array:25 [
  "pii" => "S2173511514000505"
  "issn" => "21735115"
  "doi" => "10.1016/j.rppnen.2014.03.010"
  "estado" => "S300"
  "fechaPublicacion" => "2014-05-01"
  "aid" => "225"
  "copyright" => "Sociedade Portuguesa de Pneumologia"
  "copyrightAnyo" => "2014"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "edi"
  "cita" => "Rev Port Pneumol. 2014;20:121-2"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2561
    "formatos" => array:3 [
      "EPUB" => 252
      "HTML" => 1569
      "PDF" => 740
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S0873215914000476"
      "issn" => "08732159"
      "doi" => "10.1016/j.rppneu.2014.03.002"
      "estado" => "S300"
      "fechaPublicacion" => "2014-05-01"
      "aid" => "225"
      "copyright" => "Sociedade Portuguesa de Pneumologia"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "edi"
      "cita" => "Rev Port Pneumol. 2014;20:121-2"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 4567
        "formatos" => array:3 [
          "EPUB" => 242
          "HTML" => 3371
          "PDF" => 954
        ]
      ]
      "en" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
        "titulo" => "Run for your life&#33;"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "121"
            "paginaFinal" => "122"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "pt" => array:1 [
            "titulo" => "Corra pela sua vida&#33;"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Andr&#233; Moreira"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "Andr&#233;"
                "apellidos" => "Moreira"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173511514000505"
          "doi" => "10.1016/j.rppnen.2014.03.010"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511514000505?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215914000476?idApp=UINPBA00004E"
      "url" => "/08732159/0000002000000003/v2_201509041437/S0873215914000476/v2_201509041437/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S2173511514000487"
    "issn" => "21735115"
    "doi" => "10.1016/j.rppnen.2014.01.005"
    "estado" => "S300"
    "fechaPublicacion" => "2014-05-01"
    "aid" => "213"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Pneumol. 2014;20:123-30"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3030
      "formatos" => array:3 [
        "EPUB" => 265
        "HTML" => 1894
        "PDF" => 871
      ]
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>"
      "titulo" => "End-of-life care in COPD&#58; A survey carried out with Portuguese Pulmonologists"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "123"
          "paginaFinal" => "130"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Assist&#234;ncia a doentes terminais com DPOC&#58; um inqu&#233;rito realizado a Pneumologistas Portugueses"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "C&#46; Gaspar, S&#46; Alfarroba, L&#46; Telo, C&#46; Gomes, C&#46; B&#225;rbara"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Gaspar"
            ]
            1 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Alfarroba"
            ]
            2 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Telo"
            ]
            3 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Gomes"
            ]
            4 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "B&#225;rbara"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0873215914000129"
        "doi" => "10.1016/j.rppneu.2014.01.008"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215914000129?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511514000487?idApp=UINPBA00004E"
    "url" => "/21735115/0000002000000003/v3_201610140056/S2173511514000487/v3_201610140056/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S2173511514000517"
    "issn" => "21735115"
    "doi" => "10.1016/j.rppnen.2014.04.001"
    "estado" => "S300"
    "fechaPublicacion" => "2014-05-01"
    "aid" => "231"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "edi"
    "cita" => "Rev Port Pneumol. 2014;20:119-20"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2284
      "formatos" => array:3 [
        "EPUB" => 226
        "HTML" => 1340
        "PDF" => 718
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
      "titulo" => "Babylon Tower"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "119"
          "paginaFinal" => "120"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Torre da Babil&#243;nia"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "N&#46; Ambrosino"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "N&#46;"
              "apellidos" => "Ambrosino"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0873215914000531"
        "doi" => "10.1016/j.rppneu.2014.04.001"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215914000531?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511514000517?idApp=UINPBA00004E"
    "url" => "/21735115/0000002000000003/v3_201610140056/S2173511514000517/v3_201610140056/en/main.assets"
  ]
  "en" => array:11 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
    "titulo" => "Run for your life&#33;"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "121"
        "paginaFinal" => "122"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Andr&#233; Moreira"
        "autores" => array:1 [
          0 => array:4 [
            "nombre" => "Andr&#233;"
            "apellidos" => "Moreira"
            "email" => array:1 [
              0 => "andremoreira&#64;med&#46;up&#46;pt"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servi&#231;o de Imunoalergologia&#44; Centro Hospitalar de S&#227;o Jo&#227;o&#44; Porto&#44; Portugal"
