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RESEARCH PRODUCT

Perceived exercise limitation in asthma: The role of disease severity, overweight, and physical activity in children

Thomas WestergrenSveinung BerntsenKarin C. Lødrup CarlsenPetter MowinckelGeir HålandLiv FegranKai-håkon Carlsen

subject

Malemedia_common.quotation_subjectImmunologyPhysical activityCigarette SmokingDevelopmental psychologyCohort Studies03 medical and health sciences0302 clinical medicinePregnancy030225 pediatricsPerceptionmedicineHumansImmunology and AllergyChildExerciseAsthmamedia_commonNorwayInfant NewbornInfantOverweightmedicine.diseaseAsthmaRespiratory Function TestsSocioeconomic Factors030228 respiratory systemMaternal ExposureChild PreschoolPediatrics Perinatology and Child HealthFemaleBronchial HyperreactivityPsychologySocial psychology

description

Children with asthma may be less physically active than their healthy peers. We aimed to investigate whether perceived exercise limitation (EL) was associated with lung function or bronchial hyper-responsiveness (BHR), socioeconomic factors, prenatal smoking, overweight, allergic disease, asthma severity, or physical activity (PA).The 302 children with asthma from the 10-year examination of the Environment and Childhood Asthma birth cohort study underwent a clinical examination including perceived EL (structured interview of child and parent(s)), measure of overweight (body mass index by sex and age passing through 25 kg/mIn the final model explaining 30.1%, asthma severity score (OR: 1.49, (1.32, 1.67)) and overweight (OR: 2.35 (1.14, 4.82)) only were significantly associated with perceived EL. Excluding asthma severity and allergic disease, severe BHR (OR: 2.82 (1.38, 5.76)) or maximal reduction in FEVPerceived EL in children with asthma was independently associated with asthma severity and overweight, the latter doubling the probability of perceived EL irrespectively of asthma severity, allergy status, socioeconomic factors, prenatal smoking, or PA.

https://doi.org/10.1111/pai.12670