Pediatric Obesity and Asthma Quality of Life

Velsor-Friedrich, Barbara; Militello, Lisa; Kouba, Joanne; Harrison, Patrick R.; Manion, Amy; Doumit, Rita

doi:10.1016/j.cnur.2013.01.011

Cited by 5 publications

(4 citation statements)

References 50 publications

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“…46,47 Another study in the same cohort found that obesity was a major predictor of poor asthma control based on ACQ scores. 21 In addition, older asthmatics with an elevated BMI had poorer activity domain scores.…”

Section: Discussionmentioning

confidence: 97%

Significant predictors of poor quality of life in older asthmatics

Kannan

Bernstein

et al. 2015

Annals of Allergy, Asthma & Immunology

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Section: Discussionmentioning

confidence: 97%

Significant predictors of poor quality of life in older asthmatics

Kannan

Bernstein

et al. 2015

Annals of Allergy, Asthma & Immunology

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“…Although asthma affects people of all ages, it disproportionately affects children. 5 – 7 Currently, in the US, over 10 million children and adolescents have been diagnosed with asthma, making it the leading chronic childhood illness. 8 Since 1999, children 5–17 years of age have demonstrated the highest prevalence rates with 109.3 per 1000 diagnosed with asthma, compared with 76.8 per 1000 in those over 18 years of age.…”

Section: Introductionmentioning

confidence: 99%

Obesity and asthma: Pathophysiology and implications for diagnosis and management in primary care

Mohanan

Tapp

McWilliams

et al. 2014

Exp Biol Med (Maywood)

120

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The effects of obesity on asthma diagnosis, control, and exacerbation severity are increasingly recognized; however, the underlying pathophysiology of this association is poorly understood. Mainstream clinical practice has yet to adopt aggressive management of obesity as a modifiable risk factor in asthma care, as is the case with a risk factor like tobacco or allergen exposure. This review summarizes existing data that support the pathophysiologic mechanisms underlying the association between obesity and asthma, as well as the current and future state of treatment for the obese patient with asthma. Our review suggests that evidence of chronic inflammatory response linking obesity and asthma indicates a need to address obesity during asthma management, possibly using patient-centered approaches such as shared decision making. There is a need for research to better understand the mechanisms of asthma in the obese patient and to develop new therapies specifically targeted to this unique patient population.

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“…O impacto de doenças crônicas na QV dos indivíduos tem sido alvo de diversas pesquisas [8][9][10]. Neste estudo, quando comparamos a QV dos escolares entre os grupos asma e controle, encontramos diferenças significativas no domínio bem-estar físico e escore total, nos quais o grupo asma apresentou pior QV.…”

Section: Discussionunclassified

“…Embora se conheçam os efeitos negativos das duas doenças sobre a QV, a associação de ambas é um assunto recente [9]. Estudo realizado por Gent et al [10] com crianças entre sete e 10 anos, avaliou o impacto da obesidade e da asma na QV, verificando que crianças portadoras de asma com índice de massa corporal (IMC) elevado apresentaram menores escores de QV quando comparadas às crianças sem essa condição [10].…”

Section: Introductionunclassified

Estado nutricional antropométrico e qualidade de vida em escolares com asma

Mendes

Strassburger

Franz

et al. 2016

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. . Comparando a qualidade de vida entre os grupos, no grupo com asma foram observados escores menores no domínio bem-estar físico (p<0,001) e no escore total de qualidade de vida (p=0,003). Nos escolares com asma e sobrepeso/obesidade, a média do escore no domínio bem-estar físico apresentou-se menor quando comparado ao grupo sem asma e eutrófico (p=0,010). Conclusões: Quando comparados escolares entre sete e 18 anos com e sem história de asma, a asma associou-se com pior qualidade de vida. Considerando-se sobrepeso e obesidade como comorbidades, a qualidade de vida foi pior para esse grupo de escolares no domínio bem-estar físico.DESCRITORES: asma; antropometria; saúde do adolescente; qualidade de vida. ABSTRACTAims: To investigate the relationship between anthropometric status and quality of life in children with asthma. Methods: Case-control study, including students from third to eighth grade of elementary school at the city of Ijuí, Rio Grande do Sul, Brazil. The first phase of the study consisted of a cross-sectional study, when a questionnaire of screening was sent to the students' homes to be completed by the parents or guardians, aiming to identify children with asthma, which were allocated to the group of cases (positive responses to cough, wheezing without colds, use of any medication for asthma in the last 12 months and/or medical diagnosis of asthma). For the control group, students matched by sex and age whose responses were negative for asthma were selected, at the rate of two controls for each case. The children received home visits from trained researchers, who presented to the participants and their parents/guardians a questionnaire about health related quality of life. Evaluation of anthropometric status was carried out at the schools by the researchers. Results: In the first phase od the study 1,691 students were investigated, and 184 (10.8%) were classified as having asthma. Of these, 486 students responded to the questionnaire of quality of life: 122 with asthma and 364 controls. Anthropometric assessment was performed in 414 children (106 cases and 308 controls). Eutrophic children totaled 237 (57.2%), low weight 8 (1.9%), overweight 90 (21.7%) and obese 79 (19.1%). Overweight/obesity was observed in 49 (46.2%) students of the group with asthma and in 120 (38.9%) in the control group (p<0.001). When comparing the quality of life between the groups, lower scores were observed among the asthma group in the physical well-being domain (p<0.001) and in the total score of quality of life (p=0.003). In children with asthma plus overweight/obesity, the mean score on the physical well-being domain was lower when compared to the group without asthma and eutrophic (p=0.010). Conclusions: When comparing students between seven and 18 years with or without history of asthma, ast...

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Pediatric Obesity and Asthma Quality of Life

Cited by 5 publications

References 50 publications

Significant predictors of poor quality of life in older asthmatics

Significant predictors of poor quality of life in older asthmatics

Obesity and asthma: Pathophysiology and implications for diagnosis and management in primary care

Estado nutricional antropométrico e qualidade de vida em escolares com asma

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