Factors Related to Undiagnosed Asthma in Urban Adolescents: A Multilevel Approach

Magzamen, Sheryl; Tager, Ira B.

doi:10.1016/j.jadohealth.2009.11.203

Cited by 10 publications

(7 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among participants without asthma, female adolescents had a higher prevalence of EID than males; the male to female ratio was 0.7. Other studies have confirmed the association between female gender and undiagnosed breathing problems [9,21]. Female athletes report physical symptoms, such as shortness of breath, nearly twice as often as their male counterparts in another study [22].…”

Section: Discussionmentioning

confidence: 73%

Exercise-induced dyspnea is a problem among the general adolescent population

Johansson

Norlander

Hedenström

et al. 2014

Respiratory Medicine

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 73%

Exercise-induced dyspnea is a problem among the general adolescent population

Johansson

Norlander

Hedenström

et al. 2014

Respiratory Medicine

View full text Add to dashboard Cite

show abstract

“…One explanation could be under reporting of asthma as the measure is self-reported. Using school based surveillance, it has been found that approximately 5% of adolescents living in urban areas have a likelihood of undiagnosed asthma (36), thus a number of these subjects may have had asthma but not been diagnosed.…”

Section: Discussionmentioning

confidence: 99%

Relationships among obesity, physical activity and sedentary behavior in young adolescents with and without lifetime asthma

2015

View full text Add to dashboard Cite

Objective To examine the interrelationships among body mass index (BMI), physical activity, sedentary behavior and gender in urban, low-income, primarily African American young adolescents with or without lifetime asthma. Methods Data were collected in 2002–2004 from 626 12-year old adolescents who were children of women who participated in the New Mother’s Study in Memphis, TN (1990 – 91). Adolescents with and without asthma were compared on BMI, physical activity and sedentary behavior. Multiple linear regression models were used to examine the association of asthma, gender and BMI with physical activity and sedentary behavior. Results Complete data were available for 545 adolescents. 11% of adolescents had lifetime asthma. Asthma and gender were associated with high-intensity physical activity (p < .001). Adolescents with asthma participated in less physical activity and girls participated less than boys. Gender was associated with sedentary behavior (p < .001): boys used personal computer (pc)/video after school more than girls. Girls with asthma had a higher BMI than girls without asthma (p = .027). Boys with asthma were less physically active than boys without asthma (p < .05). Conclusions Adolescents with asthma are less physically active than those without asthma and girls are less active than boys. Clinicians who provide care for adolescents with asthma are encouraged to assess physical activity/sedentary behavior and provide guidance that promotes active lifestyles. A longitudinal study is needed to shed light on the unique contribution of asthma separated from the effects of overweight/obesity on physical activity and sedentary behaviors.

show abstract

“…This study has several limitations which may affect its generalizability to rates of asthma misdiagnosis in all children. Several limitations would be expected to improve diagnostic accuracy in our participants compared to the general population: we included children between the ages of 9 and 12 and children under the age of 5, 37 and adolescents 38,39 have been shown to be at increased risk for underdiagnosis of asthma; our study was conducted in an urban setting where there is increased access to physicians and diagnostic testing facilities; the participants of this study were from a higher socioeconomic strata compared to non-participants and previous studies from the United States have shown that children from lower socioeconomic classes are more likely to be underdiagnosed with asthma. 40 Conversely, one of the reasons that our study may show a high diagnostic misclassification rate is that our community based sampling strategy identified predominantly children with mild asthma and results should not be generalized to the moderate to severe asthma population.…”

Section: Limitationsmentioning

confidence: 99%