Wheeze and asthma in children - Associations with body mass index, sports, television viewing, and diet

被引:78
作者
Corbo, Giuseppe M. [1 ]
Forastiere, Francesco [2 ]
De Sario, Manuela [2 ]
Brunetti, Luigia [3 ]
Bonci, Enea [4 ]
Bugiani, Massimiliano [5 ]
Chellini, Elisabetta [6 ]
La Grutta, Stefania [7 ]
Migliore, Enrica [8 ,9 ]
Pistelli, Riccardo [1 ]
Rusconi, Franca [10 ]
Russo, Antonio [11 ]
Simoni, Marzia [12 ]
Talassi, Fiorella [13 ]
Galassi, Claudia [8 ,9 ]
机构
[1] Catholic Univ, Dept Resp Physiol, I-00168 Rome, Italy
[2] ASL RME, Dept Epidemiol, Rome, Italy
[3] Univ Bari, Pediat Clin 1, Bari, Italy
[4] Univ Roma La Sapienza, Pediat Clin, Rome, Italy
[5] NHS CPA ASL 4, Unit Pneumol, Turin, Italy
[6] Ctr Study & Prevent Canc CSPO, Florence, Italy
[7] Children Hosp ARNAS, Allergy Unit, Palermo, Italy
[8] S Giovanni B Hosp, Unit Canc Epidemiol CPO Piemonte, Turin, Italy
[9] Univ Turin, Turin, Italy
[10] AO Meyer, Epidemiol Unit, Florence, Italy
[11] Local Hlth Author, Epidemiol Unit, Milan, Italy
[12] CNR, Inst Clin Physiol, Pulm Environm Epidemiol Unit, I-56100 Pisa, Italy
[13] Local Hlth Author, Unit Prevent Med, Mantua, Italy
关键词
D O I
10.1097/EDE.0b013e3181776213
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Obesity, physical activity, and dietary habits are distinct but strongly interrelated lifestyle factors that may be relevant to the prevalence of wheeze and asthma ill Children. Our goal was to analyze the relationship of body mass index (BMI), regular sports participation, TV viewing, and diet with current wheezing and asthma. Methods: We investigated 20,016 children, aged 6-7 years, who were enrolled in a population-based study. Parents completed standardized questionnaires. Logistic regression Was used to estimate odds ratios (ORs) and 95% confidence intervals (Cls), while adjusting for several confounders and simultaneously considering BMI, I-CgUlar Sports activity TV viewing and selected dietary items. Results: A total of 1575 children (7.9%)) reported current wheezing and 1343 (6.7%) reported current asthina. In a multivariate model in elevated BM I was associated with wheeze and Current asthma: I la children front the highest quintile (compared with the lowest quintile) had an increased risk of wheeze (OR 1 47; C1 = 1.20-1,82) or current asthina (1.61 ; 1.28-2.011. Wheeze or asthma was not associated with regular sports activity. Subjects who spent 5 or more hours per clay watching television were more likely to experience wheeze ( 1.53; 1.08-2.17) Or Current asthma ( 1.51; 1.04-2.2) corn-pared with those who viewed TV less than I hour a clay. Adding salt to food was strongly and incidently associated With Current wheeze (2.58; 1.41-4.71) and current asthma (2.68 1-41-5.09). Conclusions: our data Support the hypothesis that high body weight, spending a lot of time watching television, and a salty diet each independently increase the risk of asthina symptoms ill children.
引用
收藏
页码:747 / 755
页数:9
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