The impact of compare yoga and aerobic on asthma control, pulmonary function, and quality of life

Authors

DOI:

https://doi.org/10.47197/retos.v72.116580

Keywords:

asthma control, asthma, yoga, aerobic, quality of life

Abstract

Introduction: The respiratory symptoms of asthma, a chronic airway disease that fluctuates in frequency, severity, and occurrence over time, include wheezing, dyspnea, chest tightness, and coughing. Numerous things, including physical activity, exposure to allergens and/or irritants, changes in the weather, and viral respiratory infections, can cause these variances.

Objective: The effects of yoga and aerobic workouts on asthmatic patients' quality of life, pulmonary function, and asthma control were evaluated in this study.

Methodology: In addition to their usual treatment, the aerobic and yoga groups participated in 45-minute aerobic and yoga sessions three times a day for three months. The pulmonary function test (PFT), the asthma control test (ACT), the asthma quality of life questionnaire (AQLQ), and patient observation records were among the tools utilized to gauge the outcomes.

Results: The yoga group had considerably higher (p < 0.05) ACT, overall AQLQ, and subscale scores than the cardio group. Peak expiratory flow values and PFT parameters, however, did not significantly differ across the groups (p > 0.05).

Discussion: This study sought to evaluate the effects of yoga, aerobics, and a control group on asthma control in a comprehensive manner, focusing on the ways in which these activities impact breathing functions, quality of life, and asthma management in asthmatic persons.

Conclusion: Yoga improved asthmatics' quality of life and asthma control, but it had no discernible effect on PFT levels.

References

Agnihotri, S., Kant, S., Mishra, S., & Verma, A. (2017). Assessment of significance of Yoga on quality of life in asthma patients: A randomized controlled study. AYU (An International Quarterly Journal of Research in Ayurveda), 38(1). https://doi.org/10.4103/ayu.ayu_3_16

Ai Thi HOANG, K. (2015). The Effectiveness of Practicing Pranayama Yoga on Some Respiratory Indicators in Patients Suffering from Bronchial Disease. International Journal of Science Culture and Sport, 3(10). https://doi.org/10.14486/ijscs245

Anshu, Singh, N., Deka, S., Saraswati, P., Sindhwani, G., Goel, A., & Kumari, R. (2023). The effect of yoga on pulmonary function in patients with asthma: A meta-analysis. In Complementary Therapies in Clinical Practice (Vol. 50). https://doi.org/10.1016/j.ctcp.2022.101682

Bahçecioğlu Turan, G., & Tan, M. (2020). The effect of yoga on respiratory functions, symptom control and life quality of asthma patients: A randomized controlled study. Complementary Therapies in Clinical Practice, 38. https://doi.org/10.1016/j.ctcp.2019.101070

Carranza Rosenzweig, J. R., Edwards, L., Lincourt, W., Dorinsky, P., & ZuWallack, R. L. (2004). The relationship between health-related quality of life, lung function and daily symptoms in patients with persistent asthma. Respiratory Medicine, 98(12). https://doi.org/10.1016/j.rmed.2004.04.001

Cazzoletti, L., Marcon, A., Janson, C., Corsico, A., Jarvis, D., Pin, I., Accordini, S., Almar, E., Bugiani, M., Carolei, A., Cerveri, I., Duran-Tauleria, E., Gislason, D., Gulsvik, A., Jõgi, R., Marinoni, A., Martínez-Moratalla, J., Vermeire, P., & de Marco, R. (2007). Asthma control in Europe: A real-world evaluation based on an international population-based study. Journal of Allergy and Clinical Immunology, 120(6). https://doi.org/10.1016/j.jaci.2007.09.019

Chung, K. F., Wenzel, S. E., Brozek, J. L., Bush, A., Castro, M., Sterk, P. J., Adcock, I. M., Bateman, E. D., Bel, E. H., Bleecker, E. R., Boulet, L. P., Brightling, C., Chanez, P., Dahlen, S. E., Djukanovic, R., Frey, U., Gaga, M., Gibson, P., Hamid, Q., … Teague, W. G. (2014). International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma. European Respiratory Journal, 43(2). https://doi.org/10.1183/09031936.00202013

Cooper, S., Oborne, J., Newton, S., Harrison, V., Coon, J. T., Lewis, S., & Tattersfield, A. (2003). Effect of two breathing exercises (Buteyko and pranayama) in asthma: A randomised controlled trial. Thorax, 58(8). https://doi.org/10.1136/thorax.58.8.674

Cramer, H., Posadzki, P., Dobos, G., & Langhorst, J. (2014). Yoga for asthma: A systematic review and meta-analysis. Annals of Allergy, Asthma and Immunology, 112(6). https://doi.org/10.1016/j.anai.2014.03.014

Demoly, P., Paggiaro, P., Plaza, V., Bolge, S. C., Kannan, H., Sohier, B., & Adamek, L. (2009). Prevalence of asthma control among adults in France, Germany, Italy, Spain and the UK. European Respiratory Review, 18(112). https://doi.org/10.1183/09059180.00001209

Erdoğan Yüce, G., & Taşcı, S. (2020). Effect of pranayama breathing technique on asthma control, pulmonary function, and quality of life: A single-blind, randomized, controlled trial. Complementary Therapies in Clinical Practice, 38. https://doi.org/10.1016/j.ctcp.2019.101081

Fukuoka, A., Ueda, M., Ariyama, Y., Iwai, K., Kai, Y., Kunimatsu, M., Yoshikawa, M., Uyama, H., Tomoda, K., & Kimura, H. (2016). Effect of laughter yoga on pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. Journal of Nara Medical Association, 67(1–3).

George, M., & Topaz, M. (2013). A Systematic Review of Complementary and Alternative Medicine for Asthma Self-management. In Nursing Clinics of North America (Vol. 48, Issue 1). https://doi.org/10.1016/j.cnur.2012.11.002

Govindaraj, R., Karmani, S., Varambally, S., & Gangadhar, B. N. (2016). Yoga and physical exercise – a review and comparison. In International Review of Psychiatry (Vol. 28, Issue 3). https://doi.org/10.3109/09540261.2016.1160878

Hussein, N. A., Afify, A. M., Obaya, H. E., & Rafea, A. S. (2016). Effects of Ujjayi Pranayama Trainning on Selected Ventilatory Function Test in Patients with Mild Bronchial Asthma. In Cairo Univ (Vol. 84, Issue 2).

Jerath, R. (2016). Physiology of Long Pranayamic Breathing: Neural Respiratory Elements may Provide a Mechanism that Explains How Slow Deep Breathing Shifts the Autonomic Nervous System. Journal of Yoga & Physical Therapy, 6(3). https://doi.org/10.4172/2157-7595.1000252

Kant, S., & Agnihotri, S. (2013). Asthma diagnosis and treatment – 1029. Yoga as an adjuvant therapy in asthma management. World Allergy Organization Journal, 6. https://doi.org/10.1186/1939-4551-6-s1-p28

Karam, M., Kaur, B. P., & Baptist, A. P. (2017). A modified breathing exercise program for asthma is easy to perform and effective. Journal of Asthma, 54(2). https://doi.org/10.1080/02770903.2016.1196368

Klafke, N., Bossert, J., Kröger, B., Neuberger, P., Heyder, U., Layer, M., Winkler, M., Idler, C., Kaschdailewitsch, E., Heine, R., John, H., Zielke, T., Schmeling, B., Joy, S., Mertens, I., Babadag-Savas, B., Kohler, S., Mahler, C., Witt, C. M., … Stolz, R. (2023). Prevention and Treatment of Chemotherapy-Induced Peripheral Neuropathy (CIPN) with Non-Pharmacological Interventions: Clinical Recommendations from a Systematic Scoping Review and an Expert Consensus Process. In Medical sciences (Basel, Switzerland) (Vol. 11, Issue 1). https://doi.org/10.3390/medsci11010015

Kligler, B., Homel, P., Blank, A. E., Kenney, J., Levenson, H., & Merrell, W. (2011). Randomized trial of the effect of an integrative medicine approach to the management of asthma in adults on disease-related quality of life and pulmonary function. Alternative Therapies in Health and Medicine, 17(1).

