Physical activity, restrictions in activity, and body mass index among urban children with persistent asthma

Heather Holderness, Nancy Chin, Deborah J. Ossip, Maria Fagnano, Marina Reznik, Jill S. Halterman

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background Asthma and obesity are public health problems that disproportionately affect underserved children. Urban children with asthma may be limited in their participation in physical activity, further increasing their risk for overweight. Objective To determine the prevalence of overweight and obesity among high-risk children with persistent asthma, to assess physical activity and activity restrictions by level of asthma control, and to evaluate whether activity is associated with weight status. Methods We analyzed baseline data from 324 urban children with poorly controlled asthma (3–10 years old) enrolled in the School-Based Telemedicine Enhanced Asthma Management program in Rochester, New York. Caregivers reported their child's asthma symptoms, physical activity, and activity limitation, and height and weight were measured. Results Most children were black (59%), and 69% had Medicaid. Almost half (47%) of children had symptoms that indicated poorly controlled asthma, 15% were overweight, and 31% were obese. Few children (39%) participated in 1 or more hour of physical activity per day. In addition, most (85%) did not walk to and from school, 38% did not have any recess in school, and 35% reported no safe place to exercise. More children with very poorly controlled asthma symptoms, compared with children with more mild symptoms, reported limitation in gym class (58% vs 43%, P = .01) and even in mild activities (28% vs 14%, P = .004). Children with activity limitation were at significantly greater odds of being overweight or obese (odds ratio, 2.1; 95% confidence interval, 1.2–3.8). Conclusion Many children with persistent asthma are overweight or obese, have limited opportunity for activity, and experience activity limitations. Efforts are needed to optimize asthma control and provide opportunity for increased physical activity in and outside school. Trial Registration ClinicalTrials.gov Identifier: NCT01650844.

Original languageEnglish (US)
Pages (from-to)433-438
Number of pages6
JournalAnnals of Allergy, Asthma and Immunology
Volume118
Issue number4
DOIs
StatePublished - Apr 1 2017

Fingerprint

Body Mass Index
Asthma
Exercise
Obesity
Weights and Measures
Telemedicine
Medicaid
Caregivers
Public Health
Odds Ratio
Confidence Intervals

ASJC Scopus subject areas

  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

Cite this

Physical activity, restrictions in activity, and body mass index among urban children with persistent asthma. / Holderness, Heather; Chin, Nancy; Ossip, Deborah J.; Fagnano, Maria; Reznik, Marina; Halterman, Jill S.

In: Annals of Allergy, Asthma and Immunology, Vol. 118, No. 4, 01.04.2017, p. 433-438.

Research output: Contribution to journalArticle

Holderness, Heather ; Chin, Nancy ; Ossip, Deborah J. ; Fagnano, Maria ; Reznik, Marina ; Halterman, Jill S. / Physical activity, restrictions in activity, and body mass index among urban children with persistent asthma. In: Annals of Allergy, Asthma and Immunology. 2017 ; Vol. 118, No. 4. pp. 433-438.
@article{eed8c41987c6432aab1e503e1f306623,
title = "Physical activity, restrictions in activity, and body mass index among urban children with persistent asthma",
abstract = "Background Asthma and obesity are public health problems that disproportionately affect underserved children. Urban children with asthma may be limited in their participation in physical activity, further increasing their risk for overweight. Objective To determine the prevalence of overweight and obesity among high-risk children with persistent asthma, to assess physical activity and activity restrictions by level of asthma control, and to evaluate whether activity is associated with weight status. Methods We analyzed baseline data from 324 urban children with poorly controlled asthma (3–10 years old) enrolled in the School-Based Telemedicine Enhanced Asthma Management program in Rochester, New York. Caregivers reported their child's asthma symptoms, physical activity, and activity limitation, and height and weight were measured. Results Most children were black (59{\%}), and 69{\%} had Medicaid. Almost half (47{\%}) of children had symptoms that indicated poorly controlled asthma, 15{\%} were overweight, and 31{\%} were obese. Few children (39{\%}) participated in 1 or more hour of physical activity per day. In addition, most (85{\%}) did not walk to and from school, 38{\%} did not have any recess in school, and 35{\%} reported no safe place to exercise. More children with very poorly controlled asthma symptoms, compared with children with more mild symptoms, reported limitation in gym class (58{\%} vs 43{\%}, P = .01) and even in mild activities (28{\%} vs 14{\%}, P = .004). Children with activity limitation were at significantly greater odds of being overweight or obese (odds ratio, 2.1; 95{\%} confidence interval, 1.2–3.8). Conclusion Many children with persistent asthma are overweight or obese, have limited opportunity for activity, and experience activity limitations. Efforts are needed to optimize asthma control and provide opportunity for increased physical activity in and outside school. Trial Registration ClinicalTrials.gov Identifier: NCT01650844.",
author = "Heather Holderness and Nancy Chin and Ossip, {Deborah J.} and Maria Fagnano and Marina Reznik and Halterman, {Jill S.}",
year = "2017",
month = "4",
day = "1",
doi = "10.1016/j.anai.2017.01.014",
language = "English (US)",
volume = "118",
pages = "433--438",
journal = "Annals of Allergy, Asthma and Immunology",
issn = "1081-1206",
publisher = "American College of Allergy, Asthma and Immunology",
number = "4",

