哮喘联盟

   摘要
   背景：过去几年儿童中哮喘和肥胖的发生率有所增加，而肥胖又易导致哮喘的发生。为了更好地明确哮喘患病率和发病率的差异，克服诊断、评估和教育障碍，一项全面的哮喘运动训练营活动得到了发展和实施。
   目的：主要目的是评估运动训练营模型在鉴别未诊断和非受控哮喘儿童中的效果，并为随访护理提供建议。次要目的是确定与哮喘发病率相关的合并症和危险因素的存在及它们之间的关系，同时评估哮喘的药物使用。
   方法：2年内在市中心的大学参加过为期6天训练的5～17岁儿童被纳入研究。观察每个训练营中儿童的哮喘情况、体重指数（BMI）、血压和一氧化碳情况。
   结果：在这项研究中，43.7%的儿童既往诊断患有哮喘，12.6% 的儿童被认为有发生哮喘的可能，但未被诊断为哮喘。在已诊断的哮喘儿童中，76%是非可控的哮喘患者。38%的儿童超重或肥胖，17%的儿童存在高血压。
   结论：一项跨学科的运动训练营模型被用于鉴别未诊断和非受控的哮喘儿童以及心血管的风险因素，为未来的随访护理提供了建议。
 

（苏楠 审校）
J Asthma. 2013 Dec 5. [Epub ahead of print]

An asthma sports camp series to identify children with possible asthma and cardiovascular risk factors.

Elliott JP, Marcotullio N, Skoner DP, Lunney P, Gentile DA.

ABSTRACT
BACKGROUND: The prevalence of asthma and obesity in children has increased over the past several years, with obesity being associated with higher rates of asthma. In response to known disparities in asthma prevalence and morbidity, along with barriers to diagnosis, assessment, and education, a comprehensive asthma sports camp series was developed and implemented.
OBJECTIVE: The primary objective was to evaluate the effectiveness of utilizing a sports camp model to identify children with undiagnosed and uncontrolled asthma, and to provide recommendations for follow-up care. The secondary objectives were to identify the presence of and associations between related co-morbidities and risk factors for asthma morbidity such as obesity, hypertension, and exposure to tobacco smoke; and to assess asthma medication use.
METHODS: Six daylong camps at an inner-city university were offered to children 5 - 17 years of age over a period of two years. Asthma, BMI, blood pressure, and carbon monoxide screenings were conducted at each camp.
RESULTS: In this sample, 43.7% of children had previously diagnosed asthma, and 12.6% were classified as having potential, undiagnosed asthma. Of the children with previously diagnosed asthma, 76% were considered uncontrolled. Thirty-eight percent were determined to be overweight or obese and 17% had elevated blood pressure.
CONCLUSION: An interdisciplinary sports camp model can be used to identify children with undiagnosed and uncontrolled asthma and cardiovascular risk factors; and to provide recommendations for follow-up care.
 

J Asthma. 2013 Dec 5. [Epub ahead of print]