149080 A Case-Control Study of BMI and Asthma in Asian Immigrant Children

Tuesday, November 6, 2007

Doug Brugge, PhD , Department of Public Health and Family Medicine, Tufts University, Boston, MA
Stanislav Henkin , School of Arts and Sciences, Tufts University, Boston, MA
Odilia Bermudez, PhD , Department of Public Health and Family Medicine, Tufts University, Boston, MA
Xiang Gao , Harvard School of Public Health, Boston, MA
Even though the prevalence of obesity and asthma has increased significantly over recent decades in the United States (US), no published study has looked at the association between obesity and asthma in an Asian-American immigrant child and adolescent population. To evaluate the association between these two factors, whether obesity leads to asthma in this subpopulation, a case-control medical chart review study was completed that looked at 94 patients with asthma and 94 controls. The Body Mass Index (BMI) of children before and after their asthma diagnosis was compared to the BMI of children without asthma. No significant association was found between obesity and asthma in this population. After adjustment for atopic dermatitis, allergic rhinitis, and other allergies, the OR for the asthmatic population was 0.92 (95% CI: 0.40, 2.15; P = 0.86). These results differ from other studies that have shown that obesity leads to asthma in certain populations. Consequently, this specific subpopulation may be different than other studied populations. More studies focusing on Asian-Americans and on immigrants are needed; these studies should look at genetic factors, and lifestyle of this population.

Learning Objectives:
1. Describe the range of findings in previous studies assessing associations between asthma and obesity in children. 2. Discuss the findings from this study and contrast them with previous studys. 3. Suggest reasons why this study's findings are not similar to earlier studies.

Keywords: Asthma, Obesity

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.