体重超重妇女与哮喘的控制
2009/09/17
目的：研究体重超重哮喘妇女的临床和社会心理学特征。
方法：对一项随机研究中的808例体重超重的哮喘妇女进行电话随访和病历回顾分析，评估其体重与哮喘症状、卫生保健使用、生活质量、自尊、社会支持需求以及人口统计学资料之间的相关性。采用回归分析研究体重超重与哮喘之间的关系。
结果：68%的研究对象存在体重超重或肥胖。与超重妇女哮喘有关的人口统计学特征包括：少数民族（p=0.000）、受教育程度低（p=0.000）以及家庭收入低（p=0.024）。体重超重与较多的卫生资源利用、共患疾病增加（酸反流、尿失禁）及持续性疾病相关（p=0.001）。超重妇女常缺少自尊（p=.002），生活质量也相对较差（p=0.000）。
结论：对于体重超重的哮喘女性，体重超重、疾病严重性及持续性、共患疾病增加及获得社会心理资源比例相对较少，都是这些患者所面临的重大挑战。应该对这些女性进行临床咨询及干预，以改善她们的哮喘控制及其健康状态。
（陈欣 审校）
Valerio MA, Gong ZM, Wang S, et al.
Womens Health Issues. 2009 Jul 8. [Epub ahead of print]
Overweight Women and Management of Asthma
Valerio MA, Gong ZM, Wang S, Bria WF, Johnson TR, Clark NM.
Health Behavior & Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan.
PURPOSE: We sought to describe clinical and psychosocial characteristics of overweight women with asthma.
METHODS: Telephone interview and medical record review involving 808 women with asthma participating in a randomized study to identify those who were overweight. We assessed the relationship of their weight to asthma symptoms, health care use, quality of life, self-esteem, need for social support, and demographic characteristics. Regression analyses were used to investigate relationships between overweight and asthma.
FINDINGS: Sixty-eight percent of the women in the study were overweight or obese. Demographic characteristics associated with overweight in women with asthma included being minority (p=.000), having a lower education level (p=.000), and a lower household income (p=.024). Overweight was associated with greater health care use, comorbidities (acid reflux, urinary incontinence), and persistent disease (p=.001). Overweight women exhibited lower self-esteem (p=.002) and lower perceived quality of life (p=.000).
CONCLUSION: Overweight females with asthma experience significant challenges because of their weight, more persistent and severe disease, specific comorbidities, and lower rates of obtaining psychosocial resources. Clinical consultations and interventions should account for the influence of overweight on asthma control and health status in female patients.
上一篇：
肥胖、腰围及哮喘患病率趋势－加利福尼亚教师队列研究
下一篇：
母亲孕期哮喘的控制和严重程度与其后代过敏性皮炎和过敏性鼻炎发生率的关系
