Related Experiment Video
Updated: May 22, 2026

Physical Activity Measurement in Children Accepting Table Tennis Training
Published on: July 27, 2022
Daytime physical activity levels in school-age children with and without asthma
Shao-Yu Tsai1, Teresa Ward, Martha J Lentz
1College of Medicine, Department of Nursing, National Taiwan University, Taipei, Taiwan, China.
Insights
Asthma in children does not directly impact physical activity (PA) levels, but it is linked to reduced moderate-to-vigorous PA (MVPA) when considering body mass index (BMI). Further research is needed on obesity and functional impairment.
Area of Science:
- Pediatric Health
- Respiratory Medicine
- Exercise Physiology
Background:
- Physical activity (PA) is crucial for children's health, yet objective PA measures in those with chronic conditions are inconsistent.
- The relationship between asthma and children's PA levels remains unclear.
- Actigraphy offers an objective method to assess PA during daily routines.
Purpose of the Study:
- To compare daytime PA in children with and without asthma.
- To investigate the interplay of asthma, PA, BMI, and symptom reports.
- To objectively measure PA using actigraphy.
Main Methods:
- Actigraphy and self-reported symptoms were collected over 7 days in 54 children (9-11 years) with and without asthma.
- Assessed variables included mean/peak daytime activity, sedentary time, light, moderate, vigorous, and total moderate-to-vigorous PA (MVPA).
- Controlled for gender, BMI, and symptom reports in multivariate analyses.
Main Results:
- No significant differences in BMI or overall activity levels were found between groups.
- Children with asthma reported greater activity limitations due to breathing issues.
- Asthma predicted reduced mean, peak, and total MVPA, particularly when interacting with BMI.
Conclusions:
- The association between asthma, PA, and BMI is complex.
- Reduced PA, respiratory symptoms, childhood obesity, and functional impairment warrant further investigation.
- Future studies should explore these interconnected factors in pediatric asthma.
Background:
Physical activity (PA) is a significant predictor of health outcomes in children with and without chronic conditions. Few researchers have used actigraphy as an objective measure of PA during the child's normal daily routines, and the findings have been inconsistent. It is unclear if asthma can contribute to low PA levels.
Objectives:
The aim of this study was to compare daytime PA levels in children with and without asthma and examine the relationships among asthma, PA, body mass index (BMI), and child reports of symptoms.
Methods:
Physical activity as measured by actigraphy and self-report symptoms of coughing, wheezing, chest tightness, perceived tiredness, sleepiness, and alertness were obtained in 54 children aged 9-11 years with and without asthma for 7 consecutive days. Activity variables derived from actigraphy included (a) mean daytime activity level; (b) peak daytime activity level; and (c) time duration spent in sedentary, light, moderate, vigorous, and total moderate plus vigorous PA (MVPA).
Results:
Children with and without asthma did not differ on BMI or activity levels. Children with asthma reported more activity limitations due to breathing problems than children without asthma (p < .01). In multivariate analyses, asthma predicted reduced mean, peak, and total time spent in MVPA level after controlling for gender, BMI, and self-report of symptoms. A significant interaction was found between asthma and BMI on mean, peak, and total time spent in MVPA.
Discussion:
The association between asthma and PA is complex when the child's BMI is considered. Results suggest that reduced PAs with respect to respiratory symptom severity, childhood obesity, and functional impairment are important areas for future studies.
Related Concept Videos
Asthma III: Clinical Manifestations
Asthma-I: Introduction
Asthma I: Introduction
Asthma-IV: Nursing Management
First, in...
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:

