Association between overweight or obesity and the risk for childhood asthma and wheeze: An updated meta‐analysis on 18 articles and 73 252 children

Summary Background Overweight or obesity is increasingly recognized as a possible risk factor for childhood asthma. Objectives We aimed to meta‐analyse the association between overweight or obesity and the risk for childhood asthma and wheeze and meanwhile explore potential causes of between‐study h...

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Veröffentlicht in:Pediatric obesity 2019-09, Vol.14 (9), p.e12532-n/a
Hauptverfasser: Deng, Xiangling, Ma, Jia, Yuan, Yuan, Zhang, Zhixin, Niu, Wenquan
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container_issue 9
container_start_page e12532
container_title Pediatric obesity
container_volume 14
creator Deng, Xiangling
Ma, Jia
Yuan, Yuan
Zhang, Zhixin
Niu, Wenquan
description Summary Background Overweight or obesity is increasingly recognized as a possible risk factor for childhood asthma. Objectives We aimed to meta‐analyse the association between overweight or obesity and the risk for childhood asthma and wheeze and meanwhile explore potential causes of between‐study heterogeneity. Methods Literature search, study selection, and data extraction were performed independently and in duplicate. Data were analysed by STATA software. Results Eighteen articles and 73 252 children were analysed. In overall analyses, there was a significant association between overweight or obesity and the risk for childhood asthma (odds ratio [OR] = 1.30; 95% confidence interval [CI], 1.23‐1.39; P 
doi_str_mv 10.1111/ijpo.12532
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Objectives We aimed to meta‐analyse the association between overweight or obesity and the risk for childhood asthma and wheeze and meanwhile explore potential causes of between‐study heterogeneity. Methods Literature search, study selection, and data extraction were performed independently and in duplicate. Data were analysed by STATA software. Results Eighteen articles and 73 252 children were analysed. In overall analyses, there was a significant association between overweight or obesity and the risk for childhood asthma (odds ratio [OR] = 1.30; 95% confidence interval [CI], 1.23‐1.39; P &lt; 0.001) and wheeze (OR = 1.90; 95% CI, 1.38‐2.63; P &lt; 0.001), with none/marginal publication bias as revealed by the Egger test (P = 0.938/0.038), respectively. Subgroup analyses showed that children with obesity (OR = 1.40; 95% CI, 1.29‐1.52) were more likely to have asthma than children with overweight (OR = 1.22; 95% CI, 1.14‐1.31), and in children with overweight or obesity, girls (OR = 1.34; 95% CI, 1.16‐1.56) were more likely to have asthma than boys (OR = 1.27; 95% CI, 1.15‐1.40). Conclusions Our findings indicate that overweight or obesity is a significant risk factor for childhood asthma and wheeze and in children with overweight or obesity, the risk is more evident in girls than in boys.</description><identifier>ISSN: 2047-6302</identifier><identifier>EISSN: 2047-6310</identifier><identifier>DOI: 10.1111/ijpo.12532</identifier><identifier>PMID: 31033249</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Asthma ; Asthma - complications ; Asthma - physiopathology ; Child ; Childhood ; children ; Childrens health ; Female ; Humans ; Male ; Meta-analysis ; Obesity ; overweight ; Overweight - complications ; Pediatric Obesity - complications ; Pediatric Obesity - physiopathology ; Pediatrics ; Respiratory Sounds - physiology ; Risk Factors</subject><ispartof>Pediatric obesity, 2019-09, Vol.14 (9), p.e12532-n/a</ispartof><rights>2019 World Obesity Federation</rights><rights>2019 World Obesity Federation.