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The association between BMI, vigorous physical activity and television viewing and the risk of symptoms of asthma, rhinoconjunctivitis and eczema in children and adolescents: ISAAC Phase Three

机译:ISAAC第三阶段:体重指数,剧烈体育锻炼和电视观看与儿童,青少年哮喘,鼻结膜炎和湿疹症状的风险之间的关系:

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Background: Several studies have observed an association between obesity and asthma, but whether or not there is an association with rhinoconjunctivitis or eczema is unclear. Aims: To examine the relationship between body mass index categories (underweight, overweight and obesity), vigorous physical activity and television viewing and the risk of symptoms of asthma, rhinoconjunctivitis and eczema. Methods: As part of International Study of Asthma and Allergies in Childhood (ISAAC) Phase Three, parents or guardians of children aged 6-7 years completed written questionnaires about symptoms of asthma, rhinoconjunctivitis and eczema, and several potential risk factors, such as vigorous physical activity and television viewing, and other information such as the child's height and weight. Adolescents aged 13-14 years self-completed the questionnaires on these symptoms and potential risk factors and reported their own height and weight. For 28% of children and 24% of adolescents, the height and weight was objectively measured. Results: A total of 76 164 children aged 6-7 years (from 29 centres and 17 countries) and 201 370 adolescents aged 13-14 years (from 73 centres and 35 countries) provided data meeting the inclusion criteria. There were associations between overweight and obesity, but not underweight, and symptoms of asthma and eczema but not rhinoconjunctivitis. Vigorous physical activity was positively associated with symptoms of asthma, rhinoconjunctivitis and eczema in adolescents, but not children. Viewing television for five or more hours/day was associated with an increased risk of symptoms of asthma, rhinoconjunctivitis and eczema in adolescents and symptoms of asthma in children. Conclusions and Clinical Relevance: This study has confirmed the association between overweight and obesity and symptoms of asthma. It has extended these observations to include significant associations with symptoms of eczema, but not rhinoconjunctivitis. There are complex relationships between obesity, vigorous physical activity and sedentary behaviour and the symptoms of asthma, rhinoconjunctivitis and eczema in children.
机译:背景:几项研究已观察到肥胖与哮喘之间的关联,但尚不清楚是否与鼻结膜炎或湿疹相关。目的:检查体重指数类别(体重过轻,超重和肥胖),剧烈运动和看电视与哮喘,鼻结膜炎和湿疹症状风险之间的关系。方法:作为《国际儿童哮喘和过敏研究》(ISAAC)第三阶段的一部分,年龄在6至7岁之间的儿童的父母或监护人填写了有关哮喘,鼻结膜炎和湿疹症状以及一些潜在危险因素(如剧烈运动)的书面调查表体育锻炼和看电视以及其他信息,例如孩子的身高和体重。 13-14岁的青少年自行填写了有关这些症状和潜在危险因素的问卷,并报告了自己的身高和体重。对于28%的儿童和24%的青少年,客观测量了身高和体重。结果:总共提供了符合纳入标准的数据,共有76164名6-7岁的儿童(来自29个中心和17个国家)和201370名13-14岁的青少年(来自73个中心和35个国家)。超重与肥胖之间存在相关性,但体重不足与肥胖,哮喘和湿疹症状相关,而鼻结膜炎与无症状相关。剧烈的体育活动与青少年(而非儿童)的哮喘,鼻结膜炎和湿疹症状呈正相关。每天看电视五个小时或更长时间与青少年哮喘,鼻结膜炎和湿疹症状以及儿童哮喘症状的风险增加有关。结论与临床意义:这项研究证实了超重与肥胖与哮喘症状之间的关联。它已将这些观察结果扩展到包括与湿疹症状的显着关联,但不包括鼻结膜炎。肥胖,剧烈的体育活动和久坐的行为与儿童的哮喘,鼻结膜炎和湿疹症状之间存在复杂的关系。

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