            "etiqueta" => "a"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Immunology&#44; Faculty of Medicine&#44; and Faculty of Nutrition and Food Sciences&#44; University of Porto&#44; Porto&#44; Portugal"
            "etiqueta" => "b"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Corra pela sua vida&#33;"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Most people are aware of the health benefits of exercise&#44; however quite often physicians themselves forget to stress the importance of adequate levels of physical activity for their own patients&#46; Lots of money and effort are spent targeting bad cholesterol and high blood pressure after a cardiovascular event&#46; National health services pays for bariatric surgery to effectively bypass the stomach in markedly obese subjects and also for their plastic surgery to remove the extra skin after losing the thick layers of fat&#46; Indisputable medical evidence supports these actions&#44; however they all fall into the category of secondary prevention&#46; These people already have the disease and a key factor in all of these conditions is a sedentary lifestyle&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Physical activity is a key determinant of energy expenditure&#44; and thus is fundamental to energy balance and weight control&#46; Regular physical activity contributes to the primary and secondary prevention of cardiovascular disease and several other chronic conditions&#46; For example&#44; it reduces blood pressure&#44; improves the level of the good cholesterol&#44; improves control of blood glucose in overweight people&#44; even without significant weight loss&#44; and reduces the risk for colon cancer and breast cancer among women&#46; Rapidly westernizing societies are particularly helpful for us to understand where we are &#40;not&#41; moving&#46; Following the World Health Organization stepwise approach to chronic disease risk factor surveillance&#44; it was recently shown that adults living in urban areas of Mozambique exercise daily on average for 11<span class="elsevierStyleHsp" style=""></span>min compared with 3<span class="elsevierStyleHsp" style=""></span>h for those living in rural areas&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> A similar trend is observed in Portugal&#46; Results made available by the Eurobarometer Surveys show the country to be number one for the highest percent of citizens who have never performed regular physical activity &#40;36&#37; compared with 14&#37; for EU&#41;&#46; Moreover&#44; only 33&#37; of Portuguese exercise at least once a week&#44; compared with the mean value for the EU top-5 of 64&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">In this issue of the <span class="elsevierStyleItalic">Revista Portuguesa de Pneumologia</span>&#44; Rita Santos-Silva and co-workers report their study on asthmatic children where no differences in levels of physical activity were found compared with healthy peers&#46; This is in line with previously reported data from the Portuguese National Asthma Survey that showed that adult asthmatics&#44; independent of asthma control&#44; do not seem to have a more sedentary lifestyle&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> In fact&#44; more vigorous physical activity was found among controlled men and uncontrolled women asthmatics than among healthy respondents&#46; These are particularly important observations because they challenge the belief that despite the availability of effective anti-asthmatic therapies&#44; a majority of asthmatics experience a restriction in their physical activity due to asthma&#46; Although exercise is a powerful trigger of bronchoconstriction and symptoms in asthmatic patients and may result in avoidance of physical activity&#44; these observations indicate that both children and adults do as much as their healthy peers which&#44; however&#44; do very little&#33; Therefore&#44; physical activity should be encouraged&#44; as&#44; in the case of adults&#44; only about half of them reached recommended activity levels&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">On the basis of the current knowledge&#44; evidence based prescription of physical activity in asthma seems to be restricted to improvements in the physical fitness of the subjects&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Although there is no sufficient data to draw clear conclusions&#44; it seems that physical training may also have positive effects on health-related quality of life&#46; In the few clinical trials assessing inflammatory outcomes&#44; regular training had an anti-IgE effect&#44; decreasing both total and allergen specific IgE levels in asthmatic children&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Additionally physical training is safe&#44; and if the disease is under control&#44; does not cause exacerbations&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Contrary to what was expected&#44; the extra burden caused by changes in daily routine or anxiety driven by fear of exacerbations due to the engagement in the training program do not have a negative impact on caregiver&#39;s quality of life&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> In fact&#44; children and caregiver&#39;s quality of life improve side-by-side&#44; supporting the argument that the asthmatic child should be given appropriate guidance and encouragement to exercise particularly when anxiety or depressive symptoms occur in the