Patients with asthma have reduced functional capacity and sedentary behavior

Reimberg, Mariana Mazzuca; Pachi, Jessyca Rodrigues Selman; Scalco, Rebeca Souza; Serra, Andrey Jorge; Fernandes, Leandro; Politti, Fabiano; Wandalsen, Gustavo F.; Solé, Dírceu; Corso, Simone Dal; Lanza, Fernanda Cordoba

doi:10.1016/j.jped.2018.07.011

Cited by 13 publications

(4 citation statements)

References 35 publications

(42 reference statements)

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“…They also were the ones who reported a more sedentary lifestyle, including increased screen time, decreased physical activity, and decreased sleep duration. The associations between obesity, nutritional changes, sedentary lifestyle and the development of asthmatic symptoms as well as poor asthma control are well known, 33,34 and such changes in lifestyle during COVID-19 are emerging. 35 Our study also showed worrisome numbers of caregivers with heightened anxiety and increased concern for their child's health.…”

Section: Discussionmentioning

confidence: 99%

Real‐time effects of COVID‐19 pandemic lockdown on pediatric respiratory patients

Cahal

Amirav

Diamant

et al. 2021

Pediatric Pulmonology

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Objective: A national lockdown was implemented in Israel to slow the viral spread of COVID-19. We assessed the real-time effects of the lockdown on disease expression and lifestyle modifications in pediatric patients with chronic respiratory disorders.Methods: An anonymous electronic questionnaire was distributed during lockdown (March-May 2020) to caregivers of patients with chronic respiratory disorders. The primary outcome was change in disease expression and the secondary outcomes were changes in lifestyle and caregivers' emotional status. Results:The clinical status of one-third of the 445 participating patients (age 0-18 years) reportedly improved, including decreased respiratory symptoms (n = 133, 33%), exacerbation frequency (n = 147, 35%), and use of reliever medications (n = 101, 27.4%). The condition of~10% of the patients worsened. Clinical improvement was noted mostly in young patients <5 years (p = .001), asthmatic patients (p = .033), and patients with multiple underlying respiratory disorders (p = .015). Patients whose condition significantly worsened were more likely to be >5 years (p < .001), had increased screen time, decreased physical activity, and shorter sleep duration compared to their younger counterparts (p = .008, <.001, and .001, respectively). Caregivers' reports (n = 236 [58%]) of their own anxiety levels and perceptions of the patients' elevated health risk were increased, regardless of the children's actual clinical status.Conclusion: COVID-19 lockdown was associated with clinical improvement/stability for most of the surveyed children; however, their caregivers' anxiety level was heightened. An increased sedentary lifestyle was reported mostly in older children.

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Section: Discussionmentioning

confidence: 99%

Real‐time effects of COVID‐19 pandemic lockdown on pediatric respiratory patients

Cahal

Amirav

Diamant

et al. 2021

Pediatric Pulmonology

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“…Villa et al 33 reported a reduction in muscle resistance in the quadriceps of asthmatic children. On the other hand, Reimberg et al 40 did not observe differences in muscle strength between asthmatic and healthy children. 33 Among several factors that may contribute to alter muscle strength, sedentary time is considered as an important one and our results demonstrated a decrease in the levels of daily physical activity in children with asthma when compared to their healthy peers.…”

Section: Discussionmentioning

confidence: 88%

Comparison of physical fitness between healthy and mild‐to‐moderate asthmatic children with exercise symptoms: A cross‐sectional study

