Cargando…

The association between body mass index and frequency of emergency department visits and hospitalization for asthma exacerbation in a pediatric population

BACKGROUND: The prevalence of both asthma and obesity are increasing. Although some studies suggest an association between body mass index (BMI) and frequency of emergency department (ED) visits and hospitalization for asthma exacerbation, any association remains unproven. OBJECTIVE: Estimate the fr...

Descripción completa

Detalles Bibliográficos
Autores principales: Alhekail, Ghadah Abdulrahman, Althubaiti, Alaa, AlQueflie, Sulaiman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: King Faisal Specialist Hospital and Research Centre 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074121/
https://www.ncbi.nlm.nih.gov/pubmed/29229888
http://dx.doi.org/10.5144/0256-4947.2017.415
_version_ 1783344335939436544
author Alhekail, Ghadah Abdulrahman
Althubaiti, Alaa
AlQueflie, Sulaiman
author_facet Alhekail, Ghadah Abdulrahman
Althubaiti, Alaa
AlQueflie, Sulaiman
author_sort Alhekail, Ghadah Abdulrahman
collection PubMed
description BACKGROUND: The prevalence of both asthma and obesity are increasing. Although some studies suggest an association between body mass index (BMI) and frequency of emergency department (ED) visits and hospitalization for asthma exacerbation, any association remains unproven. OBJECTIVE: Estimate the frequency of asthma exacerbation in obese children, and identify any relationship between BMI and frequency of ED visits and hospitalization for asthma exacerbation. DESIGN: Retrospective review of medical records. SETTINGS: Tertiary children’s hospital, Riyadh. SUBJECTS AND METHODS: All children aged 2–15 years who attended the ED for asthma exacerbation between January 2015 and January 2016 were included. Children with comorbidities or undocumented asthma were excluded. The Centers for Disease Control and Prevention BMI-for-age growth charts for boys and girls aged 2 to 20 years were used to classify underweight, normal, overweight, and obese. MAIN OUTCOME MEASURES: The frequency of ED visits and the rate, frequency, and duration of hospitalization. RESULTS: Of the 1000 cases reviewed, 64.6% were boys and the mean age (standard deviation) of all subjects was 5.6 (3.3) years. The proportions of overweight and obese children was 11.8% and 12.1%, respectively. There was no association between increased BMI and frequency of ED visits for asthma exacerbation (P=.84), duration of hospitalization (P=.41) or frequency of hospitalization (P=.89). CONCLUSION: There was no evidence of an association between BMI and frequency of ED visits and hospitalization for asthma exacerbation among children. LIMITATIONS: This study included patients as young as 2 years, while asthma is only well-defined in children >5 years. Asthma triggers that can cause exacerbation despite body weight were not included. We included only frequency of ED visits and hospitalization, which may be inadequate to measure asthma severity.
format Online
Article
Text
id pubmed-6074121
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher King Faisal Specialist Hospital and Research Centre
record_format MEDLINE/PubMed
spelling pubmed-60741212018-09-21 The association between body mass index and frequency of emergency department visits and hospitalization for asthma exacerbation in a pediatric population Alhekail, Ghadah Abdulrahman Althubaiti, Alaa AlQueflie, Sulaiman Ann Saudi Med Original Article BACKGROUND: The prevalence of both asthma and obesity are increasing. Although some studies suggest an association between body mass index (BMI) and frequency of emergency department (ED) visits and hospitalization for asthma exacerbation, any association remains unproven. OBJECTIVE: Estimate the frequency of asthma exacerbation in obese children, and identify any relationship between BMI and frequency of ED visits and hospitalization for asthma exacerbation. DESIGN: Retrospective review of medical records. SETTINGS: Tertiary children’s hospital, Riyadh. SUBJECTS AND METHODS: All children aged 2–15 years who attended the ED for asthma exacerbation between January 2015 and January 2016 were included. Children with comorbidities or undocumented asthma were excluded. The Centers for Disease Control and Prevention BMI-for-age growth charts for boys and girls aged 2 to 20 years were used to classify underweight, normal, overweight, and obese. MAIN OUTCOME MEASURES: The frequency of ED visits and the rate, frequency, and duration of hospitalization. RESULTS: Of the 1000 cases reviewed, 64.6% were boys and the mean age (standard deviation) of all subjects was 5.6 (3.3) years. The proportions of overweight and obese children was 11.8% and 12.1%, respectively. There was no association between increased BMI and frequency of ED visits for asthma exacerbation (P=.84), duration of hospitalization (P=.41) or frequency of hospitalization (P=.89). CONCLUSION: There was no evidence of an association between BMI and frequency of ED visits and hospitalization for asthma exacerbation among children. LIMITATIONS: This study included patients as young as 2 years, while asthma is only well-defined in children >5 years. Asthma triggers that can cause exacerbation despite body weight were not included. We included only frequency of ED visits and hospitalization, which may be inadequate to measure asthma severity. King Faisal Specialist Hospital and Research Centre 2017 /pmc/articles/PMC6074121/ /pubmed/29229888 http://dx.doi.org/10.5144/0256-4947.2017.415 Text en Copyright © 2017, Annals of Saudi Medicine This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Alhekail, Ghadah Abdulrahman
Althubaiti, Alaa
AlQueflie, Sulaiman
The association between body mass index and frequency of emergency department visits and hospitalization for asthma exacerbation in a pediatric population
title The association between body mass index and frequency of emergency department visits and hospitalization for asthma exacerbation in a pediatric population
title_full The association between body mass index and frequency of emergency department visits and hospitalization for asthma exacerbation in a pediatric population
title_fullStr The association between body mass index and frequency of emergency department visits and hospitalization for asthma exacerbation in a pediatric population
title_full_unstemmed The association between body mass index and frequency of emergency department visits and hospitalization for asthma exacerbation in a pediatric population
title_short The association between body mass index and frequency of emergency department visits and hospitalization for asthma exacerbation in a pediatric population
title_sort association between body mass index and frequency of emergency department visits and hospitalization for asthma exacerbation in a pediatric population
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074121/
https://www.ncbi.nlm.nih.gov/pubmed/29229888
http://dx.doi.org/10.5144/0256-4947.2017.415
work_keys_str_mv AT alhekailghadahabdulrahman theassociationbetweenbodymassindexandfrequencyofemergencydepartmentvisitsandhospitalizationforasthmaexacerbationinapediatricpopulation
AT althubaitialaa theassociationbetweenbodymassindexandfrequencyofemergencydepartmentvisitsandhospitalizationforasthmaexacerbationinapediatricpopulation
AT alquefliesulaiman theassociationbetweenbodymassindexandfrequencyofemergencydepartmentvisitsandhospitalizationforasthmaexacerbationinapediatricpopulation
AT alhekailghadahabdulrahman associationbetweenbodymassindexandfrequencyofemergencydepartmentvisitsandhospitalizationforasthmaexacerbationinapediatricpopulation
AT althubaitialaa associationbetweenbodymassindexandfrequencyofemergencydepartmentvisitsandhospitalizationforasthmaexacerbationinapediatricpopulation
AT alquefliesulaiman associationbetweenbodymassindexandfrequencyofemergencydepartmentvisitsandhospitalizationforasthmaexacerbationinapediatricpopulation