family&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Recently the European Academy of Allergy and Clinical Immunology &#40;EAACI&#41; published the first chapter of the Evidence Based Clinical Guidelines on Lifestyle and Asthma&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> It was shown that gaining the required amount of weight to become obese almost doubled the odds of incident asthma&#46; The evidence about disease related outcomes supported by randomized controlled trials showed the benefits of losing weight for asthma control and lung function&#46; The data are conflicting from the several observational studies&#44; which provided limited and low quality evidence of the beneficial effects of losing weight on asthma related outcomes&#46; Nevertheless&#44; taken together&#44; these observations support the recommendation of tackling obesity and weight management as part of asthma treatment&#44; that is to say&#44; increase your overall physical activity levels&#33;</p><p id="par0030" class="elsevierStylePara elsevierViewall">To conclude&#44; it is recommended that children and adolescents participate in at least 60<span class="elsevierStyleHsp" style=""></span>min of moderate intensity physical activity most days of the week and preferably daily&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Engagement in physical activity promotes the child&#39;s normal psychosocial development&#44; neuromuscular coordination and self- confidence&#46; It also increases the chance of greater interplay between the environmental genome and the human microbial genome&#46; Metagenomic and other studies of healthy and diseased individuals reveal that reduced biodiversity and alterations in the composition of the gut and skin microbiota are associated with various inflammatory conditions&#44; including asthma&#44; allergic and inflammatory bowel diseases&#44; type1 diabetes&#44; and obesity in what has been recently called the Biodiversity Hypothesis&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> Urbanization and sedentarism leads to loss of biodiversity &#40;poor macrobiota&#47;microbiota&#41;&#44; poor human microbiota &#40;dysbiosis&#41;&#44; immune dysfunction &#40;poor tolerance&#41;&#44; inappropriate inflammatory responses&#44; and finally symptoms and clinical disease&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> If people with asthma or allergies are able to maintain proper physical activity levels&#44; particularly in a natural biodiverse environment&#44; they will be less likely to suffer adverse health events associated with sedentary lifestyle&#44; such as heart attack&#44; stroke or diabetes and they will improve their asthma&#46; It has never been so true&#58; Run for your Life&#33;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:10 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physical activity patterns in Mozambique&#58; urban&#47;rural differences during epidemiological transition"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "P&#46; Padr&#227;o"
                            1 => "A&#46; Damasceno"
                            2 => "C&#46; Silva-Matos"
                            3 => "A&#46; Prista"
                            4 => "N&#46; Lunet"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ypmed.2012.08.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Prev Med"
                        "fecha" => "2012"
                        "volumen" => "55"
                        "paginaInicial" => "444"
                        "paginaFinal" => "449"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22940038"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "Available from&#58; <a class="elsevierStyleInterRef" id="intr0005" href="http://ec.europa.eu/sport/library/documents/ebs_334_en.pdf">http&#58;&#47;&#47;ec&#46;europa&#46;eu&#47;sport&#47;library&#47;documents&#47;ebs&#95;334&#95;en&#46;pdf</a>"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Eurobarom&#46; Surv&#46; Sport Phys&#46; Act&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Sport and Physical Activity &#91;Internet&#93;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "2010"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physical activity in adults with controlled and uncontrolled asthma as compared to healthy adults&#58; a cross-sectional study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Verlaet"
                            1 => "A&#46; Moreira"
                            2 => "A&#46; S&#225;-Sousa"
                            3 => "R&#46; Barros"
                            4 => "R&#46; Santos"
                            5 => "P&#46; Moreira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/2045-7022-3-1"
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Transl Allergy"
                        "fecha" => "2013"
                        "volumen" => "3"
                        "paginaInicial" => "1"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23320405"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "American College of Sports Medicine position stand&#46; Quantity and quality of exercise for developing and maintaining cardiorespiratory&#44; musculoskeletal&#44; and neuromotor fitness in apparently healthy adults&#58; guidance for prescribing exercise"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;E&#46; Garber"
                            1 => "B&#46; Blissmer"
                            2 => "M&#46;R&#46; Deschenes"
                            3 => "B&#46;A&#46; Franklin"
                            4 => "M&#46;J&#46; Lamonte"
