Saúde da Criança e do Adolescente, Faculdade de Ciências Médicas (FCM), Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.
J Pediatr (Rio J). 2010 Jan-Feb;86(1):6-14. doi: 10.2223/JPED.1963.
Asthma and obesity are among the major causes of morbidity in childhood and adolescence. Early obesity increases the chances of chronic degenerative diseases in adults. Although the concomitance or both clinical situations are being demonstrated in various studies, the intrinsic mechanisms of this association are still very little known. Therefore, the objective of this article was to review the main studies on the association of obesity and asthma and check if there is a cause-effect relation between them.
Systematic review based on indexed data bases MEDLINE (PubMed) and SciELO. Original articles (cross-sectional, case-control, and prospective studies) and meta-analysis published in the period that ranges from January 1998 to January 2008 were reviewed. Studies published in English, Spanish, and Portuguese were researched.
Although there are various studies on growing prevalence of asthma and obesity, few of them establish cause-effect relations between them. Physiopathological mechanisms and factors involved in this process are still little known.
Methodological rigor in future studies must seek for answers to better understand if there is association between asthma and obesity or if the relationship between both diseases is a coincidence.
哮喘和肥胖是儿童和青少年发病的主要原因之一。肥胖发生得越早,成年后患慢性退行性疾病的几率就越高。尽管各种研究都表明这两种临床情况同时存在,但这种关联的内在机制还知之甚少。因此,本文的目的是综述肥胖与哮喘之间的主要关联研究,并检查两者之间是否存在因果关系。
基于索引数据库 MEDLINE(PubMed)和 SciELO 的系统综述。检索了 1998 年 1 月至 2008 年 1 月期间发表的原始文章(横断面、病例对照和前瞻性研究)和荟萃分析,研究语言为英语、西班牙语和葡萄牙语。
尽管有许多关于哮喘和肥胖发病率不断上升的研究,但其中很少有研究确定两者之间存在因果关系。生理病理机制和涉及这一过程的因素仍知之甚少。
未来研究必须严格方法学,以更好地了解哮喘和肥胖之间是否存在关联,或者这两种疾病之间的关系是否只是巧合。