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

Author:

Eijkemans MarianneORCID,Mommers MoniqueORCID,Harskamp-van Ginkel Margreet WORCID,Vrijkotte Tanja G MORCID,Ludvigsson JohnnyORCID,Faresj� �shildORCID,Bergstr�m AnnaORCID,Ekstr�m SandraORCID,Grote VeitORCID,Koletzko BertholdORCID,B�nnelykke KlausORCID,Eliasen Anders UlrikORCID,Bager PeterORCID,Melbye MadsORCID,Annesi-Maesano IsabellaORCID,Ba�z NourORCID,Barros HenriqueORCID,Santos Ana CristinaORCID,Duijts LiesbethORCID,Mensink-Bout Sara MORCID,Flexeder ClaudiaORCID,Koletzko SibylleORCID,Schikowski TamaraORCID,Eggesb� Merete �seORCID,Lenters VirissaORCID,Fern�ndez-Tard�n GuillermoORCID,Subiza-Perez MikelORCID,Garcia-Aymerich JudithORCID,L�pez-Vicente M�nicaORCID,Sunyer JordiORCID,Torrent MatiesORCID,Ballester FerranORCID,Kelleher CecilyORCID,Mehegan JohnORCID,Berg Andrea vonORCID,Herberth GundaORCID,Standl MarieORCID,Kuehni Claudia EORCID,Pedersen Eva S LORCID,Jansen MariaORCID,Gehring UlrikeORCID,Boer Jolanda M AORCID,Devereux GrahamORCID,Turner SteveORCID,Peltola VilleORCID,Lagstr�m HannaORCID,Inskip Hazel MORCID,Pike Katharine CORCID,Dalmeijer Geertje WORCID,Ent Cornelis K van der,Thijs CarelORCID

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 (FEV 1 ), FEV 1 /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.

Funder

Schweizerischer Nationalfonds zur F�rderung der Wissenschaftlichen Forschung

EU FP7 Framework MedAll project

Novo Nordisk Fonden

Health Foundation

Alicia Koplowitz Foundation 2017

Generalitat Valenciana

Netherlands Asthma Foundation

Polish Ministry of Science and Higher Education

Seventh Framework Programme

FrieslandCampina

Forskningsr�det f�r Arbetsliv och Socialvetenskap

Forskningsr�det i Syd�stra Sverige

JDRF Wallenberg Foundation

Hartstichting

Barndiabetesfonden

Vetenskapsr�det

Svenska Forskningsr�det Formas

Swedish Asthma and Allergy research foundation

European Research Council

Hj�rt-Lungfonden

�stg�ta Brandstodsbolag

Region Stockholm

Erasmus Medisch Centrum

Forskningsr�det om H�lsa, Arbetsliv och V�lf�rd

ZonMw

Erasmus Universiteit Rotterdam

Ag�ncia de Gesti� d'Ajuts Universitaris i de Recerca

European Union's Horizon 2020 research and innovation programme

GlaxoSmithKline

Fundaci� la Marat� de TV3

Comissi� Interdepartamental de Recerca i Innovaci� Tecnol�gica

EU Commission

EURIP and FIRE doctoral school � Programme Bettencourt

Unidade de Investiga��o em Epidemiologia - Instituto de Sa�de P�blica da Universidade do Porto

FP7 Environment

Human Capital Operational Programme

Administra��o Regional de Sa�de Norte

Funda��o Calouste Gulbenkian

Provincial Government of Gipuzkoa

Juho Vainion S��ti�

Research Council of Finland

Department of Health of the Basque Government

Lastentautien Tutkimuss��ti�

Dunhill Medical Trust

Medical Research Council

Suomen L��ketieteen S��ti�

CIBERESP

Institut National de la Sant� et de la Recherche M�dicale

Institut F�d�ratif de Recherche and Cohort Program

Rijksinstituut voor Volksgezondheid en Milieu

National Institute for Health Research Southampton Biomedical Research Centre

EC

University of Southampton

European Regional Development Fund

Funda��o para a Ci�ncia e a Tecnologia

University Hospital Southampton National Health Service Foundation Trust

British Lung Foundation

Beca de la IV convocatoria de Ayudas a la Investigaci�n en Enfermedades Neurodegenerativas de La Caixa

Food Standards Agency

British Heart Foundation

Fondation pour la Recherche M�dicale

Institut de Veille Sanitaire

Norges Forskningsr�d

Paris-Sud University

Mead Johnson Nutrition

Federal Ministry for Environment

Leibniz Research-Institute for Environmental Medicine at the University of D�sseldorf

Fundaci�n NOE Alimerka

Netherlands Ministry of Planning, Housing and the Environment

Instituto de Salud Carlos III

Longfonds

Universidad de Oviedo

Netherlands Ministry of Health, Welfare and Sport

French Agency for Environment Security

Asthma and Lung UK

Netherlands Organization for Scientific Research

Obra Social Cajastur/Fundaci�n Liberbank

Public Health Service South Limburg

Universiteit Maastricht

French Speaking Association for the Study of Diabetes and Metabolism

French Ministry of Health Perinatal Program

Bundesministerium f�r Bildung, Wissenschaft, Forschung und Technologie

Mutuelle G�n�rale de l��ducation Nationale

National Institute for Research in Public Health

Fondation Nestl�

TU Munich

National Agency for Research

Research Institute at Marien-Hospital Wesel

Ludwig-Maximilians-Universit�t M�nchen

Institut National de Pr�vention et d'�ducation pour la Sant�

Helmholtz Zentrum Munich

Pharmacy Foundation

Danish Regional Committees

Egmont Fonden

Danmarks Grundforskningsfond

Lundbeck Foundation

March of Dimes Birth Defects Foundation

Strategiske Forskningsr�d

European Research Council Advanced Grant META-GROWTH

Ministeriet Sundhed Forebyggelse

The Capital Region Research Foundation

Irish Department of Health and Children�s Health Promotion Policy Unit

Health Research Board

Publisher

BMJ

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