Psychosocial Characteristics in Children With Asthma Regarding Physical Activity

Abstract

Introduction Children who are more active enjoy sports, have confidence in their ability to engage in physical activity, feel competent and perceive fewer barriers to physical activity. Objective Psychosocially characterize the asthmatic child’s relationship with enjoyable physical activity, physical self-concept, health and perceived quality of life. Method Eighty asthmatic children (age = 11.33 ± 1.10 years, body mass index [BMI] = 20.52 ± 3.83 kg/m2) and 80 healthy children (age = 11.18 ± 1.00 years, BMI = 20.81 ± 4.24 kg/m2) participated in the study. The Physical Activity Enjoyment Scale (PACES), Physical Activity Questionnaire for Children (PAQ-C), the Physical Self-concept Questionnaire (CAF) and the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) were used. Results In the PACES questionnaire, healthy children had a better level of general physical activity while in the CAF questionnaire, significant differences were found in ability, physical fitness and general self-concept, which were higher in healthy children. There is a significant correlation between the PAQ-C and ability, general physical self-concept, PACES and total PAQLQ in asthmatic children. Conclusion Asthmatic children had lower levels of physical activity, physical self-concept and enjoyment in physical activity than healthy children. Level of evidence II; Retrospective study.

Levels of physical activity in children and adolescents with asthma: A systematic review and meta‐analysis

“…Thirteen studies were performed in Europe, 4,25‐36 seven in South America, 37‐43 five in North America, 44‐48 and three in Asia 49‐51 . Twenty‐five had cross‐sectional designs, 25‐44,46,48‐51 two were case‐control studies, 4,47 and one was a controlled intervention study 45 …”

“…Thirteen studies were performed in Europe, 4,[25][26][27][28][29][30][31][32][33][34][35][36] seven in South America, [37][38][39][40][41][42][43] five in North America, [44][45][46][47][48] and three in Asia. [49][50][51] Twenty-five had cross-sectional designs, [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44]46,[48][49][50]…”

“…The sample size varied from 19 37 to 426 51 participants with asthma, and the studies included 1668 boys and 1125 girls with asthma. Age varied from 5.1 ± 0.7 years 30 to 15.6 ± 0.5 years, 36 with 19 studies with mean age over 10 years, [26][27][28][29][32][33][34][35][36][37]39,41,42,45,[47][48][49][50][51] and two authors did not reported. 31,40 Forced expiratory volume in the first second (FEV 1 ) varied from 84.4 ± 3.5% to 104 ± 12.5%, and body mass index (BMI) varied from 15.8 ± 1.4 to 22.2 ± 4.8 kg/m 2 .…”

“…To measure PA, 13 studies used questionnaires, 27,[31][32][33][34][35]37,40,41,44,47,50,51 one study used a diary, 49 and one study used both a questionnaire and diary. 25 The questionnaires were the original or modified versions of the International Physical Activity Questionnaire (IPAQ), 37,40,50,51 Physical Activity Questionnaire (PAQ), 27,34,35,41 Physical Activity and Lifestyle Questionnaire (PALSQ), 31,32 Habitual Activity Estimation Scale (HAES), 25 Leisure Time Exercise Questionnaire (LTEQ), 33 Modifiable Activity Questionnaire (MAQ), 47 and Physical Activity Checklist Interview Protocol (PACIP) (Table 1). 44…”

“…Seventeen studies assessed activity levels based on movement and classified it as MVPA, vigorous PA (VPA), PA, sedentary time, or something similar. 4,25,28,29,31,32,[36][37][38][39]43,44,46,[48][49][50][51] Seven studies used a specific score obtained from a questionnaire to define PA, 27,[33][34][35]40,41,47 five used steps/day, 26,38,42,43,45 two used resting energy expenditure (REE) or total energy expenditure (TEE), 29,31 and two used counts. These studies compared a total of 1535 children and adolescents with asthma versus 19130 controls.…”