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Does exercise-induced bronchoconstriction affect physical activity patterns in asthmatic children?
van der Kamp, M R; Thio, B J; Tabak, M; Hermens, H J; Driessen, Jmm; van der Palen, Jam.
Affiliation
  • van der Kamp MR; Department of Pediatrics, Medisch Spectrum Twente, Enschede, Netherlands.
  • Thio BJ; Department of Biomedical Signals and Systems, University of Twente, Enschede, Netherlands.
  • Tabak M; Department of Pediatrics, Medisch Spectrum Twente, Enschede, Netherlands.
  • Hermens HJ; Medical School Twente, Medisch Spectrum Twente, Enschede, Netherlands.
  • Driessen J; Department of Biomedical Signals and Systems, University of Twente, Enschede, Netherlands.
  • van der Palen J; Roessingh Research and Development, Enschede, Netherlands.
J Child Health Care ; 24(4): 577-588, 2020 12.
Article in En | MEDLINE | ID: mdl-31607144
Exercise-induced bronchoconstriction (EIB) is a sign of uncontrolled childhood asthma and classically occurs after exercise. Recent research shows that EIB frequently starts during exercise, called breakthrough-EIB (BT-EIB). It is unknown whether this more severe type of EIB forces children to adapt their physical activity (PA) pattern in daily life. Therefore, this pilot study aims to investigate daily life PA (amount, intensity, duration, and distribution) in children with BT-EIB, 'classic' EIB, and without EIB. A Fitbit Zip activity tracker was used for one week to objectively measure daily life PA at one-minute intervals. Thirty asthmatic children participated. Children with BT-EIB were less physically active compared to children without EIB (respectively 7994 and 11,444 steps/day, p = .02). Children with BT-EIB showed less moderate-to-vigorous PA compared to the children without (respectively 117 and 170 minutes/day, p = .02). Children with EIB (both BT and classic) had significant shorter bouts of activity and a less stretched distribution of bout lengths compared to the non-EIB group (all p < .05). These results emphasize a marked association between EIB severity and PA patterns in daily life, stressing the need for a thorough clinical evaluation of exercise-induced symptoms in childhood asthma.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Asthma / Exercise / Bronchoconstriction / Fitness Trackers Type of study: Observational_studies / Risk_factors_studies Limits: Child / Female / Humans / Male Language: En Journal: J Child Health Care Journal subject: ENFERMAGEM / PEDIATRIA Year: 2020 Document type: Article Affiliation country: Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Asthma / Exercise / Bronchoconstriction / Fitness Trackers Type of study: Observational_studies / Risk_factors_studies Limits: Child / Female / Humans / Male Language: En Journal: J Child Health Care Journal subject: ENFERMAGEM / PEDIATRIA Year: 2020 Document type: Article Affiliation country: Country of publication: