Barriers to daily life physical activities for Brazilian children with asthma: a cross-sectional study

Sousa, Andrey; Cabral, Anna; Martins, Mílton A.; Carvalho, Celso Ricardo Fernandes

doi:10.1080/02770903.2019.1594249

Cited by 11 publications

(26 citation statements)

References 43 publications

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“…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]…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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

Vasconcello‐Castillo

Torres‐Castro

Sepúlveda-Cáceres

et al. 2021

Pediatric Pulmonology

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Background: In children and adolescents with asthma, the disease may reduce the perceived capability to participate in physical activity (PA) contributing to an increase in the sedentary lifestyle. The literature is unclear as to whether children and adolescents with asthma differ their PA levels from their healthy peers.Objective: Our objective was to describe the different methods and instruments used to measure PA and to compare the PA levels of children and adolescents with asthma with those of their healthy peers.Study Design: We conducted a systematic review of five databases. We included studies that compared the PA measured by objective and subjective instruments in children and adolescents with asthma versus controls. Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of evidence.Results: Of the 5966 reports returned by the initial search, 28 articles reporting on 3184 patients were included in the data synthesis. A forest plot showed that both groups had similar values of moderate to vigorous PA (MVPA; mean difference, −0.05 h/day; 95% confidence interval [CI], −0.11-0.01; p = .13), sedentary time (mean difference 0.00 h/day; 95% CI, −0.22-0.23 h/day; p = .99) and steps/day (mean difference 354 steps/day; 95% CI, −563-1270 steps/day; p = .45). Conclusion:Children and adolescents with asthma have similar MVPA, steps/day, and sedentary time compared to the controls. The main instruments used were questionnaires and accelerometers.

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Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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

Vasconcello‐Castillo

Torres‐Castro

Sepúlveda-Cáceres

et al. 2021

Pediatric Pulmonology

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“…However, the most recent systematic review demonstrated no physical fitness differences between adolescents with and without asthma 26 . Third, physical deconditioning could be a confounding factor between groups; however, most adolescents with asthma were considered physically deconditioned 24 . Last, adolescents were selected based on spirometric parameters.…”

Section: Discussionmentioning

confidence: 99%

“…Aerobic fitness and PAL in children and adolescents with asthma have been studied over the last two decades, [24][25][26] and the association between PAL and lung function remains poorly understood. 27 Loponen et al 8 showed that a low PAL was associated with a faster decline in lung function in adults with asthma.…”

Section: Discussionmentioning

confidence: 99%

“…26 Third, physical deconditioning could be a confounding factor between groups; however, most adolescents with asthma were considered physically deconditioned. 24 Last, adolescents were selected based on spirometric parameters. A complete pulmonary function test (PFT) would be required to evaluate air trapping; however, we do not regularly perform PFT in asthmatic subjects.…”

Section: Discussionmentioning

confidence: 99%

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Physical fitness and quality of life in adolescents with asthma and fixed airflow obstruction

Sousa

Cabral

Silva

et al. 2020

Pediatric Pulmonology

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Asthma is a disease characterized by reversible bronchoconstriction, but some subjects develop fixed airflow obstruction (FAO). Subjects with FAO present more asthma symptoms and may have increased sedentary behavior; however, the effect of FAO on aerobic fitness and physical activity levels (PAL) remains poorly understood. Aim To compare adolescents with asthma and FAO and adolescents with asthma without FAO in terms of aerobic fitness, PAL, muscle strength, and health‐related quality of life (HRQoL). Methods This cross‐sectional study included adolescents with asthma, both sexes, and aged 12–18 years. They were divided into two groups: FAO and non‐FAO groups. The adolescents were diagnosed with asthma according to the Global Initiative for Asthma guidelines and underwent optimal pharmacological treatment for at least 12 months. FAO was diagnosed when the forced expiratory volume in the first second/forced vital capacity ratio was below the lower limit of the normal range after optimal treatment. Aerobic fitness, PAL, peripheral and respiratory muscle strength, and HRQoL were evaluated. Results No significant differences were observed between FAO and non‐FAO groups regarding the peak oxygen uptake (34.6 ± 8.5 vs. 36.0 ± 8.4 mLO2/min/kg), sedentary time (578 ± 126 vs. 563 ± 90 min/day), upper limb muscle strength (29.1 ± 5.9 vs. 28.1 ± 5.7 kilograms of force [kgf]), lower limb muscle strength (42.8 ± 8.6 vs. 47.6 ± 9.6 kgf), or HRQoL (5.1 ± 1.3 vs. 4.7 ± 1.4 score; p > .05). However, the FAO group exhibited a higher maximal expiratory pressure than the non‐FAO group (111.5 ± 15.5 vs. 101.5 ± 15.0 cmH2O, respectively). Conclusion Our results suggest that FAO does not impair aerobic fitness, PAL, peripheral muscle strength, or HRQoL in adolescents with asthma. Furthermore, adolescents with asthma were physically deconditioned.

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“…Aerobic fitness and PAL in children and adolescents with asthma have been studied over the last two decades (23)(24)(25), and the association between PAL and lung function remains poorly understood (26,27). Loponen et al (2018) showed that a low PAL was associated with a faster decline in lung function in adults with asthma (8).…”

Section: Discussionmentioning

confidence: 99%

Physical fitness and quality of life in adolescents with asthma and fixed airflow obstruction

Sousa

Cabral

Silva

et al. 2020

Preprint

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Asthma is a disease characterized by reversible bronchoconstriction, but some subjects develop fixed airflow obstruction (FAO). Subjects with FAO present more asthma symptoms and may have increased sedentary behavior; however, the effect of FAO on aerobic fitness and physical activity levels (PAL) remains poorly understood. Aim: To compare adolescents with asthma and FAO and adolescents with asthma without FAO in terms of aerobic fitness, PAL, muscle strength, and health-related quality of life (HRQoL). Methods: This cross-sectional study included adolescents with asthma, both sexes, and aged 12 to 18 years. They were divided into 2 groups: FAO and non-FAO groups. The adolescents were diagnosed with asthma in accordance with the Global Initiative for Asthma guidelines and underwent optimal pharmacological treatment for at least 12 months. FAO was diagnosed when FEV1/FVC ratio was below the lower limit of normal range after optimal treatment. Aerobic fitness, PAL, peripheral and respiratory muscle strength, and HRQoL were evaluated. Results: No significant differences were observed between FAO and non-FAO groups regarding the peak oxygen uptake (34.6±8.5 vs. 36.0±8.4 mLO2/min/kg), sedentary time (578±126 vs. 563±90 min/day), upper limb muscle strength (29.1±5.9 vs. 28.1±5.7 kgf), lower limb muscle strength (42.8±8.6 vs. 47.6±9.6 kgf), or HRQoL (5.1±1.3 vs. 4.7±1.4 score) (p>0.05). However, the FAO group exhibited a higher maximal expiratory pressure than did the non-FAO group (111.5±15.5 vs. 101.5±15.0 cmH2O, respectively). Conclusion: Our results suggest that FAO does not impair aerobic fitness, PAL, peripheral muscle strength, or HRQoL in adolescents with asthma. Furthermore, adolescents with asthma were physically deconditioned.

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Barriers to daily life physical activities for Brazilian children with asthma: a cross-sectional study

Cited by 11 publications

References 43 publications

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

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

Physical fitness and quality of life in adolescents with asthma and fixed airflow obstruction

Physical fitness and quality of life in adolescents with asthma and fixed airflow obstruction

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