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Changes in mobility in response to public health interventions among asthmatic children. Weekly averages of fraction time spent at home and steps/day, before and during three levels of public health interventions in asthmatic children in Cyprus (A) and Greece (B).

Changes in mobility in response to public health interventions among asthmatic children. Weekly averages of fraction time spent at home and steps/day, before and during three levels of public health interventions in asthmatic children in Cyprus (A) and Greece (B).

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Between March and April 2020, Cyprus and Greece health authorities enforced three escalated levels of public health interventions to control the COVID-19 pandemic. We quantified compliance of 108 asthmatic schoolchildren (53 from Cyprus, 55 from Greece, mean age 9.7 years) from both countries to intervention levels, using wearable sensors to contin...

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... Most publications (19 out of 25, or 76% of publications) included in descriptive synthesis (Table 1), semi-structured synthesis (mmc1), and structured, machine-searchable synthesis (mmc2) utilized mHealth apps, or apps in conjunction with various online platforms or web portals. The remaining publications [31][32][33][34][35][36] utilized combinations of different standalone digital sensors (that is, without integration by an app) or a single digital sensor. ...
... Another publication [33] utilized a standalone device that permitted monitoring adherence to therapy nebulization in pre-school children (mmc1). A third publication [36] applied a standalone device to monitor the physical activity of asthmatic children and their whereabouts during the pandemic restrictions. These standalone devices connected with and transmitted the data to the telemonitoring team via WiFi access (i.e., in the Internet-of-Things manner), once the child returned home. ...
... Interestingly, the latter publication [36] was the only one in the final pool of 25 included publications that specifically addressed asthma management during the COVID-19 pandemic. This publication [36] used standalone devices for monitoring of physical activity of asthmatic children, as well as for ensuring proper compliance with lockdown regulations. ...
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Mobile (m) Health technology is well-suited for Remote Patient Monitoring (RPM) in a patient’s habitual environment. In recent years there have been fast-paced developments in mHealth-enabled pediatric RPM, especially during the COVID-19 pandemic, necessitating evidence synthesis. To this end, we conducted a scoping review of clinical trials that had utilized mHealth-enabled RPM of pediatric asthma. MEDLINE, Embase and Web of Science were searched from September 1, 2016 through August 31, 2021. Our scoping review identified 25 publications that utilized synchronous and asynchronous mHealth-enabled RPM in pediatric asthma, either involving mobile applications or via individual devices. The last three years has seen the development of evidence-based, multidisciplinary, and participatory mHealth interventions. The quality of the studies has been improving, such that 40% of included studies reported were randomized controlled trials. In conclusion, there exists high-quality evidence on mHealth-enabled RPM in pediatric asthma, warranting future systematic reviews and/or meta-analyses of the benefits of such RPM.
... Heterogeneity in the study types was observed as follows: cross-sectional (n = 9; 53%), longitudinal (n = 4; 24%), retrospective (n = 1; 6%), narrative review (n = 1; 6%) and pilot non-randomized studies (n = 2; 12%). Similar heterogeneity was found in participants too in the included studies: pregnant women [27], elderly [24,26], office workers [21], diabetes [18] and children [25]. All the studies were from high-income countries. ...
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... Further reduction in step count and sleep time was found to be positively associated with body mass [19], depression [26] and workplace stress [32]. Various behavior change techniques such as self-efficacy, goal setting, prompt/cues, information and social networking were associated with the compliance of wearable use [24,25,31]. ...
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... These high-frequency words' similarity regarding their co-occurrence matrix have been considered in topic creations. Results also show that wearable sensors can be biosensors connected to the body for assessing different biological elements; therefore, the healthcare system is one of the essential applications [52,90,91]. In fact, the embedding of wearable sensor systems in health treatment procedures reduces the cost of hospitals' daily expenditures. ...
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... In the period of the COVID-19 pandemic, an objective decrease in PA levels has been observed in children with asthma. Using wearable sensors to continuously track personal location and PA, Kouis et al. assessed changes in mobility of asthmatic children in Cyprus and Greece, reporting an overall increase of time spent at home and a decrease of PA level (27). In Israel, a study using an electronic questionnaire submitted during lockdown (March-May 2020) to caregivers of children and adolescents with asthma and other chronic respiratory disorders demonstrated that patients aged >5 years had increased screen time, and decreased PA compared to their younger counterparts (p = 0.008 and p < 0.001, respectively) (28). ...
