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Quality of Life in Children with Asthma in Rio de Janeiro, Brazil

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Abstract

Objectives

To evaluate the impact of asthma on activity limitation, symptoms and emotional function in the health-related quality of life (HRQL) of asthmatic children.

Methods

A cross-sectional study involving 59 children of 7 to 12 y of age. A standardized version of the Pediatric Asthma Quality of Life Questionnaire was used to evaluate HRQL and the current criteria for socioeconomic stratification in Brazil were used to assess socioeconomic status. Independent variables evaluated included clinical and sociodemographic characteristics. The association between mean HRQL scores and the independent variables was evaluated using the Mann-Whitney, Kruskal-Wallis and Dunn tests. Statistical significance was defined as a p-value < 0.05.

Results

Thirty-two families (56.1 %) had a total household income of more than two minimum wages, while 37 families (62.7 %) were considered lower middle class. Mean overall HRQL score was 4.8 ± 1.3 (out of a maximum score of 7), suggesting reasonable HRQL. There was a weak association between independent variables and mean overall HRQL scores and the mean scores in the emotional function domain. Higher socioeconomic status was related to higher scores for the symptoms domain (p = 0.041). Furthermore, children exposed to indoor mould reported greater impairment in the symptoms domain(p = 0.022). The severity of asthma was associated with the activity limitation domain (p = 0.025).

Conclusions

These results showed a reasonable mean HRQL score and an association between the severity of asthma and the activity limitation domain.

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References

  1. Cerović S, Živković Z, Milenković B, et al. The Serbian Version of the Pediatric Asthma Quality of Life Questionnaire in daily practice. J Asthma. 2009;46:936–9.

    Article  PubMed  Google Scholar 

  2. Rydström I, Dalheim-Englund A, Holritz-Rasmussen B, Möller C, Sandman PO. Asthma - quality of life for Swedish children. J Clin Nurs. 2005;14:739–49.

    Article  PubMed  Google Scholar 

  3. Annett RD. Assessment of health status and quality of life outcomes for children with asthma. J Allergy Clin Immunol. 2001;107:S473–81.

    Article  PubMed  CAS  Google Scholar 

  4. Ehrs P, Larsson K. Treatment improves quality of life in patients with poor perception of asthma. Prim Care Respir J. 2004;13:42–7.

    Article  PubMed  Google Scholar 

  5. IV Diretrizes Brasileiras para o Manejo da Asma (CBMA). J Bras Pneumol. 2006;32:S447–74.

    Google Scholar 

  6. Critério Padrão de Classificação Econômica Brasil. ABEP - Associação Brasileira de Empresas de Pesquisa 2008. Available from: URL:http://www.abep.org/novo/Default.aspx.

  7. Standardised Paediatric Asthma Quality of Life Questionnaire (PAQLQ(S)). Available from: URL:http://www.goltech.co.uk/paqlqs.html.

  8. Alvim CG, Picinin IM, Camargos PM, et al. Quality of life in asthmatic adolescents: an overall evaluation of disease control. J Asthma. 2009;46:186–90.

    Article  PubMed  Google Scholar 

  9. Sarria EE, Rosa RC, Fischer GB, Hirakata VN, Rocha NS, Mattiello R. Versão brasileira do paediatric asthma quality of life questionnaire: validação de campo. J Bras Pneumol. 2010;36:417–24.

    Article  PubMed  Google Scholar 

  10. Zandieh F, Moin M, Movahedi M. Assessment of quality of life in Iranian asthmatic children, young adults and their caregivers. Iran J Allergy Asthma Immunol. 2006;5:79–83.

    PubMed  Google Scholar 

  11. Al-Akour N, Khader YS. Quality of life in Jordanian children with asthma. Int J Nurs Pract. 2008;14:418–26.

    Article  PubMed  Google Scholar 

  12. Felizola MLBM, Viegas CAA, Almeida M, Ferreira F, Santos MCA. Prevalência de asma brônquica e de sintomas a ela relacionados em escolares do Distrito Federal e sua relação com o nível socioeconômico. J Bras Pneumol. 2005;31:486–91.

    Article  Google Scholar 

  13. Nordlund B, Konradsen JR, Pedroletti C, Kull I, Hedlin G. The clinical benefit of evaluating health-related quality of life in children with problematic severe asthma. Acta Paediatr. 2011;100:1454–60.

    Article  PubMed  CAS  Google Scholar 

  14. Boran P, Tokuç G, Pisgin B, Öktem S. Assessment of quality of life in asthmatic Turkish children. Turk J Pediatr. 2008;50:18–22.

    PubMed  Google Scholar 

  15. Pizzol RJ. Avaliação da qualidade de vida de indivíduos com asma ocupacional registrados em ambulatório especializado na cidade de São Paulo [dissertação]. Faculdade de Saúde Pública: Universidade de São Paulo; 2000.

  16. Burkhart PV, Svavarsdottir EK, Rayens MK, Oakley MG, Orlygsdottir B. Adolescents with asthma: predictors of quality of life. J Adv Nurs. 2009;65:860–66.

    Article  PubMed  Google Scholar 

  17. Nogueira KT. Avaliação da qualidade de vida entre adolescentes asmáticos [doutorado]. Faculdade de Ciências Médicas: Universidade Estadual do Rio de janeiro; 2007.

  18. von Berg A, Engelstätter R, Minic P, et al. Comparison of the efficacy and safety of ciclesonide 160 μg once daily vs. budesonide 400 μg once daily in children with asthma. Pediatr Allergy Immunol. 2007;18:391–400.

    Article  Google Scholar 

  19. O’Connell EJ. Optimizing inhaled corticosteroid therapy in children with chronic asthma. Pediatr Pulmonol. 2005;39:74–83.

    Article  PubMed  Google Scholar 

  20. Alvim CG, Ricas J, Camargos PAM, Lasmar LMBLF, Andrade CR, Ibiapina CC. Prevalência de transtornos emocionais e comportamentais em adolescentes com asma. J Bras Pneumol. 2008;34:196–204.

    Article  PubMed  Google Scholar 

  21. Erickson SR, Munzenberger PJ, Plante MJ, Kirking DM, Hurwitz ME, Vanuya RZ. Influence of Sociodemographics on the health-related quality of life of pediatric patients with asthma and their caregivers. J Asthma. 2002;39:107–7.

    Article  PubMed  Google Scholar 

  22. SIDRIA (Italian Studies on Respiratory Disorders in Childhood and the Environment). Asthma and respiratory symptoms in 6–7 y old Italian children: gender, latitude, urbanization and socioeconomic factors. Eur Respir J. 1997;10:1780–6.

    Article  Google Scholar 

  23. van Dellen QM, Stronks K, Bindels PJE, et al. Health-related quality of life in children with asthma from different ethnic origins. J Asthma. 2007;44:125–31.

    Article  PubMed  Google Scholar 

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Contributions

All authors designed the study protocol, analyzed the data and revised critically the manuscript. All authors approved the submitted version.

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Correspondence to Patricia Gomes de Souza.

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Gomes de Souza, P., Couto Sant’Anna, C. & B. Pombo March, M.d.F. Quality of Life in Children with Asthma in Rio de Janeiro, Brazil. Indian J Pediatr 80, 544–548 (2013). https://doi.org/10.1007/s12098-012-0930-6

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  • DOI: https://doi.org/10.1007/s12098-012-0930-6

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