Asthma symptom perception and obesity in children
- PMID: 19941934
- PMCID: PMC3278964
- DOI: 10.1016/j.biopsycho.2009.11.007
Asthma symptom perception and obesity in children
Abstract
This study examined the relationship between obesity and asthma symptom perception in 200 youth with asthma. Repeated subjective and objective peak flow measurements were summarized using the Asthma Risk Grid (Klein et al., 2004), resulting in Accurate, Symptom Magnification and Danger Zone scores. Analyses were stratified by age and included ethnicity. For younger children, obesity was not significantly related to perception scores. For older children, a significant obesity-by-ethnicity interaction for Accurate Symptom Perception scores indicated that obese white children had lower accuracy than white nonobese children, while there was no difference for obese versus nonobese minority children. Obesity was also related to higher Symptom Magnification scores regardless of ethnicity for older children. These findings suggest that obesity may complicate asthma management by interfering with the ability to accurately perceive symptoms for some patients. More remains to be learned about the role of sociodemographic factors underlying this relationship.
Copyright © 2009 Elsevier B.V. All rights reserved.
Figures
References
-
- Apter AJ, Affleck G, Reisine ST, Tennen HA, Barrows E, Wells M, Willard A, ZuWallack RL. Perception of airway obstruction in asthma: sequential daily analyses of symptoms, peak expiratory flow rate, and mood. Journal of Allergy & Clinical Immunology. 1997;99(5):605–612. - PubMed
-
- Barlow S. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007;120:S164–S192. - PubMed
-
- Belamarich PF, Luder E, Kattan M. Do obese inner-city children with asthma have more symptoms than nonobese children with asthma? Pediatrics. 2000;106:1436–1441. - PubMed
-
- Bibi H, Shoseyov D, Feigenbaum D, Genis M, Friger M, Peled R, Sharff S. The relationship between asthma and obesity in children: is it real or a case of over diagnosis? Journal of Asthma. 2004;41(4):403–410. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
