Can the increase in body mass index explain the rising trend in asthma in children?
BACKGROUND The reported association between asthma and obesity and the documented rise in each over time have led to suggestions that rising obesity might explain the increase in the prevalence of asthma. Trends in both in British children participating in the National Study of Health and Growth wer...
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| Veröffentlicht in: | Thorax 2001-11, Vol.56 (11), p.845-850 |
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| description | BACKGROUND The reported association between asthma and obesity and the documented rise in each over time have led to suggestions that rising obesity might explain the increase in the prevalence of asthma. Trends in both in British children participating in the National Study of Health and Growth were marked from 1982 to 1994. METHODS Odd ratios for trends in asthma and symptoms in 8 and 9 year old children were calculated with and without adjustment for body mass index (BMI). RESULTS In a representative sample of white children the odds ratio per year for asthma was 1.09 (95% CI 1.07 to 1.11) before and after adjustment for BMI for boys and 1.09 (95% CI 1.07 to 1.12) and 1.09 (95% CI 1.05 to 1.12), respectively, for girls. Unadjusted and adjusted odds ratios were also virtually identical for wheeze and “asthma or bronchitis”. The lack of effect of adjustment was due to a change in the association between BMI and symptoms with time. CONCLUSIONS Trends in overweight and obesity do not explain the increase in asthma. The evidence points towards the association between asthma and obesity being of recent origin. This may be explained by obesity being a marker of recent lifestyle differences now associated with both asthma and overweight. |
| doi_str_mv | 10.1136/thorax.56.11.845 |
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Trends in both in British children participating in the National Study of Health and Growth were marked from 1982 to 1994. METHODS Odd ratios for trends in asthma and symptoms in 8 and 9 year old children were calculated with and without adjustment for body mass index (BMI). RESULTS In a representative sample of white children the odds ratio per year for asthma was 1.09 (95% CI 1.07 to 1.11) before and after adjustment for BMI for boys and 1.09 (95% CI 1.07 to 1.12) and 1.09 (95% CI 1.05 to 1.12), respectively, for girls. Unadjusted and adjusted odds ratios were also virtually identical for wheeze and “asthma or bronchitis”. The lack of effect of adjustment was due to a change in the association between BMI and symptoms with time. CONCLUSIONS Trends in overweight and obesity do not explain the increase in asthma. The evidence points towards the association between asthma and obesity being of recent origin. This may be explained by obesity being a marker of recent lifestyle differences now associated with both asthma and overweight.</description><identifier>ISSN: 0040-6376</identifier><identifier>EISSN: 1468-3296</identifier><identifier>DOI: 10.1136/thorax.56.11.845</identifier><identifier>PMID: 11641508</identifier><identifier>CODEN: THORA7</identifier><language>eng</language><publisher>London: BMJ</publisher><subject>Age ; Analysis ; Asthma ; Asthma - epidemiology ; Asthma - etiology ; Asthma in children ; Biological and medical sciences ; Birth Weight ; Body Mass Index ; Bronchitis ; Causes of ; Child ; Children & youth ; Chronic obstructive pulmonary disease, asthma ; Complications and side effects ; Confidence Intervals ; Families & family life ; Family Characteristics ; Female ; Humans ; Inner city ; Logistic Models ; Longitudinal Studies ; Male ; Measurement ; Medical sciences ; Multiple births ; Obesity ; Obesity - complications ; Obesity - epidemiology ; Obesity in children ; Odds Ratio ; Original ; Overweight ; Pneumology ; Prevalence studies (Epidemiology) ; Questionnaires ; Response rates ; Risk Factors ; Sex Factors ; Skinfold Thickness ; Tobacco Smoke Pollution ; Trends</subject><ispartof>Thorax, 2001-11, Vol.56 (11), p.845-850</ispartof><rights>British Thoracic Society</rights><rights>2002 INIST-CNRS</rights><rights>COPYRIGHT 2001 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2001 British Thoracic Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b654t-3d0af9328c1c1c25763385e961df39fa628091bcaedf7028ca0a9c163c7a74203</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1745960/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1745960/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14107048$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11641508$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chinn, S</creatorcontrib><creatorcontrib>Rona, R J</creatorcontrib><title>Can the increase in body mass index explain the rising trend in asthma in children?</title><title>Thorax</title><addtitle>Thorax</addtitle><description>BACKGROUND The reported association between asthma and obesity and the documented rise in each over time have led to suggestions that rising obesity might explain the increase in the prevalence of asthma. Trends in both in British children participating in the National Study of Health and Growth were marked from 1982 to 1994. METHODS Odd ratios for trends in asthma and symptoms in 8 and 9 year old children were calculated with and without adjustment for body mass index (BMI). RESULTS In a representative sample of white children the odds ratio per year for asthma was 1.09 (95% CI 1.07 to 1.11) before and after adjustment for BMI for boys and 1.09 (95% CI 1.07 to 1.12) and 1.09 (95% CI 1.05 to 1.12), respectively, for girls. Unadjusted and adjusted odds ratios were also virtually identical for wheeze and “asthma or bronchitis”. The lack of effect of adjustment was due to a change in the association between BMI and symptoms with time. CONCLUSIONS Trends in overweight and obesity do not explain the increase in asthma. The evidence points towards the association between asthma and obesity being of recent origin. This may be explained by obesity being a marker of recent lifestyle differences now associated with both asthma and overweight.