Asthma as a Barrier to Children's Physical Activity: Implications for Body Mass Index and Mental Health
- 1 December 2006
- journal article
- research article
- Published by American Academy of Pediatrics (AAP)
- Vol. 118 (6), 2443-2449
- https://doi.org/10.1542/peds.2006-1846
Abstract
OBJECTIVES. The purpose of this work was to identify barriers to physical activity in children with asthma and to compare their customary activity levels, BMI and emotional well-being with that of children with other medical conditions. It was hypothesized that children with asthma would have higher BMI and lower levels of customary activity. PATIENTS AND METHODS. We studied children aged 7 to 14 years attending hospital outpatient clinics for either asthma (asthma group: n = 56) or for otorhinolaryngology or dermatological conditions (nonasthma group: n = 61). In this cross-sectional survey, children's weight and height were recorded and their BMI classified according to International Obesity Task Force classification of obesity. Child mental health was assessed by the parent-rated Strengths and Difficulties Questionnaire. The child-rated Physical Activity Questionnaire assessed total sedentary and physical activities during the previous 24 hours. RESULTS. The asthma group had a higher mean BMI (20.78 vs 18.82) and higher rates of obesity (21.4% vs 6.6%). Children with asthma reported fewer physical activities than the nonasthma group (median 4 per day vs 6 per day) but comparable levels of sedentary activities. Asthma was the strongest predictor of lower activity scores, followed by younger age. The asthma group had higher levels of emotional difficulties and, within this group, more active children had better mental health. More parents in the asthma group identified the child's health as a barrier to exercise (60.7% vs 11%). The same was true of children (66.1% vs 11.5%). CONCLUSIONS. We found that children attending a hospital clinic for asthma were more likely to be obese and were significantly less active than a comparison group with other medical conditions. Asthma was identified as a barrier to exercise by parents and children. Strategies to promote exercise within pediatric asthma care are needed to protect both mental and physical health.Keywords
This publication has 38 references indexed in Scilit:
- A Randomized, Controlled Trial of an Interactive Educational Computer Package for Children With AsthmaPediatrics, 2006
- A meta-analysis of the effect of high weight on asthmaArchives of Disease in Childhood, 2006
- Boys with high body masses have an increased risk of developing asthma: findings from the National Longitudinal Survey of Youth (NLSY)International Journal of Obesity, 2005
- Obesity: insight into the origins of asthmaNature Immunology, 2005
- Psychological Adjustment and Asthma in Children and Adolescents: The UK Nationwide Mental Health SurveyPsychosomatic Medicine, 2005
- Health-enhancing physical activity and sedentary behaviour in children and adolescentsJournal of Sports Sciences, 2004
- The effects of obesity on pulmonary functionArchives of Disease in Childhood, 2003
- Reduction of exercise-induced asthma in children by short, repeated warm upsBritish Journal of Sports Medicine, 1999
- Physical activity and asthmaCurrent Opinion in Pulmonary Medicine, 1999
- Psychological adjustment of children with mild and moderately severe asthmaEuropean Child & Adolescent Psychiatry, 1995