Prevalence of obesity in asthma and its relations with asthma severity and control

Forte, Gabriele Carra; Grutcki, Denis Maltz; Menegotto, Samuel Millán; Pereira, Rosemary Petrik; Dalcin, Paulo de Tarso Roth

doi:10.1590/s0104-42302013000600014

Cited by 9 publications

(9 citation statements)

References 33 publications

(30 reference statements)

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“…More than half of the patients were females (54%) and this finding is consistent with studies by Agrawal S et al 11 , Forte GC et al 32 and Sposato B et al 28 . And most of these females were housewives which may have been due to greater exposure to fumes and dust at home where chulas are used for cooking.…”

Section: Discussionsupporting

confidence: 91%

“…From the above table, it is seen that the studies conducted by Gennuso J et al 21 , Tavasoli S et al 30 and Forte GC et al 32 had similar findings with this study. Other studies had lower prevalence compared to this study.…”

Section: 0%supporting

confidence: 87%

“…This finding is consistent with many studies. 30,32 And married asthma patients tend to be more obese than unmarried asthma patients. Duration of asthma had no relation with obesity in this study.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 91%

Section: 0%supporting

confidence: 87%

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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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“…Since the prevalence of asthma and obesity have increased over the last decades, a possible association between these two chronic illnesses is suggested [1–3, 8, 9]. However, literature is inconsistent on the etiology of this association.…”

Section: Introductionmentioning

confidence: 99%

“…It has been suggested that the risk on developing asthmatic symptoms rises with increasing Body mass index (BMI) [1–3]. In addition, some patients demonstrate asthmatic symptoms which are more difficult-to-control with increasing BMI, suggesting a different phenotype [3, 8, 9]. Moreover, the response to asthma medications might be influenced by BMI [3, 9, 10].…”

Section: Introductionmentioning

confidence: 99%

Asthma medication in children who are overweight/obese: justified treatment?

et al. 2019

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Background The prevalence of asthma and obesity have increased over the last decades. A possible association between these two chronic illnesses has been suggested, since the prevalence of asthmatic symptoms rises with increasing Body Mass Index (BMI). However, asthma is only one of several possible causes of shortness of breath in obese children. The aim of this study is to evaluate the prevalence of overtreatment with asthma medication in a cohort overweight/obese children with respiratory symptoms visiting a pediatric outpatient clinic. Methods Children referred to a pediatric outpatient clinic aged ≥4- ≤ 18 years with overweight/obesity (defined as BMI-sds > 1.1) and asthmatic symptoms were included. The diagnosis asthma was evaluated and classified in no, unlikely, probable and confirmed asthma, based on clinical parameters and/or spirometry results. Overtreatment was defined as asthma medication prescribed in participants classified as no or unlikely asthma. And undertreatment as probable or confirmed asthma without asthma medication prescribed . Results Three hundred thirty-eight participants were included, of which 92.6% (313/338) had a prescription for asthma medication. Overtreatment was observed in 27.2% (92/338) participants. Nine participants were undertreated. Conclusion More than 25% overtreatment with asthma medication was observed in a cohort overweight/obese children with asthmatic symptoms. This finding emphasizes that the diagnosis of asthma must be confirmed before commencement of medication. The diagnosis of asthma should be based on standard questionnaires evaluating asthmatic symptoms, lung functions test and regular reassessments. Further studies concerning overtreatment with asthma medication in normal weight pediatric populations are warranted, to evaluate whether overtreatment is specific for overweight/obese children.

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Asthma control and care among six public health clinic attenders in Malaysia: A cross‐sectional study

Hussein

Liew

Hanafi

et al. 2023

Health Science Reports

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Background and Aims Asthma is common in Malaysia but neglected. Achieving optimal asthma control and care is a challenge in the primary care setting. In this study, we aimed to identify the risk factors for poor asthma control and pattern of care among adults and children (5–17 years old) with asthma attending six public health clinics in Klang District, Malaysia. Methods We conducted a cross‐sectional study collecting patients’ sociodemographic characteristics, asthma control, trigger factors, healthcare use, asthma treatment, and monitoring and use of asthma action plan. Descriptive statistics and stepwise logistic regression were used in data analysis. Results A total of 1280 patients were recruited; 85.3% adults and 14.7% children aged 5–17 years old. Only 34.1% of adults had well‐controlled asthma, 36.5% had partly controlled asthma, and 29.4% had uncontrolled asthma. In children, 54.3% had well‐controlled asthma, 31.9% had partly controlled, and 13.8% had uncontrolled asthma. More than half had experienced one or more exacerbations in the last 1 year, with a mean of six exacerbations in adults and three in children. Main triggers for poor control in adults were haze (odds ratio [OR] 1.51; 95% confidence interval [CI] 1.13–2.01); cold food (OR 1.54; 95% CI 1.15–2.07), extreme emotion (OR 1.90; 95% CI 1.26–2.89); air‐conditioning (OR 1.63; 95% CI 1.20–2.22); and physical activity (OR 2.85; 95% CI 2.13–3.82). In children, hot weather (OR 3.14; 95% CI 1.22–8.11), and allergic rhinitis (OR 2.57; 95% CI 1.13–5.82) contributed to poor control. The majority (81.7% of adults and 64.4% of children) were prescribed controller medications, but only 42.4% and 29.8% of the respective groups were compliant with the treatment. The importance of an asthma action plan was reported less emphasized in asthma education. Conclusion Asthma control remains suboptimal. Several triggers, compliance to controller medications, and asthma action plan use require attention during asthma reviews for better asthma outcomes.

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Prevalence of obesity in asthma and its relations with asthma severity and control

Abstract: This study showed a high prevalence of obesity in asthmatic patients. Obese and non-obese subjects were similar in regard to asthma severity and level of asthma control. Female sex was associated with obesity in this asthma population.

Cited by 9 publications

References 33 publications

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

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

Asthma medication in children who are overweight/obese: justified treatment?

Asthma control and care among six public health clinic attenders in Malaysia: A cross‐sectional study

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