Asia Pac Allergy.  2013 Jan;3(1):42-49. 10.5415/apallergy.2013.3.1.42.

Asthma in Mexican school-age children is not associated with passive smoking or obesity

Affiliations
  • 1Allergy and Clinical Immunology Service, Division of Internal Medicine, The "Dr. Juan I. Menchaca" Civil Hospital of Guadalajara, University of Guadalajara, Guadalajara, Jalisco 44340, Mexico. drmbedbar@gmail.com
  • 2The Hospital Regional of Ciudad Guzman, Ministry of Health, Ciudad Guzman, Jalisco 49120, Mexico.
  • 3Medical Intern, Southern Region University Center, University of Guadalajara, Ciudad Guzman, Jalisco 49000, Mexico.
  • 4The Public Health Institute, University of Veracruz, Xalapa, Veracruz 91190, Mexico.

Abstract

BACKGROUND
Asthma has increased in various regions of the world. The factors associated with the growth in prevalence are still to be determined.
OBJECTIVE
To evaluate the degree of association of the prevalence of asthma with passive smoking and obesity in school-children in western Mexico.
METHODS
A population-based cross-section analytic study. A stratified random sample of 740 primary school pupils of between 6 and 12 years of age was chosen. Asthma, passive smoking and a background of allergic diseases were identified by means of a standardized questionnaire filled out by the parents of the participants. Obesity was identified by means of the body mass index. Proportional sections of population were estimated and the degree of association between asthma (dependent variable) and the independent variables was evaluated by means of multivariate logistic regression.
RESULTS
The following factors of prevalence were found: asthma 8.1%; obesity 19.9%; background of smoking in the father 6.7% and in the mother 13.3%. There was no significant association to be found with asthma in either passive smoking where one of the parents smoked (p = 0.39) or in obesity (p = 0.09). On the other hand, the background of allergic diseases in the mother showed statistically significant association with asthma in the boys (odds ratio = 3.5, 95% confidence interval 1.4 to 8.59), but not in the girls.
CONCLUSION
With the exception of the maternal background of allergy, neither obesity nor passive smoking are factors associated with asthma in Mexican children.

Keyword

Obesity; Asthma; Prevalence; Smoking; Epidemiology

MeSH Terms

Asthma*
Body Mass Index
Child*
Epidemiology
Fathers
Female
Hand
Humans
Hypersensitivity
Logistic Models
Mexico
Mothers
Obesity*
Parents
Prevalence
Pupil
Smoke
Smoking
Tobacco Smoke Pollution*
Smoke
Tobacco Smoke Pollution

Cited by  1 articles

Passive smoking could still represent a risk factor in Mexican children with asthma
Aranza Pinedo Pichilingue, Javier Quijano Ono
Asia Pac Allergy. 2013;3(2):140-140.    doi: 10.5415/apallergy.2013.3.2.140.