                            5 => "I&#46;-M&#46; Lee"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1249/MSS.0b013e318213fefb"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Sci Sports Exerc"
                        "fecha" => "2011"
                        "volumen" => "43"
                        "paginaInicial" => "1334"
                        "paginaFinal" => "1359"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21694556"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "&#91;cited 12&#46;03&#46;14&#93;"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physical training for asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "K&#46;V&#46; Carson"
                            1 => "M&#46;G&#46; Chandratilleke"
                            2 => "J&#46; Picot"
                            3 => "M&#46;P&#46; Brinn"
                            4 => "A&#46;J&#46; Esterman"
                            5 => "B&#46;J&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Cochrane database Syst Rev &#91;Internet&#93;"
                        "fecha" => "2013"
                        "volumen" => "9"
                        "paginaInicial" => "CD001116"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physical training does not increase allergic inflammation in asthmatic children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Moreira"
                            1 => "L&#46; Delgado"
                            2 => "T&#46; Haahtela"
                            3 => "J&#46; Fonseca"
                            4 => "P&#46; Moreira"
                            5 => "C&#46; Lopes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1183/09031936.00171707"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2008"
                        "volumen" => "32"
                        "paginaInicial" => "1570"
                        "paginaFinal" => "1575"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18684843"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physical training improves quality of life both in asthmatic children and their caregivers"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46; Silva"
                            1 => "M&#46; Couto"
                            2 => "P&#46; Moreira"
                            3 => "P&#46; Padr&#227;o"
                            4 => "P&#46; Santos"
                            5 => "L&#46; Delgado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.anai.2013.08.016"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Allergy Asthma Immunol"
                        "fecha" => "2013"
                        "volumen" => "111"
                        "paginaInicial" => "427"
                        "paginaFinal" => "428"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24125157"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Weight loss interventions in asthma&#58; EAACI evidence-based clinical practice guideline &#40;part I&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Moreira"
                            1 => "M&#46; Bonini"
                            2 => "V&#46; Garcia-Larsen"
                            3 => "S&#46; Bonini"
                            4 => "S&#46;R&#46; Del Giacco"
                            5 => "I&#46; Agache"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/all.12106"
                      "Revista" => array:6 [
                        "tituloSerie" => "Allergy"
                        "fecha" => "2013"
                        "volumen" => "68"
                        "paginaInicial" => "425"
                        "paginaFinal" => "439"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23452010"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The biodiversity hypothesis and allergic disease&#58; world allergy organization position statement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Haahtela"
                            1 => "S&#46; Holgate"
                            2 => "R&#46; Pawankar"
                            3 => "C&#46;A&#46; Akdis"
                            4 => "S&#46; Benjaponpitak"
                            5 => "L&#46; Caraballo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1939-4551-6-3"
                      "Revista" => array:5 [
                        "tituloSerie" => "World Allergy Organ J"
                        "fecha" => "2013"
                        "volumen" => "6"
                        "paginaInicial" => "3"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23663440"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "What is needed for allergic children&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46; Haahtela"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/pai.12189"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Allergy Immunol"
                        "fecha" => "2014"
                        "volumen" => "25"
                        "paginaInicial" => "21"
                        "paginaFinal" => "24"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24588483"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735115/0000002000000003/v3_201610140056/S2173511514000505/v3_201610140056/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9716"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Editorials"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735115/0000002000000003/v3_201610140056/S2173511514000505/v3_201610140056/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511514000505?idApp=UINPBA00004E"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Editorial
Run for your life!
Corra pela sua vida!
