Relationship Between Asthma, Overweight, And Physical Activity Among U.S. High School Students
- 304 Downloads
Asthma is a leading chronic illness among children and adolescents in the United States. This study examined the relationship between asthma and both overweight and physical activity levels. Results are based on data from the Centers for Disease Control and Prevention’s 2003 national Youth Risk Behavior Survey, a cross-sectional survey of health risk behaviors among a representative sample of high school students in the United States. The overall survey response rate was 67% and the results are based on weighted data. SUDAAN was used for all data analysis (prevalence estimates and logistic regression) because it accounts for the complex sampling design of the survey. Significantly more students with current asthma than without were overweight (odds ratio [OR] = 1.4; 95% confidence interval [CI] = 1.1, 1.6) and described themselves as overweight (OR = 1.2; 95% CI = 1.0, 1.4). Significantly more students with current asthma than without used a computer for non-schoolwork 3 or more hours/day (OR = 1.3; 95% CI = 1.1, 1.5). No significant differences were found for participation in sufficient vigorous or moderate physical activity or strengthening exercises among students with and without current asthma. Unlike some other risk factors for developing or exacerbating asthma, overweight and physical activity are generally modifiable. School and community policies and programs can play an important role in asthma management, including promoting the maintenance of an appropriate weight and encouraging continued physical activity.
Keywordsasthma physical activity overweight youth adolescent
- 2.Wilber RL (2002) Incidence of asthma and exercise-induced asthma. In: Rundell KW, Wilber RL, Lemanske RF (eds) Exercise-Induced Asthma: Pathophysiology and Treatment. Human Kinetics, Champaign, IL, pp 39–68Google Scholar
- 3.National Heart, Lung, and Blood Institute. Asthma and Physical Activity in the School: Making a Difference. Washington, DC: National Institutes of Health National Heart, Lung, and Blood Institute, 1995, NIH Publication No. 95–3651Google Scholar
- 17.Grunbaum JA, Kann L, Kinchen S et al. (2004) Youth Risk Behavior Surveillance—United States, 2003. In Surveillance Summaries, May 21, 2004. MMWR 53(No. SS-2): 1–96Google Scholar
- 19.Brener ND, Kann L, Kinchen SA, et al. (2004) Methodology of the Youth Risk Behavior Surveillance System. In: Recommendations and Reports, September 24, 2004. MMWR 53(No. RR-12): 1–13Google Scholar
- 20.Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, et al. (2000) CDC Growth cCharts: United States. Washington, DC: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Advance data from vital and health statistics; December 4, (revised). Publication No. 314Google Scholar
- 21.Research Triangle Institute. SUDAAN®: software for the statistical analysis of correlated data, release 8.0 [software and documentation]. Research Triangle Park, NC: Research Triangle Institute, 2001Google Scholar
- 22.Merkle S, Everett Jones S, Wheeler L, Mannino DM (2005) Self-reported asthma prevalence among high school students in the United States—2003. MMWR 54: 765–767Google Scholar
- 24.National Asthma Education and Prevention Program. Breathing difficulties related to physical activity for students with asthma: exercise induced asthma. Ways to Help Students with Asthma Participate in Physical Activity. Bethesda, MD: National Institutes of Health, National Heart, Lung, and Blood Institute, March 2005, Available at: http://www.nhlbi.nih.gov/health/prof/lung/asthma/exer_induced.htm. Accessed July 21, 2005
- 25.Kaufman P, Alt MN, Chapman CD (2004) Dropout Rates in the United States: 2001. Washington, DC: US Department of Education, National Center for Education Statistics, NCES 2005-046Google Scholar
- 27.US Department of Health and Human Services, US Department of Agriculture. Dietary Guidelines for Americans 2005. Washington, DC: US Department of Health and Human Services, 2005, HHS Publication No. HHS-ODPHP-2005-01-DGA-A. Available at: http://www.healthierus.gov/dietaryguidelines. Accessed September 15, 2005.