Reference

1. Gupta R, Sheikh A, Strachan DP, Anderson HR. Time trends in allergic disorders in the UK. Thorax. 2007. 62:91–96.
Article
2. Barraza-Villarreal A, Hernandez-Cadena L, Moreno-Macias H, Ramirez-Aguilar M, Romieu I. Trends in the prevalence of asthma and other allergic diseases in schoolchildren from Cuernavaca, Mexico. Allergy Asthma Proc. 2007. 28:368–374.
Article
3. Arnedo-Pena A, García-Marcos L, García Hernández G, Aguinagua Ontoso I, González Díaz C, Morales Suárez-Varela M, Domínguez Aurrecoechea B, Busquets Monge R, Blanco Quiros A, Batlles Garrido J, Miner Kanflanka I, López-Silvarrey Varela A. Time trends and geographical variations in the prevalence of symptoms of allergic rhinitis in 6-7-year-old children from eight areas of Spain according to the ISAAC. An Pediatr (Barc). 2005. 62:229–236.
4. Meltzer EO, Blaiss MS, Derebery MJ, Mahr TA, Gordon BR, Sheth KK, Simmons AL, Wingertzahn MA, Boyle JM. Burden of allergic rhinitis: results from the Pediatric Allergies in America survey. J Allergy Clin Immunol. 2009. 124:S43–S70.
Article
5. Braman SS. The global burden of asthma. Chest. 2006. 130:4S–12S.
Article
6. Guedes HT, Souza LS. Exposure to maternal smoking in the first year of life interferes in breast-feeding protective effect against the onset of respiratory allergy from birth to 5 yr. Pediatr Allergy Immunol. 2009. 20:30–34.
7. Huckabee MM, Peebles RS Jr. Novel concepts in virally induced asthma. Clin Mol Allergy. 2009. 7:2.
Article
8. Takemura Y, Sakurai Y, Honjo S, Kusakari A, Hara T, Gibo M, Tokimatsu A, Kugai N. Relation between breastfeeding and the prevalence of asthma: the Tokorozawa Childhood Asthma and Pollinosis Study. Am J Epidemiol. 2001. 154:115–119.
9. Vázquez Nava F, Saldívar González AH, Martínez Perales G, Lin Ochoa D, Barrientos Gómez MC, Vázquez Rodríguez EM, Vázquez Rodríguez CF, Beltrán Guzmán FJ. Associations between family history of allergy, exposure to tobacco smoke, active smoking, obesity, and asthma in adolescents. Arch Bronconeumol. 2006. 42:621–626.
Article
10. Hancox RJ, Welch D, Poulton R, Taylor DR, McLachlan CR, Greene JM, Sears MR. Cigarette smoking and allergic sensitization: a 32-year population-based cohort study. J Allergy Clin Immunol. 2008. 121:38–42.e3.
Article
11. Olaiz G, Rivera J, Shamah T, Rojas R, Villalpando S, Hernández M, Sepúlveda J. National Survey of Health and Nutrition 2006. 2006. Cuernavaca: National Institute of Public Health;Available from: http://www.insp.mx/ensanut/ensanut2006.pdf.
12. Story RE. Asthma and obesity in children. Curr Opin Pediatr. 2007. 19:680–684.
Article
13. Nagel G, Koenig W, Rapp K, Wabitsch M, Zoellner I, Weiland SK. Associations of adipokines with asthma, rhinoconjunctivitis, and eczema in German schoolchildren. Pediatr Allergy Immunol. 2009. 20:81–88.
Article
14. Hakala K, Stenius-Aarniala B, Sovijärvi A. Effects of weight loss on peak flow variability, airways obstruction, and lung volumes in obese patients with asthma. Chest. 2000. 118:1315–1321.
Article
15. Bedolla-Barajas M, Cuevas-Ríos G, García-Barboza E, Barrera-Zepeda AT, Morales-Romero J. Prevalence and associated factors to allergic rhinitis in school children of ciudad Guzmán, Mexico. Rev Invest Clin. 2010. 62:244–251.
16. Mata Fernández C, Fernández Benítez M, Pérez Miranda M, Guillén Grima F. Validation of the Spanish version of the Phase III ISAAC questionnaire on asthma. J Investig Allergol Clin Immunol. 2005. 15:201–210.
17. Centers for Disease Control and Prevention (CDC). BMI percentile calculator for child and teen. English version [Internet]. Atlanta: CDC;Available from: http://apps.nccd.cdc.gov/dnpabmi/.
