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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Association between obesity and asthma in preschool Mexican children
Francisco Vàzquez-Nava1, Jaime Morales Romero, José A Crodova Fernandez
1Department of Research in Clinical Epidemiology, No. 6 General Hospital of the Mexican Institute of Social Security, Tampico-Madero City, Mexico. fvazqueznava@gmail.com
Insights
This study found no link between childhood obesity and asthma in Mexican preschoolers. Further research is needed to understand the relationship between pediatric obesity and asthma development.
Area of Science:
- Pediatric Health
- Epidemiology
- Respiratory Medicine
Background:
- Childhood obesity and asthma are prevalent in preschool-aged children.
- A potential causal link between childhood obesity and asthma development is debated.
- Previous research on this association has yielded inconclusive results.
Purpose of the Study:
- To investigate the association between overweight and obesity and the prevalence of asthma symptoms in preschool children.
- To examine the relationship between pediatric obesity and asthma-related hospitalizations.
- To contribute data to the ongoing debate regarding obesity as a causal factor in childhood asthma.
Main Methods:
- A study was conducted on 1,160 preschool children in Mexico.
- Asthma diagnosis was based on the International Study of Asthma and Allergy in Childhood (ISAAC) questionnaire.
- Children were classified by Body Mass Index (BMI) percentiles: normal weight, overweight, and obesity.
Main Results:
- No statistically significant association was found between overweight or obesity and wheezing in the past year.
- Logistic regression analysis, adjusted for relevant factors, showed no link between obesity and wheezing.
- Overweight and obesity were not associated with asthma-related hospitalizations in the study population.
Conclusions:
- The study did not find evidence to support an association between overweight, obesity, and asthma in preschool children.
- Current findings suggest that obesity may not be a direct causal factor for asthma in this age group.
- Longitudinal studies are recommended to further elucidate the complex relationship between pediatric obesity and asthma.
Abstract:
The elevated prevalence of obesity as well as of asthma in preschool children has prompted investigators to speculate that obesity in childhood might be a causal factor in the development of asthma. The results obtained to date are debatable. We investigated the association between obesity and asthma in 1,160 preschool Mexican children. Diagnosis of asthma was performed using the International Study of Asthma and Allergy in Childhood (ISAAC) questionnaire. The body mass index (BMI) in units of kg/m2 was determined, and children were categorized according to age- and gender-specific criteria, such as normal weight (5th-85th percentile), overweight (> or =85th and <95th percentile), and obesity (> or =95th percentile). Power test for logistic regression model was calculated. We found no association between overweight (adjusted OR = 1.02; 95% CI = 0.66-1.58), obesity (adjusted OR = 0.94; 95% CI = 0.68-1.30), and wheezing during the last year as determined by logistic regression model adjusted. We did not find an association between overweight, obesity, and asthma-associated hospitalizations. Further longitudinal studies are required to provide a better understanding of the relationship between obesity and asthma in preschool children.
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