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Published on: November 4, 2010
Paediatric asthma and obesity
Sean R Lucas1, Thomas A E Platts-Mills
1University of Virginia Health Systems, Asthma and Allergic Diseases Center, Charlottesville, VA 22908-1355, USA. Srl2a@virginia.edu
Insights
The rise in childhood asthma is likely multi-factorial, with lifestyle changes like decreased physical activity potentially contributing independently of obesity. More research is needed to understand these complex relationships.
Area of Science:
- Pediatric Pulmonology
- Environmental Health
- Lifestyle Medicine
Background:
- The increasing prevalence of childhood asthma remains inadequately explained.
- Lifestyle factors, including diet and physical activity, are increasingly implicated in asthma development.
- Concurrent increases in childhood asthma, obesity, and sedentary lifestyles necessitate further investigation.
Purpose of the Study:
- To explore the multi-factorial nature of increasing childhood asthma rates.
- To investigate the potential independent role of decreased physical activity in pediatric asthma etiology.
- To highlight the need for longitudinal studies examining physical activity, obesity, and asthma development.
Main Methods:
- Review of existing literature on pediatric asthma, lifestyle factors, and obesity.
- Analysis of temporal relationships between decreased physical activity, obesity, and asthma.
- Identification of research gaps in understanding the interplay of these factors.
Main Results:
- Current explanations for increased pediatric asthma are insufficient.
- Evidence suggests a multi-factorial etiology for childhood asthma.
- Limited data indicate physical activity may influence asthma independently of obesity.
Conclusions:
- Lifestyle modifications, particularly increased physical activity, may be crucial in addressing the rise in pediatric asthma.
- Further longitudinal research is essential to clarify the causal links between physical activity, obesity, and asthma.
- Intervention studies focusing on exercise programs for children with asthma show promise.
Abstract:
None of the explanations proposed for the increase in paediatric asthma have been adequate. It is becoming apparent that the cause of the increase in asthma must be multi-factorial. Increasing attention has been focused on the role of lifestyle in the development of asthma. Lifestyle changes that have occurred in children are those in diet and decreased physical activity, with obesity being the product of these changes. The increase in asthma, obesity and a sedentary lifestyle have occurred together. However, a temporal relationship between asthma, obesity and decreased physical activity has not been determined in the paediatric literature. Limited data suggest that decreased physical activity could be playing a role in the aetiology of asthma independent of obesity. Furthermore, there has been substantial research on the benefits of exercise programmes for paediatric patients with asthma. Longitudinal trials monitoring physical activity, obesity and the development of asthma are needed.
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