Asthma and overweight/obese: double trouble for urban children

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
Elise N WiesenthalJill Halterman

Abstract

To evaluate the effects of overweight/obese versus normal weight on symptoms, activity limitation and health care utilization among a group of urban children with persistent asthma. Data were obtained from the School Based Asthma Therapy trial. We enrolled 530 children ages 3-10 with persistent asthma from 2006 to 2009 (response rate: 74%). We conducted in-home interviews to assess symptoms and health care utilization. We measured height and weight in school nurse offices to determine BMI percentile, and compared normal weight children to overweight/obese (BMI >85th percentile) children. Bivariate and multivariate analyses were used. We collected BMI data from 472 children (89%); 49% were overweight/obese. When controlling for child race, child ethnicity, intervention group, caregiver age and screen time, overweight/obese children had more days with asthma symptoms (4.25 versus 3.42/2 weeks, p = 0.035) and more activity limitation (3.43 versus 2.55/2 weeks, p = 0.013) compared to normal weight children. Overweight/obese children were more likely to have had an ED visit or hospitalization for any reason (47% versus 36%, OR 1.5, 95% CI 1.01, 2.19), and there was a trend for overweight/obese children to have more acute asthma visi...Continue Reading

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Citations

Jun 7, 2018·Thorax·Audrey BueloUNKNOWN ARC Group
Aug 15, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Christine L SchulerGurjit K Khurana Hershey
Mar 4, 2020·International Journal of Environmental Research and Public Health·Lijuan LaiYajun Chen
Nov 8, 2018·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·Masoud MahdavianJordan C Pike
Aug 18, 2017·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·Tatiana I EliseevaStanislav K Ignatov
Jan 1, 2021·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Josette M Bianchi-HayesSusmita Pati
Mar 23, 2021·Journal of Pediatric Psychology·Daphne Koinis-MitchellElissa Jelalian
Apr 9, 2021·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Houlin HongJosette M Bianchi-Hayes
May 13, 2021·American Journal of Respiratory and Critical Care Medicine·Asja KunøeHans Bisgaard

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