Impact of Physical Activity on Reporting of Childhood Asthma Symptoms

Nnodum, Benedicta; McCormack, Meredith C.; Putcha, Nirupama; Hwang, Seungyoung; Paulin, Laura M.; Brigham, Emily; Fawzy, Ashraf; Romero, Karina; Diette, Gregory B.; Hansel, Nadia N.

doi:10.1007/s00408-017-0049-7

Cited by 7 publications

(16 citation statements)

References 18 publications

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“…In another study, it was found that those who were physically active were also more inclined to report symptoms of asthma during the day and night awakenings. ( 13 )…”

Section: Discussionmentioning

confidence: 99%

“…( 11 ) However, scientific production regarding the relation between the levels of physical activity and asthma control in children and adolescents is still scarce, and the existing results are controversial. ( 12 , 13 )…”

Section: Introductionmentioning

confidence: 99%

“…( 11 ) Contudo, a produção científica a respeito da relação entre os níveis de atividade física e controle da asma em crianças e adolescentes ainda é escassa, e os resultados existentes são controversos. ( 12 , 13 )…”

Section: Introductionunclassified

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Effect of physical activity on asthma control in schoolchildren

Santos¹,

Strassburger²,

Roncada³

et al. 2019

Einstein (São Paulo)

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Objective To investigate the effect of levels of physical activity on asthma control in children.Methods A cross-sectional study, including public school students aged 8 to 12 years, of both sexes, with asthma, from a capital and a medium-sized cities in Southern Brazil. At home, the students answered the questionnaire on levels of physical activity and disease control.Results A total of 482 schoolchildren with asthma participated in the study, with mean age of 10.9±2.2 years, and 253 (52%) were girls. Regarding disease control, 50% had controlled asthma, and 67% were considered sedentary. Schoolchildren with controlled asthma were more active than those with uncontrolled asthma (p=0.032). Active schoolchildren were more likely to have asthma controlled (OR=1.5; 95%CI: 1.04-2.25).Conclusion The results demonstrated an association between physical activity levels and asthma control. More active schoolchildren were more likely to have asthma controlled.

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“…In another study, it was found that those who were physically active were also more inclined to report symptoms of asthma during the day and night awakenings. ( 13 )…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of physical activity on asthma control in schoolchildren

Santos¹,

Strassburger²,

Roncada³

et al. 2019

Einstein (São Paulo)

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“…Studies of the relationship between asthma and physical activity have shown conflicting results. In a longitudinal study of 147 children aged 5-12 years of age in Baltimore, MD, Nnodum et al 34 found a significant association between physical activity, as measured by the physical activity questionnaire, and an increased frequency of asthma symptoms. These results suggest that children may be more bothered by their asthma when engaged in higher levels of physical activity.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Physical Inactivity Among Children With and Without Asthma Living in Peri-Urban Communities of Lima, Peru

Checkley¹,

Flores-Flores²,

Romero³

et al. 2020

Journal of Physical Activity and Health

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Background: The authors sought to examine physical activity patterns among children with and without asthma in 2 peri-urban communities in Lima, Peru, to identify socioeconomic and demographic risk factors for physical inactivity and examine the relationship between asthma and physical activity. Methods: The authors measured mean steps per day in 114 children (49 with asthma and 65 without) using pedometers worn over a 1-week period. They also used the 3-day physical activity recall to determine the most common activities carried out by children. Results: The authors found that 84.2% of the children did not meet the daily international physical activity recommendations. Girls took significantly fewer mean steps per day as compared with boys (2258 fewer steps, 95% confidence interval, 1042–3474), but no other factors, including asthma status, showed significant differences in the mean daily steps. Mean daily steps were positively associated with higher socioeconomic status among girls, and current asthma had a larger inverse effect on daily steps in boys when compared with girls. Conclusion: Physical activity levels were below recommended guidelines in all children. There is a need for policy and neighborhood-level interventions to address low physical activity levels among Peruvian youth. Special focus should be given to increasing the physical activity levels in girls.

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“…albuterol) use were assessed using a pediatric asthma diary, 47 a validated daily questionnaire completed by the caregiver twice daily over the one-week period of each study visit as previously described. 48 Daytime symptoms were measured on a 6-point Likert scale and were dichotomized into being absent or present, with composite daytime symptoms representing none vs. any positive response across the three daily symptoms. Nighttime symptoms included an assessment of the number of awakenings caused by asthma symptoms on a 4-point Likert scale, dichotomized into being absent or present.…”

Section: Methodsmentioning

confidence: 99%

Vitamin D Status Modifies the Response to Indoor Particulate Matter in Obese Urban Children with Asthma

Bose¹,

Diette

Woo³

et al. 2019

The Journal of Allergy and Clinical Immunology: In Practice

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Background: Indoor fine particulate air pollution (PM2.5) is linked to asthma morbidity; however, whether vitamin D status influences individual susceptibility to airborne exposures is unclear. Objective: We aimed to determine if vitamin D modifies effects of indoor PM2.5 upon asthma symptoms in urban children. Methods: 120 children aged 5–12 years with physician-diagnosed asthma were evaluated at baseline and every 3 months for 9 months. Indoor PM2.5, serum 25-hydroxy vitamin D (25-OH D) levels and asthma symptoms were simultaneously assessed at each time point. Adjusting for confounders, generalized estimating equations assessed 3-way interaction effects of 25-OH D, obesity and PM upon asthma symptoms. Results: Children were of mean (SD) age 9.7 (2.2) years, 36% were obese, and 95% self-reported black race. Mean (SD) PM2.5 indoor exposure was 38.2 (42.9) μg/m3 and 25-OH D was 19.1 (7.5) ng/ml. Three-way interaction models demonstrated significantly greater PM2.5-associated effects on daytime asthma symptoms only among obese children with low 25-OH D levels (ORPM2.5=1.26,p =0.049 at vitamin D=15.5 ng/ml, increasingly stronger PM effects at levels<15.5 ng/ml). In homes with increased PM2.5, higher 25-OH D was associated with decreased symptom odds (e.g., ORVitamin D = 0.87; p=0.049 at PM2.5 = 52.5 μg/m3, increasingly protective effects >52.5 μg/m3) among obese children. Conclusion: Among obese urban children with asthma, low individual 25-OH vitamin D enhanced adverse respiratory effects associated with indoor PM2.5. In high PM2.5 environments, 25-OH D was protective against asthma symptoms. Optimizing vitamin D status in children may help reduce asthma morbidity driven by indoor air pollution.

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Impact of Physical Activity on Reporting of Childhood Asthma Symptoms

Cited by 7 publications

References 18 publications

Effect of physical activity on asthma control in schoolchildren

Effect of physical activity on asthma control in schoolchildren

Risk Factors for Physical Inactivity Among Children With and Without Asthma Living in Peri-Urban Communities of Lima, Peru

Vitamin D Status Modifies the Response to Indoor Particulate Matter in Obese Urban Children with Asthma

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