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Quality of Life in Children with Asthma versus Healthy Children
Samaneh Kouzegaran1, Parisa Samimi2, Hamid Ahanchian1
1Allergy Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Insights
Children with asthma experience a significantly lower quality of life compared to healthy peers. This impacts their physical, emotional, and school performance, though social function remains comparable.
Area of Science:
- Pediatric Health
- Chronic Disease Management
- Quality of Life Studies
Background:
- Asthma is a prevalent chronic condition in children, affecting multiple life domains.
- Recent research emphasizes quality of life over disease duration in pediatric asthma.
- Understanding quality of life is crucial for comprehensive pediatric asthma care.
Purpose of the Study:
- To assess and compare the quality of life in asthmatic children versus healthy controls.
- To investigate specific domains of quality of life affected by childhood asthma.
- This study provides the first such analysis in the specified geographic region.
Main Methods:
- A cross-sectional study conducted between 2015-2016.
- Involved 100 asthmatic children (aged 8-12) and 100 healthy controls.
- The Pediatric Quality of Life Inventory (PedsQL™) questionnaire was utilized for data collection.
Main Results:
- Asthmatic children reported significantly lower overall quality of life (P < 0.001).
- Impaired quality of life was noted in physical, emotional, and school performance domains (P < 0.001).
- No significant difference in social function was observed between groups (P = 0.267).
Conclusions:
- Pediatric asthma is associated with a substantial decrease in overall quality of life.
- Physical, emotional, and academic functioning are significantly compromised in asthmatic children.
- Social functioning appears unaffected, highlighting a specific area of resilience or comparable experience.
Background:
Asthma is the most prevalent chronic disease in the pediatric age group. The disease affects different aspects of the children's lives, such as physical, emotional, social and educational aspects. Thus, more focus has been on the quality of life in these patients rather than the duration of their illness in recent years.
Aim:
This study examined the different aspects of quality of life in asthmatic children for the first time in this geographic area.
Methods:
The study was cross-sectional conducted in 2015-2016. The asthmatic group was 100 patients aged 8 to 12 admitted to the Asthma and Allergy Clinic of Ghaem Hospital (as) in Mashhad with the control group composed of 100 healthy children of the same age and gender. The standard questionnaire pedsQLTM was used for comparing the quality of life of children in the two groups. Statistical analysis was SPSS23 with P-value less than 0.05, which was statistically significant.
Results:
In each group, 58 patients were boys, and 42 were girls. In a comparison of the quality of life of children, the asthma group with a mean total score of Peds QL 20.99 ± 12.54 compared to the healthy children with a mean total score of Peds QL of 8.8 ± 5.41 had a lower quality of life (P < 0.001). Moreover, regarding various aspects of quality of life asthma group had a lower quality of life in physical performance, emotional performance and performance in school (P < 0.001). Nonetheless, there was no significant difference between the two groups considering social function (P = 0.267). Examining the relationship between Peds QL score of patients with asthma with various variables was indicative of the fact that Peds QL scores were significantly correlated with the gender of the patients, showing better quality of life in the girls (P = 0.001).
Conclusion:
The results indicated that children with asthma have a significantly lower quality of life compared with healthy children of the same age. Also, in examining the different aspects of quality of life, these children had a lower quality of life in physical performance, emotional performance, and performance at school, and were at the level as that of healthy children only in social performance.
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