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4232-927dfd115e9c5ed5ed814f5775770edfc269363a64731dce804387b02b8aaf713</citedby><cites>FETCH-LOGICAL-c4232-927dfd115e9c5ed5ed814f5775770edfc269363a64731dce804387b02b8aaf713</cites><orcidid>0000-0003-1715-3372</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijpo.12532$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijpo.12532$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31033249$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Deng, Xiangling</creatorcontrib><creatorcontrib>Ma, Jia</creatorcontrib><creatorcontrib>Yuan, Yuan</creatorcontrib><creatorcontrib>Zhang, Zhixin</creatorcontrib><creatorcontrib>Niu, Wenquan</creatorcontrib><title>Association between overweight or obesity and the risk for childhood asthma and wheeze: An updated meta‐analysis on 18 articles and 73 252 children</title><title>Pediatric obesity</title><addtitle>Pediatr Obes</addtitle><description>Summary Background Overweight or obesity is increasingly recognized as a possible risk factor for childhood asthma. Objectives We aimed to meta‐analyse the association between overweight or obesity and the risk for childhood asthma and wheeze and meanwhile explore potential causes of between‐study heterogeneity. Methods Literature search, study selection, and data extraction were performed independently and in duplicate. Data were analysed by STATA software. Results Eighteen articles and 73 252 children were analysed. In overall analyses, there was a significant association between overweight or obesity and the risk for childhood asthma (odds ratio [OR] = 1.30; 95% confidence interval [CI], 1.23‐1.39; P &lt; 0.001) and wheeze (OR = 1.90; 95% CI, 1.38‐2.63; P &lt; 0.001), with none/marginal publication bias as revealed by the Egger test (P = 0.938/0.038), respectively. Subgroup analyses showed that children with obesity (OR = 1.40; 95% CI, 1.29‐1.52) were more likely to have asthma than children with overweight (OR = 1.22; 95% CI, 1.14‐1.31), and in children with overweight or obesity, girls (OR = 1.34; 95% CI, 1.16‐1.56) were more likely to have asthma than boys (OR = 1.27; 95% CI, 1.15‐1.40). Conclusions Our findings indicate that overweight or obesity is a significant risk factor for childhood asthma and wheeze and in children with overweight or obesity, the risk is more evident in girls than in boys.</description><subject>Asthma</subject><subject>Asthma - complications</subject><subject>Asthma - physiopathology</subject><subject>Child</subject><subject>Childhood</subject><subject>children</subject><subject>Childrens health</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Meta-analysis</subject><subject>Obesity</subject><subject>overweight</subject><subject>Overweight - complications</subject><subject>Pediatric Obesity - complications</subject><subject>Pediatric Obesity - physiopathology</subject><subject>Pediatrics</subject><subject>Respiratory Sounds - physiology</subject><subject>Risk Factors</subject><issn>2047-6302</issn><issn>2047-6310</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctqGzEUhkVoqY2TTR8gCLopASe6zDU7Y9ImweAs2vWgkc5k5MyMXEkT467yCFl1nWfpo_RJInvSLLLI4YAE59MnDj9Cnyk5paHO9GptTimLOTtAY0aidJpwSj683gkboSPnViRUQmhCok9oFAjOWZSP0Z-Zc0Zq4bXpcAl-A9Bhcw92A_q29thYbEpw2m-x6BT2NWCr3R2uwkDWulG1MQoL5-tW7IlNDfAbzvGsw_1aCQ8Kt-DFv4dH0Ylm67TD4SeaYWG9lg24_auU_31iMRuUFrpD9LESjYOjl3OCfn67-DG_nC6W36_ms8VURoyzac5SVSlKY8hlDCp0RqMqTtPQBFQlWZLzhIskSjlVEjIS8SwtCSszIaqU8gn6OnjX1vzqwfmi1U5C04gOTO8KxmgSbHnOAvrlDboyvQ077agki2JK4jhQJwMlrXHOQlWsrW6F3RaUFLvAil1gxT6wAB-_KPuyBfWK_o8nAHQANrqB7Tuq4ur6ZjlInwGQ0KGX</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Deng, Xiangling</creator><creator>Ma, Jia</creator><creator>Yuan, Yuan</creator><creator>Zhang, Zhixin</creator><creator>Niu, Wenquan</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1715-3372</orcidid></search><sort><creationdate>201909</creationdate><title>Association between overweight or obesity and the risk for childhood asthma and