[Body mass index in asthmatic children before and after one year inhaled glucocorticosteroids therapy BMI]

Gordana Kostić1, Nevenka Ilić, Marina Petrović

  • 1Klinicki centar Kragujevac, Klinika za pedijatriju. koleg@sbb.co.rs

Medicinski Pregled
|December 29, 2010
PubMed

Insights

This study found that most children with asthma have a normal body mass index (BMI). Continuous use of inhaled corticosteroids (ICS) for asthma treatment did not negatively impact children's growth over one year.

Area of Science:

  • Pediatric Allergy and Pulmonology
  • Pediatric Endocrinology
  • Childhood Asthma Research

Context:

  • Asthma is a prevalent childhood condition with increasing incidence.
  • Controversy exists regarding obesity prevalence in asthmatic children.
  • Potential impact of inhaled corticosteroids (ICS) on pediatric growth requires investigation.

Purpose:

  • To assess body mass index (BMI) in children with asthma before and after one year of ICS therapy.
  • To evaluate the effect of continuous ICS treatment on the growth and BMI of asthmatic children.

Summary:

  • The study included 100 children (7-18 years) with partly controlled/uncontrolled allergic asthma receiving continuous ICS.
  • Initial assessment revealed 70% of children had normal BMI, 10% were underweight, and 18% were overweight/obese.
  • After one year, ICS therapy showed a statistically significant positive effect on height across most age groups, with no adverse impact on BMI.

Impact:

  • Provides evidence that inhaled corticosteroids (ICS) are safe for pediatric asthma management regarding growth.
  • Suggests that asthmatic children, even with uncontrolled disease, generally maintain normal BMI.
  • Informs clinical practice on the long-term effects of ICS on growth in pediatric asthma patients.
Abstract

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