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Physical activity and asthma symptom control in children during COVID-19 lockdown: A feasibility study

Xiaorong Ding1,2, Maxine E Whelan3, David A Clifton2,4

  • 1School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.

Digital Health
|February 27, 2023
PubMed

Insights

COVID-19 lockdowns reduced children's physical activity (PA), but asthma symptom control surprisingly improved. Maintaining PA during lockdowns may still benefit asthma management in children.

Area of Science:

  • Pediatric Pulmonology
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic necessitated lockdowns, significantly altering daily routines.
  • Children with asthma often rely on physical activity (PA) for symptom management.
  • The impact of pandemic-related restrictions on pediatric asthma and PA remains an important research area.

Purpose of the Study:

  • To evaluate the effect of the COVID-19 lockdown on physical activity (PA) levels.
  • To assess the impact of the lockdown on asthma symptom control in children.
  • To explore the relationship between PA and asthma control during the lockdown.

Main Methods:

  • A single-cohort observational study involving 22 children diagnosed with asthma (median age 9 years).
  • Participants wore PA trackers for 3 months and completed daily asthma diaries (Paediatric Asthma Diary - PAD).
  • Asthma Control (AC) and mini-Paediatric Asthma Quality of Life (AQoL) questionnaires were administered weekly.

Main Results:

  • A significant reduction in PA was observed post-lockdown, including decreased daily steps, very active minutes, and fairly active minutes.
  • Asthma symptom control showed marginal improvement, with AC and AQoL scores increasing.
  • Positive association between PA and asthma control was noted, particularly for children with higher AC scores.

Conclusions:

  • COVID-19 lockdowns negatively impacted PA in children with asthma.
  • The beneficial effects of PA on asthma symptom control may persist even during lockdown.
  • Wearable devices are crucial for monitoring PA and optimizing asthma management strategies.
Abstract

Keywords:
COVID-19Physical activitychildren with asthmasymptom controlwearable tracker

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