Health Educational Research of Health Promotion for Constitutional Weak -on Exercise Prescription for Children with Bronchial Asthma-

(1)目的支气管哮喘是由疲劳、应激、温度和运动诱发的。因此，支气管哮喘患儿在身体生长发育时期需要控制运动量。了解锻炼水平对于提高他们的身体素质是很重要的。这项调查的目的是为儿童最受欢迎的运动之一，如足球，制定促进健康的处方规范。(2)研究对象：6 ~ 9岁哮喘患儿12例，非哮喘患儿4例。(3)指标：VO_2 max、HR、FEV_<1.0>的体质和IgE。嗜酸性粒细胞用于免疫。(4)训练：每周上两次足球课，每天一小时，为期半年。(5)测量方法：采用自行测力仪逐步增加负荷，测量静息、运动中和运动恢复后的HR max、VO_2 max和FEV_<1.0>。足球课前休息时的嗜酸性粒细胞、嗜中性粒细胞、IgE、肾上腺素和去甲肾上腺素。三个月后，六个月后。结果：6个月后，与非哮喘患儿相比，HR max和VO<@D22@>D2 max无显著差异，自行车测力仪运动强度从1.4 (]SY.+-增加。[] 0.3 kp ~ 1.6 (]SY.+-。[) 0.4 kp，运动后FEV<@D21.0@>D2的%变化较第一次测量时略有下降。IgE值为735 (]SY.+-。[) 359 IU/ml，嗜酸性粒细胞10.1 (]；[) 1.3%（非哮喘儿童2.2 %）。(1.25%)。6个月后，这些免疫指标没有变化。结论：精心制定足球训练菜单，防止哮喘儿童过度劳累。采用便携式心率记忆仪监测最大心率，80%最大心率（约为休息时间的1.5倍）运动强度均未诱发哮喘发作，支气管哮喘患儿可享受并改善体质。

(1) PurposeBronchial asthma is induced by exhaustion, stress, temperature and exercise. Therefore, children with bronchial asthma need to restrain the amount of exercise during the period of their physical growth and development. It is important to know the level of exercise for improving the physical fitness on them.The purpose of this investigation is to prepare of a norm for health promoting prescription with one of most popular sports among children such as soccer.(2) Objects : Twelve asthmatic children and four non-asthmatic children aged 6 to 9 years old.(3) Indicators : VO_2 max, HR,FEV_<1.0> for physical fitness and IgE.eosinophils for immunity.(4) Training : Soccer class were held twice a week, one hour each day for six months.(5) Measurement : Examination of loaded exercise was created by using bicycle ergometer to increase load gradualy, and HR max, VO_2 max and FEV_<1.0> were measured at rest, during exercise and after exercise recovering. Eosinophils, neutorophils, IgE,adrenalin and noradrenalin at rest time on the beginning of soccer class.after three months and after six months.Results : After six months, HR max and VO<@D22@>D2 max culd not find any differences compared with non-asthmatic children the exercise intensity by bicycle ergometer were increased from 1.4 (]SY.+-。[) 0.3 kp to 1.6 (]SY.+-。[) 0.4 kp, and % changes of FEV<@D21.0@>D2 after exercise showed a little decrease compared at the first measured time. IgE values were 735 (]SY.+-。[) 359 IU/ml and eosinophils 10.1 (]SY.+-。[) 1.3% (non-asthmatic children 2.2 (]SY.+-。[) 1.25%). These immunity indicators did not changes after six months.Conclusion : Soccer training menu was made carefully to prevent the excessive work for asthmatic children. Maximum Heart Rate were monitored by portable HR memories, and 80% HR max (almost 1.5 times of rest) exercise intensity were did not induced attack of asthma, and then children with bronchial asthma can enjoy and improve their physical fitness.