![]() Moreover, there was no significant improvement (MD = 0.10, 95% CI: − 0.08 to 0.29) in forced expiratory volume in 1 s. However, improvements in asthma control questionnaire scores (MD = − 0.25, 95% CI: − 0.51 to 0.02) and asthma symptom-free days (MD = 3.35, 95% CI: − 0.21 to 6.90) were not significant. Asthma quality of life questionnaire total scores (MD = 0.39, 95% CI: 0.02 to 0.76) improved significantly in the experimental group compared to control group, including activity domain scores (MD = 0.58, 95% CI: 0.21 to 0.94), symptom domain scores (MD = 0.52, 95% CI: 0.19 to 0.85), emotion domain scores (MD = 0.53, 95% CI: − 0.03 to 1.09) and environment domain scores (MD = 0.56, 95% CI: 0.00 to 1.11). Ten literatures from nine studies (n = 418 patients) were identified. Evidence quality was rated by the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Meta-analysis was conducted by RevMan software (version 5.3). Study selection, data extraction and risk of bias assessment were performed by two investigators independently. Randomized controlled trials (RCTs) investigating the effects of exercise-based PR on adults with asthma were included. The PubMed, Embase, Cochrane Library, Web of Science, International Clinical Trials Registry Platform and databases were searched from inception to 31 July 2019 without language restriction. This review aimed to investigate the effects of exercise-based PR on adults with asthma. However, the effects of exercise-based PR on asthma are currently inconclusive. Pulmonary rehabilitation (PR) has been proposed as an effective method for many respiratory diseases.
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