Association between body mass index (BMI) percentile and asthma in children of 5–12 years old: A case–control study using electronic medical records in Primary Health Care Corporation, Qatar 2016–2017

<h3>Background: </h3><p dir="ltr">Over the last several decades, obesity and asthma prevalence have risen among children. The increase in overweight and obesity has been associated with an increased risk of asthma in children. Most epidemiological studies have proposed th...

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Main Author: Shajitha Thekke Veettil1 (18103030) (author)
Other Authors: Ahmed Sameer Alnuaimi (16560810) (author)
Published: 2019
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author Shajitha Thekke Veettil1 (18103030)
author2 Ahmed Sameer Alnuaimi (16560810)
author2_role author
author_facet Shajitha Thekke Veettil1 (18103030)
Ahmed Sameer Alnuaimi (16560810)
author_role author
dc.creator.none.fl_str_mv Shajitha Thekke Veettil1 (18103030)
Ahmed Sameer Alnuaimi (16560810)
dc.date.none.fl_str_mv 2019-11-30T03:00:00Z
dc.identifier.none.fl_str_mv 10.5339/connect.2019.6
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Association_between_body_mass_index_BMI_percentile_and_asthma_in_children_of_5_12_years_old_A_case_control_study_using_electronic_medical_records_in_Primary_Health_Care_Corporation_Qatar_2016_2017/25340713
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Childhood asthma
primary health care
body mass index
overweight
obesity
Qatar
dc.title.none.fl_str_mv Association between body mass index (BMI) percentile and asthma in children of 5–12 years old: A case–control study using electronic medical records in Primary Health Care Corporation, Qatar 2016–2017
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background: </h3><p dir="ltr">Over the last several decades, obesity and asthma prevalence have risen among children. The increase in overweight and obesity has been associated with an increased risk of asthma in children. Most epidemiological studies have proposed that a high body mass index (BMI) at infancy and early childhood increases the risk of asthma in children. A recently adopted electronic recording system for health service encounters in Primary Health Care Corporation of Qatar has provided a convenient opportunity to assess the possible link between asthma and obesity in children aged 5–12 years.</p><p><br></p><h3>Objectives: </h3><p dir="ltr">To calculate the prevalence rate of overweight and obesity among asthmatic children aged 5–12 years using primary health care centers during 2016–2017. To measure the strength of the association between BMI and asthma in children aged 5–12 years after adjusting for age, gender, and nationality.</p><p dir="ltr"><br></p><p dir="ltr">To calculate the prevalence rate of overweight and obesity among asthmatic children aged 5–12 years using primary health care centers during 2016–2017.</p><p><br></p><p dir="ltr">To measure the strength of the association between BMI and asthma in children aged 5–12 years after adjusting for age, gender, and nationality.</p><p><br></p><h3>Methodology: </h3><p dir="ltr">This was a case–control study on the electronic health records of children aged 5–12 years who visited one of the primary health care centers during the two-year study period (2016–2017). A total of 9889 children with a diagnosis of asthma and valid BMI measurements were included in the case group, and an identical number of children who visited the health care centers for other reasons and had valid BMI measurements were randomly enrolled in the control group.</p><p><br></p><h3>Results: </h3><p dir="ltr">The prevalence of obesity (BMI-for-age Z-score >2) was significantly higher among asthmatics (24.9%) compared with non-asthmatic controls (17.7%). Asthma significantly increased the risk of being obese by 41% in bivariate analysis. The calculated risk estimate for the association between asthma and obesity increased to 70% after adjusting for the confounding effect of age, gender, and nationality.</p><p><br></p><h3>Conclusions: </h3><p dir="ltr">The present observational study based on a large sample of 5 to 12-year-old children documented a strong association between asthma and obesity (BMI-for-age Z-score 2 or above). This positive association between asthma and high BMI was stronger among older children, females, and Qatari nationals.</p><p dir="ltr"><br></p><h2>Other Information</h2><p dir="ltr">Published in: QScience Connect<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.5339/connect.2019.6" target="_blank">https://dx.doi.org/10.5339/connect.2019.6</a></p>
eu_rights_str_mv openAccess
id Manara2_43ab4e414e6babbbfd4412dd02b9ca06
identifier_str_mv 10.5339/connect.2019.6
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/25340713
publishDate 2019
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rights_invalid_str_mv CC BY 4.0
