Arzu BAKIRTAŞ, M Sadık DEMİRSOY, Aysun BİDECİ, Peyami CİNAZ

7 - 16 Yaş Çocuklarda Obezite Ve Allerjik Solunum Yolu Hastalığı İlişkisi

Giriş: Obezite ve astım prevelansı tüm dünyada birbirine paralel artış göstermektedir.Amaç: Obezite ve astım prevelansı tüm dünyada birbirine paralel artış göstermektedir. Bu çalışmada çocuklarda obezite ve allerjik solunum yolu hastalığı ilişkisini araştırmak amaçlanmıştır.Yöntemler: Yaşları 7-16 arasında 52' si obez, 87 olgu çalışmaya alınmıştır. Allerjik solunum yolu hastalığı öykü, fizik inceleme, anket, epidermal deri ve solunum fonksiyon testi ve ile değerlendirilmiştir. Astım tanısı tekrarlayan vizing atakları öyküsü, allerjik rinit tanısı uygun öykü ve epidermal deri testleri ile konulmuştur. Bulgular: Allerjik solunum yolu hastalığı %26,4 olguda belirlenmiştir. Bunların %57' si sadece allerjik rinit, %26' sı sadece astım ve % 17' si astım ve birlikte allerjik rinit tanısı almıştır. Obez ve obez olmayan kontrol olgular astım veya allerjik rinit tanısı açısından farklılık göstermemiştir (sırasıyla p=0.304 ve p=0.46). Atopik duyarlanma olguların %31' inde saptanmış ve obezlerde kontrollere göre anlamlı yüksek bulunmuştur (p=0.033). Sonuç: Obez çocuklarda atopik duyarlanma daha fazla görülmesine rağmen, astım ve allerjik rinit sıklığı obez olmayanlara göre farklı bulunmamıştır.

Anahtar Kelimeler:

Astım, atopi, obezite

THE RELATION BETWEEN OBESITY AND ALLERGIC AIRWAY DISEASES IN 7-16 YEARS OLD CHILDREN

Background:The prevelance of obesity and asthma have increased in parallel all around the world.Aim: We aimed to study the relationship between obesity and allergic airway diseases in children.Methods: 87 children seven to 16 years old, 52 of whom were obese, were included in the study. Allergic airway disease was evaluated by history, physical examination, questionnaire, skin prick and pulmonary function tests. Diagnosis of asthma or allergic rhinitis was made by history of recurrent wheezing episodes and history and skin prick tests, respectively.Results: Allergic airway disease was detected in 26,4% of cases. Among them allergic rhinitis, asthma and concomitant asthma and allergic rhinitis were found in 57%, 26% and 17% of cases, respectively. Obese and non-obese children did not differ considering asthma (p=0.304) and allergic rhinitis (p=0.46). Atopic sensitization was found in 31% of the cases. Obese children had significantly more frequent atopic sensitization than the control children (p=0.033).Conclusion: Although atopic sensitization was more common in obese children, the frequency of asthma and allergic rhinitis was not different in obese and non-obese children

Keywords:

Asthma, atopy, obesity,

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