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儿童和青少年的体力活动与哮喘控制水平。

Physical activity and asthma control level in children and adolescents.

机构信息

Post-Graduate Program of Child and Adolescent Health, University of Campinas (UNICAMP), Campinas, Brazil.

Laboratory of Pulmonary Physiology (LAFIP), University of Campinas (UNICAMP), Campinas, Brazil.

出版信息

Respirology. 2017 Nov;22(8):1643-1648. doi: 10.1111/resp.13093. Epub 2017 Jun 14.

DOI:10.1111/resp.13093
PMID:28612960
Abstract

BACKGROUND AND OBJECTIVE

Physical activity is defined as any bodily movement produced by a muscle contraction with increased energy expenditure. The aim of this study was to assess the physical activity, asthma control level, spirometric measurements and quality of life in children and adolescents with asthma.

METHODS

We included all children and adolescents aged 7-17 years who had a diagnosis of atopic asthma and who attended the Pediatric Pulmonology Outpatient Clinic of the State University of Campinas, Brazil. Asthma control levels were evaluated by the Asthma Control Test (ACT). Physical activity was measured using the long version of the International Physical Activity Questionnaire (IPAQ) and by other questions about daily activities at school and at home over the last week. Lung function was assessed by spirometry, both pre- and post-bronchodilator (BD). Quality of life was evaluated using the Paediatric Asthma Quality of Life Questionnaire (PAQLQ).

RESULTS

Out of 100 patients, 60 were classified as presenting with controlled asthma (CA) and 40 as presenting with uncontrolled asthma (UA). In the IPAQ, 29% were classified as sedentary, 17% as active and 54% as very active. There was no significant association between physical activity and the level of asthma control. We found no differences between active and sedentary children and adolescents with asthma in spirometric variables or quality of life.

CONCLUSION

No associations were observed between physical activity and asthma control level, spirometric measurements and quality of life in children and adolescents with asthma.

摘要

背景与目的

体力活动被定义为肌肉收缩引起的任何身体运动,伴随着能量消耗的增加。本研究的目的是评估哮喘患儿和青少年的体力活动、哮喘控制水平、肺功能测量和生活质量。

方法

我们纳入了所有 7-17 岁被诊断为特应性哮喘并在巴西坎皮纳斯州立大学儿科肺病门诊就诊的儿童和青少年。哮喘控制水平通过哮喘控制测试(ACT)进行评估。体力活动使用国际体力活动问卷(IPAQ)的长版本和过去一周在学校和家中的日常活动的其他问题进行测量。肺功能通过支气管扩张剂前后的肺量计(BD)进行评估。使用儿童哮喘生活质量问卷(PAQLQ)评估生活质量。

结果

在 100 名患者中,60 名被归类为控制良好的哮喘(CA),40 名被归类为未控制的哮喘(UA)。在 IPAQ 中,29%被归类为久坐,17%为活跃,54%为非常活跃。体力活动与哮喘控制水平之间没有显著关联。我们没有发现活跃和久坐的哮喘儿童和青少年在肺功能测量或生活质量方面存在差异。

结论

在哮喘患儿和青少年中,体力活动与哮喘控制水平、肺功能测量和生活质量之间没有观察到关联。

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