Dataset Information

Physical activity, sedentary behaviour, and childhood asthma: a European collaborative analysis.

ABSTRACT:

Objectives

To investigate the associations of physical activity (PA) and sedentary behaviour in early childhood with asthma and reduced lung function in later childhood within a large collaborative study.

Design

Pooling of longitudinal data from collaborating birth cohorts using meta-analysis of separate cohort-specific estimates and analysis of individual participant data of all cohorts combined.

Setting

Children aged 0-18 years from 26 European birth cohorts.

Participants

136 071 individual children from 26 cohorts, with information on PA and/or sedentary behaviour in early childhood and asthma assessment in later childhood.

Main outcome measure

Questionnaire-based current asthma and lung function measured by spirometry (forced expiratory volume in 1 s (FEV₁), FEV₁/forced vital capacity) at age 6-18 years.

Results

Questionnaire-based and accelerometry-based PA and sedentary behaviour at age 3-5 years was not associated with asthma at age 6-18 years (PA in hours/day adjusted OR 1.01, 95% CI 0.98 to 1.04; sedentary behaviour in hours/day adjusted OR 1.03, 95% CI 0.99 to 1.07). PA was not associated with lung function at any age. Analyses of sedentary behaviour and lung function showed inconsistent results.

Conclusions

Reduced PA and increased sedentary behaviour before 6 years of age were not associated with the presence of asthma later in childhood.

SUBMITTER: Eijkemans M

PROVIDER: S-EPMC11331876 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature

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Publications

Physical activity, sedentary behaviour, and childhood asthma: a European collaborative analysis.

Eijkemans Marianne M Mommers Monique M Harskamp-van Ginkel Margreet W MW Vrijkotte Tanja G M TGM Ludvigsson Johnny J Faresjö Åshild Å Bergström Anna A Ekström Sandra S Grote Veit V Koletzko Berthold B Bønnelykke Klaus K Eliasen Anders Ulrik AU Bager Peter P Melbye Mads M Annesi-Maesano Isabella I Baïz Nour N Barros Henrique H Santos Ana Cristina AC Duijts Liesbeth L Mensink-Bout Sara M SM Flexeder Claudia C Koletzko Sibylle S Schikowski Tamara T Eggesbø Merete Åse MÅ Lenters Virissa V Fernández-Tardón Guillermo G Subiza-Perez Mikel M Garcia-Aymerich Judith J López-Vicente Mónica M Sunyer Jordi J Torrent Maties M Ballester Ferran F Kelleher Cecily C Mehegan John J Berg Andrea von AV Herberth Gunda G Standl Marie M Kuehni Claudia E CE Pedersen Eva S L ESL Jansen Maria M Gehring Ulrike U Boer Jolanda M A JMA Devereux Graham G Turner Steve S Peltola Ville V Lagström Hanna H Inskip Hazel M HM Pike Katharine C KC Dalmeijer Geertje W GW Ent Cornelis K van der CKV Thijs Carel C

BMJ open respiratory research 20240815 1

<h4>Objectives</h4>To investigate the associations of physical activity (PA) and sedentary behaviour in early childhood with asthma and reduced lung function in later childhood within a large collaborative study.<h4>Design</h4>Pooling of longitudinal data from collaborating birth cohorts using meta-analysis of separate cohort-specific estimates and analysis of individual participant data of all cohorts combined.<h4>Setting</h4>Children aged 0-18 years from 26 European birth cohorts.<h4>Participa ...[more]

