Strom Mark A, Silverberg Jonathan I
Department of Dermatology, Feinberg School of Medicine at Northwestern University, Chicago, IL.
Department of Dermatology, Feinberg School of Medicine at Northwestern University, Chicago, IL; Department of Preventive Medicine and Medical Social Sciences, Feinberg School of Medicine at Northwestern University, Chicago, IL; Northwestern Medicine Multidisciplinary Eczema Center, Chicago, IL.
J Pediatr. 2016 Jul;174:247-253.e3. doi: 10.1016/j.jpeds.2016.03.063. Epub 2016 May 5.
To determine if eczema, asthma, and hay fever are associated with vigorous physical activity, television/video game usage, and sports participation and if sleep disturbance modifies such associations.
Data were analyzed from 2 cross-sectional studies including 133 107 children age 6-17 years enrolled in the 2003-2004 and 2007-2008 National Survey of Children's Health. Bivariate and multivariate survey logistic regression models were created to calculate the odds of atopic disease and atopic disease severity on vigorous physical activity, television/video game use, and sports participation.
In multivariate logistic regression models controlling for sociodemographic factors, lifetime history of asthma was associated with decreased odds of ≥1 days of vigorous physical activity (aOR, 0.87; 95% CI, 0.77-0.99) and decreased odds of sports participation (0.91; 95% CI, 0.84-0.99). Atopic disease accompanied by sleep disturbance had significantly higher odds of screen time and lower odds of sports participation compared with children with either atopic disease or sleep disturbance alone. Severe eczema (aOR, 0.39; 95% CI, 0.19-0.78), asthma (aOR, 0.29; 95% CI, 0.14-0.61), and hay fever (aOR, 0.48; 95% CI, 0.24-0.97) were all associated with decreased odds of ≥1 days of vigorous physical activity. Moderate (aOR, 0.76; 95% CI, 0.57-0.99) and severe eczema (aOR, 0.45; 95% CI, 0.28-0.73), severe asthma (aOR, 0.47; 95% CI, 0.25-0.89), and hay fever (aOR, 0.53; 95% CI, 0.36-0.61) were associated with decreased odds of sports participation in the past year.
Children with severe atopic disease, accompanied by sleep disturbance, have higher risk of sedentary behaviors.
确定湿疹、哮喘和花粉症是否与剧烈体育活动、看电视/玩电子游戏以及参与体育运动有关，以及睡眠障碍是否会改变这种关联。
对两项横断面研究的数据进行分析，这些数据来自2003 - 2004年和2007 - 2008年全国儿童健康调查中登记的133107名6 - 17岁儿童。创建双变量和多变量调查逻辑回归模型，以计算特应性疾病和特应性疾病严重程度与剧烈体育活动、看电视/玩电子游戏以及参与体育运动之间的比值比。
在控制社会人口学因素的多变量逻辑回归模型中，哮喘的终生病史与进行≥1天剧烈体育活动的几率降低相关（调整后比值比[aOR]，0.87；95%置信区间[CI]，0.77 - 0.99），与参与体育运动的几率降低相关（0.91；95% CI，0.84 - 0.99）。与仅患有特应性疾病或睡眠障碍的儿童相比，伴有睡眠障碍的特应性疾病儿童屏幕时间的几率显著更高，而参与体育运动的几率更低。重度湿疹（aOR，0.39；95% CI，0.19 - 0.78）、哮喘（aOR，0.29；95% CI，0.14 - 0.61）和花粉症（aOR，0.48；95% CI，0.24 - 0.97）均与进行≥1天剧烈体育活动的几率降低相关。中度（aOR，0.76；95% CI，0.57 - 0.99）和重度湿疹（aOR，0.45；95% CI，0.28 - 0.73）、重度哮喘（aOR，0.47；95% CI，0.25 - 0.89）和花粉症（aOR，0.53；95% CI，0.36 - 0.61）与过去一年参与体育运动的几率降低相关。
患有重度特应性疾病且伴有睡眠障碍的儿童久坐行为的风险更高。
