RESUMEN
Asthma is a chronic and inflammatory disease of the respiratory tract, where its basis is of allergic origin. It is not only a severe health problem in Poland, but as well as in the whole world. Besides pharmacotherapy, which is the basic form of bronchial asthma treatment pneumological rehabilitation is also used. Innovative form of this rehabilitation is Pilates method, in which exercises are concentrated on rib-diaphragram way of breathing.
Asunto(s)
Asma/rehabilitación , Ejercicios Respiratorios , Adolescente , Asma/fisiopatología , Niño , Humanos , Pruebas de Función RespiratoriaRESUMEN
THE AIM OF THE STUDY: Relationships between bronchial asthma prevalence in children and youth and selected nutritional indices together with fatty tissue distribution were analyzed. MATERIAL AND METHODS: The study comprised randomly chosen group of 126 children and youth living in the city of Lodz, between the ages from 9 to 17 years (74 boys, 52 girls) including 25 subjects with mild and 34 with moderate asthma. In all participants basic anthropometric and percentage evaluation of the fat content (FAT%) by means of a bioimpedance method were performed. A level of 85 centiles of the body mass index (BMI) determined on the basis of centile charts was regarded as a criterion for overweight. Fatty tissue distribution was assessed basing on the waist-to-hip ratio (WHR). RESULTS: In girls with overweight or obesity (BMI > 85%) a statistically significant prevalence of asthma (71.4%; p < 0.01) with different intensity was observed, as compared to girls with a normal BMI (23.7%). Similar tendencies related to the WHR index and the total fat content (FAT%) were also notified. Asthma was found to occur more frequently in the group of girls with overweight or obesity as well as with abnormal (abdominal) distribution of fatty tissue. CONCLUSIONS: Results reveal significant relations between overweight and abnormal distribution of fatty tissue and asthma prevalence in girls. Such relationships did not appear in the group of boys. Obese children with bronchial asthma--mainly girls--more frequently require a careful approach towards the pharmacological control of asthma due to obesity-related complications e.g. hypertension.
Asunto(s)
Asma/epidemiología , Obesidad/epidemiología , Adolescente , Asma/tratamiento farmacológico , Distribución de la Grasa Corporal , Índice de Masa Corporal , Causalidad , Niño , Comorbilidad , Femenino , Humanos , Hipertensión/epidemiología , Incidencia , Masculino , Obesidad/diagnóstico , Polonia/epidemiología , Prevalencia , Factores SexualesRESUMEN
UNLABELLED: The aim of the study was analysis of the spectral parameters of heart rate variability (HRV) in children and youth with different intensity of bronchial asthma. MATERIAL AND METHODS: The study was conducted in the group of 107 children and adolescents, aged 10-17 years, comprising 58 healthy subjects and 49 with bronchial asthma (22 with mild and 27 with moderate asthma). Spectral HRV parameters at rest and under active orthostatic test conditions (5 min--supine position, 5 min--standing position) were analysed in two age subgroups: group A--children aged 10-13 years and group B--youth aged 14-17 years. RESULTS: In both subgroups at rest a growing tendency for high frequency components (HF) of HRV spectra was observed together with greater intensity of asthma. In the youth group with moderate asthma, the HF component (40.8 +/- 14.0 n.u.) at rest was significantly higher (p < 0.05) than in the age-matched control (30.8 +/- 10.7 n.u.). In all the groups examined assuming erect position resulted in a significant rise in LF/HF index, which was most pronounced in the groups with mild (p < 0.01) and moderate asthma (p < 0.05). CONCLUSIONS: The study confirmed a significant association between the vagal activity in children and youth and frequency and intensity of bronchial asthma. A short-term HRV analysis can be utilised in the assessment of autonomic mechanism role in the development of bronchial asthma in children and youth.