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The effect of physical activity on asthma incidence over 10 years: population-based study

Melissa Anne Russell, Shyamali Dharmage, Elaine Fuertes, Alessandro Marcon, Anne-Elie Carsin, Silvia Pascual Erquicia, Joachim Heinrich, Ane Johannessen, Michael J. Abramson, Andre F.S. Amaral, Isa Cerveri, Pascal Demoly, Vanessa Garcia-Larsen, Deborah Jarvis, Jesus Martinez-Moratalla, Dennis Nowak, Leopoldo Palacios-Gomez, Giulia Squillacioti, Wasif Raza, Margareta Emtner, Judith Garcia-Aymerich
ERJ Open Research 2021 7: 00970-2020; DOI: 10.1183/23120541.00970-2020
Melissa Anne Russell
1Allergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia
2Gastro and Food Allergy Group, Murdoch Children's Research Institute, Melbourne, Australia
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  • ORCID record for Melissa Anne Russell
Shyamali Dharmage
1Allergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia
2Gastro and Food Allergy Group, Murdoch Children's Research Institute, Melbourne, Australia
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Elaine Fuertes
3National Heart and Lung Institute, Imperial College London, London, UK
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Alessandro Marcon
4Unit of Epidemiology and Medical Statistics, Department of Diagnostics and Public Health, University of Verona, Verona, Italy
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Anne-Elie Carsin
5Barcelona Institute of Global Health (ISGlobal), Barcelona, Spain
6IMIM-Hospital del Mar, Barcelona, Spain
7CIBER Epidemiologia y Salud Publica, Barcelona, Spain
8Universitat Pompeu Fabra (UPF), Barcelona, Spain
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Silvia Pascual Erquicia
9Respiratory Department, Galdakao Hospital, OSI Barrualde-Galdakao, Biscay, Spain
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Joachim Heinrich
1Allergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia
10Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Comprehensive Pneumology Center (CPC) Munich, Member DZL, German Center for Lung Research, Munich, Germany
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Ane Johannessen
11Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen (NO), Bergen, Norway
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Michael J. Abramson
12School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia
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Andre F.S. Amaral
3National Heart and Lung Institute, Imperial College London, London, UK
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Isa Cerveri
13Division of Respiratory Diseases, IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy
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Pascal Demoly
14Département de Pneumologie et addictologie, Hôpital Arnaud de Villeneuve, University Hospital of Montpellier, Montpellier, France
15INSERM UMR-S 1136, IPLESP, Sorbonne Université, Paris, France
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Vanessa Garcia-Larsen
16Dept of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, USA
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Deborah Jarvis
3National Heart and Lung Institute, Imperial College London, London, UK
17MRC-PHE Centre for Environment and Health, Imperial College London, London, UK
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Jesus Martinez-Moratalla
18Servicio de Neumología del Complejo Hospitalario Universitario de Albacete, Albacete, Spain
19Facultad de Medicina de Albacete, Universidad de Castilla – La Mancha, Albacete, Spain
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Dennis Nowak
10Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Comprehensive Pneumology Center (CPC) Munich, Member DZL, German Center for Lung Research, Munich, Germany
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Leopoldo Palacios-Gomez
20El Torrejón Health Centre, Andalusian Health Service, Huelva, Spain
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Giulia Squillacioti
21Dept of Public Health and Pediatrics, University of Turin, Turin, Italy
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Wasif Raza
22Dept of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, Umea, Sweden
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Margareta Emtner
23Dept of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden
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Judith Garcia-Aymerich
5Barcelona Institute of Global Health (ISGlobal), Barcelona, Spain
7CIBER Epidemiologia y Salud Publica, Barcelona, Spain
8Universitat Pompeu Fabra (UPF), Barcelona, Spain
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Tables

  • TABLE 1

    Association between European Community Respiratory Health Survey (ECRHS) II vigorous activity status, frequency and duration, change in vigorous activity status and ECRHS III current asthma, asthma-like symptoms, and bronchodilator reversibility in middle-aged adults

