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Overweight/Obesity and Respiratory and Allergic Disease in Children: International Study of Asthma and Allergies in Childhood (ISAAC) Phase Two

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Overweight/Obesity and Respiratory and Allergic Disease in Children: International Study of Asthma and Allergies in Childhood (ISAAC) Phase Two

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dc.contributor.author Weinmayr, Gudrun es_ES
dc.contributor.author Forastiere, Francesco es_ES
dc.contributor.author Büchele, Gisela es_ES
dc.contributor.author Jaensch, Andrea es_ES
dc.contributor.author Strachan, David P. es_ES
dc.contributor.author Nagel, Gabriele es_ES
dc.date.accessioned 2015-06-18T07:05:52Z
dc.date.available 2015-06-18T07:05:52Z
dc.date.issued 2014
dc.identifier.citation PLoS ONE Vol. 9 Issue 12: es_ES
dc.identifier.uri http://hdl.handle.net/10550/44433
dc.description.abstract BackgroundChildhood obesity and asthma are increasing worldwide. A possible link between the two conditions has been postulated.MethodsCross-sectional studies of stratified random samples of 8–12-year-old children (n = 10 652) (16 centres in affluent and 8 centres in non-affluent countries) used the standardized methodology of ISAAC Phase Two. Respiratory and allergic symptoms were ascertained by parental questionnaires. Tests for allergic disease were performed. Height and weight were measured, and overweight and obesity were defined according to international definitions. Prevalence rates and prevalence odds ratios were calculated.ResultsOverweight (odds ratio = 1.14, 95%-confidence interval: 0.98; 1.33) and obesity (odds ratio = 1.67, 95%-confidence interval: 1.25; 2.21) were related to wheeze. The relationship was stronger in affluent than in non-affluent centres. Similar results were found for cough and phlegm, rhinitis and eczema but the associations were mostly driven by children with wheeze. There was a clear association of overweight and obesity with airways obstruction (change in FEV1/FVC, −0.90, 95%-confidence interval: −1.33%; −0.47%, for overweight and −2.46%, 95%-confidence interval: −3.84%; −1.07%, for obesity) whereas the results for the other objective markers, including atopy, were null.ConclusionsOur data from a large international child population confirm that there is a strong relation of body mass index with wheeze especially in affluent countries. Moreover, body mass index is associated with an objective marker of airways obstruction (FEV1/FVC) but no other objective markers of respiratory and allergic disorders. es_ES
dc.title Overweight/Obesity and Respiratory and Allergic Disease in Children: International Study of Asthma and Allergies in Childhood (ISAAC) Phase Two es_ES
dc.type journal article es_ES
dc.identifier.doi 10.1371/journal.pone.0113996 es_ES
dc.identifier.idgrec 103131 es_ES

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