spelling Association between body mass index (BMI) percentile and asthma in children of 5–12 years old: A case–control study using electronic medical records in Primary Health Care Corporation, Qatar 2016–2017Shajitha Thekke Veettil1 (18103030)Ahmed Sameer Alnuaimi (16560810)Biomedical and clinical sciencesCardiovascular medicine and haematologyChildhood asthmaprimary health carebody mass indexoverweightobesityQatar<h3>Background: </h3><p dir="ltr">Over the last several decades, obesity and asthma prevalence have risen among children. The increase in overweight and obesity has been associated with an increased risk of asthma in children. Most epidemiological studies have proposed that a high body mass index (BMI) at infancy and early childhood increases the risk of asthma in children. A recently adopted electronic recording system for health service encounters in Primary Health Care Corporation of Qatar has provided a convenient opportunity to assess the possible link between asthma and obesity in children aged 5–12 years.</p><p><br></p><h3>Objectives: </h3><p dir="ltr">To calculate the prevalence rate of overweight and obesity among asthmatic children aged 5–12 years using primary health care centers during 2016–2017. To measure the strength of the association between BMI and asthma in children aged 5–12 years after adjusting for age, gender, and nationality.</p><p dir="ltr"><br></p><p dir="ltr">To calculate the prevalence rate of overweight and obesity among asthmatic children aged 5–12 years using primary health care centers during 2016–2017.</p><p><br></p><p dir="ltr">To measure the strength of the association between BMI and asthma in children aged 5–12 years after adjusting for age, gender, and nationality.</p><p><br></p><h3>Methodology: </h3><p dir="ltr">This was a case–control study on the electronic health records of children aged 5–12 years who visited one of the primary health care centers during the two-year study period (2016–2017). A total of 9889 children with a diagnosis of asthma and valid BMI measurements were included in the case group, and an identical number of children who visited the health care centers for other reasons and had valid BMI measurements were randomly enrolled in the control group.</p><p><br></p><h3>Results: </h3><p dir="ltr">The prevalence of obesity (BMI-for-age Z-score >2) was significantly higher among asthmatics (24.9%) compared with non-asthmatic controls (17.7%). Asthma significantly increased the risk of being obese by 41% in bivariate analysis. The calculated risk estimate for the association between asthma and obesity increased to 70% after adjusting for the confounding effect of age, gender, and nationality.</p><p><br></p><h3>Conclusions: </h3><p dir="ltr">The present observational study based on a large sample of 5 to 12-year-old children documented a strong association between asthma and obesity (BMI-for-age Z-score 2 or above). This positive association between asthma and high BMI was stronger among older children, females, and Qatari nationals.</p><p dir="ltr"><br></p><h2>Other Information</h2><p dir="ltr">Published in: QScience Connect<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.5339/connect.2019.6" target="_blank">https://dx.doi.org/10.5339/connect.2019.6</a></p>2019-11-30T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.5339/connect.2019.6https://figshare.com/articles/journal_contribution/Association_between_body_mass_index_BMI_percentile_and_asthma_in_children_of_5_12_years_old_A_case_control_study_using_electronic_medical_records_in_Primary_Health_Care_Corporation_Qatar_2016_2017/25340713CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/253407132019-11-30T03:00:00Z
spellingShingle Association between body mass index (BMI) percentile and asthma in children of 5–12 years old: A case–control study using electronic medical records in Primary Health Care Corporation, Qatar 2016–2017
Shajitha Thekke Veettil1 (18103030)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Childhood asthma
primary health care
body mass index
overweight
obesity
Qatar
status_str publishedVersion
title Association between body mass index (BMI) percentile and asthma in children of 5–12 years old: A case–control study using electronic medical records in Primary Health Care Corporation, Qatar 2016–2017
title_full Association between body mass index (BMI) percentile and asthma in children of 5–12 years old: A case–control study using electronic medical records in Primary Health Care Corporation, Qatar 2016–2017
title_fullStr Association between body mass index (BMI) percentile and asthma in children of 5–12 years old: A case–control study using electronic medical records in Primary Health Care Corporation, Qatar 2016–2017
title_full_unstemmed Association between body mass index (BMI) percentile and asthma in children of 5–12 years old: A case–control study using electronic medical records in Primary Health Care Corporation, Qatar 2016–2017
title_short Association between body mass index (BMI) percentile and asthma in children of 5–12 years old: A case–control study using electronic medical records in Primary Health Care Corporation, Qatar 2016–2017
title_sort Association between body mass index (BMI) percentile and asthma in children of 5–12 years old: A case–control study using electronic medical records in Primary Health Care Corporation, Qatar 2016–2017
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Childhood asthma
primary health care
body mass index
overweight
obesity
Qatar