Association of overweight with asthma symptoms in Japanese school children

Pediatrics International : Official Journal of the Japan Pediatric Society
Yoshie OkabeToshio Miyawaki

Abstract

Most studies regarding the association of obesity with asthma have been performed in the Western countries. This study is a nationwide survey conducted in Japan. A cross-sectional and questionnaire-based survey was performed among children aged 6-7, 13-14, and 16-17 years, using the ISAAC questionnaire. Overweight was defined as BMI ≥ 90th according to the reference values for Japanese children obtained during 1978-1981. Of a total of 179 218 children, 149 464 replied to the questionnaire (response rate 83.4%). After omitting incomplete data, 139 117 were analyzed. In all the age groups, being overweight was associated with current asthma after adjustment for confounding factors (adjusted OR: 1.24 in children 6-7 years of age, 1.31 in those 13-14 years, and 1.32 in those 16-17 years). These tendencies were observed in both genders. Overweight was a risk factor for nocturnal cough, independent of current asthma in the older age groups (adjusted OR: 1.21 in children 13-14 years, and 1.17 in those 16-17 years). There is a clear association between obesity and current asthma in Japanese school-aged children. Mechanisms through which obesity related with nocturnal cough might be different from those of obesity-associated asthma.

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Citations

May 23, 2012·Pulmonary Pharmacology & Therapeutics·Olga SidelevaAnne E Dixon
May 5, 2012·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Osamu HiguchiToshio Miyawaki
Feb 18, 2012·Pediatrics International : Official Journal of the Japan Pediatric Society·Michela SilvestriGiorgio Ciprandi
Mar 1, 2012·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Yoshie OkabeToshio Miyawaki
Dec 16, 2011·Pediatrics International : Official Journal of the Japan Pediatric Society·Ichiro KunitsuguTatsuya Hobara
Sep 25, 2014·Pediatrics International : Official Journal of the Japan Pediatric Society·Yuhei HamasakiShigemi Yoshihara
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Sep 3, 2014·Allergology International : Official Journal of the Japanese Society of Allergology·Yuhei HamasakiUNKNOWN Japanese Society of Pediatric Allergy and Clinical Immunology
Apr 25, 2014·Allergology International : Official Journal of the Japanese Society of Allergology·Yoko MurakamiAkira Akasawa
Sep 14, 2014·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Koichi YoshidaAkira Akasawa
Jan 22, 2017·Allergology International : Official Journal of the Japanese Society of Allergology·Hirokazu ArakawaUNKNOWN Japanese Society of Pediatric Allergy and Clinical Immunology, The Japanese Society of Allergology
Feb 15, 2013·American Journal of Rhinology & Allergy·Osamu HiguchiToshio Miyawaki
May 6, 2019·NPJ Primary Care Respiratory Medicine·Janneke van LeeuwenMarienke van Middelkoop
Mar 7, 2012·Current Opinion in Allergy and Clinical Immunology·Megan E JensenPeter G Gibson
Apr 7, 2021·Environmental Health and Preventive Medicine·Koichiro HayashiHiroyuki Nakamura

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