ArticleThe journal of allergy and clinical immunology. In practice2022
Self-Reported Physical Activity and Asthma Risk in Children.
Article in The journal of allergy and clinical immunology. In practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Barriers to and facilitators of exercise in children with asthma: protocol for a qualitative meta-synthesis.BMJ open · 2026Article
- Review
- Association between adherence to a lifestyle behavior and the risk of asthma in overweight and obese adolescents.BMC pediatrics · 2024Article
- Exercise-Induced Bronchoconstriction in Children: A Comparison between Athletes and Non-Athletes.Healthcare (Basel, Switzerland) · 2023Article
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8 authors.
Funding
Abstract
backgroundIncreased physical activity (PA) may protect against asthma but PA can trigger asthma symptoms.
objectiveTo investigate relationships between moderate-to-vigorous PA (MVPA) assessed during routine care visits and incident asthma.
methodsFor this retrospective cohort, 542,486 children between 2 and 17 years from 2010 to 2017 were included who had an MVPA assessment (exercise vital sign) during routine care visits. The association of MVPA and asthma was analyzed using Cox proportional hazards regression models as a function of age, with MVPA and body mass index (BMI) being time-varying factors, adjusted for race and ethnicity, socioeconomic status, and air pollution.
resultsThe mean MVPA was 5.4 (standard deviation: 4.4) hours/week. Crude asthma incidence density rate (IDR) was highest in children with <1 hour/week of MVPA (IDR: 9.07, 95% confidence interval [CI]: 8.79, 9.36) and lowest in children engaging in 4 to 7 hours/week of MVPA (IDR: 6.55, 95% CI: 6.33, 6.77). In adjusted models, an increase in MVPA was associated with lower asthma risk in children reporting 0 hour/week of MVPA (hazard ratio: 0.981, 95% CI: 0.973, 0.990). In children with ≥8 hours/week of MVPA, an increase in MVPA was associated with higher asthma risk (1.005, 95% CI: 1.002, 1.009). There was no significant BMI by MVPA interaction.
conclusionIncreasing MVPA in children with low activity levels is associated with lower asthma risk; children reporting high levels of activity may experience greater asthma risk as their activity levels increase further. Understanding the role of PA in the development of asthma and assessing MVPA during routine care visits in children may help to develop targeted interventions and guide asthma management.
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