André Moreiraa,b
a Serviço de Imunoalergologia, Centro Hospitalar de São João, Porto, Portugal
b Immunology, Faculty of Medicine, and Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
Read
953
Times
was read the article
535
Total PDF
418
Total HTML
Share statistics
 array:25 [
  "pii" => "S2173511514000505"
  "issn" => "21735115"
  "doi" => "10.1016/j.rppnen.2014.03.010"
  "estado" => "S300"
  "fechaPublicacion" => "2014-05-01"
  "aid" => "225"
  "copyright" => "Sociedade Portuguesa de Pneumologia"
  "copyrightAnyo" => "2014"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "edi"
  "cita" => "Rev Port Pneumol. 2014;20:121-2"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2561
    "formatos" => array:3 [
      "EPUB" => 252
      "HTML" => 1569
      "PDF" => 740
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S0873215914000476"
      "issn" => "08732159"
      "doi" => "10.1016/j.rppneu.2014.03.002"
      "estado" => "S300"
      "fechaPublicacion" => "2014-05-01"
      "aid" => "225"
      "copyright" => "Sociedade Portuguesa de Pneumologia"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "edi"
      "cita" => "Rev Port Pneumol. 2014;20:121-2"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 4567
        "formatos" => array:3 [
          "EPUB" => 242
          "HTML" => 3371
          "PDF" => 954
        ]
      ]
      "en" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
        "titulo" => "Run for your life&#33;"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "121"
            "paginaFinal" => "122"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "pt" => array:1 [
            "titulo" => "Corra pela sua vida&#33;"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Andr&#233; Moreira"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "Andr&#233;"
                "apellidos" => "Moreira"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173511514000505"
          "doi" => "10.1016/j.rppnen.2014.03.010"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511514000505?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215914000476?idApp=UINPBA00004E"
      "url" => "/08732159/0000002000000003/v2_201509041437/S0873215914000476/v2_201509041437/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S2173511514000487"
    "issn" => "21735115"
    "doi" => "10.1016/j.rppnen.2014.01.005"
    "estado" => "S300"
    "fechaPublicacion" => "2014-05-01"
    "aid" => "213"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Pneumol. 2014;20:123-30"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3030
      "formatos" => array:3 [
        "EPUB" => 265
        "HTML" => 1894
        "PDF" => 871
      ]
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>"
      "titulo" => "End-of-life care in COPD&#58; A survey carried out with Portuguese Pulmonologists"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "123"
          "paginaFinal" => "130"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Assist&#234;ncia a doentes terminais com DPOC&#58; um inqu&#233;rito realizado a Pneumologistas Portugueses"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "C&#46; Gaspar, S&#46; Alfarroba, L&#46; Telo, C&#46; Gomes, C&#46; B&#225;rbara"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Gaspar"
            ]
            1 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Alfarroba"
            ]
            2 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Telo"
            ]
            3 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Gomes"
            ]
            4 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "B&#225;rbara"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0873215914000129"
        "doi" => "10.1016/j.rppneu.2014.01.008"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215914000129?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511514000487?idApp=UINPBA00004E"
    "url" => "/21735115/0000002000000003/v3_201610140056/S2173511514000487/v3_201610140056/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S2173511514000517"
    "issn" => "21735115"
    "doi" => "10.1016/j.rppnen.2014.04.001"
    "estado" => "S300"
    "fechaPublicacion" => "2014-05-01"
    "aid" => "231"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "edi"
    "cita" => "Rev Port Pneumol. 2014;20:119-20"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2284
      "formatos" => array:3 [
        "EPUB" => 226
        "HTML" => 1340
        "PDF" => 718
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
      "titulo" => "Babylon Tower"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "119"
          "paginaFinal" => "120"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Torre da Babil&#243;nia"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "N&#46; Ambrosino"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "N&#46;"
              "apellidos" => "Ambrosino"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0873215914000531"
        "doi" => "10.1016/j.rppneu.2014.04.001"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215914000531?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511514000517?idApp=UINPBA00004E"
    "url" => "/21735115/0000002000000003/v3_201610140056/S2173511514000517/v3_201610140056/en/main.assets"
  ]
  "en" => array:11 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
    "titulo" => "Run for your life&#33;"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "121"
        "paginaFinal" => "122"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Andr&#233; Moreira"
        "autores" => array:1 [
          0 => array:4 [
            "nombre" => "Andr&#233;"
            "apellidos" => "Moreira"
            "email" => array:1 [
