Which of the following can significantly interfere with asthma management?

Stress and anxiety can significantly interfere with asthma management because they can lead to increased airway hyperreactivity and trigger asthma symptoms. When an individual experiences stress, the body's response includes the release of stress hormones such as cortisol and adrenaline. These changes can cause bronchoconstriction, making it more difficult for individuals with asthma to breathe. Additionally, stress and anxiety can affect a person's commitment to adhering to their asthma action plan, including medication use and avoidance of triggers.

In contrast, regular monitoring and proper medication use are essential components of asthma management that help to maintain control of the condition. Regular monitoring allows individuals and healthcare providers to identify worsening asthma and make necessary adjustments to the treatment plan. Proper medication use ensures that asthma medications effectively reduce inflammation and prevent symptoms. Physical activity, while it can be a trigger for some, is generally beneficial for people with asthma when managed appropriately, as it can improve overall lung function and fitness levels.