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[中国儿童哮喘行动计划对学龄期支气管哮喘儿童运动的影响]

[Effect of China Children's Asthma Action Plan on exercise in school-age children with bronchial asthma].

作者信息

Guan R Z, Jin R, Li L, Mao C G, Wang F, Ma H, Guo X Q, Qu Z H, Lin R J

机构信息

Department of Pediatrics, the Affiliated Hospital of Qingdao University, Qingdao 266000, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2022 May 17;102(18):1379-1382. doi: 10.3760/cma.j.cn112137-20211220-02836.

Abstract

To investigate the effect of China Children's Asthma Action Plan (CCAAP) on the exercise status of school-age children with asthma. We included 400 school-age asthmatic children as research objects from CCAAP asthma management platform of the Affiliated Hospital of Qingdao University during March 1, 2018 to February 28, 2021 by simple random sampling method. The questionnaires of basic information and international physical activity were applied through WeChat or face to face investigation to collect the basic information and exercise status of the object. There were 346 valid questionnaires included in the study to compare the differences in exercise status and incidence of exercise-related asthma-like symptoms between the good and poor CCAAP application groups. There were 232 (67.05%) and 114 (32.95%) cases in good and poor CCAAP application group, respectively. Age, female proportion and BMI of good CCAAP application group were (8±2) years, 47.0% (109/232) and (19.79±2.32) kg/m, respectively, no statistic difference comparing to poor CCAAP application group [(8±2) years, 46.5% (53/114) and (19.87±2.43) kg/m, respectively] (all values>0.05). In good CCAAP application group, 30.18% (70/232) achieved the standard of moderate (high) intensity exercise per day, no statistic difference comparing to poor CCAAP application group [29.82% (34/112)] (=0.947); 31.90% (74/232) participated in high-intensity exercise per week, higher than that of poor CCAAP application group [17.54% (20/112)] (=0.005); incidence of exercise-related asthma-like symptoms was 19.83% (46/232), lower than that of poor CCAAP application group [29.82% (34/112)] (=0.038). CCAAP promotes the exercise of school-age children with asthma.

摘要

探讨中国儿童哮喘行动计划(CCAAP)对学龄期哮喘儿童运动状况的影响。采用简单随机抽样方法,选取2018年3月1日至2021年2月28日期间青岛大学附属医院CCAAP哮喘管理平台的400名学龄期哮喘儿童作为研究对象。通过微信或面对面调查的方式发放基本信息问卷和国际体力活动问卷,收集研究对象的基本信息和运动状况。共纳入有效问卷346份,比较CCAAP应用良好组和应用不佳组运动状况及运动相关哮喘样症状发生率的差异。CCAAP应用良好组232例(67.05%),应用不佳组114例(32.95%)。CCAAP应用良好组的年龄、女性比例和BMI分别为(8±2)岁、47.0%(109/232)和(19.79±2.32)kg/m²,与应用不佳组[分别为(8±2)岁、46.5%(53/114)和(19.87±2.43)kg/m²]相比,差异均无统计学意义(均P>0.05)。CCAAP应用良好组中,30.18%(70/232)达到每日中等(高强度)运动标准,与应用不佳组[29.82%(34/112)]相比,差异无统计学意义(P=0.947);31.90%(74/232)每周参加高强度运动,高于应用不佳组[17.54%(20/112)](P=0.005);运动相关哮喘样症状发生率为19.83%(46/232),低于应用不佳组[29.82%(34/112)](P=0.038)。CCAAP可促进学龄期哮喘儿童的运动。

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