}

TY - JOUR

T1 - Physical activity, restrictions in activity, and body mass index among urban children with persistent asthma

AU - Holderness, Heather

AU - Chin, Nancy

AU - Ossip, Deborah J.

AU - Fagnano, Maria

AU - Reznik, Marina

AU - Halterman, Jill S.

PY - 2017/4/1

Y1 - 2017/4/1

N2 - Background Asthma and obesity are public health problems that disproportionately affect underserved children. Urban children with asthma may be limited in their participation in physical activity, further increasing their risk for overweight. Objective To determine the prevalence of overweight and obesity among high-risk children with persistent asthma, to assess physical activity and activity restrictions by level of asthma control, and to evaluate whether activity is associated with weight status. Methods We analyzed baseline data from 324 urban children with poorly controlled asthma (3–10 years old) enrolled in the School-Based Telemedicine Enhanced Asthma Management program in Rochester, New York. Caregivers reported their child's asthma symptoms, physical activity, and activity limitation, and height and weight were measured. Results Most children were black (59%), and 69% had Medicaid. Almost half (47%) of children had symptoms that indicated poorly controlled asthma, 15% were overweight, and 31% were obese. Few children (39%) participated in 1 or more hour of physical activity per day. In addition, most (85%) did not walk to and from school, 38% did not have any recess in school, and 35% reported no safe place to exercise. More children with very poorly controlled asthma symptoms, compared with children with more mild symptoms, reported limitation in gym class (58% vs 43%, P = .01) and even in mild activities (28% vs 14%, P = .004). Children with activity limitation were at significantly greater odds of being overweight or obese (odds ratio, 2.1; 95% confidence interval, 1.2–3.8). Conclusion Many children with persistent asthma are overweight or obese, have limited opportunity for activity, and experience activity limitations. Efforts are needed to optimize asthma control and provide opportunity for increased physical activity in and outside school. Trial Registration ClinicalTrials.gov Identifier: NCT01650844.

AB - Background Asthma and obesity are public health problems that disproportionately affect underserved children. Urban children with asthma may be limited in their participation in physical activity, further increasing their risk for overweight. Objective To determine the prevalence of overweight and obesity among high-risk children with persistent asthma, to assess physical activity and activity restrictions by level of asthma control, and to evaluate whether activity is associated with weight status. Methods We analyzed baseline data from 324 urban children with poorly controlled asthma (3–10 years old) enrolled in the School-Based Telemedicine Enhanced Asthma Management program in Rochester, New York. Caregivers reported their child's asthma symptoms, physical activity, and activity limitation, and height and weight were measured. Results Most children were black (59%), and 69% had Medicaid. Almost half (47%) of children had symptoms that indicated poorly controlled asthma, 15% were overweight, and 31% were obese. Few children (39%) participated in 1 or more hour of physical activity per day. In addition, most (85%) did not walk to and from school, 38% did not have any recess in school, and 35% reported no safe place to exercise. More children with very poorly controlled asthma symptoms, compared with children with more mild symptoms, reported limitation in gym class (58% vs 43%, P = .01) and even in mild activities (28% vs 14%, P = .004). Children with activity limitation were at significantly greater odds of being overweight or obese (odds ratio, 2.1; 95% confidence interval, 1.2–3.8). Conclusion Many children with persistent asthma are overweight or obese, have limited opportunity for activity, and experience activity limitations. Efforts are needed to optimize asthma control and provide opportunity for increased physical activity in and outside school. Trial Registration ClinicalTrials.gov Identifier: NCT01650844.

UR - http://www.scopus.com/inward/record.url?scp=85014147107&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85014147107&partnerID=8YFLogxK

U2 - 10.1016/j.anai.2017.01.014

DO - 10.1016/j.anai.2017.01.014

M3 - Article

C2 - 28268134

AN - SCOPUS:85014147107

VL - 118

SP - 433

EP - 438

JO - Annals of Allergy, Asthma and Immunology

JF - Annals of Allergy, Asthma and Immunology

SN - 1081-1206

IS - 4

ER -