“Can Do” Versus “Do Do” in Patients with Asthma at First Referral to a Pulmonologist

Janssen, Steffi; Spruit, Martijn A.; Antons, Jeanine; Djamin, Remco S.; Abbink, Jannie J.; Helvoort, H.A.C. van; Hul, Alex J van ’t

doi:10.1016/j.jaip.2020.09.049

Cited by 12 publications

(15 citation statements)

References 38 publications

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“…However, such finding seemed to be inconsistent with a prior study that examined the association between BMI, exercise, and lung function among asthmatic adolescents and reported no association between PA capacity and FEV 1 for those with obesity 38 . The reasons for this discrepancy may be that FEV 1 and asthma control are two different indicators and seem to have discordant association with PA as reported in previous studies 39,40 . Additionally, exercise capacity is a reflection of maximal oxygen consumption and physical limitation, 41 while PA level represented lifestyle inclination.…”

Section: Discussionmentioning

confidence: 76%

“…38 The reasons for this discrepancy may be that FEV 1 and asthma control are two different indicators and seem to have discordant association with PA as reported in previous studies. 39,40 Additionally, exercise capacity is a reflection of maximal oxygen consumption and physical limitation, 41 while PA level represented lifestyle inclination. Increased weight is correlated with altered chest wall compliance and limited chest cavity.…”

Section: Discussionmentioning

confidence: 99%

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Physical activity and childhood asthma control: Mediation and moderation role of body mass index

Zhang

Wang

et al. 2021

Pediatric Pulmonology

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Background Physical activity (PA) may be associated with asthma management. Whether PA is associated with childhood asthma control is not well studied, and the role of body mass index (BMI) in this association remains unclarified. This study aimed to evaluate the association between PA and childhood asthma control and investigate the potential mediating and modifying role of BMI in the association. Methods This cross‐sectional study involved 303 asthmatic children aged 5–14 years. Information on PA was collected from children. Asthma control was assessed using a valid questionnaire by children and their parents. Height and weight were objectively measured and BMI was calculated and classified. Multiple linear regression, mediation, and moderation analyses were performed. Results There was a positive association between PA and childhood asthma control with adjustment for variates (B = 0.144, p = .012). Mediation analysis indicated that BMI status negatively mediated the association (estimate = −0.656, 95% credit interval: −1.645, −0.006), and such indirect effect is lower than the direct effect (indirect effect/direct effect = 58.3%). No evidence of effect modification by BMI was observed (Pinteraction = 0.516). Stratified analyses showed that the significant association was only observed in children with overweight/obesity (normal weight: B = 0.863, p = .189; overweight/obese: B = 1.494, p = .044). Conclusions Increased PA is associated with improved childhood asthma control, especially for children with higher BMI. BMI exhibited a negative effect but not effect modification in this association. PA should be encouraged to improve asthma control for asthmatic children. Besides, mechanisms other than weight loss may explain the association.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Physical activity and childhood asthma control: Mediation and moderation role of body mass index

Zhang

Wang

et al. 2021

Pediatric Pulmonology

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“…To date, no studies have investigated the effects of exercise on fatigue in people with asthma; however, exercise training has shown a positive effect on reducing fatigue in people with COPD [ 70 ]. It is likely that people with asthma have impaired physical capacity, which limits their ability to participate in MVPA [ 71 ]. People with asthma have reported that exercise is too difficult [ 34 ], and have doubts about their capability to physically exert themselves [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…This corroborates the “can do, do do” concept, which groups people based on their level of physical capacity (can do or can’t do) and their actual physical activity participation (do do or don’t do). In a previous study of people with asthma, 30% were classified as “can’t do, don’t do” while 29% were “can do, do do” [ 71 ]. In other words, most people with asthma were physically active if they had retained physical capacity.…”

Section: Discussionmentioning

confidence: 99%

Key Considerations When Addressing Physical Inactivity and Sedentary Behaviour in People with Asthma

Urroz Guerrero,

Oliveira,

Lewthwaite

et al. 2023

JCM

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People with asthma tend to be less physically active and more sedentary than people without asthma. This narrative review aimed to present key considerations when addressing physical inactivity and sedentary behaviour in people with asthma by identifying barriers and facilitators, determinants and correlates, and intervention approaches. Using a search strategy, electronic databases were searched for relevant studies. Data extracted from studies were qualitatively synthesised. A total of 26 studies were included in the review. Six studies reported asthma symptoms as a barrier to physical activity, while four studies reported having a supportive network as a physical activity facilitator. Across studies, physical activity correlates/determinants were pulmonary function, exercise capacity, body mass index, dyspnoea, psychological health, and asthma control. Interventions that effectively improved physical activity in the short term were a step-based prescription programme, a weight loss programme incorporating aerobic and resistance training, and a weight loss lifestyle intervention, while a high-intensity interval training pulmonary rehabilitation program was effective in the long term. The collective findings suggest that a personalised physical activity programme incorporating different strategies is needed. There was minimal evidence to provide recommendations to optimise sedentary behaviour in asthma, and more research is needed on the topic.

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“…The result is four quadrants to which a person is allocated: (1) “can do–do do” (high PC, high PA), (2) “can do–do not do” (high PC, low PA), (3) “cannot do–do do” (low PC, high PA), and (4) “Cannot do–do not do” (low PC, low PA). To date, the PC-PA quadrant concept has been applied in people with pulmonary diseases [ 3 , 4 , 5 , 6 , 7 ]. Here, the concept emerged as a promising approach to form clinically distinct groups and to contrast an individual’s ability to perform physical activities and their actual performance of PA in everyday life.…”

Section: Introductionmentioning

confidence: 99%

“Can Do” vs. “Do Do” in Older Adults: A Cross-Sectional Analysis of Sensor-Derived Physical Activity Patterns

Adams

Carrascosa

Jansen

et al. 2023

Sensors

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(1) Background: Identifying groups with a misaligned physical capacity (PC) and physical activity (PA) is potentially relevant for health promotion. Although an important health determinant, deeper knowledge of underlying walking behavior patterns in older adults is currently missing. We aim to identify specific PA signatures of misaligned groups and determine PA variables discriminating between groups. (2) Methods: In total, 294 community-dwelling older adults (≥70 years) were divided into four quadrants based on thresholds for PA (≥ or <5000 steps/day) and PC (≤ or >12 s, Timed Up and Go test). Kruskal–Wallis and effect sizes were calculated to compare quadrants’ PA variables and to determine the discriminative power of PA parameters on walking duration, frequency, and intensity. (3) Results: We identified quadrant-specific PA signatures. Compared with “can do–do do”, the “cannot do–do do” group performs shorter continuous and lower-intensity walks; the “can do–do not do” group takes fewer steps and walks with less intensity. The “cannot do–do not do” group presents lower values in all PA variables. “Walking duration greater or equal 3 METs” was the strongest discriminative PA variable. (4) Conclusion: We provide distinct PA signatures for four clinically different groups of older adults. Walking intensity is most useful to distinguish community-dwelling older adults, which is relevant for developing improved customized health promotion interventions.

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“Can Do” Versus “Do Do” in Patients with Asthma at First Referral to a Pulmonologist

Cited by 12 publications

References 38 publications

Physical activity and childhood asthma control: Mediation and moderation role of body mass index

Physical activity and childhood asthma control: Mediation and moderation role of body mass index

Key Considerations When Addressing Physical Inactivity and Sedentary Behaviour in People with Asthma

“Can Do” vs. “Do Do” in Older Adults: A Cross-Sectional Analysis of Sensor-Derived Physical Activity Patterns

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