Influence of gender and inspiratory muscle training on the perception of dyspnea in patients with asthma.
BACKGROUND
Men and women respond differently to asthma.


METHODS
Maximal inspiratory mouth pressure (P(Imax)), beta(2)-agonist consumption, and perception of dyspnea (POD) were measured in 22 women and 22 men with mild persistent-to-moderate asthma. Next, the women were randomized into two groups: those who received inspiratory muscle training and those who received sham training. The training ended when the P(Imax) of the training group was equal to that of the male subjects. POD was then measured once again.


RESULTS
Baseline P(Imax) was significantly lower (p < 0.01) while POD and mean daily beta(2)-agonist consumption were significantly higher in the female subjects. P(Imax) reached the level of the male subjects at the end of the 20th week of training. The increase in the P(Imax) was associated with a statistically significant decrease in mean daily beta(2)-agonist use and in POD to a similar level as in male subjects.


CONCLUSIONS
POD and mean daily beta(2)-agonist consumption in asthmatic women are significantly higher, and the P(Imax) significantly lower, than that of their male counterparts. When the P(Imax) of female subjects following training is equal to that in male subjects, the differences in POD and mean daily beta(2)-agonist consumption disappear.
Weiner
Paltiel
P
Department of Medicine A, Hillel Yaffe, Medical Center, Hadera, Israel. weiner@hillel-yaffe.health.gov.il
Magadle
Rasmi
R
Massarwa
Fareed
F
Beckerman
Marinella
M
Berar-Yanay
Noah
N
D000328:Adult; D001249:Asthma / Q000150:complications / Q000628:therapy*; D001364:Awareness; D001945:Breathing Exercises; D004417:Dyspnea / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008448:Maximal Expiratory Flow Rate; D011788:Quality of Life; D012737:Sex Factors; D013147:Spirometry