Variability in Childhood Asthma and Body Mass Index Across Northern Plains American Indian Communities

Noonan, Curtis W.; Brown, Blakely; Bentley, Bonnie; Conway, Kathrene; Corcoran, Mary; FourStar, Kris; Freide, Priscilla; Hemlock, Bethany; Wagner, Sharon; Wilson, Todd

doi:10.3109/02770901003759436

Cited by 26 publications

(24 citation statements)

References 28 publications

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“…In this report, Noonan et al . observed that overweight and obese youth were 1.72 times as likely to have current asthma compared to those of normal weight (28), an estimate nearly identical to those we reported in our study for overweight and obese youth, respectively.…”

Section: Discussionsupporting

confidence: 89%

“…Specifically, these investigators found that youth with asthma were 1.34 times as likely to be overweight, and 1.51 times as likely to be obese (12); these estimates of association are relatively similar to those we report in our study. Despite our modest American Indian/ Native Alaskan sample size (n = 610), which limited our power to detect associations in some BMI groups, our findings of increased asthma prevalence among obese American Indian/ Alaskan Native youth are highly consistent with a recent study conducted in 1,852 children from Northern Plains American Indian communities (28). In this report, Noonan et al observed that overweight and obese youth were 1.72 times as likely to have current asthma compared to those of normal weight (28), an estimate nearly identical to those we reported in our study for overweight and obese youth, respectively.…”

Section: Discussionsupporting

confidence: 86%

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Higher Prevalence of Obesity Among Children With Asthma

Black

Smith

Porter

et al. 2012

Obesity

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The aim of this study is to investigate the association between childhood obesity and asthma, and whether this relationship varies by race/ethnicity. For this population-based, cross-sectional study, measured weight and height, and asthma diagnoses were extracted from electronic medical records of 681,122 patients aged 6–19 years who were enrolled in an integrated health plan 2007–2009. Weight class was assigned based on BMI-for-age. Overall, 18.4% of youth had a history of asthma and 10.9% had current asthma. Adjusted odds of current asthma for overweight, moderately obese, and extremely obese youth relative to those of normal weight were 1.22 (95% confidence interval (CI): 1.20, 1.24), 1.37 (95% CI: 1.34, 1.40), and 1.68 (95% CI: 1.64, 1.73), respectively (P trend < 0.001). Black youth are nearly twice as likely (adjusted odds ratio (OR) = 1.93, 95% CI: 1.89, 1.99), and Hispanic youth are 25% less likely (adjusted OR = 0.75, 95% CI: 0.74, 0.77), to have current asthma than to non-Hispanic white youth. However, the relationship between BMI and asthma was strongest in Hispanic and weakest in black youth. Among youth with asthma, increasing body mass was associated with more frequent ambulatory and emergency department visits, as well as increased inhaled and oral corticosteroid use. In conclusion, overweight, moderate, and extreme obesity are associated with higher odds of asthma in children and adolescents, although the association varies widely with race/ethnicity. Increasing BMI among youth with asthma is associated with higher consumption of corticosteroids and emergency department visits.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 86%

Higher Prevalence of Obesity Among Children With Asthma

Black

Smith

Porter

et al. 2012

Obesity

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“…Previously gathered data demonstrated a two- to four-fold increase in obesity rates among American–Indian children in the Northern Plains region of the USA when compared with the national average [39]. Obesity and being overweight are major risk factors for T2D.…”

Section: Cbpr In Diabetes and Obesitymentioning

confidence: 99%

Use of community-based participatory research in primary care to improve healthcare outcomes and disparities in care

Tapp

White

Steuerwald

et al. 2013

J. Compar. Effect. Res.

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Community-based participatory research (CBPR) has emerged to bridge the gap between research and primary-care practice through community engagement and social action to increase health equity. It is widely acknowledged that access to high-quality primary care services is important to the overall health of a community. Here, CBPR studies in a primary care setting are reviewed to assess the use of CBPR associated with common health problems seen in primary care such as access to care and disparities in chronic disease management across vulnerable populations. CBPR involves building relationships with local communities, determining areas of need and establishing priorities for health concerns. Studies showing improved access to care for a Hispanic population, reduced asthma symptoms and weight loss are highlighted.

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“…However, little is known about the prevalence of asthma among Alaska Native children, as they have historically been underrepresented in the paediatric asthma literature. Existing studies describing asthma among AI/AN children have largely relied on the review of existing medical records or the use of aggregated data, with the reported results highly variable (22–26). …”

mentioning

confidence: 99%

Household reporting of childhood respiratory health and air pollution in rural Alaska Native communities

Ware

Lewis

Hopkins

et al. 2014

International Journal of Circumpolar Health

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BackgroundAir pollution is an important contributor to respiratory disease in children.ObjectiveTo examine associations between household reporting of childhood respiratory conditions and household characteristics related to air pollution in Alaska Native communities.DesignIn-home surveys were administered in 2 rural regions of Alaska. The 12-month prevalence of respiratory conditions was summarized by region and age. Odds ratios (ORs) were calculated to describe associations between respiratory health and household and air quality characteristics.ResultsHousehold-reported respiratory health data were collected for 561 children in 328 households. In 1 region, 33.6% of children aged <5 years had a recent history of pneumonia and/or bronchitis. Children with these conditions were 2 times more likely to live in a wood-heated home, but these findings were imprecise. Resident concern with mould was associated with elevated prevalence of respiratory infections in children (ORs 1.6–2.5), while reported wheezing was associated with 1 or more smokers living in the household. Reported asthma in 1 region (7.6%) was lower than national prevalence estimates.ConclusionsFindings suggest that there may be preventable exposures, including wood smoke and mould that affect childhood respiratory disease in these rural areas. Additional research is needed to quantify particulate matter 2.5 microns in aerodynamic diameter or less and mould exposures in these communities, and to objectively evaluate childhood respiratory health.

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Variability in Childhood Asthma and Body Mass Index Across Northern Plains American Indian Communities

Cited by 26 publications

References 28 publications

Higher Prevalence of Obesity Among Children With Asthma

Higher Prevalence of Obesity Among Children With Asthma

Use of community-based participatory research in primary care to improve healthcare outcomes and disparities in care

Household reporting of childhood respiratory health and air pollution in rural Alaska Native communities

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