Çocuklarda Obezitenin Astıma Etkisi

Year 2014, , 72 - 77, 01.04.2014

Mahmut Doğru İlknur Bostancı Serap Özmen Handan Duman Şenol Gülay Başarır

https://doi.org/10.5222/j.child.2014.072

Abstract

Amaç: Astım ve obezite sıklığı son yıllarda artmaktadır. Obezite astım açısından bir risk faktörüdür. Astımlı hastalarda obezite varlığı hastalığı klinik seyrini etkileyebilmektedir. Astım tanısı olan hastalarda obezitenin astımın klinik seyri ve solunum fonksiyon testleri üzerine etkisini saptamak amacıyla bu çalışma yapılmıştır. Gereç ve Yöntem: Çalışmaya Çocuk İmmünolojisi ve Allerji Polikliniğinde astım tanısı ile takip edilen 160 çocuk 18 yaş altı hasta alındı. Hastalar Ocak 2011 - Haziran 2011 arasında prospektif olarak değerlendirildi. Hastaların ayrıntılı allerjik hastalık öyküsü, yaş, akraba evliliği, ailede atopi öyküsü, sigara dumanına maruziyet, son 1 yıldaki atak sayısı ve sistemik steroid alma sıklığı sorgulandı. Astım kontrol testi solunum fonksiyon testleri, deri prick testleri, eozinofili ve total immunglobulin E ölçümü yapıldı. Bel çevresi 90.p’in üstündeki hastalar obez olarak kabul edildi. Bulgular: Hastaların 96’sı %60 normal kilolu, 64’ü %40 obez idi. İki grup arasında yaş, cinsiyet, akraba evliliği, ailede atopi öyküsü, sigara, atopi açısından anlamlı farklılık bulunmadı. Obez olan astımlıların son 1 yıldaki atak sayıları ve sistemik steroid gereksinimleri, normal kilolulara göre anlamlı olarak fazlaydı p

Keywords

Obezite, astım, çocuk

The Effect of Obesity on Asthma in Children

Abstract

Introduction: The prevalence of obesity and asthma is increasing in recent years. Obesity is a risk factor for asthma. The presence of obesity may affect the clinical course of the disease in patients with asthma. This study was conducted to determine the effect of obesity on clinical course of asthma and pulmonary function tests in children with asthma. Material and Method: One hundred and sixty children with asthma who were followed in Pediatric ImmunologyAllergy Clinic were included in this study. Patients were evaluated prospectively between January 2011-June 2011. The patients were interrogated with detailed history of allergic disease, age, kin marriage, familial atopy, exposure to tobacco smoke, number of asthma attacks within the previous year, and systemic steroid use. Asthma control test, pulmonary function tests, skin prick tests, eosinophilia and total immunoglobulin E measurements were performed. Patients with waist circumferences above the 90th percentile were considered obese. Results: Ninety-six 60% patients were of normal weight and 64 40% of them were obese. There were no statistically significant difference between both groups in terms of age, gender, consanguinity, family history of atopy, smoking, and atopy. The number of attacks and need of systemic steroid within the previous one year were significantly higher in obese asthmatics compared to normalweight individuals p

Keywords

Obesity, asthma, child

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