Obesity and the risk of chronic rhinosinusitis, allergic rhinitis, and acute otitis media in school‐age children

Sidell, Douglas; Shapiro, Nina L.; Bhattacharyya, Neil

doi:10.1002/lary.24038

Cited by 55 publications

(60 citation statements)

References 18 publications

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“…However, findings among studies that examine the association between obesity and sinus infection are inconsistent. Two studies have suggested that children with obesity are at an increased risk of having had a sinus infection ; however, another study by Sidell et al did not observe this association in a larger population of children. One study also suggests that adults are at a greater risk of having had both chronic and allergic sinusitis ; however, none of the three previous studies adjusted for other immune system factors that are known to be associated with obesity.…”

Section: Discussionmentioning

confidence: 92%

The association between obesity and self‐reported sinus infection in non‐smoking adults: a cross‐sectional study

et al. 2016

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The aim of this article was to examine the associations between having had a sinus infection (SI) and BMI and physical activity (PA), diet quality, stress and/or sleep. A total of 2915 adults from the National Health and Nutrition Examination Survey 2005-2006 were examined. Logistic regression analysis was used to examine the association between having had an SI with BMI and PA, diet quality, stress or sleep. As these factors are known to influence one another, a fully adjusted model with PA, diet quality, stress and sleep was also constructed to examine their independent associations with having had an SI. Overall, 15.5 ± 1.2% of the population report having had an SI in the past year. In all models, individuals with obesity were approximately twice as likely to have had an SI compared to those of normal weight (P < 0.05). While PA and diet quality were not significantly associated with having had an SI (P > 0.05), individuals with stress and sleep troubles were also twice as likely to have had an SI (P < 0.05) independent of BMI. In the fully adjusted model, only the associations for BMI and sleep troubles remained significant (P < 0.05). Results from this study suggest that obesity and sleep troubles, but not PA, quality of diet and stress, are associated with having had an SI. As interactions exist between obesity, immune system factors and exposure to infectious disease(s), more research is necessary to understand the directionality of these relationships.

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Section: Discussionmentioning

confidence: 92%

The association between obesity and self‐reported sinus infection in non‐smoking adults: a cross‐sectional study

et al. 2016

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“…The results of previous studies on the relationships between overweight and allergic rhinitis are not consistent. Certain studies have reported overweight as the risk factor for allergic rhinitis [14], whereas others have reported no associations between overweight and allergic rhinitis [36]. As a comorbidity of asthma, allergic rhinitis is a sequela of atopic diseases incident at the age of approximately 9-17 years.…”

Section: Discussionmentioning

confidence: 99%

Growth trajectories and asthma/rhinitis in children: a longitudinal study in Taiwan

et al. 2016

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Studies have reported the effect of body weight in early childhood on asthma. However, the effect of growth patterns during school age on asthma and rhinitis has yet to be explored. We sought to investigate whether various growth patterns predict incident asthma and rhinitis.We conducted a nationwide longitudinal study (Taiwan Children Health Study) in 14 Taiwanese communities. Body mass index (BMI) z-scores of 4422 children aged 6-11 years were collected annually and distinct growth trajectory classes were identified using a latent generalised mixture model. Pulmonary function and exhaled nitric oxide fraction (F) levels were also measured. Whether different growth trajectory classes predict incident asthma and rhinitis at age 12, 15 and 18 years was determined using a discrete time hazard model.Four growth trajectory classes were identified. Persistently overweight children exhibited significantly increased risks of asthma and rhinitis at age 12 years. Furthermore, being persistently overweight had a long-term effect on incident asthma (hazard ratio 2.47, 95% CI 1.18-5.12) and rhinitis (hazard ratio 1.44, 95% CI 1.12-1.84) in adolescence and early adulthood. Children in high BMI classes exhibited significantly lower pulmonary functions compared with normal growth children. F levels were lower in children in the high BMI classes and higher in children showing declining obesity compared with normal growth children.Persistently overweight children exhibited incident asthma and rhinitis in adolescence and early adulthood.

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“…Over the past several decades, the prevalence of obesity in children has increased concurrently with allergic diseases, such as asthma, allergic rhinitis (AR), and atopic dermatitis (AD) . However, the direct relationship between diverse allergic diseases and obesity has varied in different studies . Specifically, numerous studies have shown a relationship between an increased body mass index (BMI) and asthma, especially in girls .…”

Section: Introductionmentioning

confidence: 99%

Association of leptin with disease severity and inflammation indicators in Chinese obese children with allergic rhinitis

Liu

Zeng

Zhou

et al. 2018

Pediatric Allergy Immunology

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Obesity and the risk of chronic rhinosinusitis, allergic rhinitis, and acute otitis media in school‐age children

Abstract: 2C.

Cited by 55 publications

References 18 publications

The association between obesity and self‐reported sinus infection in non‐smoking adults: a cross‐sectional study

The association between obesity and self‐reported sinus infection in non‐smoking adults: a cross‐sectional study

Growth trajectories and asthma/rhinitis in children: a longitudinal study in Taiwan

Association of leptin with disease severity and inflammation indicators in Chinese obese children with allergic rhinitis

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