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Asthma and maternal body mass index are related to pediatric body mass index and obesity: results from the Third National Health and Nutrition Examination Survey.
Obes Res. 2000 Nov; 8(8):575-81.OR

Abstract

OBJECTIVE

Clinical research has shown an increased prevalence of obesity in children with asthma. This study was designed to assess the relationship between asthma and pediatric body mass index (BMI) in a national database and to examine factors that may modify this relationship.

DESIGN

The cross-sectional relationship between asthma and pediatric BMI and obesity (BMI > or = 85th percentile) was studied. Variables that may influence the relationship between asthma and pediatric BMI, such as race/ethnicity and television watching were included in the model for the total sample. A smaller sample of 3,009 white and African American youth were studied in regression models including maternal BMI.

STUDY POPULATION

A nationally representative cross-sectional sample of 5154 children and adolescents of 6 to 16 years of age from the Third National Health And Nutrition Examination Survey.

RESULTS

In the full sample, asthma and television watching were related to BMI, accounting for 3% of the variance in BMI. When maternal BMI was included in the non-Hispanic sample, television watching, maternal BMI, and the interaction of maternal BMI and asthma were related to youth BMI, accounting for 15% of the variance. The standardized BMI z-score for those youth without asthma and no maternal obesity was 0.06, which increased to 0.33 if the youth had asthma, to 0.70 if the youth did not have asthma but the mother was obese, and to 1.71 if the youth had asthma and the mother was obese. Asthma, television watching, and maternal BMI were independent predictors of youth obesity.

CONCLUSIONS

BMI and prevalence of obesity is higher in youth with asthma. Pediatric BMI, but not obesity, is also related to the interaction of asthma and maternal BMI in white and African American youth. Comorbidity of asthma and obesity may complicate treatment of either condition, and prevention of obesity should be encouraged for asthmatic children.

Authors+Show Affiliations

Epstein LH
Department of Pediatrics, State University of New York, Buffalo 14214-3000, USA. lhenet@acsu.buffalo.edu
Wu YW
No affiliation info available
Paluch RA
No affiliation info available
Cerny FJ
No affiliation info available
Dorn JP
No affiliation info available

MeSH

AdolescentAsthmaBody Mass IndexChildComorbidityCross-Sectional StudiesFemaleHispanic or LatinoHumansLinear ModelsLogistic ModelsMaleNutrition SurveysObesityPrevalenceRisk FactorsTelevisionUnited States

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

11156433

Citation

Epstein, L H., et al. "Asthma and Maternal Body Mass Index Are Related to Pediatric Body Mass Index and Obesity: Results From the Third National Health and Nutrition Examination Survey." Obesity Research, vol. 8, no. 8, 2000, pp. 575-81.
Epstein LH, Wu YW, Paluch RA, et al. Asthma and maternal body mass index are related to pediatric body mass index and obesity: results from the Third National Health and Nutrition Examination Survey. Obes Res. 2000;8(8):575-81.
Epstein, L. H., Wu, Y. W., Paluch, R. A., Cerny, F. J., & Dorn, J. P. (2000). Asthma and maternal body mass index are related to pediatric body mass index and obesity: results from the Third National Health and Nutrition Examination Survey. Obesity Research, 8(8), 575-81.
Epstein LH, et al. Asthma and Maternal Body Mass Index Are Related to Pediatric Body Mass Index and Obesity: Results From the Third National Health and Nutrition Examination Survey. Obes Res. 2000;8(8):575-81. PubMed PMID: 11156433.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Asthma and maternal body mass index are related to pediatric body mass index and obesity: results from the Third National Health and Nutrition Examination Survey. AU - Epstein,L H, AU - Wu,Y W, AU - Paluch,R A, AU - Cerny,F J, AU - Dorn,J P, PY - 2001/1/13/pubmed PY - 2001/5/22/medline PY - 2001/1/13/entrez SP - 575 EP - 81 JF - Obesity research JO - Obes Res VL - 8 IS - 8 N2 - OBJECTIVE: Clinical research has shown an increased prevalence of obesity in children with asthma. This study was designed to assess the relationship between asthma and pediatric body mass index (BMI) in a national database and to examine factors that may modify this relationship. DESIGN: The cross-sectional relationship between asthma and pediatric BMI and obesity (BMI > or = 85th percentile) was studied. Variables that may influence the relationship between asthma and pediatric BMI, such as race/ethnicity and television watching were included in the model for the total sample. A smaller sample of 3,009 white and African American youth were studied in regression models including maternal BMI. STUDY POPULATION: A nationally representative cross-sectional sample of 5154 children and adolescents of 6 to 16 years of age from the Third National Health And Nutrition Examination Survey. RESULTS: In the full sample, asthma and television watching were related to BMI, accounting for 3% of the variance in BMI. When maternal BMI was included in the non-Hispanic sample, television watching, maternal BMI, and the interaction of maternal BMI and asthma were related to youth BMI, accounting for 15% of the variance. The standardized BMI z-score for those youth without asthma and no maternal obesity was 0.06, which increased to 0.33 if the youth had asthma, to 0.70 if the youth did not have asthma but the mother was obese, and to 1.71 if the youth had asthma and the mother was obese. Asthma, television watching, and maternal BMI were independent predictors of youth obesity. CONCLUSIONS: BMI and prevalence of obesity is higher in youth with asthma. Pediatric BMI, but not obesity, is also related to the interaction of asthma and maternal BMI in white and African American youth. Comorbidity of asthma and obesity may complicate treatment of either condition, and prevention of obesity should be encouraged for asthmatic children. SN - 1071-7323 UR - https://www.unboundmedicine.com/medline/citation/11156433/Asthma_and_maternal_body_mass_index_are_related_to_pediatric_body_mass_index_and_obesity:_results_from_the_Third_National_Health_and_Nutrition_Examination_Survey_ DB - PRIME DP - Unbound Medicine ER -