Related Experiment Video
Updated: Jul 16, 2026

Breakfast Habits among Schoolchildren in the City of Uruguaiana, Brazil
Published on: July 29, 2020
Is overweight a risk factor for wheezing in pre-school children? A study in 14 Brazilian communities
S R D M Saldiva1, M M Escuder, S I Venâncio
1Instituto de Saúde, Coordenadoria de Ciência e Tecnologia e Insumos Estratégicos/Secretaria do Estado de São Paulo, Rua Santo Antônio 590, Bela Vista, CEP 01314-000, São Paulo, Brazil. smsaldiva@isaude.sp.gov.br
Insights
Overweight children under 5 years old are more likely to experience wheezing. This study found a significant association between excess weight and increased wheezing risk in Brazilian preschoolers.
Area of Science:
- Pediatrics
- Epidemiology
- Public Health
Background:
- Wheezing is a common respiratory symptom in preschool children.
- The relationship between overweight and respiratory conditions like wheezing requires further investigation, particularly in diverse populations.
Purpose of the Study:
- To investigate the association between overweight and wheezing in preschool children.
- To assess the risk of wheezing in relation to excess weight in young children.
Main Methods:
- A cross-sectional epidemiological study was conducted in 14 Brazilian communities between 2001 and 2002.
- Data were collected from 3453 children under 5 years of age using structured questionnaires and physical measurements.
- Unconditional logistic multivariate regression models were employed to analyze the association between wheezing and overweight.
Main Results:
- Overweight children exhibited a higher frequency of wheezing compared to children with normal weight.
- An odds ratio of 2.57 (95% CI: 1.51-4.37) indicated a significantly increased risk of wheezing in overweight children, even after adjusting for confounding variables.
- The observed association remained robust across different model specifications.
Conclusions:
- Excess body weight is significantly associated with an increased risk of wheezing in children under 5 years of age.
- Findings highlight the importance of weight management in early childhood for respiratory health.
Objective:
To evaluate the association between overweight and wheezing in pre-school children in 14 small Brazilian communities.
Methods:
Cross-sectional epidemiological study, conducted between 2001 and 2002. A sample of 3453 children under 5 years of age was taken from nine communities in the state of Bahia and five in the state of São Paulo. Data on housing, family and children were obtained by applying structured questionnaires in loco. Weight and height for each child were also measured. The association between wheezing and overweight was assessed by unconditional logistic multivariate regression models.
Results:
Overweight children had a greater frequency of wheezing and an odds ratio of 2.57 (95% confidence interval 1.51-4.37) was estimated after controlling for several potential confounding variables. The magnitude of the risk was not affected by several different model specifications.
Conclusion:
Excess weight is associated with increased risk for wheezing in this population of children below 5 years of age.
Related Concept Videos
Asthma-I: Introduction
Asthma I: Introduction
Asthma III: Clinical Manifestations
Obesity
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-III: Symptoms and Complications
Classification of Asthma

