No differences in physical activity in (un)diagnosed asthma and healthy controls

Gent, René van; Ent, Cornelis K. van der; Essen-Zandvliet, Liesbeth E.M. van; Rovers, Maroeska M.; Kimpen, Jan L. L.; Meer, Gea de; Klijn, Peter

doi:10.1002/ppul.20672

Cited by 61 publications

(78 citation statements)

References 35 publications

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“…Em crianças asmáticas, podemos encontrar alguns estudos que para mensurar a atividade física utilizam testes de aptidão física (máximo e submáximo), aplicação de questionários e colocação de monitor de atividade física (Nystad, 1997;Lang et al, 2004;Firrincieli et al, 2005;Glazebook et al, 2006;Van Gent et al, 2007;Eijkemans et al, 2008;Berntsen et al, 2009;Rundle et al, 2009;Pedersen, 2009;Cheng et al, 2010;Vahlkvist et al, 2010;Villa et al, 2011).…”

Section: Quantificação Da Atividade Físicaunclassified

“…No entanto, o estudo desse aparelho para quantificar a atividade física de crianças asmática é escasso na literatura (Firrincieli et al, 2005;Van Gent et al, 2007;Eijkemans et al, 2008;Berntsen et al, 2009;Rundle et al, 2009;Pedersen, 2009). …”

Section: Acelerômetrounclassified

“…Alguns estudos mostram que a criança com asma é mais sedentária que crianças sem asma (Lang et al, 2004;Firrincieli et al, 2005;Glazebrook et al, 2006;Cheng et al, 2010;Villa et al, 2011), enquanto outros estudos não mostram diferença entre elas (Nystad, 1997;Van Gent et al, 2007;Eijkemans et al, 2008;Berntsen et al, 2009;Rundle et al, 2009;Pedersen, 2009). No entanto, a comparação entre estes resultados torna-se difícil porque cada um desses estudos utilizou metodologias distintas para determinar a asma, diferentes idades entre as populações estudadas, falta de descrição do controle clínico e diferentes métodos para avaliar AFVD.…”

Section: Atividade Física De Vida Diária Em Crianças Asmáticasunclassified

“…A diferença metodológica utilizada para quantificar atividade física de vida diária tem sido uma dificuldade na comparação dos resultados entre estes estudos, visto que são utilizados instrumentos distintos tais como o uso de questionários (Nystad, 1997;Lang et al, 2004;Glazebrook et al, 2006;Cheng et al, 2010), testes de condicionamento físico (Berntsen et al, 2009;Pedersen, 2009;Villa et al, 2010) e o nível de AFVD por meio de acelerômetros (Firrincieli et al, 2005;Van Gent et al, 2007;Eijkemans et al, 2008;Bernstsen et al, 2009;Rundle et al, 2009;Pedersen, 2009). A partir dos resultados utilizando estes diferentes métodos, verifica-se que alguns encontraram que crianças asmáticas apresentam AFVD menor que as sem asma (Lang et al, 2004;Firrincieli et al, 2005;Glazebrook et al, 2006;Cheng et al, 2010), enquanto outros verificaram que as crianças asmáticas tem a mesma AFVD que crianças sem asma (Nystad, 1997;Van Gent et al, 2007;Eijkemans et al, 2008;Berntsen et al, 2009;Rundle et al, 2009;Pedersen, 2009 (Lang et al, 2004;Firrincieli et al, 2005;Van Gent et al, 2007;Pedersen, 2009).…”

Section: Atividade Física De Vida Diária Em Crianças Asmáticasunclassified

“…A partir dos resultados utilizando estes diferentes métodos, verifica-se que alguns encontraram que crianças asmáticas apresentam AFVD menor que as sem asma (Lang et al, 2004;Firrincieli et al, 2005;Glazebrook et al, 2006;Cheng et al, 2010), enquanto outros verificaram que as crianças asmáticas tem a mesma AFVD que crianças sem asma (Nystad, 1997;Van Gent et al, 2007;Eijkemans et al, 2008;Berntsen et al, 2009;Rundle et al, 2009;Pedersen, 2009 (Lang et al, 2004;Firrincieli et al, 2005;Van Gent et al, 2007;Pedersen, 2009). Importante notar também que a maioria dos estudos não comparou as AFVD entre crianças com diferentes gravidades da asma (Nystad, 1997;Firrincieli et al, 2005;Glazebook et al, 2006;Eijkemans et al, 2008;Berntsen et al, 2009;Cheng et al, 2010;Rundle et al, 2009;Pedersen, 2009).…”

