Özge YILMAZ, Hasan YÜKSEL, Ahmet TÜRKELİ, Şebnem KADER, Ayhan SÖĞÜT, Arda BOZGÜL

Astımlı çocuklarda obezite daha kötü kontrol ile ilişkili mi?

Giriş: Astım ve o b ezite ilişk ili h asta lıklardır anca k o b ezitenin astım a ğırlığına etkisi h enüz net de ğildir. Bu ne den le, ça lışma mm ızınmamacı obezite ile semptomlar ve astım kontrol anketi (ACQ) ile de ğerlendirilen astım kontrolünün ilişkisini değerlendirmektir.Materyal ve Metod : Ça lışmaya 4-14 ya şları arasın da k i 98 çocu ğuba şvuru sırasıyla dahil ettik ve hastalık özellikleri, a ğırlık paramet-re leriyle b irlikte sem ptom skorların ı ka ydettik. Tüm çocu klarACQ yu do ldurdu. Çocu klar b e den k itle in de k sine göre o b ez veobez olma y an olarak sın ıflandırıldı. Obezite, beden kitle indeksinin90 persentil üzerin de olması şeklin de tanımlandı.

Iso besity related to worse control in children with asthma?

In troductio n : Asth ma an d o b esity are re late d diseases h owever th e influence of ob esity on asth ma severity is not c lear yet. T here fore, efth e aim of our stu dy was to eva luate th e association b etween o b esity an d asth ma control eva luate d on th e b asis of sym ptoms an dsasth ma contro l q uestionnaire (ACQ).Materials an d Meth o d s: We enro lle d 98 ch ildren with asth ma a ge d 4 to 14 years consecutive ly an d recorde d th eir disease c h a rac-ateristics an d severity parameters as we ll as th e sym ptom scores. All ch ildren fille d in th e ACQ. Ch ildren were c lassifie d as o b es e an den on-obese according to body mass index. Obesity was defined as body mass index over 9 0 th percentile.Resu lts: Mean a ge of th e ch ildren in th e o b ese group (n= 27) was 8.1 ± 2.6 wh ile th at in th e non-o b ese group (n= 71) was 8 .6 ± 82.9 (p= 0.41). Asth ma symptom score in o b ese an d non-o b ese groups were not significantly different (p= 0.73). Ch ildren in th e no b ese group h a d lower ACQ scores wh en compare d to th e non-o b ese group (1.2 ± 0.9 vs 1.7 ± 1.0, p= 0.04) h owever th is signifi-igcance was lost when controlled for a ge and gender in the re gression model.Co n c lus io n: T h e resu lts of th is stu dy su ggest th at o b esity is not significantly associate d with worse asth ma contro l wh en a djuste d for ed age an d gen der.

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