Santiago

Díez-Vega

Donadio

et al. 2021

Pediatric Pulmonology

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Objective: Asthma is a chronic disease that may affect physical fitness, although its primary effects on exercise capacity, muscle strength, functionality and lifestyle, in children and adolescents, are still poorly understood. This study aimed to evaluate the differences in cardiorespiratory fitness, muscle strength, lifestyle, lung function, and functionality between asthmatics with exercise symptoms and healthy children.In addition, we have analyzed the association between clinical history and the presence of asthma.Study Design: Cross-sectional study including 71 patients with a diagnosis of asthma and 71 healthy children and adolescents (7-17 years of age). Anthropometric data, clinical history, disease control, lifestyle (KIDMED and physical activity questionnaires), lung function (spirometry), exercise-induced bronchoconstriction test, aerobic fitness (cardiopulmonary exercise test), muscle strength and functionality (timed up and go; timed up and down stairs) were evaluated.Results: Seventy-one patients with asthma (mean age 11.5 ± 2.7) and 71 healthy subjects (mean age 10.7 ± 2.5) were included. All asthmatic children had mild to moderate and stable asthma. EIB occurred in 56.3% of asthmatic children. Lung function was significantly (p < .05) lower in the asthmatic group when compared to healthy peers, as well as the cardiorespiratory fitness, muscle strength, lifestyle and functionality. Moreover, asthmatic children were more likely to have atopic dermatitis, allergic reactions, food allergies, and a family history of asthma when compared to healthy children.This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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“…Another significant factor was the increment in sedentary lifestyle. Caregivers reported further augmentation of sedentary habits during the third lockdown compared to the first one, which could be correlated to the well-known association of poor asthma control and sedentary lifestyle [ 33 , 34 ]. This is especially relevant to patients older than 5 years of age, who were more likely to worsen clinically during the third lockdown and in line with global results of the worrisome effects of increased sedentary behaviors during COVID-19 lockdowns [ 35 , 36 ], supporting the propensity for clinical worsening and increased sedentary lifestyle observed by us earlier [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Lockdown Fatigue in Pediatric Respiratory Patients: Lessons from the First COVID-19 Year

et al. 2022

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Lockdown policies have been implemented worldwide to limit the spread of COVID-19. “Lockdown fatigue” is a state of exhaustion related to the accumulating effects of repeated lockdowns. The aim of the current study was to examine the effects of repeated lockdowns on children with respiratory disorders. Data on children aged 0–18 years old with respiratory disorders were collected by an electronic survey during the third lockdown in Israel. The retrieved information included demographics and baseline medical status, respiratory clinical status during the third lockdown compared to pre-lockdown periods, lockdown adherence, lifestyle modifications and caregiver emotional status. The results were compared to those of a similar questionnaire distributed during the first lockdown. A total of 234 patients (62% males, 37% females, mean age 6.8 years (confidence interval 6.1–7.5)) were enrolled. Respiratory symptoms and exacerbation frequency were reduced in 76 (35.5%) and 58 (27.4%) patients, respectively, compared to the pre-lockdown period and similar to the first lockdown (p = 0.840 and p = 0.063, respectively). However, compared to the first lockdown, the third lockdown was associated with greater use of reliever medications (p = 0.006), less use of inhaled corticosteroids as routine treatment (p = 0.027), and more pediatric emergency room visits and hospitalizations (p = 0.001 and p < 0.001, respectively). The results also showed an increase in sedentary lifestyle (e.g., reduced physical activity (p = 0.025), less healthy eating habits (p = 0.001)) and reduced adherence to lockdown policies (p < 0.001). These data show that the continuing stability of clinical improvement during lockdown was accompanied by deleterious sequelae that potentially indicate “lockdown fatigue” among children with respiratory disorders.

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Patients with asthma have reduced functional capacity and sedentary behavior

Abstract: Children and adolescents undergoing regular asthma treatment showed reduced functional capacity and sedentary behavior. The lower the quadriceps strength, the shorter the distance walked; the higher the tumor necrosis factor-α levels, the lower their daily physical activity levels.

Cited by 13 publications

References 35 publications

Real‐time effects of COVID‐19 pandemic lockdown on pediatric respiratory patients

Real‐time effects of COVID‐19 pandemic lockdown on pediatric respiratory patients

Comparison of physical fitness between healthy and mild‐to‐moderate asthmatic children with exercise symptoms: A cross‐sectional study

Lockdown Fatigue in Pediatric Respiratory Patients: Lessons from the First COVID-19 Year

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