</description><subject>Age</subject><subject>Analysis</subject><subject>Asthma</subject><subject>Asthma - epidemiology</subject><subject>Asthma - etiology</subject><subject>Asthma in children</subject><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>Body Mass Index</subject><subject>Bronchitis</subject><subject>Causes of</subject><subject>Child</subject><subject>Children & youth</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Complications and side effects</subject><subject>Confidence Intervals</subject><subject>Families & family life</subject><subject>Family Characteristics</subject><subject>Female</subject><subject>Humans</subject><subject>Inner city</subject><subject>Logistic Models</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Measurement</subject><subject>Medical sciences</subject><subject>Multiple births</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - epidemiology</subject><subject>Obesity in children</subject><subject>Odds Ratio</subject><subject>Original</subject><subject>Overweight</subject><subject>Pneumology</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Questionnaires</subject><subject>Response rates</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Skinfold Thickness</subject><subject>Tobacco Smoke Pollution</subject><subject>Trends</subject><issn>0040-6376</issn><issn>1468-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqF0s2L1DAUAPAgijuu3j1JUfakHZMmTZqLsgx-wYIH9Rxe8zHN0KZj0pHZ_35TOrgrDEgOyUt_efnoQ-glwWtCKH8_dWOE47rmOVw3rH6EVoTxpqSV5I_RCmOGS04Fv0DPUtphjBtCxFN0QQhnpMbNCv3YQCimzhY-6GghzYOiHc1tMUBKOTD2WNjjvge_uOiTD9tiijaY2UKaugHmke58b_L0x-foiYM-2Ren_hL9-vzp5-ZrefP9y7fN9U3Z8ppNJTUYnKRVo0luVS04pU1tJSfGUemAVw2WpNVgjRM4M8AgNeFUCxCswvQSfVjy7g_tYI22YYrQq330A8RbNYJX_34JvlPb8Y8igtWSzwnenBLE8ffBpkntxkMM-cyZNKSpaCVYVq8XtYXeKh_cmJPpwSetroWU-VXZjN6dQVsbbN54DNb5PP2Ql2d4bsYOXp_zePE6jilF6_7ekmA1l4JaSkHVPIcql0Je8urh69wvOP37DK5OAJKG3kUI2qd7xwgWmM3u7eLaYff_be8AeyfKOQ</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>Chinn, S</creator><creator>Rona, R J</creator><general>BMJ</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>IQODW</scope><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20011101</creationdate><title>Can the increase in body mass index explain the rising trend in asthma in children?</title><author>Chinn, S ; Rona, R J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b654t-3d0af9328c1c1c25763385e961df39fa628091bcaedf7028ca0a9c163c7a74203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Age</topic><topic>Analysis</topic><topic>Asthma</topic><topic>Asthma - epidemiology</topic><topic>Asthma - etiology</topic><topic>Asthma in children</topic><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>Body Mass Index</topic><topic>Bronchitis</topic><topic>Causes of</topic><topic>Child</topic><topic>Children & youth</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Complications and side effects</topic><topic>Confidence Intervals</topic><topic>Families & family life</topic><topic>Family Characteristics</topic><topic>Female</topic><topic>Humans</topic><topic>Inner city</topic><topic>Logistic Models</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Measurement</topic><topic>Medical sciences</topic><topic>Multiple births</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - epidemiology</topic><topic>Obesity in children</topic><topic>Odds Ratio</topic><topic>Original</topic><topic>Overweight</topic><topic>Pneumology</topic><topic>Prevalence studies (Epidemiology)</topic><topic>Questionnaires</topic><topic>Response rates</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Skinfold Thickness</topic><topic>Tobacco Smoke Pollution</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chinn, S</creatorcontrib><creatorcontrib>Rona, R J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Thorax</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chinn, S</au><au>Rona, R J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can the increase in body mass index explain the rising trend in asthma in children?</atitle><jtitle>Thorax</jtitle><addtitle>Thorax</addtitle><date>2001-11-01</date><risdate>2001</risdate><volume>56</volume><issue>11</issue><spage>845</spage><epage>850</epage><pages>845-850</pages><issn>0040-6376</issn><eissn>1468-3296</eissn><coden>THORA7</coden><abstract>BACKGROUND The reported association between asthma and obesity and the documented rise in each over time have led to suggestions that rising obesity might explain the increase in the prevalence of asthma. Trends in both in British children participating in the National Study of Health and Growth were marked from 1982 to 1994. METHODS Odd ratios for trends in asthma and symptoms in 8 and 9 year old children were calculated with and without adjustment for body mass index (BMI). RESULTS In a representative sample of white children the odds ratio per year for asthma was 1.09 (95% CI 1.07 to 1.11) before and after adjustment for BMI for boys and 1.09 (95% CI 1.07 to 1.12) and 1.09 (95% CI 1.05 to 1.12), respectively, for girls. Unadjusted and adjusted odds ratios were also virtually identical for wheeze and “asthma or bronchitis”. The lack of effect of adjustment was due to a change in the association between BMI and symptoms with time. CONCLUSIONS Trends in overweight and obesity do not explain the increase in asthma. The evidence points towards the association between asthma and obesity being of recent origin. This may be explained by obesity being a marker of recent lifestyle differences now associated with both asthma and overweight.</abstract><cop>London</cop><pub>BMJ</pub><pmid>11641508</pmid><doi>10.1136/thorax.56.11.845</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age Analysis Asthma Asthma - epidemiology Asthma - etiology Asthma in children Biological and medical sciences Birth Weight Body Mass Index Bronchitis Causes of Child Children & youth Chronic obstructive pulmonary disease, asthma Complications and side effects Confidence Intervals Families & family life Family Characteristics Female Humans Inner city Logistic Models Longitudinal Studies Male Measurement Medical sciences Multiple births Obesity Obesity - complications Obesity - epidemiology Obesity in children Odds Ratio Original Overweight Pneumology Prevalence studies (Epidemiology) Questionnaires Response rates Risk Factors Sex Factors Skinfold Thickness Tobacco Smoke Pollution Trends |
| title | Can the increase in body mass index explain the rising trend in asthma in children? |
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