哮喘联盟

   摘要
   目的：比较哮喘合并肥胖的青年与单纯肥胖青年在身体质量指数，膳食摄入，身体活动量，睡眠时间以及健康的相关生活质量方面的不同。同时比较父母痛苦情绪的程度。
   方法:受试者包括248例BMI>年龄和性别 85th百分位数的儿童 (肥胖组n = 175; 哮喘和肥胖组n = 73)，及其父母或法定监护人。由研究人员测量儿童身高和体重，并根据年龄性别规定计算身体质量指数Z评分。儿童身体活动和睡眠时间通过感应器测量。膳食摄入，健康相关生活质量以及父母痛苦情绪则通过自我报告评估。
   结果：哮喘合并肥胖组显示更高的身体质量指数分数，以及较低睡眠时间。哮喘合并肥胖组儿童的身体活动水平并没有统计学上的显著降低趋势。两组间的膳食摄入、健康相关生活质量以及父母痛苦情绪也无差异。
   结论：与单纯超重或肥胖青年相比，哮喘合并肥胖青年发生不良健康和社会心理问题的风险增加。应鼓励从事青年哮喘治疗的专业人士评估体重状况对健康行为和家庭心理适应的影响。
 

（林江涛 审校）
J Asthma. 2013 Dec 10. [Epub ahead of print]

An Examination of Comorbid Asthma and Obesity: Assessing Differences in Physical Activity, Sleep Duration, Health-related Quality of Life, and Parental Distress.
 

Fedele DA, Janicke DM, Lim CS, Abu-Hasan M.
 

ABSTRACT
OBJECTIVE: Compare youth with comorbid asthma and obesity to youth with obesity only to determine if differences exist in body mass index, dietary intake, levels of physical activity, sleep duration, and health-related quality of life. Levels of parent distress were also compared.
METHODS: Participants included 248 children (n = 175 in Obesity group; n = 73 in Asthma + Obesity group) with a BMI > 85th percentile for age and gender, and their participating parent(s) or legal guardian(s). Measures of child height and weight were obtained by study personnel and Z-scores for child body mass index were calculated using age- and gender-specific norms. Child physical activity and sleep duration were measured via accelerometers. Dietary intake, health-related quality of life, and parent distress were assessed via self-report.
RESULTS: The Asthma + Obesity group evidenced significantly higher body mass index scores, and had lower sleep duration. There was a non-statistically significant trend for lower levels of physical activity among children in the Asthma + Obesity group. Dietary intake, health-related quality of life, and parent distress did not differ between groups.
CONCLUSIONS: Youth with comorbid asthma and obesity are at increased risk for negative health and psychosocial difficulties compared to youth who are overweight or obese only. Professionals providing treatment for youth with asthma are encouraged to assess the implications of weight status on health behaviors and family psychosocial adjustment.
 

J Asthma. 2013 Dec 10. [Epub ahead of print]