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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
A case-control study of body mass index and asthma in Asian children
Stanislav Henkin1, Doug Brugge, Odilla I Bermudez
1Department of Public Health and Family Medicine, Tufts University School of Medicine, Boston, Massachusetts 21111, USA.
Insights
This study found no significant link between body mass index (BMI) and asthma in Asian American children. Further research is needed to understand this relationship in pediatric populations.
Area of Science:
- Pediatric Health
- Epidemiology
- Allergy and Immunology
Background:
- Rising rates of obesity and asthma in the US.
- Limited research on the obesity-asthma link in Asian Americans.
Purpose of the Study:
- To investigate the association between body mass index (BMI) and asthma in Asian American children.
- To analyze BMI in relation to asthma diagnosis in a pediatric cohort.
Main Methods:
- Case-control study using medical records of 94 pediatric patients.
- Comparison of BMI in children with and without asthma, before and after diagnosis.
- Statistical analysis adjusted for allergic comorbidities.
Main Results:
- No statistically significant association found between BMI measures and asthma.
- Adjusted odds ratio for asthma with BMI above the 85th percentile was 0.92 (95% CI, 0.40-2.20).
Conclusions:
- Overweight/obesity may not be a direct cause of asthma in Asian immigrant children.
- Methodological limitations may have affected the ability to detect an association.
- Further research is recommended to clarify the relationship in this demographic.
Background:
The prevalence of obesity and asthma in the United States has increased in past decades. Numerous studies have focused on the relationship between the 2 factors. However, to our knowledge, this association in Asian Americans has not been extensively studied.
Objective:
To assess the association between body mass index (BMI) and asthma in an Asian American pediatric population.
Methods:
We conducted a case-control medical record review study of 94 pediatric patients with and without asthma at Tufts-New England Medical Center, Boston, Massachusetts. The BMI of asthmatic children before and after their asthma diagnosis was compared with the BMI of children without asthma.
Results:
Multiple analyses showed no significant (P > .05) association between various measures of BMI and asthma in this population. After adjustment for atopic dermatitis, allergic rhinitis, and other allergies, the odds ratio in our longitudinal analysis using BMI greater than the 85th percentile for asthmatic children vs nonasthmatic children was 0.92 (95% confidence interval, 0.40-2.20).
Conclusions:
Either overweight and obesity do not lead to asthma in Asian immigrant children, consistent with our results, or something about our method limited our ability to observe the association. In either case, more research in the population is needed.
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