Email this article Multidisciplinary rehabilitation for asthma and obesity: diet, physical therapy, and health education
- Authors: Lapik I.A.1
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Affiliations:
- Federal Research Center of Nutrition, Biotechnology and Food Safety
- Issue: Vol 7, No 4 (2025)
- Pages: 284-295
- Section: REVIEWS
- URL: https://bakhtiniada.ru/2658-6843/article/view/363663
- DOI: https://doi.org/10.36425/rehab692201
- EDN: https://elibrary.ru/IXRESM
- ID: 363663
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Abstract
Comorbidities, such as asthma and obesity, present significant medical and social challenges. Their biological mechanisms are closely interrelated with mental and behavioral factors, forming a vicious circle where traditional pharmacotherapy is often insufficient. Unlike other publications, this review takes an in-depth look at the essential role of multidisciplinary rehabilitation in the management of comorbidities. The focus is to review the current evidence on the importance of a personalized, multimodal diagnostic approach that incorporates bioimpedance analysis, indirect calorimetry, and biochemical and genetic marker assessments in order to develop individualized nutritional support programs.
The analysis showed that patients with both asthma and obesity require a comprehensive management strategy that includes three components: a diet to modulate systemic inflammation, a structured physical rehabilitation program combining aerobic exercise, breathing exercises and inspiratory muscle training, and a lifestyle modification program. Multidisciplinary rehabilitation is shown to simultaneously target the key components of asthma and obesity pathogenesis, such as systemic inflammation, respiratory mechanical limitations, and metabolic dysfunction, to improve asthma control, facilitate weight loss, provide a sustained improvement in functional parameters and a significant enhancement in quality of life, and minimize the medication burden.
This article provides a comprehensive understanding of the methodology for developing and implementing rehabilitation programs for patients with comorbidities. The proposed structured strategies, including diagnostic algorithms, physical rehabilitation protocols, and effectiveness criteria, represent the primary research and practical contributions of this work, facilitating the clinical implementation of this integrated strategy and optimizing treatment outcomes for a challenging patient population.
About the authors
Irina A. Lapik
Federal Research Center of Nutrition, Biotechnology and Food Safety
Author for correspondence.
Email: lapik_@inbox.ru
ORCID iD: 0000-0002-0963-0792
SPIN-code: 2927-2441
MD, Cand. Sci. (Medicine)
Russian Federation, MoscowReferences
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