Physical Activity Frequency and Health-Related Quality of Life in Spanish Children and Adolescents with Asthma: A Cross-Sectional Study

Association between Asthma and Lower Levels of Physical Activity: Results of a Population-Based Case-Control Study in Spain

(1) Background: Our aim was to determine changes in the prevalence of physical activity (PA) in adults with asthma between 2014 and 2020 in Spain, investigate sex differences and the effect of other variables on adherence to PA, and compare the prevalence of PA between individuals with and without asthma. (2) Methods: This study was a cross-sectional, population-based, matched, case-control study using European Health Interview Surveys for Spain (EHISS) for 2014 and 2020. (3) Results: We identified 1262 and 1103 patients with asthma in the 2014 and 2020 EHISS, respectively. The prevalence of PA remained stable (57.2% vs. 55.7%, respectively), while the percentage of persons who reported walking continuously for at least 2 days a week increased from 73.9% to 82.2% (p < 0.001). Male sex, younger age, better self-rated health, and lower body mass index (BMI) were significantly associated with greater PA. From 2014 to 2020, the number of walking days ≥2 increased by 64% (OR1.64 95%CI 1.34-2.00). Asthma was associated with less PA (OR0.87 95%CI 0.47-0.72) and a lower number of walking days ≥2 (OR0.84 95%0.72-0.97). (4) Conclusions: Walking frequency improved over time among people with asthma. Differences in PA were detected by age, sex, self-rated health status, and BMI. Asthma was associated with less LTPA and a lower number of walking days ≥2.

Characteristics and Spatial-Temporal Differences of Urban "Production, Living and Ecological" Environmental Quality in China

The article analyses the spatial and temporal differences in the environmental quality of production, living and ecology of 285 cities in China from 2010 to 2020 by using the entropy method, the Theil index and correlation analysis. The study concludes the following: (1) in terms of overall differences, the overall differences in the "production, living and ecological" environmental quality indices of 285 cities during the study period undergo a process of "narrowing-widening-narrowing". The differences within the four major zones of the country are higher than those between the four major zones, and the differences within the zones show an increasing trend year by year. (2) In terms of temporal differences, the combined scores of "production, living and ecological" environmental quality of the 285 cities in the study period show a decreasing trend, and the contribution of the PLE subsystem scores are, in descending order, production environmental quality > living environmental quality > ecological environmental quality. (3) In terms of overall ranking, the head effect of the combined production, living and ecological environmental quality (PLE) scores of cities in the study period is significant, and the top 10 cities in terms of combined scores are all small and medium-sized cities with significant regionalization characteristics. (4) In terms of spatial pattern, there is a significant spatial gradient in the east, central and western regions, with the overall PLE scores of the four major regions in descending order: eastern region > central region > western region > northeastern region. The regions with high scores in the "production, living and ecological" environmental quality of cities can be divided into three types: multi-core, dual-core and single-core. (5) In terms of influencing factors, there is a logarithmic curve relationship between the combined production, living and ecological environmental quality (PLE) score and the built-up area (BUA) of cities. The study proposes to optimize the layout of urban production, strengthen the industrial links of urban clusters, improve the level of public services, ensure the equalization of urban public services, strengthen the management of ecological environment and improve the quality of ecological environment in order to optimize the quality of urban "production, living and ecological" environment.