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Impact of pediatric obesity on acute asthma exacerbation in Japan

Yusuke Okubo1,2, Nobuaki Michihata3, Koichi Yoshida4

  • 1Department of Social Medicine, National Research Institute for Child Health and Development, Tokyo, Japan.

Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology
|October 19, 2017
PubMed

Insights

Pediatric obesity increases the risk of asthma readmissions in children. Obese children hospitalized with asthma experienced longer stays and higher readmission rates, highlighting the need for obesity prevention.

Area of Science:

  • Pediatric pulmonology
  • Childhood obesity research
  • Public health

Background:

  • Asthma and obesity are prevalent childhood health issues.
  • Investigated the influence of obesity on pediatric asthma exacerbations requiring hospitalization.

Purpose of the Study:

  • To determine the impact of obesity on clinical outcomes and healthcare utilization in children hospitalized with acute asthma exacerbations.

Main Methods:

  • Utilized Japanese national inpatient database for children aged 3-8 years diagnosed with asthma.
  • Classified patients into underweight, normal weight, overweight, and obese groups based on WHO growth standards.
  • Compared 30-day re-admission rates, intensive care needs, hospitalization costs, and length of stay using multivariable regression.

Main Results:

  • Obese children had significantly higher 30-day re-admission rates (aOR 1.26) and longer hospital stays (0.12 days).
  • A threshold of the 91st percentile for weight-for-length or BMI-for-age indicated increased readmission risk.
  • No significant differences were found in intensive care needs or total hospitalization costs among weight groups.

Conclusions:

  • Childhood obesity is a significant risk factor for recurrent asthma-related hospital admissions.
  • Emphasizes the critical importance of pediatric obesity prevention strategies to mitigate asthma exacerbations.
Abstract

Keywords:
Diagnosis Procedure Combination inpatient databaseasthmachildrenobesity

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