PMID: 39147399

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Project description:BackgroundShorter gestation or smaller birth size are indicators of a suboptimal fetal environment and negatively impact short- and long-term offspring health. Understanding how modifiable maternal behaviours, such as moderate-to-vigorous intensity physical activity (MVPA) or sedentary behaviour (SED), improve fetal outcomes could inform strategies to improve health across the lifespan.ObjectivesThe objective of this study was to examine the association of MVPA and SED across pregnancy trimesters on gestational age at delivery and newborn anthropometrics.MethodsThe MoM Health Study measured SED (thigh-mounted activPAL3 micro) and MVPA (waist-worn Actigraph GTX3) in each trimester of pregnancy. Birth outcomes (gestational age at delivery, birthweight, birth length, and head circumference) were abstracted from medical records and used to calculate ponderal index (grams*100/cm3 ) and size-for-gestational age percentiles. Associations of group-based trajectories and trimester-specific SED and MVPA with birth outcomes were analysed using regression models.ResultsLow, medium, and high trajectory groups were generated SED and MVPA in 103 and 99 pregnant women, respectively. High vs low SED trajectory was associated with earlier gestational age at delivery (β -1.03 weeks, 95% CI -2.01, -0.06), larger head circumference (β 0.83 cm, 95% CI 0.24, 1.63), longer birth length (β 1.37 cm, 95% CI 0.09, 2.64), and lower ponderal index (β -0.24 g*100/cm3 , 95% CI -0.42, -0.06), after adjustment for demographics, pre-pregnancy BMI, and (for newborn anthropometric outcomes) gestational age. The association of high SED with lower ponderal index was the most robust across progressively adjusted models (β -0.25 g*100/cm3 , 95% CI -0.44, -0.07). SED trajectory was not associated with birthweight or size-for-gestational age. High vs low MVPA trajectory was only associated with smaller head circumference (β -0.86 cm, 95% CI -1.70, -0.02).ConclusionsHigher SED during pregnancy may result in shorter gestation and inhibited fetal growth. Further research evaluating the effect of reducing SED during pregnancy on birth outcomes is warranted.

Project description:BackgroundThe impact of bronchiectasis on sedentary behaviour and physical activity is unknown. It is important to explore this to identify the need for physical activity interventions and how to tailor interventions to this patient population. We aimed to explore the patterns and correlates of sedentary behaviour and physical activity in bronchiectasis.MethodsPhysical activity was assessed in 63 patients with bronchiectasis using an ActiGraph GT3X+ accelerometer over seven days. Patients completed: questionnaires on health-related quality-of-life and attitudes to physical activity (questions based on an adaption of the transtheoretical model (TTM) of behaviour change); spirometry; and the modified shuttle test (MST). Multiple linear regression analysis using forward selection based on likelihood ratio statistics explored the correlates of sedentary behaviour and physical activity dimensions. Between-group analysis using independent sample t-tests were used to explore differences for selected variables.ResultsFifty-five patients had complete datasets. Average daily time, mean(standard deviation) spent in sedentary behaviour was 634(77)mins, light-lifestyle physical activity was 207(63)mins and moderate-vigorous physical activity (MVPA) was 25(20)mins. Only 11% of patients met recommended guidelines. Forced expiratory volume in one-second percentage predicted (FEV1% predicted) and disease severity were not correlates of sedentary behaviour or physical activity. For sedentary behaviour, decisional balance 'pros' score was the only correlate. Performance on the MST was the strongest correlate of physical activity. In addition to the MST, there were other important correlate variables for MVPA accumulated in ≥10-minute bouts (QOL-B Social Functioning) and for activity energy expenditure (Body Mass Index and QOL-B Respiratory Symptoms).ConclusionsPatients with bronchiectasis demonstrated a largely inactive lifestyle and few met the recommended physical activity guidelines. Exercise capacity was the strongest correlate of physical activity, and dimensions of the QOL-B were also important. FEV1% predicted and disease severity were not correlates of sedentary behaviour or physical activity. The inclusion of a range of physical activity dimensions could facilitate in-depth exploration of patterns of physical activity. This study demonstrates the need for interventions targeted at reducing sedentary behaviour and increasing physical activity, and provides information to tailor interventions to the bronchiectasis population.Trial registrationNCT01569009 ("Physical Activity in Bronchiectasis").

Dataset Information

Physical activity, sedentary behaviour, and childhood asthma: a European collaborative analysis.

Objectives

Design

Setting

Participants

Main outcome measure

Results

Conclusions

Publications

Physical activity, sedentary behaviour, and childhood asthma: a European collaborative analysis.

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