Abstract
Bronchitis is a common health problem in children. Frequent bronchitis in infancy increases the risk of developing chronic respiratory diseases. The aim of the study was to assess the level of growth and the nutritional status in children and youths with special regard to the level of body fatness assessed by measuring skin-fold thickness. Relationships between somatic development, pulmonary function and the course of the disease were also explored. The study was carried out using anthropometric and spirometric measurements and also information on the severity and course of the disease in 141 children with chronic or recurrent bronchitis. All of the subjects were patients of the Pulmonary Medicine and Allergology Center in Karpacz, Poland. The mean body height did not differ significantly between the children examined and their healthy peers. However, the infection-prone children had excessive body fatness and muscle mass deficiency. The increased level of subcutaneous adipose tissue occurred especially in children with short duration of the disease, i.e. a maximum of 1 year. The functional lung parameters were generally normal. The presence of atopic diseases such as allergic rhinitis or atopic dermatitis did not impair the course of the children’s somatic development. Also, long-term disease or the presence of additional allergic diseases did not impair lung function in the examined children. Taking appropriate preventive measures is recommended to achieve and maintain normal body weight in children who receive therapy due to bronchitis.
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References
Baum WF, Schneyer U, Lantzsch AM, Klöditz E (2002) Delay of growth and development in children with bronchial asthma, atopic dermatitis and allergic rhinitis. Exp Clin Endocrinol Diabetes 110:53–59
Dumas C, Skaff C, Just J, Tounian P, Fontaine JL, Grimfeld A, Girardet JP (1997) Body composition of children with chronic lung disease. Pediatr Pulmonol 16(Suppl):174–176
Ford ES, Galuska DA, Gillespie C, Will JC, Giles WH, Dietz WH (2001) C-reactive protein and body mass index in children: findings from third national health and nutrition examination survey, 1988–1994. J Pediatr 138:486–492
Gillam GL, McNicol KN, Williams HE (1970) Chest deformity, residual airways obstruction and hyperinflation, and growth in children with bronchial asthma. II: Significance of chronic chest deformity. Arch Dis Childhood 40:789–799
Horak E, Lanigan A, Roberts M, Welsh L, Wilson J, Carlin JB, Olinsky A, Robertson CF (2003) Longitudinal study of childhood wheezy bronchitis and bronchial asthma: outcome at age 42. Br Med J 326:422–423
Illi S, von Mutius E, Lau S, Niggermann B, Gruber C, Wahn U (2006) Perennial allergen sensitization early in life and chronic bronchial asthma in children: a birth cohort study. Lancet 368:763–770
Jędrychowski W, Maugeri U, Flak F, Mroz E, Bianchi I (1998) Predisposition to acute respiratory infections among overweight preadolescent children: an epidemiologic study in Poland. Public Health 112:189–195
Krych K, Olejniczak K, Szwankowska R, Bręborowicz A, Sobkowiak P, Korytowska-Niklas A, Alkiewicz J (2005) Incidence of respiratory tract and allergic diseases in children of 2, 8, and 15 years of age. Nowa Pediatria 1:2–5 (in Polish)
Lopes EA, Fanelli-Galvani A, Prisco CCV, Goncalves RC, Jacob CMA, Cabral ALB, Martins MA, Carvalho CRF (2007) Assessment of muscle shortening and static posture in children with persistent bronchial asthma. Eur J Pediatr 166:715–721
Martin R, Knusmann R (1988) Anthropologie. Handbuch der vergleichenden. Biologie des Menschen, vol 1. Gustav Fischer, Stuttgart
Martricardi PM, Illi S, Gruber C, Keil T, Nickel R, Wahn U, Lau S (2008) Wheezing in childhood: incidence, longitudinal patterns and factors predicting persistence. Eur Respir J 32:585–592
Must A (1996) Morbidity and mortality associated with elevated body weight in children and adolescents. Am J Clin Nutr 63:445S–447S
Negri F, Pagano R, Decarli A, La Vecchia C (1988) Body weight and the prevalence of chronic diseases. J Epidemiol Community Health 42:24–29
Palczewska I, Niedźwiedzka Z (2001) Indices of somatic development in children and adolescents. Medycyna Wieku Rozwojowego 5:19–55 (in Polish)
Pawlińska-Chmara R, Wronka I (2007) Assessment of the effect of socioeconomic factors on the prevalence of respiratory disorders in children. J Physiol Pharmacol 58(Suppl 5):523–529
Sadowska L, Waliszko A, Lewandowska J, Domanasiewicz M, Pejcz J, Rodziewicz B (1986) Somatic development in children and adolescents suffering from bronchial asthma. Pediatr Pol 61:709–716 (in Polish)
Sant’Anna CA, Solé D, Naspitz CK (1996) Short stature in children with respiratory allergy. Pediatr Allergy Immunol 4:187–192
Somerville SM, Rona RJ, Chinn S (1984) Obesity and respiratory symptoms in primary school. Arch Dis Child 59:940–944
Staszak-Kowalska R (1993) Assessment of health status and physical development in children with recurrent obstructive bronchitis. PhD dissertation, Medical University in Bydgoszcz (in Polish)
Stern DA, Morgan WJ, Halonen M, Wright A, Martinez FD (2008) Wheezing and bronchial hyper-responsiveness in early childhood as predictors of newly diagnosed bronchial asthma in early adulthood: a longitudinal birth-cohort study. Lancet 372:1058–1064
Umławska W, Susanne C (2008) Growth and nutritional status in children and adolescents with cystic fibrosis. Ann Hum Biol 35:145–153
Viola S, Boulé M, Tounian P, Huyn Thi Hong L, Medjadi M, Faroux B, Girardet JP (2008) Prévalence et conséquences de la dénutrition au cours de la bronchite chronique de l’enfant. Arch Pediatr 15:1270–1275
von Mutius E, Schwarz J, Neas LM, Dockery D, Weiss ST (2001) Relation of body mass index to bronchial asthma and atopy in children: the National Health and Nutrition Examination Study III. Thorax 56:835–838
Wright AL (2002) Epidemiology of bronchial asthma and recurrent wheeze in childhood. Clin Rev Allergy Immunol 22:33–44
Acknowledgments
The authors are very grateful to the children and their parents for their co-operation in this study, and to Dr. Grzegorz Gąszczyk and Monika Rams for their kind assistance.
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The authors declare no conflicts of interest in relation to this article.
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Umławska, W., Lipowicz, A. (2015). Growth, Nutritional Status, and Pulmonary Function in Children with Chronic Recurrent Bronchitis. In: Pokorski, M. (eds) Respirology. Advances in Experimental Medicine and Biology(), vol 885. Springer, Cham. https://doi.org/10.1007/5584_2015_192
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DOI: https://doi.org/10.1007/5584_2015_192
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