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Assessment of Child Anthropometry in a Large Epidemiologic Study
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Pediatric patients diagnosed as overweight and obese have an elevated risk of dyspnea

Lydia S Robson1, Abidan Abulimiti2, Jorge Z Granados2

  • 1Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, USA.

Respiratory Physiology & Neurobiology
|February 10, 2024
PubMed

Insights

Pediatric patients with overweight and obesity face a higher risk of dyspnea (shortness of breath). This finding highlights the importance of weight management in children

Area of Science:

  • Pediatric Pulmonology
  • Obesity Medicine
  • Clinical Epidemiology

Background:

  • Overweight and obesity are increasing globally in pediatric populations.
  • Dyspnea (shortness of breath) is a common respiratory symptom in children.
  • The association between pediatric overweight/obesity and dyspnea requires further investigation.

Purpose of the Study:

  • To determine if pediatric patients (aged 8-12 years) with overweight and obesity have a higher likelihood of experiencing dyspnea compared to non-overweight peers.
  • To analyze the risk of dyspnea associated with overweight and obesity in a large, multi-center pediatric cohort.

Main Methods:

  • Utilized de-identified data from the global federated TriNetX research network, including UT Southwestern Medical Center.
  • Included pediatric patients aged 8-12 years.
  • Identified overweight/obesity using ICD-10-CM codes (E66) and dyspnea using code R06.0.

Main Results:

  • Patients with overweight and obesity demonstrated a significantly higher risk of dyspnea in both the UT Southwestern Network (RR: 1.81, p < 0.001) and the Research Network (RR: 2.70, p < 0.001).
  • Within the UT Southwestern Network, females exhibited a higher risk of dyspnea compared to males (RR: 2.17 vs. 1.67).
  • The association remained significant across different network settings.

Conclusions:

  • Overweight and obesity are independently associated with an increased risk of dyspnea in pediatric patients aged 8-12 years.
  • Clinicians should consider weight status as a potential risk factor for dyspnea in children, prompting further evaluation.
  • This highlights the need for early intervention and management of pediatric obesity to mitigate respiratory complications.

Keywords:
ChildrenDyspneaObesityOverweight

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