The Association between Vigorous Physical Activity and Stress in Adolescents with Asthma
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Definition of Groups
2.3. Main Outcome
2.4. Covariate Variables
2.5. Statistical Analyses
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Akinbami, L.J.; Simon, A.E.; Rossen, L.M. Changing Trends in Asthma Prevalence Among Children. Pediatrics 2016, 137, e20152354-7. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Cohen, A.J.; Brauer, M.; Burnett, R.; Anderson, H.R.; Frostad, J.; Estep, K.; Balakrishnan, K.; Brunekreef, B.; Dandona, L.; Dandona, R.; et al. Estimates and 25-year trends of the global burden of disease attributable to ambient air pollution: An analysis of data from the Global Burden of Diseases Study 2015. Lancet 2017, 389, 1907–1918. [Google Scholar] [CrossRef] [Green Version]
- Lee, E.; Kim, A.; Ye, Y.-M.; Choi, S.-E.; Park, H.-S. Increasing Prevalence and Mortality of Asthma with Age in Korea, 2002–2015: A Nationwide, Population-Based Study. Allergy Asthma Immunol. Res. 2020, 12, 467–484. [Google Scholar] [CrossRef]
- Hoogsteden, H.C.; Verhoeven, G.T.; Lambrecht, B.N.; Prins, J.-B. Airway inflammation in asthma and chronic obstructive pulmonary disease with special emphasis on the antigen-presenting dendritic cell: Influence of treatment with fluticasone propionate. Clin. Exp. Allergy 1999, 29 (Suppl. 2), 116–124. [Google Scholar] [CrossRef] [PubMed]
- Kirkham, P.; Rahman, I. Oxidative stress in asthma and COPD: Antioxidants as a therapeutic strategy. Pharmacol. Ther. 2006, 111, 476–494. [Google Scholar] [CrossRef] [PubMed]
- Goodwin, R.D.; Bandiera, F.C.; Steinberg, D.; Ortega, A.N.; Feldman, J.M. Asthma and mental health among youth: Etiology, current knowledge and future directions. Expert Rev. Respir. Med. 2012, 6, 397–406. [Google Scholar] [CrossRef] [Green Version]
- Wright, R.J.; Rodriguez, M.; Cohen, S. Review of psychosocial stress and asthma: An integrated biopsychosocial approach. Thorax 1998, 53, 1066–1074. [Google Scholar] [CrossRef] [Green Version]
- Yonas, M.A.; Lange, N.E.; Celedón, J.C. Psychosocial stress and asthma morbidity. Curr. Opin. Allergy Clin. Immunol. 2012, 12, 202–210. [Google Scholar] [CrossRef]
- Gupta, A.; Bhat, G.; Pianosi, P. What is New in the Management of Childhood Asthma? Indian J. Pediatrics 2018, 85, 773–781. [Google Scholar] [CrossRef] [Green Version]
- Landeo-Gutierrez, J.; Celedón, J.C. Chronic stress and asthma in adolescents. Ann. Allergy Asthma Immunol. 2020, 125, 393–398. [Google Scholar] [CrossRef]
- Becerra, B.J.; Becerra, M.B. Association between asthma and serious psychological distress among male veterans compared to civilian counterparts. Prev. Med. 2015, 71, 8–11. [Google Scholar] [CrossRef] [PubMed]
- Smith, H.E.; Jones, C.J. Psychological Interventions in Asthma. Curr. Treat. Options Allergy 2015, 2, 155–168. [Google Scholar] [CrossRef]
- Korea, S. Youth Statistics; KOSIS: Daejeon, Korea, 2019. [Google Scholar]
- Fox, S.E.; Levitt, P.; Iii, C.A.N. How the Timing and Quality of Early Experiences Influence the Development of Brain Architecture. Child. Dev. 2010, 81, 28–40. [Google Scholar] [CrossRef] [PubMed]
- Salmon, P. Effects of physical exercise on anxiety, depression, and sensitivity to stress: A unifying theory. Clin. Psychol. Rev. 2001, 21, 33–61. [Google Scholar] [CrossRef]
