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Asthma
Often Does Not
Go Away as Kids Get Older
Contrary to the commonly held view,
asthma does not remit during adolescence in many cases, according
to a new study.
"Complete remission of asthma in
adolescence and adulthood is less common than commonly believed,"
lead author Dr. Stefano Guerra from the University of Arizona
College of Medicine, Tucson, stated.
"Our findings are consistent with
those from other longitudinal cohorts showing that more severe
asthma cases are the ones less likely to remit in adulthood,"
he added
Guerra and colleagues used data
from the Tucson Children's Respiratory Study to look at the factors
influencing persistence and remission of childhood asthma after
puberty.
After an average of 4 years following
the onset of puberty, 58 percent of children continued to have
wheezing episodes, the authors report in the American Journal
of Respiratory and Critical Care Medicine.
Higher amounts of wheezing, recurrent
cough, rhinitis, and sinusitis before puberty were associated
with persistent asthma symptoms after puberty, the team found.
Also, children with persistent
wheezing had a significantly higher body-mass index (BMI) than
did children whose asthma remitted, the researchers note.
"The implementation of correct
dietary and activity patterns among children with and without
asthma is very much needed," Guerra said.
Increasing evidence "suggests that
obesity in childhood cannot be considered a transitory condition
with little long-term consequences," he commented. "Disrupted
dietary patterns are frequently 'inherited' into adult life, and
obesity in childhood not only affects respiratory symptoms and
lung function in children, but it could even increase their susceptibility
to develop chronic respiratory diseases as adults."
SOURCE: American Journal of Respiratory
and Critical Care Medicine, July 1, 2004.
Reference
Source 89
July
8, 2004
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