Evaluation of a short form for measuring health-related quality of life among pediatric asthma patients

Bukstein, Don A.; McGrath, Margaret; Buchner, Deborah; Landgraf, Jeanne M.; Goss, Thomas F.

doi:10.1016/s0091-6749(00)90072-1

Cited by 83 publications

(49 citation statements)

References 18 publications

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“…Habitual activity level was assessed by the Hay Activity Evaluation Scale, 22 designed to categorize daily physical activity (hours spent inactive, somewhat inactive, somewhat active, and active). Physical-activity limitation due to asthma was measured with questions modeled after Bukstein et al 23 (degree of limitation from asthma affecting child's 5 favorite physical activities) and Juniper et al 24 (limitation from asthma of physical activity in general). After the exercise, study personnel administered 2 additional questionnaires to participating children.…”

Section: Questionnairesmentioning

confidence: 99%

Determinants of Physical Fitness in Children With Asthma

2004

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ABSTRACT. Rationale. This study was designed to examine the relationships among weight, asthma severity, physical activity, and aerobic fitness in children with asthma.Subjects and Methods. Sixty-four asthmatic children 8 to 12 years old (53% female) were assessed while attending a summer asthma camp. Measures included height and weight, spirometry, histamine bronchial provocation challenge, maximal aerobic power, and questionnaires to quantify habitual activity, perceived activity limitations due to asthma, perceived competence in physical activity, and attitudes toward physical activity. Asthma severity was determined from spirometric indices (forced expiratory volume during the first second), degree of airway hyperresponsiveness, and amount of medication prescribed.Results. There was no correlation between asthma severity and aerobic fitness. Only perceived competence at physical activity was found to have a significant correlation with aerobic fitness. Appropriate-weight, overweight, or obese (defined by body mass index) children all had similar results for maximum aerobic power and level of habitual activity. However, overweight or obese children reported greater limitation of physical activity. Their asthma-impairment scores were higher than the scores of appropriate-weight peers, although standard measures of pulmonary function were no different among groups. The higher asthma-severity scores were related to greater medication needs in the overweight or obese children with asthma.Conclusions. Lower maximum aerobic power in asthmatic children is related more to how capable they perceive themselves than to asthma severity. Overweight asthmatic children experience greater limitation of physical activity and thus are prescribed more medication, although by standard measures of asthma severity, they are very similar to normal-weight peers with asthma. Efforts should be directed at understanding the reasons responsible for reduced exercise tolerance before escalating pharmacologic treatment. Pediatrics 2004;113:e225-e229. URL: http://www.pediatrics.org/cgi/content/full/113/3/e225; asthma, exercise, physical activity, obesity.ABBREVIATIONS. FVC, forced vital capacity; FEV 1 , forced expiratory volume during the first second; ATS, American Thoracic Society; PC 20 , provocative concentration causing a 20% fall in FEV 1 ; BMI, body mass index. E xercise-induced bronchoconstriction affects a majority of children with asthma, 1 and the resulting unpleasant symptoms may incline the child to refrain from such activity. According to current treatment guidelines, a diagnosis of asthma should not deter a child from physical activity, inasmuch as normal physical activity is a recognized goal of optimal asthma control. 2 There are conflicting studies regarding fitness levels in children with asthma. [3][4][5][6][7][8] If children with asthma indeed are less fit than their nonasthmatic peers, then elucidation of the reason(s) responsible would enable clinicians to direct educational and therapeutic effects to enable their pa...

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Section: Questionnairesmentioning

confidence: 99%

Determinants of Physical Fitness in Children With Asthma

2004

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“…QoL was scored through the use of a measure developed and validated for pediatric asthma. 15,16 Exposure to ETS and potential allergens was based on the caregiver report. ETS exposure was defined as someone currently living in the child's home who smokes cigarettes.…”

Section: Data Collectionmentioning

confidence: 99%

Indoor Environmental Exposures Among Children With Asthma Seen in an Urban Emergency Department

et al. 2006

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“…36,44,45 On the contrary, the correlations between the cACT scores and the physiologic tests of asthma, lung function measures and F ENO , were not substantial. 36,37,39,46 …”

Section: Validitymentioning

confidence: 90%

Asthma Control Assessment Tools

Alzahrani

Becker

2015

Respir Care

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, and they emphasize periodic assessment of asthma control once treatment is established. Accurate assessment of asthma control is difficult due to the complexity of asthma control and due to the limitations in the traditional methods of assessment, such as lung function tests, physician assessment, and patients' self-assessment. Relying solely on the role of lung function tests is insufficient to reflect the status of asthma control, since patients with asthma may have normal spirometry between exacerbations. Clinicians often overestimate the level of asthma control. Similarly, it is not uncommon for patients to overestimate how well their asthma is controlled, and, therefore, they under-report asthma symptoms and fail to recognize the impact that asthma has on their daily life. As a result, several tools have been developed to quantify the level of asthma control, identify patients at risk, and evaluate the effect of asthma management. This review examines the commonly 106RESPIRATORY CARE • JANUARY 2016 VOL 61 NO 1 used asthma control assessment tools in terms of content, psychometric properties, methods of administration, limitations, and ability to reflect the overall status of asthma control, which can aid clinicians in selecting the most appropriate tool for their needs.

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Evaluation of a short form for measuring health-related quality of life among pediatric asthma patients

Cited by 83 publications

References 18 publications

Determinants of Physical Fitness in Children With Asthma

Determinants of Physical Fitness in Children With Asthma

Indoor Environmental Exposures Among Children With Asthma Seen in an Urban Emergency Department

Asthma Control Assessment Tools

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