- Waschki, B.; Kirsten, A.; Holz, O.; Müller, K.; Meyer, T.; Watz, H.; Magnussen, H. Physical activity is the strongest predictor of all-cause mortality in patients with COPD: A prospective cohort study. Chest 2011, 140, 331–342. [Google Scholar] [CrossRef]
- Kim, J.-W.; So, W.-Y.; Kim, Y.S. Association between asthma and physical activity in Korean adolescents: The 3rd Korea Youth Risk Behavior Web-based Survey (KYRBWS-III). Eur. J. Public Health 2011, 22, 864–868. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Heikkinen, S.A.M.; Mäkikyrö, E.M.S.; Hugg, T.T.; Jaakkola, M.S.; Jaakkola, J.J.K. Effects of regular exercise on asthma control in young adults. J. Asthma 2017, 55, 726–733. [Google Scholar] [CrossRef] [PubMed]
- Vahlkvist, S.; Inman, M.D.; Pedersen, S. Effect of asthma treatment on fitness, daily activity and body composition in children with asthma. Allergy 2010, 65, 1464–1471. [Google Scholar] [CrossRef]
- Onur, E.; Kabaroğlu, C.; Günay, Ö.; Var, A.; Yilmaz, Ö.; Dündar, P.; Tikiz, C.; Güvenç, Y.; Yüksel, H. The beneficial effects of physical exercise on antioxidant status in asthmatic children. Allergol. Immunopathol. 2011, 39, 90–95. [Google Scholar] [CrossRef]
- Gallego, J.; Aguilar-Parra, J.M.; Cangas, A.J.; Langer, Á.I.; Mañas, I. Effect of a Mindfulness Program on Stress, Anxiety and Depression in University Students. Span. J. Psychol. 2014, 17, E109. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Moore, J.B.; Beets, M.W.; Barr-Anderson, D.J.; Evenson, K.R. Sedentary time and vigorous physical activity are independently associated with cardiorespiratory fitness in middle school youth. J. Sports Sci. 2013, 31, 1520–1525. [Google Scholar] [CrossRef]
- Yamasaki, A.; Kawasaki, Y.; Takeda, K.; Harada, T.; Hasegawa, Y.; Fukushima, T.; Okazaki, R.; Makino, H.; Funaki, Y.; Sueda, Y.; et al. Relationship between Oxidative Stress, Physical Activity, and Vitamin Intake in Patients with Asthma. Yonago Acta Medica 2017, 60, 86–93. [Google Scholar] [CrossRef] [Green Version]
- Korea Centers for Disease Control and Prevention. The Statistics of 15th Korea Youth Risk Behavior Web-Based Survey (KYRBWS) in 2019; Korea Centers for Disease Control and Prevention: Cheongju-si, Korea, 2019. [Google Scholar]
- Bae, J.; Joung, H.; Kim, J.-Y.; Kwon, K.N.; Kim, Y.; Park, S.-W. Validity of Self-Reported Height, Weight, and Body Mass Index of the Korea Youth Risk Behavior Web-Based Survey Questionnaire. J. Prev. Med. Public Health 2010, 43, 396–402. [Google Scholar] [CrossRef] [PubMed]
- Bae, J.; Joung, H.; Kim, J.-Y.; Kwon, K.N.; Kim, Y.T.; Park, S.-W. Test-Retest Reliability of a Questionnaire for the Korea Youth Risk Behavior Web-Based Survey. J. Prev. Med. Public Health 2010, 43, 403–410. [Google Scholar] [CrossRef] [PubMed]
- Twisk, J.W.R. Physical Activity Guidelines for Children and Adolescents. Sports Med. 2001, 31, 617–627. [Google Scholar] [CrossRef] [PubMed]
- Oh, Y.-M.; Kim, Y.S.; Yoo, S.H.; Kim, S.K.; Kim, D.S. Association between stress and asthma symptoms: A population-based study. Respirology 2004, 9, 363–368. [Google Scholar] [CrossRef] [PubMed]
- Van Lieshout, R.J.; MacQueen, G. Psychological Factors in Asthma. Allergy Asthma Clin. Immunol. 2008, 4, 12–17. [Google Scholar] [CrossRef] [Green Version]
