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

Vasconcello‐Castillo, Luis; Torres‐Castro, Rodrigo; Sepúlveda-Cáceres, Nicolás; Acosta-Dighero, Roberto; Miranda-Aguilera, Sebastián; Puppo, Homero; Rodríguez-Borges, Jorge; Vilaró, Jordi

doi:10.1002/ppul.25293

Cited by 5 publications

(5 citation statements)

References 59 publications

(333 reference statements)

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“…This large amount of sedentary time occurred even though objectively‐measured MVPA approached the recommended 60 min per day. As noted in our study as well as previous studies, those with asthma participate in a similar amount of MVPA as children without a diagnosis of asthma 39 . Although studies in adult populations indicate that increased MVPA and frequent breaks in sedentary time can compensate for the inflammatory effects of increased total sedentary time, 40 we did not find that either affected the relationship between sedentary time and asthma in our analysis, which is consistent with recent studies in children.…”

Section: Discussionsupporting

confidence: 92%

The association of objectively measured sedentary time with asthma in US youth: A glimpse into the connection between obesity and asthma

Hartz

Bucholz

Phipatanakul

et al. 2023

Pediatric Pulmonology

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Background: Evidence suggests that asthma and obesity may share a common pathway, possibly through an increase in inflammation. Sedentary time is thought to promote both inflammation and obesity and previous studies have found a relationship between self-reported sedentary and asthma. However, the relationship between objectively measured sedentary time and asthma is not well described. We hypothesized that the association between asthma and sedentary time would not be present when physical activity was measured objectively, nor would objectivelymeasured sedentary time play an important role in the relationship between asthma and obesity.Objective: To determine if there is an association between asthma and objectively measured sedentary time in a large, nationally representative sample of the United States youth. Methods: Using the National Health and Nutrition Examination Survey 2003−2006,we assessed the relationship between asthma and sedentary time using objectively measured and self-reported measures of sedentary time, in 6−19 years-old subjects with available accelerometry data. We used multivariate logistic regression analysis to determine associations between the risk of asthma and sedentary time controlling for accelerometer wear time, gender, age, race/ethnicity, body mass index percentile, and moderate-to-vigorous physical activity (MVPA).Results: In this cohort, youth with asthma self-reported more time in sedentary behavior, specifically computer time, than those without asthma (p = 0.01). However, when sedentary time was measured objectively by accelerometry, sedentary time did not differ between youth with and without asthma (421 min [standard deviation 4.2] versus. 414 min [standard deviation 7.8] [p = 0.38]). Controlling for measures of activity, such as MVPA, or time spent in long versus short bouts of sedentary time did not modify our results.

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Section: Discussionsupporting

confidence: 92%

The association of objectively measured sedentary time with asthma in US youth: A glimpse into the connection between obesity and asthma

Hartz

Bucholz

Phipatanakul

et al. 2023

Pediatric Pulmonology

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“…A very recent systematic review of 16 studies did not report differences in PA levels for young people with asthma compared to healthy peers; nonetheless, PA levels remained generally inadequate in most studies ( 32 ). Another systematic review of 28 studies suggested that children and adolescents with asthma have similar moderate to vigorous PA, steps/day, and sedentary time compared to controls ( 33 ).…”

Section: Decreased Physical Activity and Increased Sedentary Behaviors In Asthmatic Children And Its Impact During The Covid-19 Pandemicmentioning

confidence: 99%

COVID-19 Pandemic and Reduced Physical Activity: Is There an Impact on Healthy and Asthmatic Children?

Ferrante

Mollicone

Cazzato³

et al. 2021

Front. Pediatr.

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Physical activity (PA) has been seen to improve asthma symptoms, lung function, and quality of life, as well as to reduce airway inflammation and bronchial responsiveness. As a consequence of the COVID-19 pandemic, the minimal amount of PA recommended by the World Health Organization—i.e., about 60 min/day of moderate-to-high intensity—is difficult to achieve for many children, particularly those living in urban areas. Short-term changes in PA because of the COVID-19 pandemic may become habitual, increasing the risk of adverse asthma outcomes in children. Indeed, prolonged home confinement during the COVID-19 pandemic reduces PA levels and increases sedentary behaviors, possibly impairing immune system function and increasing susceptibility to inflammatory diseases. However, there is limited evidence regarding the effects of lockdown due to COVID-19 on PA and sedentary behaviors in asthmatic children. Given that children stay longer indoors, indoor air pollution represents a major issue to consider during home confinement. This narrative review aims to summarize the available evidence about the impact of decreased PA and increased sedentary behaviors on children with asthma during the COVID-19 pandemic. In addition, strategies for supporting PA in children with asthma during the COVID-19 pandemic are suggested, also looking at the issue of indoor air quality.

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“…In children and adolescents with CRDs, such as asthma and cystic fibrosis (CF), symptoms can lead to reduced levels of PA. Data about the comparison of PA levels between children and adolescents with CRDs and their healthy peers are conflicting [34]. Some authors have suggested that children and adolescents with CRDs are engaged in less PA [35]; conversely, other authors reported only a slight reduction in MVPA, and a similar sedentary time compared to healthy controls [34,36].…”

Section: New Technologies To Promote Physical Activity In Children Wi...mentioning

confidence: 99%

New Technologies for Promoting Physical Activity in Healthy Children and in Children with Chronic Respiratory Diseases: A Narrative Review

et al. 2021

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Physical activity (PA) is proven to benefit children and adolescents in several ways. New technologies may provide children with stimulating modalities for organizing their leisure time, accessing fitness programs, and obtaining daily goal reminders and peer support. Due to the current COVID-19 pandemic, following WHO recommendations for PA is difficult for many children, especially for those living in urban areas. Therefore, the use of digital tools to support and maintain PA could be useful in healthy children, as well as in those with chronic respiratory diseases (CRDs). This narrative review aims to summarize the most recent evidence about the role of new technologies in promoting PA in healthy children and in those with CRDs, in supporting PA during the COVID-19 pandemic, and in enhancing psychological wellbeing in this age group. The use of technological devices for promoting PA, such as web/mobile apps and games, has been proven to be effective both in healthy children and in those with CRDs. In conclusion, new technologies are very promising in terms of feasibility, acceptability, and efficacy in promoting PA. Further studies are required to evaluate the long-term health benefits of using these technologies.

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

Cited by 5 publications

References 59 publications

The association of objectively measured sedentary time with asthma in US youth: A glimpse into the connection between obesity and asthma

The association of objectively measured sedentary time with asthma in US youth: A glimpse into the connection between obesity and asthma

COVID-19 Pandemic and Reduced Physical Activity: Is There an Impact on Healthy and Asthmatic Children?

New Technologies for Promoting Physical Activity in Healthy Children and in Children with Chronic Respiratory Diseases: A Narrative Review

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