Overweight, asthma symptoms, atopy and pulmonary function in children of 4–12 years of age: findings from the SCAALA cohort in Salvador, Bahia, Brazil

Objective To evaluate the association between overweight and the occurrence of asthma and atopy in a cohort of children of 4-12 years of age living in the city of Salvador in 2005. Design Cross-sectional study nested in a cohort. Setting The metropolitan region of Salvador, Bahia, Brazil. Subjects T...

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Bibliographic Details
Published in:Public health nutrition 2011-07, Vol.14 (7), p.1270-1278
Main Authors: Matos, Sheila MA, Jesus, Sandra R, Saldiva, Silvia RDM, Prado, Matildes S, D'Innocenzo, Silvana, Assis, Ana MO, Rodrigues, Laura C, Alcantara-Neves, Neuza M, Cruz, Álvaro A, Simões, Silvia de Magalhães, Barreto, Maurício L
Format: Article
Language:English
Subjects:
asthma
Asthma - epidemiology
Asthma - immunology
atopy
Biological and behavioural determinants
blood serum
Brazil - epidemiology
Breastfeeding & lactation
Child
Child, Preschool
childhood obesity
children
Cohort Studies
Comorbidity
Cross-Sectional Studies
Data collection
Female
Humans
Hypersensitivity, Immediate - epidemiology
Hypersensitivity, Immediate - immunology
immunoglobulin E
Lung - physiology
lung function
Male
Mortality
Nutrition
Obesity
Overweight - epidemiology
Overweight - immunology
parasitology
Respiratory Function Tests
Respiratory Sounds
skin tests
Spirometry
Studies
surveys
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Summary:Objective To evaluate the association between overweight and the occurrence of asthma and atopy in a cohort of children of 4-12 years of age living in the city of Salvador in 2005. Design Cross-sectional study nested in a cohort. Setting The metropolitan region of Salvador, Bahia, Brazil. Subjects The study included 1129 children of 4-12 years age who presented complete information on the variables used here. Skin tests for allergy, spirometry, faecal parasitology, serum IgE and anthropometric surveys were conducted. Poisson's multivariate regression was adopted. Results Wheezing was found in 29·1% and asthma in 22·8% of children, both conditions being more common in those under 6 years of age and 34% more common in overweight children (prevalence ratio (PR) = 1·34; 95% CI 1·07, 1·67) following adjustment. The ratio between forced expiratory volume in 1s and forced vital capacity was associated with overweight (PR = 1·35; 95% CI 1·11, 1·61). No statistically significant association was found between overweight and allergen-specific IgE or with wheezing. Conclusions These results are in agreement with the hypothesis that overweight is associated with asthma and pulmonary function, even following adjustment for intervening variables known to be associated with the pathogeny of asthma.
ISSN:1368-9800
1475-2727
1475-2727
DOI:10.1017/S1368980011000462