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Physical activity (PA) has been seen to improve asthma symptoms, lung function, and quality of life, as well as to reduce airway inflammation and bronchial responsiveness. As a consequence of the COVID-19 pandemic, the minimal amount of PA recommended by the World Health Organization—i.e., about 60 min/day of moderate-to-high intensity—is difficult to achieve for many children, particularly those living in urban areas. Short-term changes in PA because of the COVID-19 pandemic may become habitual, increasing the risk of adverse asthma outcomes in children. Indeed, prolonged home confinement during the COVID-19 pandemic reduces PA levels and increases sedentary behaviors, possibly impairing immune system function and increasing susceptibility to inflammatory diseases. However, there is limited evidence regarding the effects of lockdown due to COVID-19 on PA and sedentary behaviors in asthmatic children. Given that children stay longer indoors, indoor air pollution represents a major issue to consider during home confinement. This narrative review aims to summarize the available evidence about the impact of decreased PA and increased sedentary behaviors on children with asthma during the COVID-19 pandemic. In addition, strategies for supporting PA in children with asthma during the COVID-19 pandemic are suggested, also looking at the issue of indoor air quality.
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Prerequisites and purpose of education. The COVID-19 pandemic has created unusual conditions for physical education teachers to work with schoolchildren. Children are forced to spend some time at home, which reduces the time for physical activity. The aim of the work is to track changes in the indicators of speed and strength abilities of children aged 12-13 years during the year in the conditions of mixed and distance learning. Material and methods. Schoolchildren aged 12-13 years took part in the study (Kharkiv, Ukraine; n=31; boys - n=16; girls - n=15). Parental consent was obtained for their children's participation in the study. The following tests were used: “30 meter sprint test, sec.”; “60 meter sprint test, sec.”; “Standing Long Jump Test (Broad Jump), cm”; "Long jump, cm". Assessment of schoolchildren’s speed and strength abilities was conducted at the beginning of the 2020-2021 school year and repeated data – at the beginning of the 2021-2022 school year. The obtained results were analyzed by methods of mathematical statistics: correlation analysis was conducted to identify relationships between the results of control standards of schoolchildren, the reliability of the difference was determined by the Student's criterion. Results. There is a significant decrease in physical activity of children. Trends to reduce the level of development of speed and strength abilities of schoolchildren for the 2020-2021 school year have been identified. There are high and medium correlations between speed and power tests. Conclusions. It is recommended to reduce the number of mandatory control standards in the school of choice between: "30 meter sprint test" - "60 meter sprint test"; “Standing Long Jump Test (Broad Jump)” - “Long jump”.
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Objectives: To prospectively quantify at the community level changes in asthma symptom control and other morbidity indices, among asthmatic schoolchildren in response to coronavirus disease 2019 (COVID-19) lockdown measures. Methods: In Spring 2019 and Spring 2020, we prospectively assessed monthly changes in pediatric asthma control test (c-ACT), asthma medication usage, infections and unscheduled visits for asthma among schoolchildren with active asthma in Cyprus and Greece. We compared asthma symptom control and other morbidity indices before and during lockdown measures, while participants' time spent at home was objectively assessed by wearable sensors. Results: A total of 119 asthmatic children participated in the study during Spring 2020. Compared to a mean baseline (pre-COVID-19 lockdown) c-ACT score of 22.70, adjusted mean increases of 2.58 (95% confidence interval [CI]: 1.91, 3.26, p < 0.001) and 3.57 (95% CI: 2.88, 4.27, p < 0.001) in the 2nd and 3rd monthly assessments were observed after implementation of lockdown measures. A mean increase in c-ACT score of 0.32 (95% CI: 0.17, 0.47, p < 0.001) was noted per 10% increase in the time spent at home. Improvement was more profound in children with severe asthma, while significant reductions in infections, asthma medication usage and unscheduled visits for asthma were also observed. During Spring 2019, 39 children participated in the study in the absence of lockdown measures and no changes in c-ACT or other indices of disease severity were observed. Conclusions: Clinically meaningful improvements in asthma symptom control, among asthmatic schoolchildren were observed during the COVID-19 lockdown measures in Spring 2020. Improvements were independently associated with time spent at home and were more profound in the children with severe asthma.