "COPD, asthma, chronic respiratory disease, combined lifestyle intervention, management, Humans, Pulmonary Disease, Chronic Obstructive/therapy prevention & control, Asthma/therapy prevention & control, Exercise, Quality of Life, Smoking Cessation/methods, Healthy Lifestyle, Life Style, Male, Female, Diet",

author = "Born, {Charlotte D C} and Rohini Bhadra and George D'Souza and Kremers, {Stef P J} and Sucharita Sambashivaiah and Schols, {Annemie M W J} and Rik Crutzen and Beijers, {Rosanne J H C G} and {P4O2 Consortium}",

year = "2024",

month = may,

day = "17",

doi = "10.3390/nu16101515",

language = "English",

volume = "16",

journal = "Nutrients",

issn = "2072-6643",

publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",

number = "10",

}

TY - JOUR

T1 - Combined Lifestyle Interventions in the Prevention and Management of Asthma and COPD

T2 - A Systematic Review

AU - Born, Charlotte D C

AU - Bhadra, Rohini

AU - D'Souza, George

AU - Kremers, Stef P J

AU - Sambashivaiah, Sucharita

AU - Schols, Annemie M W J

AU - Crutzen, Rik

AU - Beijers, Rosanne J H C G

AU - P4O2 Consortium

PY - 2024/5/17

Y1 - 2024/5/17

N2 - (1) Background: A healthy lifestyle has a protective role against the onset and management of asthma and chronic obstructive pulmonary disease (COPD). Therefore, combined lifestyle interventions (CLIs) are a potentially valuable prevention approach. This review aims to provide an overview of existing CLIs for the prevention and management of asthma or COPD. (2) Methods: A systematic literature search was conducted using PubMed, EMBASE, and PsycInfo. Studies were included if CLIs targeted at least two lifestyle factors. (3) Results: Among the 56 included studies, 9 addressed asthma and 47 addressed COPD management, with no studies focusing on prevention. For both conditions, the most prevalent combination of lifestyle targets was diet and physical activity (PA), often combined with smoking cessation in COPD. The studied CLIs led to improvements in quality of life, respiratory symptoms, body mass index/weight, and exercise capacity. Behavioural changes were only measured in a limited number of studies and mainly showed improvements in dietary intake and PA level. (4) Conclusions: CLIs are effective within asthma and COPD management. Next to optimising the content and implementation of CLIs, these positive results warrant paying more attention to CLIs for persons with an increased risk profile for these chronic respiratory diseases.

AB - (1) Background: A healthy lifestyle has a protective role against the onset and management of asthma and chronic obstructive pulmonary disease (COPD). Therefore, combined lifestyle interventions (CLIs) are a potentially valuable prevention approach. This review aims to provide an overview of existing CLIs for the prevention and management of asthma or COPD. (2) Methods: A systematic literature search was conducted using PubMed, EMBASE, and PsycInfo. Studies were included if CLIs targeted at least two lifestyle factors. (3) Results: Among the 56 included studies, 9 addressed asthma and 47 addressed COPD management, with no studies focusing on prevention. For both conditions, the most prevalent combination of lifestyle targets was diet and physical activity (PA), often combined with smoking cessation in COPD. The studied CLIs led to improvements in quality of life, respiratory symptoms, body mass index/weight, and exercise capacity. Behavioural changes were only measured in a limited number of studies and mainly showed improvements in dietary intake and PA level. (4) Conclusions: CLIs are effective within asthma and COPD management. Next to optimising the content and implementation of CLIs, these positive results warrant paying more attention to CLIs for persons with an increased risk profile for these chronic respiratory diseases.

KW - COPD

KW - asthma

KW - chronic respiratory disease

KW - combined lifestyle intervention

KW - management

KW - Humans

KW - Pulmonary Disease, Chronic Obstructive/therapy prevention & control

KW - Asthma/therapy prevention & control

KW - Exercise

KW - Quality of Life

KW - Smoking Cessation/methods

KW - Healthy Lifestyle

KW - Life Style

KW - Male

KW - Female

KW - Diet

U2 - 10.3390/nu16101515

DO - 10.3390/nu16101515

M3 - (Systematic) Review article

SN - 2072-6643

VL - 16

JO - Nutrients

JF - Nutrients

IS - 10

M1 - 1515

ER -

Combined Lifestyle Interventions in the Prevention and Management of Asthma and COPD: A Systematic Review

Abstract

Keywords

Access to Document

Fingerprint

Cite this