Li, X., Xu, W., Zhang, L., Zu, Y., Li, Y., Yang, Y., Xiang, Y., Xiang, Y., Chen, L., Liu, W., Chen, L., & Xu, K. F. (2020). Effects of yoga on exercise capacity in patients with lymphangioleiomyomatosis: A nonrandomized controlled study. Orphanet Journal of Rare Diseases, 15(1). https://doi.org/10.1186/s13023-020-1344-6

M., M., K., M., M., B., & B., H. (2019). Effect of 6 months of yoga practice on quality of life among patients with asthma: A randomized control trial. Advances in Integrative Medicine, 6(4). https://doi.org/10.1016/j.aimed.2018.12.001

Mekonnen, D., & Mossie, A. (2010). Clinical effects of yoga on asthmatic patients: a preliminary clinical trial. Ethiopian Journal of Health Sciences, 20(2).

Mukherjee, M., Stoddart, A., Gupta, R. P., Nwaru, B. I., Farr, A., Heaven, M., Fitzsimmons, D., Bandyopadhyay, A., Aftab, C., Simpson, C. R., Lyons, R. A., Fischbacher, C., Dibben, C., Shields, M. D., Phillips, C. J., Strachan, D. P., Davies, G. A., McKinstry, B., & Sheikh, A. (2016). The epidemiology, healthcare and societal burden and costs of asthma in the UK and its member nations: Analyses of standalone and linked national databases. BMC Medicine, 14(1). https://doi.org/10.1186/s12916-016-0657-8

Murthy, K. J. R., Sahay, B. K., Sitaramaraju, P., Sunita, M., Yogi, R., Reddy, V., Annapurna, N., Ramesh, M., Prasad, V., & Reddy, E. (2017). Effect of Pranayama (Rechaka, Puraka and Kumbaka) on Bronchial Asthma - An Open Study. Lung India, 2(2).

Nagarathna, R., & Nagendra, H. R. (1985). Yoga for bronchial asthma: A controlled study. British Medical Journal (Clinical Research Ed.), 291(6502). https://doi.org/10.1136/bmj.291.6502.1077

Ogbu, C. E., Oparanma, C. O., & Kirby, R. S. (2023). Factors Associated with the Use of Complementary and Alternative Medicine/Therapy among United States Adults with Asthma. Healthcare (Switzerland), 11(7). https://doi.org/10.3390/healthcare11070983

Pandit, D. P., & Vaidya, S. M. (2013). Effect of Yoga on Pulmonary Function Tests in Patients of Bronchial Asthma. International Journal of Pharmaceutical Research & Allied Sciences, 2(3).

Papp, M. E., Wändell, P. E., Lindfors, P., & Nygren-Bonnier, M. (2017). Effects of yogic exercises on functional capacity, lung function and quality of life in participants with obstructive pulmonary disease: A randomized controlled study. European Journal of Physical and Rehabilitation Medicine, 53(3). https://doi.org/10.23736/S1973-9087.16.04374-4

Peters, S. P., Jones, C. A., Haselkorn, T., Mink, D. R., Valacer, D. J., & Weiss, S. T. (2007). Real-world Evaluation of Asthma Control and Treatment (REACT): Findings from a national Web-based survey. Journal of Allergy and Clinical Immunology, 119(6). https://doi.org/10.1016/j.jaci.2007.03.022

Posadzki, P., & Ernst, E. (2011). Yoga for asthma? A systematic review of randomized clinical trials. In Journal of Asthma (Vol. 48, Issue 6). https://doi.org/10.3109/02770903.2011.584358

Prem, V., Sahoo, R. C., & Adhikari, P. (2013). Comparison of the effects of Buteyko and pranayama breathing techniques on quality of life in patients with asthma - A randomized controlled trial. Clinical Rehabilitation, 27(2). https://doi.org/10.1177/0269215512450521

Raghavendra, P., Shetty, P., Shetty, S., Manjunath, N. K., & Saoji, A. A. (2016). Effect of high-frequency yoga breathing on pulmonary functions in patients with asthma: A randomized clinical trial. Annals of Allergy, Asthma and Immunology, 117(5). https://doi.org/10.1016/j.anai.2016.08.009

