Sex differences in the relationship between asthma and overweight in Dutch children: a survey study.

OBJECTIVE:Obesity has been identified as a risk factor for asthma in children. However, in the Netherlands, the obesity prevalence is rising while the asthma prevalence in children is stabilising. The aim of this study is to clarify the association between asthma and Body Mass Index (BMI) in childre...

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Main Authors: Maartje Willeboordse, Donna L C M van den Bersselaar, Kim D G van de Kant, Jean W M Muris, Onno C P van Schayck, Edward Dompeling
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3804131?pdf=render
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author Maartje Willeboordse
Donna L C M van den Bersselaar
Kim D G van de Kant
Jean W M Muris
Onno C P van Schayck
Edward Dompeling
author_facet Maartje Willeboordse
Donna L C M van den Bersselaar
Kim D G van de Kant
Jean W M Muris
Onno C P van Schayck
Edward Dompeling
author_sort Maartje Willeboordse
collection DOAJ
description OBJECTIVE:Obesity has been identified as a risk factor for asthma in children. However, in the Netherlands, the obesity prevalence is rising while the asthma prevalence in children is stabilising. The aim of this study is to clarify the association between asthma and Body Mass Index (BMI) in children and whether this association is influenced by sex. STUDY DESIGN:Parents of 39,316 children (6-16 years) in the south of the Netherlands were invited to complete an online questionnaire on respiratory symptoms, anthropometric variables and several potential confounding factors for asthma and obesity (including sex, birth weight and breastfeeding). Data was analysed by multivariable logistic regression models and an ordinal regression model. RESULTS:The response rate was 24% (n boys= 4,743, n girls= 4,529). The prevalence of asthma, overweight and obesity was 8%, 15% and 2% respectively. Body mass index--standard deviation Score (BMI-SDS) was related to current asthma (adjusted OR: 1.29; 95%CI: 1.14-1.45, p ≤ 0.001). When stratified for sex, asthma and BMI-SDS were only related in girls (Girls: adjusted OR: 1.31; 95%CI: 1.13-1.51, p ≤ 0.001. Boys: adjusted OR: 1.01; 95%CI: 0.91-1.14, p=0.72). CONCLUSIONS:The positive association between BMI-SDS and asthma is only present in girls, not boys. Future studies into obesity and asthma should correct for sex in their analyses.
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spelling doaj.art-45cdef01694448f58c25e82bf34736712022-12-22T01:41:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-01810e7757410.1371/journal.pone.0077574Sex differences in the relationship between asthma and overweight in Dutch children: a survey study.Maartje WilleboordseDonna L C M van den BersselaarKim D G van de KantJean W M MurisOnno C P van SchayckEdward DompelingOBJECTIVE:Obesity has been identified as a risk factor for asthma in children. However, in the Netherlands, the obesity prevalence is rising while the asthma prevalence in children is stabilising. The aim of this study is to clarify the association between asthma and Body Mass Index (BMI) in children and whether this association is influenced by sex. STUDY DESIGN:Parents of 39,316 children (6-16 years) in the south of the Netherlands were invited to complete an online questionnaire on respiratory symptoms, anthropometric variables and several potential confounding factors for asthma and obesity (including sex, birth weight and breastfeeding). Data was analysed by multivariable logistic regression models and an ordinal regression model. RESULTS:The response rate was 24% (n boys= 4,743, n girls= 4,529). The prevalence of asthma, overweight and obesity was 8%, 15% and 2% respectively. Body mass index--standard deviation Score (BMI-SDS) was related to current asthma (adjusted OR: 1.29; 95%CI: 1.14-1.45, p ≤ 0.001). When stratified for sex, asthma and BMI-SDS were only related in girls (Girls: adjusted OR: 1.31; 95%CI: 1.13-1.51, p ≤ 0.001. Boys: adjusted OR: 1.01; 95%CI: 0.91-1.14, p=0.72). CONCLUSIONS:The positive association between BMI-SDS and asthma is only present in girls, not boys. Future studies into obesity and asthma should correct for sex in their analyses.http://europepmc.org/articles/PMC3804131?pdf=render
spellingShingle Maartje Willeboordse
Donna L C M van den Bersselaar
Kim D G van de Kant
Jean W M Muris
Onno C P van Schayck
Edward Dompeling
Sex differences in the relationship between asthma and overweight in Dutch children: a survey study.
PLoS ONE
title Sex differences in the relationship between asthma and overweight in Dutch children: a survey study.
title_full Sex differences in the relationship between asthma and overweight in Dutch children: a survey study.
title_fullStr Sex differences in the relationship between asthma and overweight in Dutch children: a survey study.
title_full_unstemmed Sex differences in the relationship between asthma and overweight in Dutch children: a survey study.
title_short Sex differences in the relationship between asthma and overweight in Dutch children: a survey study.
title_sort sex differences in the relationship between asthma and overweight in dutch children a survey study
url http://europepmc.org/articles/PMC3804131?pdf=render
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