Downloaded from http://journals.lww.com/jbisrir by BhDMf5ePHKbH4TTImqenVA+lpWIIBvonhQl60EtgtdlLYrLzSPu+hQedJnbNaXBf on 12/09/2020 Physical activity experiences of children and adolescents with asthma: a qualitative systematic review protocol Thomas Westergren 1  Mette Spliid Ludvigsen 2,3,4  A ˚ sa Audulv 5  Hanne Aagaard 6,7  Elisabeth O.C. Hall 8,9  Mona Kyndi Pedersen 10  Liv Fegran 1,11 1 Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway, 2 Department of Clinical Medicine, Randers Regional Hospital, Aarhus University, Aarhus, Denmark, 3 Danish Centre of Systematic Reviews: A JBI Centre of Excellence, Aalborg, Denmark, 4 Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway, 5 Department of Nursing, Umea University, Umea, Sweden, 6 Institute of Public Health, Aarhus University, Denmark, 7 Lovisenberg Diaconal University College, Oslo, Norway, 8 Section of Nursing, Department of Public Health, Health, Aarhus University, Denmark, 9 Faculty of Health Sciences and Nursing, University of Faroe Islands, Thorshavn, Faroe Islands, 10 Centre for Clinical Research North Denmark Regional Hospital, Hjørring, Denmark, and 11 Department of Paediatrics, Southern Norway Hospital, Kristiansand, Norway ABSTRACT Objective: The objective of the review is to synthesize existing knowledge about experiences of children and adolescents with asthma related to participation in, or limitation of, physical activity. Introduction: Limitations of physical activity, expressed as a barrier of bodily movement, may relate to physiologi- cal restraints, as well as emotional and social delimitation, in children and adolescents with asthma. Participation in physical activity is related to management of asthma and is important for social inclusion. Through childhood and adolescence, physical activity enhances physical, cognitive, and social development, and a dose-response relation- ship between physical activity and several indicators of improved health has been established. Knowledge is needed about experiences of physical activity in children and adolescents with asthma to tailor care and implement exercise and physical activity supporting interventions into clinical practice. Inclusion criteria: This review will consider qualitative studies that include subjective experiences related to participation in, or limitation of, physical activity in children and adolescents (six to 18 years of age) with asthma. All contexts and countries will be included. Methods: MEDLINE, Embase, PsycINFO, CINAHL, SPORTDiscus, SocINDEX, and Social Science Citation Index List will be searched for relevant studies. Studies published in English with no date limitation will be included. Study selection, assessment of methodological quality, data extraction, synthesis, and assessment of confidence in the findings will be conducted using the JBI meta-aggregation approach. Systematic review registration number: PROSPERO CRD42020164797 Keywords asthma; developmental transition; exercise limitation; participation in physical activity; qualitative research synthesis JBI Evid Synth 2020; 18(11):2390–2395. Introduction A sthma is defined as ‘‘a chronic inflammatory disorder associated with variable airflow obstruction and bronchial hyperresponsiveness. It presents with recurrent episodes of wheeze, cough, shortness of breath, and chest tightness.’’ 1(p.978) Between 20% and 50% of children with asthma at 10 years of age reported that the disease limited their physical activity (PA). 2,3 Westergren et al. 2 reported that perceived limitation was associated with more severe or less-controlled asthma as well as more severe bronchial hyperresponsiveness, aller- gies, and weight issues. Children and adolescents themselves may report emotional and social discom- fort during PA that exceeds physical discomfort. 4 In the everyday life of children and adolescents with asthma, PA takes place in active play, daily trans- portation, physical education, and organized sports. Limitations of PA may therefore influence their Correspondence: Thomas Westergren, thomas.westergren@uia.no The authors declare no conflict of interest. DOI: 10.11124/JBIES-20-00004 JBI Evidence Synthesis ß 2020 JBI 2390 SYSTEMATIC REVIEW PROTOCOL © 2020 JBI. Unauthorized reproduction of this article is prohibited.