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Physical Activity Among Urban Children with Asthma: Does Sleep Matter?


The present study examined associations between sleep and physical activity among a diverse sample of 97 urban children (ages 7–9) with persistent asthma. Differences in associations were evaluated by race/ethnicity and weight status. The extent to which sleep moderated the association between lung function and physical activity was also evaluated. Generalized linear models were utilized to examine associations. Findings indicated that, among the aggregate sample, more frequent nighttime awakenings were associated with less time spent engaging in moderate-to-vigorous physical activity (MVPA). Important differences in these associations were identified by both race/ethnicity and weight status. Better lung function was associated with, (a) higher levels of MVPA for children with better sleep efficiency and fewer nighttime awakenings, and (b) lower levels of MVPA for children with poorer sleep efficiency and more frequent nighttime awakenings. In short, sleep mattered with respect to children’s physical activity levels in this sample.

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Data Availability

The datasets analyzed during the current study are available from the corresponding author on reasonable request.

Code Availability

Analyses completed in SAS version 9.2; code is available from corresponding author on reasonable request.


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National Heart, Lung and Blood Institute Grant # R01 HL116254-01A1.

Author information




All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by DKM, Ph.D., EJ, Ph.D., CD, Ph.D., SD, Ph.D., RN, Sc.M., and SJK, M.Sc. The first draft of the manuscript was written by CD, Ph.D., and DKM, Ph.D. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Christina D’Angelo.

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Christina D’Angelo, Elissa Jelalian, Shira Dunsiger, Rebecca Noga, Sheryl J. Kopel, Julie Boergers, Katherine Mitchell, Kate Powers and Daphne Koinis-Mitchell declare that they have no financial or non-financial conflicts of interest relevant to this article to disclose.

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This study was approved by the appropriate institutional research ethics committee (IRB) and the study was performed in accordance with all ethical standards.

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D’Angelo, C., Jelalian, E., Dunsiger, S. et al. Physical Activity Among Urban Children with Asthma: Does Sleep Matter?. J Clin Psychol Med Settings (2021).

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  • Asthma
  • Sleep
  • Physical activity
  • Overweight/obese