142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Asthma-obesity comorbidity in middle school aged children in rural southeastern US: Implications for targeted school-based behavioral intervention development

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Simone M. Charles, PhD, MS , Environmental Health Sciences, Georgia Southern University, Statesboro, GA
Talar Markossian, Ph.D. , Loyola University Chicago, Maywood, IL
Asthma and obesity are notable chronic diseases in children. Asthma prevalence in US is 7.4% (ages 5-14) and continues to rise. The rate of US childhood obesity has tripled in one generation. The literature reports an association between obesity and asthma in adults but there is a paucity of studies evaluating childhood asthma-obesity comordibity by personal variables. Having a better understanding of the asthma-obesity relationship will have important ramifications for asthma/obesity prevention, treatment and management. We sought to describe asthma-obesity associations in middle school children in rural SE US. The children’s (n=562 children; 10 -15 years) health records were obtained from the school administration. Predictor variables included ethnicity, and asthma diagnosis. Control variables included age and gender. The outcome variable was BMI categorized to percentiles. Using STATA the association between children’s asthma diagnosis, BMI percentile, and personal variables using chi-square test of significance, ANOVA, and ordered logistic regression was assessed. Our analysis showed 43.6% of children were overweight/obese; 44.5% males and 42.4% females and 41.2% whites and 47.6% blacks were overweight/obese. 79.7% of participants had a diagnosis of asthma with 41.7% also being overweight/obese. Children with asthma were more likely to have higher BMI percentiles; the odds of having a higher BMI percentile versus the consecutive lower BMI percentile was 1.47 times greater than for children with no asthma with borderline significance. For asthmatic children, ethnicity was not associated with BMI. We conclude that behavioral interventions concurrently targeting asthma and obesity prevention, treatment and management may prove highly effective.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Define the association between asthma and obesity for a purposeful sample of rural children (11-15yrs) Evaluate asthma-obesity comorbidity by person variables Identify the significant personal variables of relevance to prevention, treatment and management-focused behavioral interventions addressing asthma, obesity, and asthma-obesity comorbidity

Keyword(s): Chronic Disease Management and Care, Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract author on the content I am responsible for because I am trained to conduct and evaluate such work and have expertise conducting similar projects in the past.
Any relevant financial relationships? No

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.