              0 => "andremoreira&#64;med&#46;up&#46;pt"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servi&#231;o de Imunoalergologia&#44; Centro Hospitalar de S&#227;o Jo&#227;o&#44; Porto&#44; Portugal"
            "etiqueta" => "a"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Immunology&#44; Faculty of Medicine&#44; and Faculty of Nutrition and Food Sciences&#44; University of Porto&#44; Porto&#44; Portugal"
            "etiqueta" => "b"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Corra pela sua vida&#33;"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Most people are aware of the health benefits of exercise&#44; however quite often physicians themselves forget to stress the importance of adequate levels of physical activity for their own patients&#46; Lots of money and effort are spent targeting bad cholesterol and high blood pressure after a cardiovascular event&#46; National health services pays for bariatric surgery to effectively bypass the stomach in markedly obese subjects and also for their plastic surgery to remove the extra skin after losing the thick layers of fat&#46; Indisputable medical evidence supports these actions&#44; however they all fall into the category of secondary prevention&#46; These people already have the disease and a key factor in all of these conditions is a sedentary lifestyle&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Physical activity is a key determinant of energy expenditure&#44; and thus is fundamental to energy balance and weight control&#46; Regular physical activity contributes to the primary and secondary prevention of cardiovascular disease and several other chronic conditions&#46; For example&#44; it reduces blood pressure&#44; improves the level of the good cholesterol&#44; improves control of blood glucose in overweight people&#44; even without significant weight loss&#44; and reduces the risk for colon cancer and breast cancer among women&#46; Rapidly westernizing societies are particularly helpful for us to understand where we are &#40;not&#41; moving&#46; Following the World Health Organization stepwise approach to chronic disease risk factor surveillance&#44; it was recently shown that adults living in urban areas of Mozambique exercise daily on average for 11<span class="elsevierStyleHsp" style=""></span>min compared with 3<span class="elsevierStyleHsp" style=""></span>h for those living in rural areas&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> A similar trend is observed in Portugal&#46; Results made available by the Eurobarometer Surveys show the country to be number one for the highest percent of citizens who have never performed regular physical activity &#40;36&#37; compared with 14&#37; for EU&#41;&#46; Moreover&#44; only 33&#37; of Portuguese exercise at least once a week&#44; compared with the mean value for the EU top-5 of 64&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">In this issue of the <span class="elsevierStyleItalic">Revista Portuguesa de Pneumologia</span>&#44; Rita Santos-Silva and co-workers report their study on asthmatic children where no differences in levels of physical activity were found compared with healthy peers&#46; This is in line with previously reported data from the Portuguese National Asthma Survey that showed that adult asthmatics&#44; independent of asthma control&#44; do not seem to have a more sedentary lifestyle&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> In fact&#44; more vigorous physical activity was found among controlled men and uncontrolled women asthmatics than among healthy respondents&#46; These are particularly important observations because they challenge the belief that despite the availability of effective anti-asthmatic therapies&#44; a majority of asthmatics experience a restriction in their physical activity due to asthma&#46; Although exercise is a powerful trigger of bronchoconstriction and symptoms in asthmatic patients and may result in avoidance of physical activity&#44; these observations indicate that both children and adults do as much as their healthy peers which&#44; however&#44; do very little&#33; Therefore&#44; physical activity should be encouraged&#44; as&#44; in the case of adults&#44; only about half of them reached recommended activity levels&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">On the basis of the current knowledge&#44; evidence based prescription of physical activity in asthma seems to be restricted to improvements in the physical fitness of the subjects&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Although there is no sufficient data to draw clear conclusions&#44; it seems that physical training may also have positive effects on health-related quality of life&#46; In the few clinical trials assessing inflammatory outcomes&#44; regular training had an anti-IgE effect&#44; decreasing both total and allergen specific IgE levels in asthmatic children&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Additionally physical training is safe&#44; and if the disease is under control&#44; does not cause exacerbations&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Contrary to what was expected&#44; the extra burden caused by changes in daily routine or anxiety driven by fear of exacerbations due to the engagement in the training program do not have a negative impact on caregiver&#39;s quality of life&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> In fact&#44; children and caregiver&#39;s quality of life improve side-by-side&#44; supporting the argument that the asthmatic child should be given appropriate guidance and encouragement to exercise particularly when anxiety or depressive symptoms occur in the family&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Recently the European Academy of Allergy and Clinical Immunology &#40;EAACI&#41; published