- Wisnivesky, J.P.; Lorenzo, J.; Feldman, J.M.; Leventhal, H.; Halm, E.A. The relationship between perceived stress and mor-bidity among adult inner-city asthmatics. J. Asthma 2010, 47, 100–104. [Google Scholar] [CrossRef]
- Norris, R.; Carroll, D.; Cochrane, R. The effects of physical activity and exercise training on psychological stress and well-being in an adolescent population. J. Psychosom. Res. 1992, 36, 55–65. [Google Scholar] [CrossRef]
- Bonhauser, M.; Fernandez, G.; Püschel, K.; Yañez, F.; Montero, J.; Thompson, B.; Coronado, G. Improving physical fitness and emotional well-being in adolescents of low socioeconomic status in Chile: Results of a school-based controlled trial. Health Promot. Int. 2005, 20, 113–122. [Google Scholar] [CrossRef] [Green Version]
- Baghurst, T.; Kelley, B.C. An Examination of Stress in College Students Over the Course of a Semester. Health Promot. Pr. 2014, 15, 438–447. [Google Scholar] [CrossRef]
- Khalsa, S.B.S.; Hickey-Schultz, L.; Cohen, D.; Steiner, N.; Cope, S. Evaluation of the Mental Health Benefits of Yoga in a Sec-ondary School: A Preliminary Randomized Controlled Trial. J. Behav. Health Serv. Res. 2012, 39, 80–90. [Google Scholar] [CrossRef] [PubMed]
- Scott, E.M.; Hermens, D.F.; Glozier, N.; Naismith, S.L.; Guastella, A.J.; Hickie, I.B. Targeted primary care-based mental health services for young Australians. Med. J. Aust. 2012, 196, 136–140. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- O’Dougherty, M.; Hearst, M.O.; Syed, M.; Kurzer, M.S.; Schmitz, K.H. Life events, perceived stress and depressive symptoms in a physical activity intervention with young adult women. Ment. Health Phys. Act. 2012, 5, 148–154. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Janssen, I. Physical activity guidelines for children and youth. Can. J. Public Health 2007, 98 (Suppl. 2), S109–S121. [Google Scholar]
- Siti, H.N.; Kamisah, Y.; Kamsiah, J. The role of oxidative stress, antioxidants and vascular inflammation in cardiovascular disease (a review). Vasc. Pharmacol. 2015, 71, 40–56. [Google Scholar] [CrossRef]
- Kim, H.; Yun, J.; Kwon, S.-M. Therapeutic Strategies for Oxidative Stress-Related Cardiovascular Diseases: Removal of Excess Reactive Oxygen Species in Adult Stem Cells. Oxidative Med. Cell. Longev. 2016, 2016, 2483163. [Google Scholar] [CrossRef] [Green Version]
- Sugiura, H.; Ichinose, M. Oxidative and Nitrative Stress in Bronchial Asthma. Antioxid. Redox Signal. 2008, 10, 785–798. [Google Scholar] [CrossRef]
- Bouayed, J.; Rammal, H.; Soulimani, R. Oxidative Stress and Anxiety: Relationship and Cellular Pathways. Oxidative Med. Cell. Longev. 2009, 2, 63–67. [Google Scholar] [CrossRef] [PubMed]
- Leeuwenburgh, C.; Heinecke, J.W. Oxidative stress and antioxidants in exercise. Curr. Med. Chem. 2001, 8, 829–838. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Polidori, M.C.; Mecocci, P.; Cherubini, A.; Senin, U. Physical Activity and Oxidative Stress During Aging. Int. J. Sports Med. 2000, 21, 154–157. [Google Scholar] [CrossRef] [PubMed]
- Pascoe, M.; Bailey, A.P.; Craike, M.; Carter, T.; Patten, R.; Stepto, N.; Parker, A. Physical activity and exercise in youth mental health promotion: A scoping review. BMJ Open Sport Exerc. Med. 2020, 6, e000677. [Google Scholar] [CrossRef] [PubMed]
- Welsh, L.; Roberts, R.G.D.; Kemp, J.G. Fitness and Physical Activity in Children with Asthma. Sports Med. 2004, 34, 861–870. [Google Scholar] [CrossRef]
