TY - JOUR
T1 - Factors associated with in-school physical activity among urban children with asthma
AU - Reznik, Marina
AU - Islamovic, Florinda
AU - Choi, Jaeun
AU - Leu, Cheng Shiun
AU - Rowlands, Alex V.
N1 - Funding Information:
This study was supported by 5K23HD065742 (Reznik: PI) from the National Institutes of Health (NIH) Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) and Stony Wold-Herbert Fund (Reznik: PI).
Funding Information:
This study was supported by 5K23HD065742 (Reznik: PI) from the National Institutes of Health (NIH) Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) and Stony Wold-Herbert Fund (Reznik: PI). Dr. Rowlands is with the National Institute for Health Research (NIHR) Biomedical Research Centre based at University Hospitals of Leicester and Loughborough University, the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care?East Midlands (NIHR CLAHRC?EM) and the Leicester Clinical Trials Unit. The authors would like to acknowledge the support of Bronx CREED funded by the National Institutes of Health National Center for Minority Health & Health Disparities, Grant No P60 MD000514 for Spanish translation services of informed consent materials. The authors would like to thank Qi Gao for the assistance with data analysis; Nicole Brown, MD, and David Kordit for the review of the manuscript; and Maria Avalos Palacios and Yudilyn Jaramillo for assistance with data collection. They are grateful to all the students, caregivers, and schools for their participation in the study. This study was supported by 5K23HD065742 (Reznik: PI) from the National Institutes of Health (NIH) Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) and Stony Wold-Herbert Fund (Reznik: PI). Dr. Rowlands is with the National Institute for Health Research (NIHR) Biomedical Research Centre based at University Hospitals of Leicester and Loughborough University, the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care?East Midlands (NIHR CLAHRC?EM) and the Leicester Clinical Trials Unit. The authors would like to acknowledge the support of Bronx CREED funded by the National Institutes of Health National Center for Minority Health & Health Disparities, Grant No P60 MD000514 for Spanish translation services of informed consent materials.
Funding Information:
Dr. Rowlands is with the National Institute for Health Research (NIHR) Biomedical Research Centre based at University Hospitals of Leicester and Loughborough University, the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care – East Midlands (NIHR CLAHRC – EM) and the Leicester Clinical Trials Unit. The authors would like to acknowledge the support of Bronx CREED funded by the National Institutes of Health National Center for Minority Health & Health Disparities, Grant No P60 MD000514 for Spanish translation services of informed consent materials.
Publisher Copyright:
© 2018 Taylor & Francis Group, LLC.
PY - 2018/5/4
Y1 - 2018/5/4
N2 - Objective: A cross-sectional study was conducted to determine if in-school physical activity (PA) varied by age, gender, weight and asthma status, participation in physical education (PE), outdoor recess, and other in-school PA among urban schoolchildren with asthma. Methods: PA was measured by tri-axial accelerometers. Height and mass were measured and overweight defined as BMI ≥85th percentile. Asthma impairment and risk were assessed as per national guidelines, and asthma status variable with three categories (mild, moderate, and severe) was created. Multivariable generalized linear mixed models adjusting for clustering due to school and student were fitted to identify variables predictive of PA. Results: 108 children with asthma participated. Children spent 374 minutes in school, of which 253 minutes were sedentary, 105 minutes in light PA, and 16 minutes in moderate-to-vigorous PA (MVPA). Only 3 participants reached the recommended ≥30 minutes/day of MVPA. Multivariable analysis revealed age, gender, participation in PE class, outdoor recess, and other in-school PA as independent predictors of PA. BMI and asthma status were not associated with PA. Conclusions: Children with asthma were mostly sedentary at school. Older children and girls were particularly at risk for inactivity. PE, recess, and other in-school PA participation are modifiable factors that should be targeted in school-based interventions aimed at increasing PA in this population.
AB - Objective: A cross-sectional study was conducted to determine if in-school physical activity (PA) varied by age, gender, weight and asthma status, participation in physical education (PE), outdoor recess, and other in-school PA among urban schoolchildren with asthma. Methods: PA was measured by tri-axial accelerometers. Height and mass were measured and overweight defined as BMI ≥85th percentile. Asthma impairment and risk were assessed as per national guidelines, and asthma status variable with three categories (mild, moderate, and severe) was created. Multivariable generalized linear mixed models adjusting for clustering due to school and student were fitted to identify variables predictive of PA. Results: 108 children with asthma participated. Children spent 374 minutes in school, of which 253 minutes were sedentary, 105 minutes in light PA, and 16 minutes in moderate-to-vigorous PA (MVPA). Only 3 participants reached the recommended ≥30 minutes/day of MVPA. Multivariable analysis revealed age, gender, participation in PE class, outdoor recess, and other in-school PA as independent predictors of PA. BMI and asthma status were not associated with PA. Conclusions: Children with asthma were mostly sedentary at school. Older children and girls were particularly at risk for inactivity. PE, recess, and other in-school PA participation are modifiable factors that should be targeted in school-based interventions aimed at increasing PA in this population.
KW - Accelerometer
KW - exercise
KW - reactive airway disease
KW - students
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U2 - 10.1080/02770903.2017.1340482
DO - 10.1080/02770903.2017.1340482
M3 - Article
C2 - 28696842
AN - SCOPUS:85025115463
VL - 55
SP - 492
EP - 501
JO - Journal of Asthma
JF - Journal of Asthma
SN - 0277-0903
IS - 5
ER -