Sangeethalaxmi, M. J., & Hankey, A. (2023). Impact of yoga breathing and relaxation as an add-on therapy on quality of life, anxiety, depression and pulmonary function in young adults with bronchial asthma: A randomized controlled trial. Journal of Ayurveda and Integrative Medicine, 14(1). https://doi.org/10.1016/j.jaim.2022.100546

Saoji, A. A., Raghavendra, B. R., & Manjunath, N. K. (2019). Effects of yogic breath regulation: A narrative review of scientific evidence. In Journal of Ayurveda and Integrative Medicine (Vol. 10, Issue 1). https://doi.org/10.1016/j.jaim.2017.07.008

Satyanand, V., Kumar, Gali. P. V., Ram, N. B., Mohanan, D., Basha, S. A., & Bingi, P. K. (2014). Study effect of two breathing techniques on pulmonary function in asthma. International Journal of Biomedical Research, 5(8). https://doi.org/10.7439/ijbr.v5i8.707

Sengupta, P. (2012). Health impacts of yoga and pranayama: A state-of-the-art review. In International Journal of Preventive Medicine (Vol. 3, Issue 7).

Sewa, D. W., & Ong, T. H. (2014). Pulmonary function test: Spirometry. In Proceedings of Singapore Healthcare (Vol. 23, Issue 1). https://doi.org/10.1177/201010581402300110

Singh, S., Soni, R., Singh, K. P., & Tandon, O. P. (2012). Effect of yoga practices on pulmonary function tests including transfer factor of lung for carbon monoxide (TLCO) in asthma patients. Indian Journal of Physiology and Pharmacology, 56(1).

Slader, C. A., Reddel, H. K., Jenkins, C. R., Armour, C. L., & Bosnic-Anticevich, S. Z. (2006). Complementary and alternative medicine use in asthma: Who is using what? In Respirology (Vol. 11, Issue 4). https://doi.org/10.1111/j.1440-1843.2006.00861.x

Swathi, G., Kumar, T. S., & Raghunadh, N. (2021). Effectiveness of Buteyko Breathing Technique versus Nadi Shuddhi Pranayama to Improve Pulmonary Function in Subjects with Bronchial Asthma. International Journal of Science and Healthcare Research, 6(4). https://doi.org/10.52403/ijshr.20211019

Tan, L. D., Alismail, A., & Ariue, B. (2022). Asthma guidelines: comparison of the National Heart, Lung, and Blood Institute Expert Panel Report 4 with Global Initiative for Asthma 2021. In Current Opinion in Pulmonary Medicine (Vol. 28, Issue 3). https://doi.org/10.1097/MCP.0000000000000867

Vedanthan, P. K. (1998). Clinical study of yoga techniques in university students with asthma: A controlled study. Allergy and Asthma Proceedings, 19(1). https://doi.org/10.2500/108854198778557971

Vempati, R., Bijlani, R., & Deepak, K. K. (2009). The efficacy of a comprehensive lifestyle modification programme based on yoga in the management of bronchial asthma: A randomized controlled trial. BMC Pulmonary Medicine, 9. https://doi.org/10.1186/1471-2466-9-37

Ward, C. E., & Baptist, A. P. (2016). Characteristics of Complementary and Alternative Medicine (CAM) use among older adults with asthma. Journal of Asthma, 53(5). https://doi.org/10.3109/02770903.2015.1116090

Yang, Z. Y., Zhong, H. Bin, Mao, C., Yuan, J. Q., Huang, Y. F., Wu, X. Y., Gao, Y. M., & Tang, J. L. (2016a). Yoga for asthma. Sao Paulo Medical Journal, 134(4). https://doi.org/10.1590/1516-3180.20161344T2

Yang, Z. Y., Zhong, H. Bin, Mao, C., Yuan, J. Q., Huang, Y. F., Wu, X. Y., Gao, Y. M., & Tang, J. L. (2016b). Yoga for asthma. In Cochrane Database of Systematic Reviews (Vol. 2016, Issue 4). https://doi.org/10.1002/14651858.CD010346.pub2

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Published

17-09-2025

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Original Research Article

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Rohmansyah, N. A., & Hiruntrakul, A. (2025). The impact of compare yoga and aerobic on asthma control, pulmonary function, and quality of life. Retos, 72, 796-806. https://doi.org/10.47197/retos.v72.116580