- Tantisira, K.G.; Weiss, S.T. Complex interactions in complex traits: Obesity and asthma. Thorax 2001, 56, 64–73. [Google Scholar]
- Welsh, L.; Kemp, J.G.; Roberts, R.G.D. Effects of Physical Conditioning on Children and Adolescents with Asthma. Sports Med. 2005, 35, 127–141. [Google Scholar]
Variables. | Total (n = 57,303) | Asthma (n = 4020) | Non-Asthma (n = 53,283) | p |
---|---|---|---|---|
Age (year) | 15.0 (1.8) | 15.1 (1.7) | 15.0 (1.8) | <0.001 *** |
Male, N (%) | 29,841 (52.1) | 2300 (57.2) | 27,541 (51.7) | <0.001 *** |
Body mass index (kg/m2) | 21.4 (3.6) | 21.9 (3.7) | 21.3 (3.5) | <0.001 *** |
Grade (%) | <0.001 *** | |||
Middle school | 51.3 | 47.4 | 51.6 | |
High school | 48.7 | 52.6 | 48.4 | |
Smoking status (%) | <0.001 *** | |||
No | 87.7 | 84.3 | 89.9 | |
Yes | 12.3 | 15.7 | 12.1 | |
Alcohol consumption (%) | <0.001 *** | |||
No | 61.2 | 56.6 | 61.5 | |
Yes | 38.8 | 43.4 | 38.5 | |
Household income (%) | 0.281 | |||
High or medium-high | 39.3 | 40.1 | 39.2 | |
Medium, medium-low, or low | 60.7 | 59.9 | 60.8 | |
Academic achievement (%) | 0.001 ** | |||
High or medium-high | 38.3 | 40.7 | 38.1 | |
Medium, medium-low, or low | 61.7 | 59.3 | 61.9 | |
Moderate physical activity (%) | 0.021 * | |||
<5 times per week | 15.2 | 83.4 | 84.8 | |
≥5 times per week | 84.8 | 16.6 | 15.2 | |
Vigorous physical activity (%) | 0.064 | |||
<3 days per week | 67.1 | 65.8 | 67.2 | |
≥3 days per week | 32.9 | 34.2 | 32.8 | |
Resistance exercise (%) | 0.004 ** | |||
None or once per week | 67.3 | 65.2 | 67.4 | |
≥2 times per week | 32.7 | 34.8 | 32.6 |
Variables. | Non-Asthma | Asthma | p | Non-Vigorous Physical Activity | Vigorous Physical Activity | p |
---|---|---|---|---|---|---|
Stress | ||||||
a Model 1 OR (95% CI) | Reference | 1.24 (1.14–1.36) | <0.001 *** | Reference | 0.82 (0.78–0.86) | <0.001 *** |
b Model 2 OR (95% CI) | Reference | 1.14 (1.04–1.25) | 0.004 ** | Reference | 0.84 (0.80–0.88) | <0.001 *** |
Variables. | Non-Asthma Non-Vigorous | Non-Asthma Vigorous | p | Asthma Non-Vigorous Physical Activity | Asthma Vigorous Physical Activity | p |
---|---|---|---|---|---|---|
Stress | ||||||
a Model 1 OR (95% CI) | Reference | 0.82 (0.79–0.86) | <0.001 *** | Reference | 0.77 (0.64–0.92) | 0.005 ** |
b Model 2 OR (95% CI) | Reference | 0.84 (0.80–0.88) | <0.001 *** | Reference | 0.78 (0.65–0.93) | 0.006 ** |
c Model 3 OR (95% CI) | Reference | 0.89 (0.84–0.94) | <0.001 *** | Reference | 0.70 (0.57–0.86) | 0.001 ** |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Share and Cite
Kong, S.; So, W.-Y.; Jang, S. The Association between Vigorous Physical Activity and Stress in Adolescents with Asthma. Int. J. Environ. Res. Public Health 2021, 18, 3467. https://doi.org/10.3390/ijerph18073467
Kong S, So W-Y, Jang S. The Association between Vigorous Physical Activity and Stress in Adolescents with Asthma. International Journal of Environmental Research and Public Health. 2021; 18(7):3467. https://doi.org/10.3390/ijerph18073467
Chicago/Turabian StyleKong, Sunga, Wi-Young So, and Seyong Jang. 2021. "The Association between Vigorous Physical Activity and Stress in Adolescents with Asthma" International Journal of Environmental Research and Public Health 18, no. 7: 3467. https://doi.org/10.3390/ijerph18073467