1020 Moving medicine: promoting increased physical activity in children and adolescents with asthma through evidence based information leaflets

Abstract

<h3>Aims</h3> To assess the effect of physical activity interventions on childhood asthmatics with a view to the creation of information leaflets for patients, parents, carers and teachers to help promote physical activity. Asthma is the most common lung condition in the United Kingdom with 1 in 11 children receiving treatment (1). It is an important cause of impaired quality of life and hospital admission. For children and adolescents with asthma, there can often be anxiety or concerns around being physically active. The aims were to review the benefits, risks and to identify motivating factors and barriers to physical activity (PA) in this condition. Based on these results, production of accessible, asthma specific information for PA was planned. These could be used by clinicians and allied health professionals to facilitate physical activity in patients. <h3>Methods</h3> A systematic review was initially carried out. A literature search using key words and Medical Sub-Heading terms was performed. Studies selected included English language, original data, paediatric populations below 18 years old and physical activity interventions. PRISMA guidelines were followed and studies were assessed by two independent reviewers. The Oxford Centre of Evidence- Based medicine model was used to assess the level of evidence. A summary statement for each benefit of PA in asthma was produced. These findings were reviewed by an external validation committee of experts in PA. Multi-disciplinary expert focus groups were then carried out to discuss common concerns around PA reported by patients with asthma and how these may be appropriately addressed. Leaflets were created using a combination of the above information and formatted by Moving Medicine. Online focus group feedback was sought from teachers, parents and carers. <h3>Results</h3> Out of 4483 studies identified, 20 were deemed appropriate to include. 40% were randomised controlled trials (1B) and 35% outcome based cohort studies (2C). Physical activity interventions were shown by 8 studies to improve quality of life outcomes and by 9 studies to increase cardiovascular fitness and physical capacity. Regular physical activity did not have a negative effect on exercise induced bronchospasm or exacerbation of asthma symptoms. Three clear points emerged from the parent and teacher feedback with regards to presenting the summarised evidence in leaflets from a child’s perspective: ‘Physical activity is good for me:’ (Benefits were listed.) ‘Physical activity is safe for me:’ (Information provided to deal with common concerns, such as feeling out of breath.) ‘There are things you can do to help:’ (Specific information to include, such as making sure inhalers and spacers are nearby by when being physically active.) <h3>Conclusion</h3> Physical activity interventions in young people with asthma have positive effects such as improving quality of life, reduction in asthma symptoms and improved cardiovascular fitness. Regular physical activity should be encouraged with barriers to exercise being explored and addressed. The leaflets produced by Moving Medicine provide a clear mode for both young people and care givers to help safely facilitate PA. They can be used by healthcare professionals to promote awareness and engagement in PA. <h3>Reference</h3> Asthma UK