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Published on: November 4, 2010
Interaction between the growing lung and asthma: role of early intervention
1Vermont Lung Center, University of Vermont, Burlington, USA.
Insights
Childhood asthma may impair lung function and growth due to an airway imbalance. Treatment decisions for pediatric asthma remain uncertain, posing unique challenges for affected children.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
Background:
- Asthma involves an imbalance in airway forces, affecting lung patency.
- Childhood asthma presents unique challenges due to rapid lung growth and vulnerability.
- Untreated asthma in children may lead to reduced lung growth velocity and impaired lung function.
Purpose of the Study:
- To explore the complexities of childhood asthma.
- To address uncertainties in pediatric asthma management and treatment.
- To highlight the unique issues and unresolved dilemmas in treating asthma in children.
Main Methods:
- Review of existing evidence on childhood asthma.
- Analysis of factors affecting lung development in pediatric asthma.
- Examination of treatment uncertainties and their impact.
Main Results:
- Asthma can negatively impact lung growth velocity in children.
- Glucocorticoids may interfere with complete lung structure development.
- Asthma is more prevalent in boys for unknown reasons.
Conclusions:
- Early intervention for childhood asthma is logical but lacks defined criteria.
- Pediatric asthma management involves significant, unresolved treatment dilemmas.
- Further research is needed to clarify optimal treatment strategies for childhood asthma.
Abstract:
Asthma is a syndrome where an imbalance exists between the forces that maintain airway patency and the forces that act to narrow, or close, airways. The child with asthma is a particular problem because of the rapid growth of the lung during growth that leaves it vulnerable. There is some evidence that asthma leads to impaired lung function in children because those children with untreated asthma show a loss of lung growth velocity. For unclear reasons, asthma is more frequent in boys. What drugs to use to treat childhood asthma is uncertain. Data show that glucocorticoids prevent the structure of the lung from fully developing. In children, the rationale for early intervention seems clear, but the exact means and criteria for initiation of the intervention are uncertain. Finally, childhood asthma raises fundamental issues and questions that are unique to the child with asthma and presents unique and many unresolved treatment dilemmas.
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