The Dynamic Relationship Between Asthma and Obesity in Schoolchildren.


Journal

American journal of epidemiology
ISSN: 1476-6256
Titre abrégé: Am J Epidemiol
Pays: United States
ID NLM: 7910653

Informations de publication

Date de publication:
01 06 2020
Historique:
received: 24 09 2018
revised: 28 10 2019
accepted: 29 10 2019
pubmed: 13 11 2019
medline: 8 10 2020
entrez: 13 11 2019
Statut: ppublish

Résumé

Asthma and obesity are among the most prevalent chronic health conditions in children. Although there has been compelling evidence of co-occurrence of asthma and obesity, it is uncertain whether asthma contributes to the development of obesity or obesity contributes to the onset of asthma or both. In this study, we used a joint transition modeling approach with cross-lagged structure to understand how asthma and obesity influence each other dynamically over time. Subjects for this study included 5,193 kindergarten and first-grade students enrolled from 13 communities in 2002-2003 in the Southern California Children's Health Study, with up to 10 years of follow-up. We found that nonobese children with diagnosed asthma at a study visit were at 37% higher odds of becoming obese by the next annual visit compared with children without asthma (odds ratio = 1.38; 95% credible interval: 1.12, 1.71). However, the presence of obesity at the current visit was not statistically significantly associated with asthma onset in the next visit (odds ratio = 1.25; 95% credible interval: 0.94, 1.62). In conclusion, childhood asthma appears to drive an increase in the onset of obesity among schoolchildren, while the onset of obesity does not necessarily imply the future onset of asthma, at least in the short term.

Identifiants

pubmed: 31712801
pii: 5622674
doi: 10.1093/aje/kwz257
pmc: PMC7443205
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

583-591

Subventions

Organisme : NIEHS NIH HHS
ID : P30 ES007048
Pays : United States
Organisme : NIH HHS
ID : UH3 OD023249
Pays : United States
Organisme : NIH HHS
ID : UG3 OD023287
Pays : United States
Organisme : NIEHS NIH HHS
ID : P01 ES009581
Pays : United States
Organisme : NIEHS NIH HHS
ID : P01 ES022845
Pays : United States
Organisme : NIH HHS
ID : UH3 OD023287
Pays : United States
Organisme : NIEHS NIH HHS
ID : P50 ES026086
Pays : United States
Organisme : NIH HHS
ID : UG3 OD023249
Pays : United States

Informations de copyright

© The Author(s) 2019. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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Auteurs

Yue Zhang (Y)

Department of Internal Medicine, Division of Epidemiology, School of Medicine, University of Utah, Salt Lake City, Utah.
Department of Family and Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah.
Veteran Affairs Salt Lake City Health Care System, Salt Lake City, Utah.

Zhanghua Chen (Z)

Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California.

Kiros Berhane (K)

Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California.

Robert Urman (R)

Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California.

Vaia Lida Chatzi (VL)

Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California.

Carrie Breton (C)

Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California.

Frank D Gilliland (FD)

Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California.

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Classifications MeSH