The Influence of Physical Exercise on Peak Nasal Inspiratory Flow Results in Young Adults Population
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Abstract
Introduction: Exercise has a significant impact on health, and there is increasing evidence suggesting that exercise affects immunological function, contributing to its positive benefits on well-being. Physical exercise can help decrease nasal mucosal congestion through sympathetic reflex and strengthen respiratory muscle. Exercise also helps enhance the respiratory function and nasal patency, allowing individual to optimize their performance and overall health. Peak Nasal Inspiratory Flow (PNIF) examination is the objective method used to determine nasal patency. This study aims to analyze the influence of physical exercise on nasal patency using peak nasal inspiratory flow. Materials and Methods: A cross-sectional study was conducted at the Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, involving 82 healthy adult volunteers selected through consecutive sampling from January to March 2024. Data were collected using exercise questionnaires, NOSE questionnaire to assess nasal obstruction symptom, and the PNIF examination. Data was collected and analyzed using Spearman bivariate correlation and ANOVA. Results: The mean total nasal inspiratory flow (PNIF) in this study was 99.55 ± 27.11 and not correlated with the NOSE score (r= -0.081, p=0.469). Variance analysis factors showed a significant influence of the frequency of exercise (p=0.030) and gender (p=0.001) on PNIF score measurement. Post hoc test showed exercise frequency impact to PNIF score particularly for groups 3 times compared to groups none and one time a week. Conclusion: The frequency of physical exercise (three times a week) was the stronger influenced for nasal patency using PNIF examination in young adults.
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Duraiswamy G, Thirthalli J, Nagendra HR, Gangadhar BN. Yoga therapy as an add-on treatment in the management of patients with schizophrenia - a randomized controlled trial. Acta Psychiatr Scand. 2007;116(3):226–32. Available from: https://doi.org/10.1111/j.1600-0447.2007.01032.x
Klaperski S, Koch E, Hewel D, Schempp A, Müller J. Optimizing mental health benefits of exercise: The influence of the exercise environment on acute stress levels and wellbeing. Ment Heal Prev [Internet]. 2019;15(200173):200173. Available from: http://dx.doi.org/10.1016/j.mhp.2019.200173
Zietkowski Z, Skiepko R, Tomasiak-Lozowska MM, Mroczko B, Szmitkowski M, Bodzenta-Lukaszyk A. RANTES in exhaled breath condensate of allergic asthma patients with exercise-induced bronchoconstriction. Respiration 2010;80(6):463–71. Available from: http://dx.doi.org/10.1159/000264923
Brinkman JE, Toro F, Sharma S. Physiology, respiratory drive. In: StatPearls. Mery Fitzgerald Hospital: StatPearls Publishing; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482414/
Marioni G, Ottaviano G, Staffieri A, Zaccaria M, Lund VJ, Tognazza E, et al. Nasal functional modifications after physical exercise: olfactory threshold and peak nasal inspiratory flow. Rhinology. 2010;48(3):277–80. Available from: http://dx.doi.org/10.4193/rhin09.141
Baraniuk JN, Merck SJ. Nasal reflexes: implications for exercise, breathing, and sex. Curr Allergy Asthma Rep. 2008;8(2):147–53. Available from: http://dx.doi.org/10.1007/s11882-008-0025-7
Haavisto LE, Lukkarinen M, Lukkarinen H, Jartti T, Papadopoulos NG, Sipilä JI. Physical exercise increases nasal patency in asthmatic and atopic preschool children. Am J Rhinol Allergy. 2013;27(6):451–6. Available from: http://dx.doi.org/10.2500/ajra.2013.27.3956
Lukkarinen M, Haavisto LE, Lukkarinen H, Sipilä JI, Papadopoulos NG, Jartti T. Exercise simultaneously increases nasal patency and bronchial obstruction in asthmatic children. Respirology. 2016;21(8):1493–5. Available from: https://doi.org/10.1111/resp.12849
Saliba J, Fnais N, Tomaszewski M, Carriere JS, Frenkiel S, Frasnelli J, et al. The role of trigeminal function in the sensation of nasal obstruction in chronic rhinosinusitis. Laryngoscope. 2016;126(5):E174-8. Available from: http://dx.doi.org/10.1002/lary.25952
Bermüller C, Kirsche H, Rettinger G, Riechelmann H. Diagnostic accuracy of peak nasal inspiratory flow and rhinomanometry in functional rhinosurgery. Laryngoscope. 2008;118(4):605–10. Available from: http://dx.doi.org/10.1097/MLG.0b013e318161e56b
Dupont WD, Plummer WDJ. Power and sample size calculations. A review and computer program. Control Clin Trials. 1990 Apr;11(2):116–28. Available from: https://doi.org/10.1016/0197-2456(90)90005-m
Pagano RR, Francis G, Neath I. Understanding Statistics in the Behavioral Sciences - Product Details - Cengage Instructor Center. 2013. 677 p.