wheeze: An updated meta‐analysis on 18 articles and 73 252 children</title><author>Deng, Xiangling ; Ma, Jia ; Yuan, Yuan ; Zhang, Zhixin ; Niu, Wenquan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4232-927dfd115e9c5ed5ed814f5775770edfc269363a64731dce804387b02b8aaf713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Asthma</topic><topic>Asthma - complications</topic><topic>Asthma - physiopathology</topic><topic>Child</topic><topic>Childhood</topic><topic>children</topic><topic>Childrens health</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Meta-analysis</topic><topic>Obesity</topic><topic>overweight</topic><topic>Overweight - complications</topic><topic>Pediatric Obesity - complications</topic><topic>Pediatric Obesity - physiopathology</topic><topic>Pediatrics</topic><topic>Respiratory Sounds - physiology</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deng, Xiangling</creatorcontrib><creatorcontrib>Ma, Jia</creatorcontrib><creatorcontrib>Yuan, Yuan</creatorcontrib><creatorcontrib>Zhang, Zhixin</creatorcontrib><creatorcontrib>Niu, Wenquan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Deng, Xiangling</au><au>Ma, Jia</au><au>Yuan, Yuan</au><au>Zhang, Zhixin</au><au>Niu, Wenquan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between overweight or obesity and the risk for childhood asthma and wheeze: An updated meta‐analysis on 18 articles and 73 252 children</atitle><jtitle>Pediatric obesity</jtitle><addtitle>Pediatr Obes</addtitle><date>2019-09</date><risdate>2019</risdate><volume>14</volume><issue>9</issue><spage>e12532</spage><epage>n/a</epage><pages>e12532-n/a</pages><issn>2047-6302</issn><eissn>2047-6310</eissn><abstract>Summary Background Overweight or obesity is increasingly recognized as a possible risk factor for childhood asthma. Objectives We aimed to meta‐analyse the association between overweight or obesity and the risk for childhood asthma and wheeze and meanwhile explore potential causes of between‐study heterogeneity. Methods Literature search, study selection, and data extraction were performed independently and in duplicate. Data were analysed by STATA software. Results Eighteen articles and 73 252 children were analysed. In overall analyses, there was a significant association between overweight or obesity and the risk for childhood asthma (odds ratio [OR] = 1.30; 95% confidence interval [CI], 1.23‐1.39; P &lt; 0.001) and wheeze (OR = 1.90; 95% CI, 1.38‐2.63; P &lt; 0.001), with none/marginal publication bias as revealed by the Egger test (P = 0.938/0.038), respectively. Subgroup analyses showed that children with obesity (OR = 1.40; 95% CI, 1.29‐1.52) were more likely to have asthma than children with overweight (OR = 1.22; 95% CI, 1.14‐1.31), and in children with overweight or obesity, girls (OR = 1.34; 95% CI, 1.16‐1.56) were more likely to have asthma than boys (OR = 1.27; 95% CI, 1.15‐1.40). Conclusions Our findings indicate that overweight or obesity is a significant risk factor for childhood asthma and wheeze and in children with overweight or obesity, the risk is more evident in girls than in boys.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31033249</pmid><doi>10.1111/ijpo.12532</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-1715-3372</orcidid></addata></record>
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subjects Asthma
Asthma - complications
Asthma - physiopathology
Child
Childhood
children
Childrens health
Female
Humans
Male
Meta-analysis
Obesity
overweight
Overweight - complications
Pediatric Obesity - complications
Pediatric Obesity - physiopathology
Pediatrics
Respiratory Sounds - physiology
Risk Factors
title Association between overweight or obesity and the risk for childhood asthma and wheeze: An updated meta‐analysis on 18 articles and 73 252 children
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