Clinical features of obesity in children with bronchial asthma
https://doi.org/10.21508/1027-4065-2017-62-5-37-42
Abstract
The aim of the study was to identify the clinical features of obesity in children with bronchial asthma.
Materials and methods: 484 children aged 7–14 years were investigated, the main group consisted of 237 patients with asthma, the comparison group consisted of 247 children of the same age who do not have asthma. The analysis of development history, physical exam, measuring height and body mass index, in the identification of obesity – assess hereditary loading, nutritional status and physical activity, hormonal status examination, inspection of the endocrinologist, neurologist, genetics were made.
Results: obesity was more common (p=0.019) in children with bronchial asthma (18.9 per cent) than in the comparison group (11.3 per cent). More severe forms of obesity III, IV degree were more often diagnosed in children with bronchial asthma (31.1 per cent) than in the comparison group (10.7 per cent) (p=0.047). The influence of various factors (patient age, gender, severity of asthma, intake of inhaled corticosteroids) on the formation of obesity in children of the main group has not been proven. In the dynamics of the disease indicators of body mass index in patients with bronchial asthma did not differ significantly in comparison with the original data, however, there was an increase in the number of patients with severe forms of obesity III, IV degree. When assessing the nature of nutrition and physical activity in patients with bronchial asthma and obesity, an imbalance between the intake of energy and its consumption is revealed.
Conclusion: obesity in children with bronchial asthma is constitutionally exogenous, characterized by high prevalence and more severe course.
About the Authors
I. L. Alimova
Smolensk state medical University
Russian Federation
Russian Federation
N. A. Yacheykina
Smolensk state medical University
Russian Federation
Russian Federation
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For citations:
Alimova I.L., Yacheykina N.A. Clinical features of obesity in children with bronchial asthma. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2017;62(5):37-42. (In Russ.) https://doi.org/10.21508/1027-4065-2017-62-5-37-42
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