Alkhoeriyah S. Hubungan Kebiasaan Berolahraga Dengan Kejadian Dysmenorrhea Pada Pegawai BPJS Kesehatan Jakarta Barat Tahun 2017. Repos Univ Esa Unggul. 2017;11(1):92–105.
Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol neck Surg Off J Am Acad Otolaryngol Neck Surg. 2004 Feb;130(2):157–63. Available from: https://doi.org/10.1016/j.otohns.2003.09.016
Ta NH, Gao J, Philpott C. A systematic review to examine the relationship between objective and patient-reported outcome measures in sinonasal disorders: recommendations for use in research and clinical practice. Int Forum Allergy Rhinol. 2021 May;11(5):910–23. Available from: https://doi.org/10.1002/alr.22744
Bouzgarou MD, Ben Saad H, Chouchane A, Cheikh I Ben, Zbidi A, Dessanges JF, et al. North African reference equation for peak nasal inspiratory flow. J Laryngol Otol. 2011;125(6):595–602. Available from: http://dx.doi.org/10.1017/S0022215111000181
Chaves C, Ibiapina C da C, de Andrade CR, Godinho R, Alvim CG, Cruz ÁA. Correlation between peak nasal inspiratory flow and peak expiratory flow in children and adolescents. Rhinology. 2012;50(4):381–5. Available from: http://dx.doi.org/10.4193/Rhino12.073
Fonseca MT, Machado JA van P, Pereira SA, Pinto KM, Voegels RL. Effects of physical exercise in nasal volume. Braz J Otorhinolaryngol. 2006;72(2):256–60. Available from: http://dx.doi.org/10.1016/s1808-8694(15)30065-3
Brown CEB, Richardson K, Halil-Pizzirani B, Hughes S, Atkins L, Pitt J, et al. PEAK Mood, Mind, and Marks: a pilot study of an intervention to support university students’ mental and cognitive health through physical exercise. Front Psychiatry. 2024;15:1379396. Available from: http://dx.doi.org/10.3389/fpsyt.2024.1379396
Pendolino AL, Nardello E, Lund VJ, Maculan P, Scarpa B, Martini A, et al. Comparison between unilateral PNIF and rhinomanometry in the evaluation of nasal cycle. Rhinology. 2018;56(2):122–6. Available from: http://dx.doi.org/10.4193/Rhin17.168
Wang J-J, Chiang Y-F, Jiang R-S. Influence of age and gender on nasal airway patency as measured by active anterior rhinomanometry and acoustic rhinometry. Diagnostics (Basel). 2023;13(7):1235. Available from: http://dx.doi.org/10.3390/diagnostics13071235
Rimmer J, Greenwood A, Bartlett D, Hellgren J. Nasal steroids improve regulation of nasal patency in asthma and mild rhinitis: a randomised, cross-over trial. Eur Arch Otorhinolaryngol. 2012;269(4):1133–8. Available from: http://dx.doi.org/10.1007/s00405-011-1803-8
Tjahjono R, Singh N. Correlation between nasal mucosal temperature change and the perception of nasal patency: a literature review. J Laryngol Otol. 2021;135(2):104–9. Available from: http://dx.doi.org/10.1017/S0022215121000487
Bai X, Soh KG, Omar Dev RD, Talib O, Xiao W, Cai H. Effect of brisk walking on health-related physical fitness balance and life satisfaction among the elderly: A systematic review. Front Public Heal. 2021;9:829367. Available from: http://dx.doi.org/10.3389/fpubh.2021.829367
Chen CK, Ismail NS, Al-Safi AA. Effects of brisk walking and resistance training on cardiorespiratory fitness, body composition, and lipid profiles among overweight and obese individuals. J Phys Educ Sport. 2016;16(3):957–63. Available from: https://doi.org/10.7752/jpes.2016.03151
Lotsu E, Physiotherapy Department Accra, Ghana. K-BTH, Kwakye S, Mohammed T, Opoku B, Quartey J, et al. Effects of aerobic exercise on fasting blood glucose and blood pressure levels of diabetic-hypertensive clients at a diabetes clinicin Accra, Ghana. J Prev Rehabil Med [Internet]. 2021;3(2):75–84. Available from: http://dx.doi.org/10.21617/jprm2021.3213