18. Barraza-Villarreal A, Sanín-Aguirre LH, Téllez-Rojo MM, Lacasaña-Navarro M, Romieu I. Prevalence of asthma and other allergic diseases in school children from Juarez City, Chihuahua. Salud Publica Mex. 2001. 43:433–443.
19. Del-Rio-Navarro B, Del Rio-Chivardi JM, Berber A, Sienra-Monge JJ, Rosas-Vargas MA, Baeza-Bacab M. Asthma prevalence in children living in north Mexico City and a comparison with other Latin American cities and world regions. Allergy Asthma Proc. 2006. 27:334–340.
Article
20. Lai CK, Beasley R, Crane J, Foliaki S, Shah J, Weiland S. Global variation in the prevalence and severity of asthma symptoms: phase three of the International Study of Asthma and Allergies in Childhood (ISAAC). Thorax. 2009. 64:476–483.
Article
21. National Institute of Public Health. National Survey of Health and Nutrition 2006. Results by state, Jalisco. 2007. Cuernavaca. National Institute of Public Health, Ministry of Health: Available from: http://www.insp.mx/ensanut/centroocci/Jalisco.pdf.
22. Vargas MH, Díaz-Mejía GS, Furuya ME, Salas J, Lugo A. Trends of asthma in Mexico: an 11-year analysis in a nationwide institution. Chest. 2004. 125:1993–1997.
23. Wickens K, Barry D, Friezema A, Rhodius R, Bone N, Purdie G, Crane J. Obesity and asthma in 11-12 year old New Zealand children in 1989 and 2000. Thorax. 2005. 60:7–12.
Article
24. To T, Vydykhan TN, Dell S, Tassoudji M, Harris JK. Is obesity associated with asthma in young children? J Pediatr. 2004. 144:162–168.
Article
25. Bertolace Mdo P, Toledo E, Jorge PP, Liberatore Junior Rdel R. Association between obesity and asthma among teenagers. Sao Paulo Med J. 2008. 126:285–287.
26. Jacobson JS, Mellins RB, Garfinkel R, Rundle AG, Perzanowski MS, Chew GL, Andrews HF, Goldstein IF. Asthma, body mass, gender, and Hispanic national origin among 517 preschool children in New York City. Allergy. 2008. 63:87–94.
Article
27. Garcia-Marcos L, Canflanca IM, Garrido JB, Varela AL, Garcia-Hernandez G, Guillen Grima F, Gonzalez-Diaz C, Carvajal-Urueña I, Arnedo-Pena A, Busquets-Monge RM, Morales Suarez-Varela M, Blanco-Quiros A. Relationship of asthma and rhinoconjunctivitis with obesity, exercise and Mediterranean diet in Spanish schoolchildren. Thorax. 2007. 62:503–508.
Article
28. del Río-Navarro BE, Velázquez-Monroy O, Sánchez-Castillo CP, Lara-Esqueda A, Berber A, Fanghänel G, Violante R, Tapia-Conyer R, James WP. The high prevalence of overweight and obesity in Mexican children. Obes Res. 2004. 12:215–223.
Article
29. Sin DD, Jones RL, Man SF. Obesity is a risk factor for dyspnea but not for airflow obstruction. Arch Intern Med. 2002. 162:1477–1481.
Article
30. Dong GH, Ding HL, Ma YN, Jin J, Cao Y, Zhao YD, He QC. Asthma and asthma-related symptoms in 16 789 Chinese children in relation to pet keeping and parental atopy. J Investig Allergol Clin Immunol. 2008. 18:207–213.
31. Bjerg A, Hedman L, Perzanowski MS, Platts-Mills T, Lundbäck B, Rönmark E. Family history of asthma and atopy: in-depth analyses of the impact on asthma and wheeze in 7- to 8-year-old children. Pediatrics. 2007. 120:741–748.
Article
32. Wang C, Salam MT, Islam T, Wenten M, Gauderman WJ, Gilliland FD. Effects of in utero and childhood tobacco smoke exposure and beta2-adrenergic receptor genotype on childhood asthma and wheezing. Pediatrics. 2008. 122:e107–e114.
33. Tsai CH, Huang JH, Hwang BF, Lee YL. Household environmental tobacco smoke and risks of asthma, wheeze and bronchitic symptoms among children in Taiwan. Respir Res. 2010. 11:11.
Article
34. Hjern A, Hedberg A, Haglund B, Rosén M. Does tobacco smoke prevent atopic disorders? A study of two generations of Swedish residents. Clin Exp Allergy. 2001. 31:908–914.
Article
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