焦虑
优势比
萧条(经济学)
哮喘
体力活动
久坐的生活习惯
人体测量学
生活质量(医疗保健)
置信区间
活动记录
医学
物理疗法
内科学
精神科
护理部
昼夜节律
经济
宏观经济学
作者
Fernando Parra dos Anjos Lima,José Eduardo Tanus dos Santos,Adriana Cláudia Lunardi,Joice Mara de Oliveira,Patrícia D. Freitas,Fabiana Kim,Rosana Câmara Agondi,Regina Maria Carvalho-Pinto,Karina Couto Furlanetto,Celso Ricardo Fernandes Carvalho
标识
DOI:10.1016/j.jaip.2024.03.012
摘要
Physical activity and sedentary behavior are treatable traits that may impact asthma control in distinct manners, but this impact remains poorly understood.To evaluate the influence of physical activity and sedentary behavior on clinical control in adults with moderate-to-severe asthma.This cross-sectional, multicentric study included 426 individuals with moderate-to-severe asthma. Assessments included physical activity and sedentary time (actigraphy), clinical asthma control (Asthma Control Questionnaire [ACQ]), quality of life (Asthma Quality of Life Questionnaire), anxiety and depression symptoms (Hospital Anxiety and Depression Scale), anthropometric data, and lung function. Participants were grouped according to physical activity levels and sedentary behavior.Participants who walked ≥7500 steps/day presented better ACQ scores than those who walked <7500 steps/day (P < .05), independent of sedentary status. The percentage of patients with controlled asthma was higher in the active/sedentary (43.9%) and active/nonsedentary (43.8%) groups than in the inactive/sedentary (25.4%) and inactive/nonsedentary (23.9%) groups (P < .02). The likelihood of having uncontrolled asthma according to the treatable traits of physical inactivity (odds ratio [95% confidence interval]: 2.36 [1.55-3.59]), higher anxiety (2.26 [1.49-3.42]), and depression symptoms (1.95 [1.28-2.95]) was significant (P ≤ .002). Obesity and sedentary time were not associated with asthma control.Our results show that ≥7500 steps/day is associated with better asthma control independent of sedentary time in adults with moderate-to-severe asthma. Physical inactivity, anxiety, and depression symptoms are associated with higher odds of uncontrolled asthma. These results suggest that interventions should mainly focus on increasing physical activity rather than reducing sedentary time.
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