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Vol. 32. Issue 5.
Pages 259-264 (September 2004)
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Vol. 32. Issue 5.
Pages 259-264 (September 2004)
Quality of life in pediatric patients with asthma with or without obesity: a pilot study
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V. Blandon Vijila, B. Del Rio Navarroa, A. Berber Eslavaa, JJL Sienra Mongea
a Hospital Infantil de Mexico Federico Gomez. Mexico City, Mexico.
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Table. I Demographic data of study population
Table. II Scores in Pediatric Asthma Quality of Life (PAQLQS) questionnaire at physical activity, emotions and symptoms between asthmatic children (Obese, overweight and normal weight)
Figure 1. --Difference of mean values and confidence intervals over emotional factor between asthmatic children: obese, overweight and normal weight.
Figure 2. --Difference of mean values and confidence intervals over symptoms between asthmatic children: obese, overweight and normal weight.
Figure 3. --Difference of mean values and confidence intervals over physical activity between asthmatic children: obese, overweight and normal weight.
Figure 4. --Difference between mean values in the 3 groups of asthmatic children: obese, overweight and normal weight at emotional level (Em), symptoms (Symp) and physical activity (Ph Act).
Figure 5. --Correlation of obtained results in study groups. The lesser score indicates the most affected quality of life.
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Background: In addition to the increased incidence of asthma, obesity in asthmatic children is also on the rise. Several studies have been performed to determine whether obesity could be a risk factor for asthma, but this association has not been demonstrated in all patients. The Pediatric Asthma Quality of Life Questionnaire (PAQLQ) is a standardized and validated tool for use in the pediatric population, which evaluates the effect of asthma on patients' daily activities. Methods and results: To determine the effect of obesity and overweight on quality of life, the PAQLQS was applied to 100 pediatric patients with intermittent asthma and mild persistent asthma and obesity, overweight and normal weight. The results of the three dimensions evaluated in the questionnaire (emotions, symptoms and limitation of activities) showed significant differences in quality of life in the obese asthmatic group only (p < 0.000). No differences were found when the groups with and without overweight were compared. Conclusions: The PAQLQ revealed a significant difference in the quality of life in obese asthmatic patients. Overweight and normal weight had no effect quality of life.
Keywords:
Asthma
Children
Obesity
Overweight
Quality of life
Introducción: Además del aumento en la prevalencia de asma la obesidad está incrementando en pacientes asmáticos. Muchos estudios han sido realizados para determinar si la obesidad puede ser un factor de riesgo para presentar asma, sin embargo esta relación no ha sido evidente en todos los casos. El cuestionario Pediatric Asthma Quality of Life (PAQLQS) es una herramienta estandarizada y validada para su uso en niños evaluando qué tanto afecta el asma las actividades diarias del paciente. Métodos y resultados: Se aplico el PAQLQS a 100 pacientes pediátricos con asma intermitente y leve persistente con obesidad, sobrepeso y peso normal para valorar si la obesidad y el sobrepeso afectaban más su calidad de vida. En los resultados de los 3 niveles evaluados en el cuestionario (emociones, síntomas y limitación de actividades) sólo el grupo de obesos asmáticos tuvo una diferencia significativas en la calidad de vida (p < 0,000). No hubo diferencias al comparar al grupo de peso normal y sobrepeso. Conclusiones: Al evaluar a los pacientes a través del cuestionario de calidad de vida se encontró una diferencia significativa en la afección de pacientes asmáticos obesos, sin embargo el sobrepeso no necesariamente afecto la calidad de vida.
Palabras clave:
Asma
Niños
Obesidad
Sobrepeso
Calidad de vida

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