the first chapter of the Evidence Based Clinical Guidelines on Lifestyle and Asthma&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> It was shown that gaining the required amount of weight to become obese almost doubled the odds of incident asthma&#46; The evidence about disease related outcomes supported by randomized controlled trials showed the benefits of losing weight for asthma control and lung function&#46; The data are conflicting from the several observational studies&#44; which provided limited and low quality evidence of the beneficial effects of losing weight on asthma related outcomes&#46; Nevertheless&#44; taken together&#44; these observations support the recommendation of tackling obesity and weight management as part of asthma treatment&#44; that is to say&#44; increase your overall physical activity levels&#33;</p><p id="par0030" class="elsevierStylePara elsevierViewall">To conclude&#44; it is recommended that children and adolescents participate in at least 60<span class="elsevierStyleHsp" style=""></span>min of moderate intensity physical activity most days of the week and preferably daily&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Engagement in physical activity promotes the child&#39;s normal psychosocial development&#44; neuromuscular coordination and self- confidence&#46; It also increases the chance of greater interplay between the environmental genome and the human microbial genome&#46; Metagenomic and other studies of healthy and diseased individuals reveal that reduced biodiversity and alterations in the composition of the gut and skin microbiota are associated with various inflammatory conditions&#44; including asthma&#44; allergic and inflammatory bowel diseases&#44; type1 diabetes&#44; and obesity in what has been recently called the Biodiversity Hypothesis&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> Urbanization and sedentarism leads to loss of biodiversity &#40;poor macrobiota&#47;microbiota&#41;&#44; poor human microbiota &#40;dysbiosis&#41;&#44; immune dysfunction &#40;poor tolerance&#41;&#44; inappropriate inflammatory responses&#44; and finally symptoms and clinical disease&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> If people with asthma or allergies are able to maintain proper physical activity levels&#44; particularly in a natural biodiverse environment&#44; they will be less likely to suffer adverse health events associated with sedentary lifestyle&#44; such as heart attack&#44; stroke or diabetes and they will improve their asthma&#46; It has never been so true&#58; Run for your Life&#33;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:10 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physical activity patterns in Mozambique&#58; urban&#47;rural differences during epidemiological transition"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "P&#46; Padr&#227;o"
                            1 => "A&#46; Damasceno"
                            2 => "C&#46; Silva-Matos"
                            3 => "A&#46; Prista"
                            4 => "N&#46; Lunet"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ypmed.2012.08.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Prev Med"
                        "fecha" => "2012"
                        "volumen" => "55"
                        "paginaInicial" => "444"
                        "paginaFinal" => "449"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22940038"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "Available from&#58; <a class="elsevierStyleInterRef" id="intr0005" href="http://ec.europa.eu/sport/library/documents/ebs_334_en.pdf">http&#58;&#47;&#47;ec&#46;europa&#46;eu&#47;sport&#47;library&#47;documents&#47;ebs&#95;334&#95;en&#46;pdf</a>"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Eurobarom&#46; Surv&#46; Sport Phys&#46; Act&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Sport and Physical Activity &#91;Internet&#93;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "2010"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physical activity in adults with controlled and uncontrolled asthma as compared to healthy adults&#58; a cross-sectional study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Verlaet"
                            1 => "A&#46; Moreira"
                            2 => "A&#46; S&#225;-Sousa"
                            3 => "R&#46; Barros"
                            4 => "R&#46; Santos"
                            5 => "P&#46; Moreira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/2045-7022-3-1"
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Transl Allergy"
                        "fecha" => "2013"
                        "volumen" => "3"
                        "paginaInicial" => "1"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23320405"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "American College of Sports Medicine position stand&#46; Quantity and quality of exercise for developing and maintaining cardiorespiratory&#44; musculoskeletal&#44; and neuromotor fitness in apparently healthy adults&#58; guidance for prescribing exercise"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;E&#46; Garber"
                            1 => "B&#46; Blissmer"
                            2 => "M&#46;R&#46; Deschenes"
                            3 => "B&#46;A&#46; Franklin"
                            4 => "M&#46;J&#46; Lamonte"
                            5 => "I&#46;-M&#46; Lee"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1249/MSS.0b013e318213fefb"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Sci Sports Exerc"
                        "fecha" => "2011"
                        "volumen" => "43"
                        "paginaInicial" => "1334"
