Growth Assessment In Asthmatic Children (A Prospective Study)

Main Article Content

Ibrahim Mahmood Saeed
Sundus Mohammed Hussein
Myasar Hafedh Ibrahim

Keywords

Asthma, growth, weight, height or length, and midarm circumference

Abstract

hospital in city compared the weight, height or length, and midarm circumference percentiles of 75 children with asthma and a similar number of control group children of the same age and sex between March 1 and September 30, 2018, taking into account some social and economic factors for both groups (educational status, family income, and occupation). individuals were classified as having mild, moderate, or severe asthma based on the severity of their daytime and nighttime symptoms (steroid-dependent individuals were excluded).There were twice as many male patients as female patients, according to the study's findings, and the majority of patients (30 percent) were young children (aged one to four years old)
Patients And Methods: A prospective case control study which was conducted on 75 children from ages 1 to 12 years of both sexes who were known cases of asthma and had visited the outpatient clinic of Hospital during the period from the first of March to the 30th of September, 2018. Another sample of 75 healthy children (without history of chronic disease coming for simple mild diseases such as flu or sore throat) matched for age and sex and was also outpatient visitors were taken as a control group
Conclusion: Asthma patients' weight, height or length, and midarm circumference were all significantly altered (p 0.001). Retardation in growth metrics is proportional to the severity and duration of the condition. Patients with asthma should be monitored closely for signs of growth retardation, since this condition may be avoided with early diagnosis and treatment. Education and explanation to the family about the nature, progression, therapy and other aspects of the disease like preventive measures

Abstract 124 | PDF Downloads 132

References

1. Mark H. Ross, Christopher M. Mjaanes, Robert Jr.: Asthma. In: Abraham M. Rudolph, Colin D. Rudolph, Margaret K. (eds). RUDOLPH'S PEDIATRICS. 21st ed. McGraw-Hill 2003:1951-64.
2. Andrew H. Liu, Ronina A. Covar, Joseph D. Spahn, Donald Y.M. Leung: Childhood Asthma. In: Richard E. Behrman, Robert M .Kliegman , H al B Jenson , Bonita F . Stanton: Nelson Textbook of Pediatrics. 18th ed. W.B.Saunder 2007: 760-73.
3. Elizabeth C. Tepas, Dale T. Umetsu: Immunology and Allergy. In: Robert M.Kliegman, Hal B.Jenson,Karen J.Marcdante: Nelson Essentials of pediatrics. 5thed.ELSEVIER SAUNDERS 2006: 327-8.
4. Peter W. Hiatt: recurrent or persistent lower respiratory tract symptoms. Julia A. McMillan, Ralph D. Feigin, (eds) : Oski Pediatrics Principle And Practice,4th Edition. 2006: 1460-67
5. Pearce N, Douwes J, Beasley R. Is allergen exposure the major primary cause of asthma?. Thorax. May 2000;55(5):424-31.
6. Beasley R, Burgess C, Crane J, et al. Pathology of asthma and its clinical implications. J Allergy Clin Immunol. Jul 1993;92(1 Pt 2):148-54.
7. Busse WW. Mechanisms and advances in allergic diseases. J Allergy Clin Immunol. Jun 2000; 105(6 Pt 2):S593-8.
8. Busse WW, Lemanske RF Jr. Asthma. N Engl J Med. Feb 1 2001; 344(5):350-62.
9. National Heart, Lung, and Blood Institute, National Asthma Education and Prevention Program. Expert Panel Report: Guidelines for the Diagnosis and Management of Asthma Update
on Selected Topics--2002. J Allergy Clin Immunol. Nov 2002; 110(5 Suppl):S141-219.
10. Bacharier LB et al: Classifying asthma severity in children. Mismatch between symptoms, medication use, and lung function. Am J Respir Crit Care Med 2004; 170:426.
11. Aws Hazim: Risk factors for the occurrence of childhood asthma. A thesis submitted to Iraqi council of medical specializations 2005.
12. Kalyoncu AF, Selcuk ZT, Enunlu T, Demir AU, Coplu L, Sahin AA, Artvinli M: Prevalence of asthma and allergic diseases in primary school children in Ankara, Turkey. Pediatr Allergy Immunol. 1999 Nov; 10(4):261-5.
13. Sabah Hasan: Growth and asthma. A thesis submitted to Iraqi council of medical specializations 1998.
14. Diagnosis and management of asthma in children Joanne Martin,1,2,3 Jennifer Townshend,4 Malcolm Brodlie,BMJ, Martin J, et al. BMJ Paediatrics Open 2022;6:e001277. doi:10.1136/bmjpo-2021-001277.
15. Zar HJ, Ferkol TW. The global burden of respiratory disease-impact on child health. Pediatr Pulmonol 2014;49:430–4.
16. Fleming M, Fitton CA, Steiner MFC, et al. Educational and health outcomes of children treated for asthma: Scotland-wide record linkage study of 683 716 children. Eur Respir J 2019;54:1802309.
17. Nichols M, Miller S, Treiber F, et al. Patient and parent perspectives on improving pediatric asthma self-management through a mobile health intervention: pilot study. JMIR Form Res 2020;4:e15295.
18. FitzGerald JM, Barnes PJ, Chipps BE, et al. The burden of exacerbations in mild asthma: a systematic review. ERJ Open Res 2020;6:00359-2019.
19. Levy ML, Fleming L, Warner JO, et al. Paediatric asthma care in the UK: fragmented and fatally fallible. Br J Gen Pract 2019;69:405–6.
20. The impact of asthma and its treatment on growth: an evidence-based review _ Linjie Zhang a,∗, Laura Belizario Lasmar b, Jose A. Castro-Rodriguez, J Pediatr (Rio J). 2019;95(S1):S10---S22.
21. Cohen MB, Weller RR, Cohen S. Anthropometry in children.Progress in allergic children as shown by increments in height,weight and maturity. Am J Dis Child. 1940;60:1058---66.
22. Cohen MB, Abram LE. Growth patterns of allergic children. JAllergy. 1948;19:165---71.
23. Falliers CJ, Szentivanvi J, Mcbride M, Bukantz SC. Growth rateof children with intractable asthma. Observations on the influ- ence of the illness and its therapy with steroids. J Allergy.1961;32:420---34.