Section: Atividade Física De Vida Diária Em Crianças Asmáticasunclassified

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Avaliação do nível de atividade física diária e fatores preditivos em crianças asmáticas da cidade de São Paulo

Sousa¹

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Section: Quantificação Da Atividade Físicaunclassified

Section: Acelerômetrounclassified

Section: Atividade Física De Vida Diária Em Crianças Asmáticasunclassified

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Avaliação do nível de atividade física diária e fatores preditivos em crianças asmáticas da cidade de São Paulo

Sousa¹

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Glucocorticoid‐related changes in body mass index among children and adolescents with rheumatic diseases

Shiff

Brant

Guzman

et al. 2012

Arthritis Care & Research

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Objective. To examine the temporal and dose-related effects of glucocorticoids (GCs) on body mass index (BMI) in children with rheumatic diseases.Methods. Children initiating GCs for a rheumatic disease (n ‫؍‬ 130) were assessed every 3 months for 18 months. BMI, weight, and height Z score trajectories were described according to GC starting dosage in prednisone equivalents: high (>1.0 mg/kg/day), low (<0.2 mg/kg/day to a maximum of 7.5 mg/day), and moderate (between high and low) dosage. The impact of GC dosing, underlying diagnosis, pubertal status, physical activity, and disease activity on BMI Z scores and on percent body fat was assessed with longitudinal mixed-effects growth curve models. Results. The GC starting dose was high in 59% and moderate in 39% of patients. The peak BMI Z score was ؉1.29 at 4 months with high-dose GCs and ؉0.69 at 4.2 months with moderate-dose GCs (P < 0.001). Overall, 50% (95% confidence interval 41-59%) of the children returned to within ؉0.25 SD of their baseline BMI Z score. Oral GC dose over the preceding 3 months was the most significant determinant of BMI Z score and percent body fat. The proportion of days in receipt of GCs, disease activity, and a diagnosis of systemic-onset juvenile idiopathic arthritis were also associated with BMI Z scores. The correlation between changes in BMI and changes in percent body fat was 0.09. Conclusion. In children with rheumatic diseases starting moderate and high doses of GCs, BMI Z scores peaked at 4 months, and only half returned to within ؉0.25 SD of their baseline BMI Z score after 18 months.

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Encouraging physical activity in pediatric asthma: A case–control study of the wonders of walking (WOW) program

Walders‐Abramson

Wamboldt

Curran‐Everett

et al. 2009

Pediatric Pulmonology

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Summary Objectives The complex overlap between asthma and obesity may be explained in part by activity avoidance in asthma. We compared responses to a walking intervention between matched groups of children with and without asthma. We expected youth with asthma to have lower baseline and post-intervention activity levels. Psychosocial, demographic, and physiologic correlates of activity were also examined. Design/Participants We compared baseline and post-intervention activity levels among 59 children aged 10–16 with well-controlled asthma and 59 healthy matched controls. Participants completed spirometry, physical examination, anthropometric measurement, and psychosocial questionnaires. Intervention/Outcome Measure Participants wore blinded calibrated pedometers for a baseline typical activity week, returning to complete the Wonders of Walking (WOW) intervention, followed by a week of post-intervention pedometer monitoring. Results Contrary to expectation, no differences between cases (median steps = 6,348/day) and controls (median steps = 6,825/day) in baseline activity were found. Response to the WOW intervention was comparable, with both groups demonstrating an increase of approximately 1,485 steps per day (equivalent to more than 5 additional miles walked during the post-intervention week). Health beliefs did not correlate to activity at baseline or intervention response. No significant associations between activity and asthma control, FEV1, or duration of diagnosis were found. Intervention response was comparable across racial/ethnic groups, children versus adolescents, and between normal weight and overweight youth. Conclusions Contrary to expectation, we found similar rates of objectively measured physical activity among youth with well-controlled asthma and controls. Importantly, we documented statistically significant increases in physical activity across both groups following a brief, pedometer-based intervention. The intervention was successful even among typically sedentary groups, and represents an effective, safe, and inexpensive walking program.

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No differences in physical activity in (un)diagnosed asthma and healthy controls

Cited by 61 publications

References 35 publications

Avaliação do nível de atividade física diária e fatores preditivos em crianças asmáticas da cidade de São Paulo

Avaliação do nível de atividade física diária e fatores preditivos em crianças asmáticas da cidade de São Paulo

Glucocorticoid‐related changes in body mass index among children and adolescents with rheumatic diseases

Encouraging physical activity in pediatric asthma: A case–control study of the wonders of walking (WOW) program

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