                        "paginaFinal" => "1359"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21694556"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "&#91;cited 12&#46;03&#46;14&#93;"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physical training for asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "K&#46;V&#46; Carson"
                            1 => "M&#46;G&#46; Chandratilleke"
                            2 => "J&#46; Picot"
                            3 => "M&#46;P&#46; Brinn"
                            4 => "A&#46;J&#46; Esterman"
                            5 => "B&#46;J&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Cochrane database Syst Rev &#91;Internet&#93;"
                        "fecha" => "2013"
                        "volumen" => "9"
                        "paginaInicial" => "CD001116"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physical training does not increase allergic inflammation in asthmatic children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Moreira"
                            1 => "L&#46; Delgado"
                            2 => "T&#46; Haahtela"
                            3 => "J&#46; Fonseca"
                            4 => "P&#46; Moreira"
                            5 => "C&#46; Lopes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1183/09031936.00171707"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2008"
                        "volumen" => "32"
                        "paginaInicial" => "1570"
                        "paginaFinal" => "1575"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18684843"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physical training improves quality of life both in asthmatic children and their caregivers"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46; Silva"
                            1 => "M&#46; Couto"
                            2 => "P&#46; Moreira"
                            3 => "P&#46; Padr&#227;o"
                            4 => "P&#46; Santos"
                            5 => "L&#46; Delgado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.anai.2013.08.016"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Allergy Asthma Immunol"
                        "fecha" => "2013"
                        "volumen" => "111"
                        "paginaInicial" => "427"
                        "paginaFinal" => "428"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24125157"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Weight loss interventions in asthma&#58; EAACI evidence-based clinical practice guideline &#40;part I&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Moreira"
                            1 => "M&#46; Bonini"
                            2 => "V&#46; Garcia-Larsen"
                            3 => "S&#46; Bonini"
                            4 => "S&#46;R&#46; Del Giacco"
                            5 => "I&#46; Agache"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/all.12106"
                      "Revista" => array:6 [
                        "tituloSerie" => "Allergy"
                        "fecha" => "2013"
                        "volumen" => "68"
                        "paginaInicial" => "425"
                        "paginaFinal" => "439"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23452010"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The biodiversity hypothesis and allergic disease&#58; world allergy organization position statement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Haahtela"
                            1 => "S&#46; Holgate"
                            2 => "R&#46; Pawankar"
                            3 => "C&#46;A&#46; Akdis"
                            4 => "S&#46; Benjaponpitak"
                            5 => "L&#46; Caraballo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1939-4551-6-3"
                      "Revista" => array:5 [
                        "tituloSerie" => "World Allergy Organ J"
                        "fecha" => "2013"
                        "volumen" => "6"
                        "paginaInicial" => "3"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23663440"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "What is needed for allergic children&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46; Haahtela"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/pai.12189"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Allergy Immunol"
                        "fecha" => "2014"
                        "volumen" => "25"
                        "paginaInicial" => "21"
                        "paginaFinal" => "24"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24588483"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735115/0000002000000003/v3_201610140056/S2173511514000505/v3_201610140056/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9716"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Editorials"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735115/0000002000000003/v3_201610140056/S2173511514000505/v3_201610140056/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511514000505?idApp=UINPBA00004E"
]
Article information
ISSN: 21735115
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 7 8 15
2024 October 22 51 73
2024 September 35 32 67
2024 August 30 38 68
2024 July 37 34 71
2024 June 18 26 44
2024 May 19 33 52
2024 April 27 31 58
2024 March 30 25 55
2024 February 33 21 54
2024 January 22 30 52
2023 December 15 18 33
2023 November 19 28 47
2023 October 10 42 52
2023 September 18 31 49
2023 August 15 12 27
2023 July 14 30 44
2023 June 15 12 27
2023 May 20 24 44
2023 April 12 9 21
Show all

Follow this link to access the full text of the article

Pulmonology

Are you a health professional able to prescribe or dispense drugs?