Body Height of Children with Bronchial Asthma of Various Severities

Tatiana I Eliseeva1, Natalia A Geppe2, Elena V Tush1

  • 1Department of Hospital Pediatrics, Nizhny Novgorod State Medical Academy, 10/1 Minin and Pozharsky Square, Nizhny Novgorod 603005, Russia.

Insights

Children with more severe bronchial asthma (BA) show increased rates of reduced physical development. Mild BA cases had similar growth patterns to healthy children, but severe BA significantly impacted height.

Area of Science:

  • Pediatric Pulmonology
  • Child Health and Development
  • Allergy and Immunology

Background:

  • Bronchial asthma (BA) is a common chronic respiratory condition in children.
  • Physical development, including height, can be affected by chronic childhood diseases.
  • Understanding the impact of BA severity on growth is crucial for comprehensive patient management.

Purpose of the Study:

  • To evaluate the influence of bronchial asthma severity on the physical development of children.
  • To compare anthropometric data of children with atopic BA to a healthy control group.
  • To identify correlations between BA severity and growth parameters in pediatric patients.

Main Methods:

  • A cohort of 1042 children and adolescents with atopic BA was assessed.
  • Standard clinical examinations, including anthropometry, were performed on all participants.
  • A control group of 875 healthy children of comparable age was included for comparison.

Main Results:

  • The overall distribution of normal, low, and increased height in BA patients was similar to the healthy population.
  • A significant, monotonic increase in reduced physical development was observed with increasing BA severity.
  • Fractions of children with reduced height were 8.2% (healthy), 4.2% (intermittent BA), 9% (mild persistent BA), 11.7% (moderate persistent BA), and 24.3% (severe persistent BA).

Conclusions:

  • Reduced physical development, specifically height, is significantly and progressively more common in children with increasing severity of bronchial asthma.
  • Children with intermittent and mild persistent BA exhibit growth patterns comparable to their healthy peers.
  • Severe persistent bronchial asthma poses a significant risk factor for impaired physical development in children.

Related Concept Videos

Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
3.2K
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
3.4K
The Bronchial Tree01:23

The Bronchial Tree

The human bronchi and bronchial tree play a crucial role in the respiratory system, facilitating the exchange of oxygen and carbon dioxide. Let's delve into the intricate structure and functions of these respiratory components.
The trachea, commonly known as the windpipe, is a tube that connects the larynx (voice box) to the bronchi. At a point called the carina, it bifurcates into two primary bronchi. The right primary bronchus is wider, shorter, and more vertical than the left primary...
7.1K
Asthma-II: Pathophysiology and Classification01:26

Asthma-II: Pathophysiology and Classification

Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
4.6K
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
3.6K
Antiasthma Drugs: β2-Adrenoceptor Agonists01:25

Antiasthma Drugs: β2-Adrenoceptor Agonists

Bronchodilators are critical in managing asthma, a chronic respiratory condition characterized by airway constriction due to inflammation and hyper-reactivity. Specifically, bronchodilators ease this constriction by relaxing the bronchial muscles, facilitating easier breathing.
One class of bronchodilators includes β2-adrenoceptor agonists. These agents target the β2-adrenoceptors located on bronchial smooth muscle cells. By stimulating these receptors, β2-agonists induce...
1.8K