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The longitudinal association between asthma severity and physical fitness by neighborhood factors among New York City public school youth.

Publication ,  Journal Article
Kumar, A; Zhang, S; Neshteruk, CD; Day, SE; Konty, KJ; Armstrong, S; Skinner, AC; Lang, JE; D'Agostino, EM
Published in: Ann Epidemiol
December 2023

PURPOSE: This paper aims to examine the association between asthma severity and one-year lagged fitness in New York City Public school youth by neighborhood opportunity. METHODS: Using the Child Opportunity Index 2.0 and individual-level repeated measures NYC Office of School Health (OSH) fitness surveillance data (2010-2018), we ran multilevel mixed models stratified by neighborhood opportunity, adjusting for sex, race/ethnicity, grade level, poverty status, and time. Asthma severity was based on a physician-completed Asthma Medication Administration Form (MAF) from each school year and drawn from the Automated Student Health Record (ASHR). RESULTS: Across all youth in grades 4-12 (n = 939,598; 51.7 % male; 29.9 % non-Hispanic Black, 39.3 % Hispanic; 70.0 % high poverty), lower neighborhood opportunity was associated with lower subsequent fitness. Youth with severe asthma and very low and low neighborhood opportunity had the lowest 1-year lagged fitness z-scores - 0.24 (95 % CI, -0.34 to -0.14) and - 0.26 (95 % CI, -0.32 to -0.20), respectively, relative to youth with no asthma and very high opportunity. CONCLUSIONS: An inverse longitudinal relationship between asthma severity and subsequent fitness was observed. Study findings have implications for public health practitioners to promote physical activity and improved health equity for youth with asthma, taking neighborhood factors into account.

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Published In

Ann Epidemiol

DOI

EISSN

1873-2585

Publication Date

December 2023

Volume

88

Start / End Page

37 / 42

Location

United States

Related Subject Headings

  • Residence Characteristics
  • Poverty
  • Physical Fitness
  • New York City
  • Male
  • Humans
  • Female
  • Exercise
  • Epidemiology
  • Child
 

Citation

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Kumar, A., Zhang, S., Neshteruk, C. D., Day, S. E., Konty, K. J., Armstrong, S., … D’Agostino, E. M. (2023). The longitudinal association between asthma severity and physical fitness by neighborhood factors among New York City public school youth. Ann Epidemiol, 88, 37–42. https://doi.org/10.1016/j.annepidem.2023.11.003
Kumar, Advika, Sue Zhang, Cody D. Neshteruk, Sophia E. Day, Kevin J. Konty, Sarah Armstrong, Asheley C. Skinner, Jason E. Lang, and Emily M. D’Agostino. “The longitudinal association between asthma severity and physical fitness by neighborhood factors among New York City public school youth.Ann Epidemiol 88 (December 2023): 37–42. https://doi.org/10.1016/j.annepidem.2023.11.003.
Kumar A, Zhang S, Neshteruk CD, Day SE, Konty KJ, Armstrong S, et al. The longitudinal association between asthma severity and physical fitness by neighborhood factors among New York City public school youth. Ann Epidemiol. 2023 Dec;88:37–42.
Kumar, Advika, et al. “The longitudinal association between asthma severity and physical fitness by neighborhood factors among New York City public school youth.Ann Epidemiol, vol. 88, Dec. 2023, pp. 37–42. Pubmed, doi:10.1016/j.annepidem.2023.11.003.
Kumar A, Zhang S, Neshteruk CD, Day SE, Konty KJ, Armstrong S, Skinner AC, Lang JE, D’Agostino EM. The longitudinal association between asthma severity and physical fitness by neighborhood factors among New York City public school youth. Ann Epidemiol. 2023 Dec;88:37–42.
Journal cover image

Published In

Ann Epidemiol

DOI

EISSN

1873-2585

Publication Date

December 2023

Volume

88

Start / End Page

37 / 42

Location

United States

Related Subject Headings

  • Residence Characteristics
  • Poverty
  • Physical Fitness
  • New York City
  • Male
  • Humans
  • Female
  • Exercise
  • Epidemiology
  • Child