Perceived exercise limitation in asthma: The role of disease severity, overweight, and physical activity in children

Westergren, Thomas; Berntsen, Sveinung; Carlsen, Karin C. Lødrup; Mowinckel, Petter; Håland, Geir; Fegran, Liv

doi:10.1111/pai.12670

Cited by 18 publications

(9 citation statements)

References 29 publications

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“…Most of the demographic characteristics were equally distributed between the cases and the controls in our cohort; males were more prevalent in the asthmatic group, a characteristic well described in this age group . Increased television attendance time was noted in the asthmatics, despite no reported differences in physical activity, although a vicious circle of physical activity limitation and reduced fitness in asthmatics has previously been shown . The asthmatic children in the PreDicta cohort were significantly more exposed to tobacco smoke at home, which has well been established as a major trigger for increased respiratory symptomatology…”

Section: Discussionsupporting

confidence: 58%

Contribution of repeated infections in asthma persistence from preschool to school age: Design and characteristics of the PreDicta cohort

Xepapadaki

Bachert

Finotto

et al. 2018

Pediatric Allergy Immunology

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Section: Discussionsupporting

confidence: 58%

Contribution of repeated infections in asthma persistence from preschool to school age: Design and characteristics of the PreDicta cohort

Xepapadaki

Bachert

Finotto

et al. 2018

Pediatric Allergy Immunology

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“…Comorbidities such as OSA or GERD may cause difficulty breathing or chest pain/tightness 87,88 , and obesity (and related deconditioning) may lead to dyspnea or exercise limitation 89,90 . Such symptoms can mimic asthma and lead to misdiagnosis or misattribution.…”

Section: Misclassificationmentioning

confidence: 99%

The effect of obesity, weight gain, and weight loss on asthma inception and control

Forno

Celedón

2017

Current Opinion in Allergy &Amp; Clinical Immunology

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Purpose of the review There is ample and growing evidence that obesity increases the risk of asthma and morbidity from asthma. Here we review recent clinical evidence supporting a causal link between obesity and asthma, and the mechanisms that may lead to “obese asthma”. Recent findings While in some children obesity and asthma simply co-occur, those with “obese asthma” have increased asthma severity, lower quality of life, and reduced medication response. Underlying mechanistic pathways may include anatomical changes of the airways such as obstruction and dysanapsis; systemic inflammation; production of adipokines; impaired glucose-insulin metabolism; altered nutrient levels; genetic and epigenetic changes; and alterations in the airway and/or gut microbiome. A few small studies have shown that weight loss interventions may lead to improvements in asthma outcomes, but thus far research on therapeutic interventions for these children has been limited. Summary Obesity increases the risk of asthma –and worsens asthma severity or control– via multiple mechanisms. “Obese asthma” is a complex, multifactorial phenotype in children. Obesity and its complications must be managed as part of the treatment of asthma in obese children.

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“…Cassim et al (11) reported that the levels of PA among children with asthma were similar to peers without asthma. However, asthma severity, being overweight (12), and fear of asthmatic symptoms are reported as being associated with the perceived limitations for PA (13,14). Additionally, adolescents with asthma may feel inferiority for participating in PA compared with their peers, because of their experiences of inability (15).…”

Section: Introductionmentioning

confidence: 99%

Motivation for physical activity in adolescents with asthma

et al. 2020

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Objective: We explored motivation for physical activity (PA) and exercise in adolescents with asthma who entered and continued a 10-week play-based exercise intervention. Methods: Eighteen adolescents with asthma, aged 13-17 years, participated in a 10-week play-and interval-based indoor exercise intervention during winter and autumn months. Semi-structured focus group interviews were conducted in weeks 2 and 8, focusing on motivation for PA and exercise, as well as field observations of exercise sessions in weeks 2, 6, and 8. The first interview was analyzed separately from the second one and descriptive observational data were obtained using thematic analysis and self-determination theory as a framework. Results: In the first round of focus group interviews, participants (n ¼ 18) described amotivation and motivation for PA within the following five themes: "teachers' lack of asthma knowledge", "embarrassment over asthma symptoms", "not being able to keep pace with peers", "seasonal challenges", and "mastering fun physical activities". Based on the second interview (n ¼ 14) and descriptive observational data (n ¼ 18), participants reported and revealed amotivation and motivation for PA within the following four themes: "understanding and relatedness", "social support", "competition", and "mastering fun activities". Conclusion: We conclude that play-based exercises designed for groups of adolescents with asthma can support motivation for PA and exercise and reduce social and asthma-specific barriers.

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Perceived exercise limitation in asthma: The role of disease severity, overweight, and physical activity in children

Abstract: Perceived EL in children with asthma was independently associated with asthma severity and overweight, the latter doubling the probability of perceived EL irrespectively of asthma severity, allergy status, socioeconomic factors, prenatal smoking, or PA.

Cited by 18 publications

References 29 publications

Contribution of repeated infections in asthma persistence from preschool to school age: Design and characteristics of the PreDicta cohort

Contribution of repeated infections in asthma persistence from preschool to school age: Design and characteristics of the PreDicta cohort

The effect of obesity, weight gain, and weight loss on asthma inception and control

Motivation for physical activity in adolescents with asthma

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