Bhagat Dhristie, Fagnano Maria, Halterman Jill S, Reznik Marina
a School of Medicine and Dentistry , University of Rochester , Rochester , NY , USA.
b Department of Pediatrics , University of Rochester , Rochester , NY , USA.
J Asthma. 2019 Jul;56(7):711-718. doi: 10.1080/02770903.2018.1488978. Epub 2018 Sep 28.
Asthma may lead to reduced participation in interactive physical play (IPP). Urban youth with asthma are also at risk for behavioral and academic difficulties. Exploring associations between asthma, IPP and socio-emotional and academic outcomes in children with asthma is important. Study objectives are to: (1) describe IPP participation among school children with persistent asthma; (2) determine if IPP varies with asthma severity (3) determine independent associations of both asthma severity and IPP with socio-emotional and academic outcomes.
We analyzed data from children with persistent asthma enrolled in the SB-TEAM trial (Rochester, NY). Caregiver surveys assessed asthma severity, IPP participation (gym ≥3 days/week, running at recess, sports team participation), socio-emotional and academic outcomes. Bivariate and regression analyses assessed relationships between variables.
Of 324 children in the study (59% Black, 31% Hispanic, mean age 7.9), 53% participated in any IPP at school. Compared to those with mild persistent asthma, fewer children with moderate-severe asthma had no limitation in gym (44% vs. 58%, p < .01), and fewer ran at recess (29% vs. 42%, p < .01) or engaged in any IPP (48% vs. 58%, p = .046). Asthma severity was not associated with socio-emotional or academic outcomes. However, children participating in IPP had better positive peer social and task orientation skills, were less shy/anxious, and more likely to meet academic standards (all p < .05). Results were consistent in multivariable analyses.
Urban children with moderate-severe asthma partake in less IPP, which is associated with socio-emotional and academic outcomes. Further efforts are needed to optimize asthmatic children's participation in IPP.
哮喘可能导致儿童参与互动性体育活动（IPP）的机会减少。患有哮喘的城市青少年还面临行为和学业方面的困难风险。探索哮喘、IPP与哮喘儿童社会情感及学业成果之间的关联很重要。研究目的如下：（1）描述患有持续性哮喘的学童参与IPP的情况；（2）确定IPP是否随哮喘严重程度而变化；（3）确定哮喘严重程度和IPP与社会情感及学业成果的独立关联。
我们分析了参与SB - TEAM试验（纽约罗切斯特）的患有持续性哮喘儿童的数据。照顾者调查问卷评估了哮喘严重程度、IPP参与情况（每周在体育馆锻炼≥3天、课间跑步、参加运动队）、社会情感及学业成果。双变量和回归分析评估了变量之间的关系。
在该研究的324名儿童中（59%为黑人，31%为西班牙裔，平均年龄7.9岁），53%的儿童在学校参与了任何IPP。与轻度持续性哮喘儿童相比中度至重度哮喘儿童中在体育馆锻炼无限制的较少（44%对58%，p < 0.01）课间跑步的较少（29%对42%，p < 0.01）或参与任何IPP的较少（48%对58%，p = 0.046）。哮喘严重程度与社会情感或学业成果无关。然而参与IPP的儿童具有更好的积极同伴社交和任务导向技能不那么害羞/焦虑并且更有可能达到学业标准（所有p < 0.05）。多变量分析结果一致。
患有中度至重度哮喘的城市儿童参与IPP的较少这与社会情感及学业成果相关。需要进一步努力优化哮喘儿童对IPP的参与。
