CLINICAL AND FUNCTIONAL INDICATORS OVER TIME IN OVERWEIGHT PATIENTS WITH BRONCHIAL ASTHMA RECEIVING STANDARD THERAPY VS. STANDARD THERAPY WITH A COMPLEX OF REHABILITATION MEASURES

The combination of bronchial asthma and obesity leads to increased severity course poorer control level, the development resistance basic therapy, frequency hospitalizations. Modern approaches treatment suggest that more attention should be paid comprehensive rehabilitation programs using methods aimed at all pathogenesis stages this diseases. Objective: analyze changes in clinical functional indicators over time overweight patients with receiving standard therapy vs. a complex measures study involved 102 (body mass index (BMI) ≤ 39.9 kg/height, m2) persistent moderate aged 35–60 years. were divided into 2 groups. Group I included 72 pharmacologic (budesonide 160 μg formoterol 4.5 μg) along diet close Mediterranean diet, as well measures, which Buteyko breathing technique plus respiratory gymnastics dosed walking. II (30 patients) received only diet. duration was 6 months. All underwent general studies, spirometry, 6-minute walk test (6MWT) dyspnea assessment according Borg Dyspnoea Scale, surveys Asthma Control Questionnaire-5, St George's Respiratory Questionnaire (SGRQ), Beck Depression Inventory, Spielberger–Khanin Anxiety Inventory. It found physical presented pronounced positive changes, so indices FVC 6MWT medians times 2.4 higher, respectively. ACQ5, SGRQ, BDI, SAI-t score also prominent exceeded values by 1.8 times, 4.4 2.5 3.5 Inclusion i.e. technique, gymnastics, walking, contributes significant increase FEV1 statistically improvement quality life psychological status after months therapy.