Obesity and asthma: An association modified by age

Barcala, Francisco Javier González; Pértega, Sonia; Pérez-Castro, Teresa-Rosalía; Sampedro, Manuel; Sánchez-Lastres, Juan Manuel; San-José-González, Miguel Ángel; Bamonde, Luis; Garnelo, Luciano; Valdés-Cuadrado, Luís; Moure, Jose Domingo; Carreira, José M.; López-Silvarrey, Angel

doi:10.1016/j.aller.2012.05.011

Cited by 7 publications

(6 citation statements)

References 36 publications

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“…We found that overweight/obese preschool-age children were more than twice as likely as lean preschool-age children to have multiple ED visits, which is supported by other studies demonstrating an increased influence of obesity on asthma at younger ages. [40][41][42] Asthma and obesity affect many children, especially those in urban environments. 5 Although asthma is a common and costly cause for pediatric hospitalization, additional research to clarify the impact of obesity on asthma admission outcomes may help drive asthma prevention and treatment.…”

Section: Discussionmentioning

confidence: 99%

Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus

Aragona

El-Magbri

Wang

et al. 2016

Hospital Pediatrics

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A B S T R A C T BACKGROUND AND OBJECTIVE:The prevalence of both childhood asthma and obesity remain at historically high levels and disproportionately affect urban children. Asthma is a common and costly cause for pediatric hospitalization. Our objective was to determine the effect of obesity on outcomes among urban children hospitalized with status asthmaticus. METHODS:A retrospective cohort study was performed by using billing system data and chart review to evaluate urban children admitted for asthma. Demographics, asthma severity, reported comorbidities, and outcomes were assessed. Obesity was defined by BMI percentile (lean ,85%, overweight 85%-95%, obese $95%). Outcomes were length of stay, hospitalization charges, ICU stay, repeat admissions, and subsequent emergency department (ED) visits. Bivariate analysis assessed for differences between overweight/obese and lean children. Multivariable regression assessed the relationship between overweight status and primary outcomes while controlling for other variables. Post hoc age-stratified analysis was also performed. RESULTS:The study included 333 subjects; 38% were overweight/obese. Overweight/obese children admitted with asthma were more likely than lean children to have subsequent ED visits (odds ratio 1.6, 95% confidence interval 1.0-2.6). When stratified by age, overweight/obese preschool-age children (,5 years) were .2 times as likely to have repeat ED visits than lean preschool-age children (odds ratio 2.3, 95% confidence interval 1.0-5.6). There were no differences in the other outcomes between overweight/obese and lean individuals within the entire cohort or within other age groups.

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Section: Discussionmentioning

confidence: 99%

Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus

Aragona

El-Magbri

Wang

et al. 2016

Hospital Pediatrics

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“…Also Ostrom et al found that obesity is common in adolescents with poorly controlled asthma [31]. Gonzalez-Barcala FJ [33] et al in their studies, observed a correlation between body weight and symptoms of asthma and exercise-induced bronchoconstriction. In our study, obesity was found to be a marginal problem.…”

Section: Discussionmentioning

confidence: 95%

School environmental factors are predictive for exercise-induced symptoms in children

Stelmach

Cichalewski

Majak

et al. 2016

Respiratory Medicine

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“…But in the study by Tavasoli S et al 30 and Forte GC et al 32 mean age was higher ie, 46.5 years and 51.1 years respectively. Gonzalez Barcala FJ et al 17 concluded that obesity was associated with a higher prevalence of asthma in young children but not in adolescents. This similar finding is observed in this study, none of the adolescents were obese.…”

Section: Discussionmentioning

confidence: 99%

A Study of Prevalence of Obesity in Patients of Bronchial Asthma Attending The Chest Department At Rims,Imphal,Manipur.India.

Paley¹,

Sunanda²,

Seilaja³

et al. 2016

IOSR

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Obesity and asthma: An association modified by age

Abstract: Obesity was associated with a higher prevalence of asthma in young children, but not in adolescents.

Cited by 7 publications

References 36 publications

Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus

Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus

School environmental factors are predictive for exercise-induced symptoms in children

A Study of Prevalence of Obesity in Patients of Bronchial Asthma Attending The Chest Department At Rims,Imphal,Manipur.India.

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