    Current asthma at ECRHS III n (%)Risk of current asthma, adjusted analyses# (95% CI)More than three asthma-like symptoms at ECRHS III (%)Risk of asthma-like symptoms, adjusted (95% CI)#Bronchodilator reversibility present at ECRHS III n (%)Risk of bronchodilator reversibility, adjusted analyses# (95% CI)
    Subjects n312927573057269524512148
    Activity status
     Not vigorously active182 (8.9)1.0054 (2.8)1.0038 (2.5)1.00
     Vigorously active102 (8.4)0.96 (0.75–1.23)22 (1.9)0.71 (0.42–1.18)21 (2.2)0.82 (0.46–1.47)
    Frequency of vigorous activity
     Once a month or less120 (9.1)1.0036 (2.8)1.0025 (2.6)1.00
     1–3 times per week120 (7.7)0.94 (0.73–1.22)31 (2.1)0.78 (0.48–1.28)29 (2.4)0.86 (0.49–1.50)
     ≥4 times per week45 (10.7)1.14 (0.82–1.63)10 (2.5)0.93 (0.45–1.93)6 (1.9)0.67 (0.25–1.76)
    Amount of vigorous activity
     0–30 min per week132 (9.8)1.0039 (3.0)1.0028 (2.8)1.00
     1–3 h per week105 (7.4)0.82 (0.63–1.07)30 (2.2)0.79 (0.48–1.30)24 (2.2)0.74 (0.42–1.31)
     ≥4 h per week47 (9.5)1.00 (0.71–1.42)7 (1.5)0.49 (0.21–1.17)7 (1.8)0.66 (0.27–1.61)
    Change in vigorous activity from ECRHS II to ECRHS III
     Consistently not vigorously active123 (9.1)1.0043 (3.2)1.0029 (2.8)1.00
     Becoming vigorously inactive54 (8.7)1.00 (0.70–1.43)11 (1.9)0.83 (0.34–1.35)9 (1.9)0.96 (0.44–2.08)
     Becoming vigorously active41 (9.1)1.11 (0.80–1.54)11 (2.4)0.68 (0.42–1.61)10 (2.8)0.83 (0.39–1.78)
     Consistently not vigorously active60 (8.5)1.01 (0.73–1.41)11 (1.6)0.50 (0.24–1.03)11 (1.9)0.64 (0.29–1.42)

    #: adjusted for sex, ECRHS II age, smoking status, occupation, education and body mass index.

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    The effect of physical activity on asthma incidence over 10 years: population-based study
    Melissa Anne Russell, Shyamali Dharmage, Elaine Fuertes, Alessandro Marcon, Anne-Elie Carsin, Silvia Pascual Erquicia, Joachim Heinrich, Ane Johannessen, Michael J. Abramson, Andre F.S. Amaral, Isa Cerveri, Pascal Demoly, Vanessa Garcia-Larsen, Deborah Jarvis, Jesus Martinez-Moratalla, Dennis Nowak, Leopoldo Palacios-Gomez, Giulia Squillacioti, Wasif Raza, Margareta Emtner, Judith Garcia-Aymerich
    ERJ Open Research Jan 2021, 7 (1) 00970-2020; DOI: 10.1183/23120541.00970-2020

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    The effect of physical activity on asthma incidence over 10 years: population-based study
    Melissa Anne Russell, Shyamali Dharmage, Elaine Fuertes, Alessandro Marcon, Anne-Elie Carsin, Silvia Pascual Erquicia, Joachim Heinrich, Ane Johannessen, Michael J. Abramson, Andre F.S. Amaral, Isa Cerveri, Pascal Demoly, Vanessa Garcia-Larsen, Deborah Jarvis, Jesus Martinez-Moratalla, Dennis Nowak, Leopoldo Palacios-Gomez, Giulia Squillacioti, Wasif Raza, Margareta Emtner, Judith Garcia-Aymerich
    ERJ Open Research Jan 2021, 7 (1) 00970-2020; DOI: 10.1183/23120541.00970-2020
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