Decreased physical activity among head start children with a history of wheezing: Use of an accelerometer to measure activity
Decreased physical activity among head start children with a history of wheezing: Use of an accelerometer to measure activity
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DOI：
10.1002/ppul.20214
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发表时间：
2005-07-01
影响因子：
3.1
通讯作者：
Platts-Mills, T
中科院分区：
文献类型：
--
作者：
Firrincieli, V;Keller, A;Platts-Mills, T
哮喘在城市儿童中是一个严重的问题，最近的证据表明，过敏原暴露和生活方式都会影响儿童早期的疾病。本研究的目的是调查参加学前教育的市中心儿童中体力活动和喘息之间的关系。3-5岁儿童的父母回答问卷（N = 144），以确定喘息和哮喘的存在和严重程度。还收集了有关家庭环境、食物频率和其他过敏性疾病的信息。获得血清以测量常见过敏原的总IgE和特异性IgE水平。记录身高和体重的体重指数。最后，这些儿童的一个子集（n = 54）连续佩戴运动传感器手表（Actiwatch（R））6或7天。在有喘息病史的儿童中，用运动传感器测量的身体活动减少。与体力活动水平降低相关的哮喘相关因素包括：1）过去12个月内有喘息史，2）哮喘诊断，3）过去12个月内因喘息或哮喘到急诊室就诊。在学龄前人群中，在有哮喘或喘息病史的儿童中观察到体力活动减少。减少体力活动可能会导致哮喘的持续存在，或使儿童患肥胖症和其他慢性疾病的风险更高。(c)2005 Wiley-Liss，Inc.
Asthma is a severe problem among inner city children, and recent evidence suggests that both allergen exposure and lifestyle can impact the disease early in childhood. This study was designed to investigate the association between physical activity and wheezing among a population of inner city children enrolling in Head Start. The parents of children aged 3-5 years responded to a questionnaire (N = 144) to determine the presence and severity of wheezing and asthma. Information was also gathered regarding home environment, food frequency, and presence of other allergic diseases. Serum was obtained to measure total IgE and specific IgE levels to common allergens. Height and weight for body mass index were recorded. Lastly, motion sensor wristwatches (Actiwatch (R)) were worn continuously by a subset of these children (n = 54) for 6 or 7 days. Physical activity measured with the motion sensor was decreased among children with a history of wheezing. The significant differences involved those measures of activity relating to prolonged or sustained physical activity The correlates of asthma associated with decreased levels of physical activity included: 1) a history of wheezing in the last 12 months, 2) the diagnosis of asthma, and 3) presentation to the emergency room in the last 12 months for wheezing or asthma. In a preschool-age population, decreased physical activity was observed among children with a history of asthma or wheezing. Decreased physical activity could contribute to persistence of asthma or put children at higher risk for obesity and other chronic diseases. (c) 2005 Wiley-Liss, Inc.