Dantas Fabianne M N A, Correia Marco A V, Silva Almerinda R, Peixoto Décio M, Sarinho Emanuel S C, Rizzo José A
Center for Research in Allergy and Clinical Immunology, Clinical Medicine Department - Pneumology, Universidade Federal de Pernambuco, Recife, Brazil.
BMC Public Health. 2014 Mar 28;14:287. doi: 10.1186/1471-2458-14-287.
Physical activities are important for children and adolescents, especially asthmatics. A significant proportion is considered less active than their non-asthmatic peers and mother's beliefs about asthma are thought to be a determinant factor.The research objectives were to investigate whether mothers try to impose limitations on the physical activity (PA) of their asthmatic children/adolescents; identify associated factors; and explore if this attitude has any impact on children's PA levels.
In this cross sectional investigation, we studied 115 asthmatics aged between 9 and 19 years and their mothers. Asthma severity, PA level and exercise induced bronchospasm (EIB) were evaluated. Mothers were questioned on their beliefs about physical activity in non-asthmatic and asthmatic children, if they imposed restrictions on their children's physical activity, on EIB perception and personal levels of anxiety and depression.
Ninety six percent of the mothers answered that PA are important for children and adolescents. Despite this, 37% of them admitted imposing restrictions to their children's PA. This attitude was associated with mother's negative opinions about asthmatics doing PA, perception of children's dyspnea after running on a treadmill, mother's anxiety level and children's asthma severity. The mother's restrictive attitudes were not associated with children's lower PA levels.
A high proportion of the mothers said that they restrained their asthmatic children from engaging in physical activity. This fact should be recognized by health professionals and discussed with parents and caregivers as these negative beliefs may lead to conflicts and prejudiced attitudes that could discourage children's involvement in physical activities and sports.
体育活动对儿童和青少年很重要,尤其是对哮喘患者。相当一部分哮喘患者被认为比非哮喘同龄人活动量少,而母亲对哮喘的看法被认为是一个决定性因素。本研究的目的是调查母亲是否试图限制哮喘儿童/青少年的体育活动;确定相关因素;并探讨这种态度是否会对儿童的体育活动水平产生影响。
在这项横断面调查中,我们研究了115名年龄在9至19岁之间的哮喘患者及其母亲。评估了哮喘严重程度、体育活动水平和运动诱发的支气管痉挛(EIB)。询问母亲们对非哮喘儿童和哮喘儿童体育活动的看法,她们是否对孩子的体育活动加以限制,对EIB的认知以及个人的焦虑和抑郁水平。
96%的母亲回答说体育活动对儿童和青少年很重要。尽管如此,其中37%的母亲承认对孩子的体育活动加以限制。这种态度与母亲对哮喘患者进行体育活动的负面看法、对孩子在跑步机上跑步后呼吸困难的认知、母亲的焦虑水平以及孩子的哮喘严重程度有关。母亲的限制态度与孩子较低的体育活动水平无关。
很大一部分母亲表示,她们限制哮喘儿童参与体育活动。健康专业人员应认识到这一事实,并与家长和照顾者进行讨论,因为这些负面观念可能会导致冲突和偏见态度,从而阻碍孩子参与体育活动和运动。