Asthma and obesity are chronic conditions with incidences that have increased substantially in the pediatric population in New York City and nationally over the past several decades. According to the New York State Department of Health, New York City children aged 04 have disproportionately high asthma hospitalization rates of 10.18/1000 children, which is 1.6 times higher than the national rate, and 3.1 times higher than the rate of rest of the state. Currently 21% of the kindergarten age group is obese and obesity is highly associated with asthma, in both children and adults. This association has been taken as evidence that obesity causes asthma. However, few studies have been conducted among the preschool population correlating the rates of asthma and obesity related co morbidity. This study intends to focus on identifying the association between asthma and obesity among preschool aged children.
: Medical records were reviewed for all patients aged 25 years who have been diagnosed with asthma, as defined by National Asthma Education and Prevention Program (NAEPP) guidelines, and received treatment at Woodhull Medical Center during the 2009 fiscal year (7/1/2008 6/30/2009). 86 asthmatic children were identified that met selection criteria. 60 controls were randomly selected from general pediatric clinic. Exclusion criteria for both groups included: severe mental retardation, psychiatric diagnoses, or a chronic co morbid medical condition that could influence height or weight, relevant family history that independently predisposes a child to obesity. Outcome variable was body mass index percentile (BMI). All the results were analyzed by SPSS software.
The total number of patients in the study sample was 146. 86 patients were asthmatic and 60 were in the control group. 54.4% of the sample was Hispanic, 39.5% was African American, 2% was white, and 4.1 % was other minorities. The BMI percentile of asthmatic preschool children was 70.53([pm]29.88), that was significantly higher than of nonasthmatic preschool children having mean BMI percentile 55.54 ([pm]35.02) (p=0.007). Obese and overweight children were 29.1% & 14% in asthmatic group respectively. While 20% & 10% of nonasthmatic were obese and overweight respectively (p=0.27). There was no significant difference of BMI percentile of asthmatic preschool children who were either on no, low or high doses of steroids (p=0.82).
Although we could not find as significant statistical association between obesity and asthma in preschool children but asthmatic preschool children tend to have high BMI than non asthmatic preschool children. Overweight & at risk children may experience worse health, more asthma symptoms, & greater activity limitations than children of normal BMI. Pediatricians should focus on understanding asthma & overweight comorbidities and thus preventing a high BMI in children with asthma.
To cite this abstract:Sabhae G, Kashyap L, Medows M, Macias W. The Prevalence of Obestiy in Asthmatic Preschool Children and the Association Between Asthma and Obesity Among Preschool Children Attending Clinic in a Large Innercity Hospital. Abstract published at Hospital Medicine 2012, April 1-4, San Diego, Calif. Abstract 97623. Journal of Hospital Medicine. 2012; 7 (suppl 2). https://www.shmabstracts.com/abstract/the-prevalence-of-obestiy-in-asthmatic-preschool-children-and-the-association-between-asthma-and-obesity-among-preschool-children-attending-clinic-in-a-large-innercity-hospital/. Accessed April 21, 2019.