Obesity, diet, and activity in relation to asthma and wheeze among rural dwelling children and adolescents.
Obesity, diet, and activity in relation to asthma and wheeze among rural dwelling children and adolescents.
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DOI：
10.1155/2013/315096
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发表时间：
2013
影响因子：
3.3
通讯作者：
Senthilselvan A
中科院分区：
文献类型：
--
作者：
Lawson JA;Rennie DC;Dosman JA;Cammer AL;Senthilselvan A
目的和目标。我们调查了体重状况、活动水平和饮食与哮喘或喘鸣之间的关系以及这些因素之间的相互关系。方法.我们从2005年到2007年对6-18岁的青奥尔兹进行了一项病例对照研究。病例（n = 87）为报告过去12个月内发作或使用呼吸药物沿着医生诊断的哮喘或喘鸣的受试者。随机选择对照组（n = 208），无哮喘或喘鸣。有关健康结果、饮食和活动的数据从问卷中获得。收集客观测量的身高和体重。结果在调整后的分析中，存在与大量快餐和/或流行食品消费相关的哮喘或喘息风险增加的趋势（P = 0.07）。在这些病例中，归类为超重的患者在过去14天中参与剧烈运动≥9天的比例（66%）显著低于非超重患者（86%）。在对照组中没有观察到这种模式（分别为76%和78%）。然而，根据父母的体重状况，无论病例对照状态如何，模式都是相似的。结论.超重状态可能会对哮喘或喘息患者的活动水平产生负面影响。应努力鼓励健康的食物选择，活动规划必须考虑超重哮喘儿童的需要。
Aims and Objectives. We investigated associations between weight status, activity level, and diet with asthma or wheeze as well as the interrelationship between these factors. Methods. We conducted a case-control study of 6–18-year olds from 2005 to 2007. Cases (n = 87) were subjects reporting episodes or breathing medication use along with doctor-diagnosed asthma or wheeze in the past 12 months. Controls were randomly selected (n = 208) and without asthma or wheeze. Data regarding health outcomes, diet, and activity were obtained from questionnaire. Objectively measured height and weight were collected. Results. In the adjusted analysis, there was a trend (P = 0.07) towards an increased risk of asthma or wheeze associated with high fast food and/or pop consumption. Among cases, a significantly lower proportion (66%) classified as overweight participated in hard exercise in ≥9 of the past 14 days compared to those who were not overweight (86%). This pattern was not seen among controls (76% participating in hard exercise versus 78%, resp.). However, based on perceived weight status by the parent, the patterns were similar regardless of case-control status. Conclusions. Overweight status may negatively impact activity level among those with asthma or wheeze. Efforts should be made to encourage healthy food choices, and activity programming must consider the needs of overweight children with asthma.