Background: Anxiety and depression are co-morbidities that affect symptom control in children with asthma and are often overlooked in busy practice. Objectives: To find out the proportion of children with asthma who have co-morbid anxiety and depression, to study the association of co-morbid anxiety and depression on symptom control and to study the clinic-sociodemographic factors associated with anxiety and depression in children with asthma. Methods: Assuming 13% prevalence of anxiety and depression, with 95% confidence level and 5% absolute precision, a total of 176 children with asthma aged 6 years and above were enrolled from the asthma clinic. Clinical and sociodemographic details were collected for all. Symptom control was assessed using asthma control test questionnaire. Center for epidemiological studies-depression scale for children and screen for child anxiety related emotional disorders was used to assess depression and anxiety, respectively. Association of independent variables with outcome variables was assessed using χ 2. Statistical tests were done using SPSS version 26. Results: Out of the 176 children enrolled, 13.1%, 8%, and 16.5% had anxiety, depression, and combined anxiety and depression, respectively. A higher proportion of children with uncontrolled asthma had depression and combined anxiety and depression than children with controlled asthma. Conclusion: Combined anxiety and depression was more common than either anxiety or depression alone and along with depression, was significantly associated with uncontrolled symptoms.
Background There is paucity of regional data regarding food allergy among children with asthma. Objectives To estimate the proportion of children with asthma who have food‐related respiratory symptoms and to correlate it with (a) skin prick test (SPT) results and (b) level of asthma control. Methodology This cross‐sectional study involved children with asthma, aged ≥6 years attending the childhood asthma clinic in a tertiary care hospital, in the southern part of India from July 2017 to July 2019. Basic demography and clinical details were recorded. In subjects with a history of food allergy, skin prick test (SPT) was done using AllergoSPT according to guidelines recommended by British Society of Allergy and Clinical Immunology (BSACI). Asthma control was assessed using asthma control test (ACT) and childhood ACT questionnaires. Results Of the total 305 children included, the most commonly reported allergen was banana (45%, n = 137). The predominant symptom reported was wheezing (54%). SPT was positive in 76 children (24.9%). Level of asthma control ( P value < .01), family history of atopy ( P value < .01), and age at introduction of complementary foods ( P value < .01) were significantly associated with food allergy. Conclusion Presumed food allergy is seen in one‐fourth of children with asthma and significantly affects symptom control in them.
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