Hoon Han Chang, Min Lee Sun, Ho Chung Jae
Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea.
Department of Internal Medicine, International St. Mary`s Hospital, Catholic Kwandong University College of Medicine, Incheon, Republic of Korea.
J Asthma. 2020 Jan;57(1):47-54. doi: 10.1080/02770903.2018.1541355. Epub 2019 Jan 1.
: As the numbers of adolescents with asthma are increasing, appropriate recognition of the importance of body weight is necessary. This study explored body weight misconceptions and related factors in adolescent asthma patients. : Web-based self-reported data from the Korean Youth Risk Behavior Web-Based Survey of 60,974 physician-diagnosed adolescents with asthma were used in this study. Self-reported questionnaires were employed to assess socioeconomic status, health behavior, and psychological factors. Multiple logistic regression after adjustment for confounding factors was used to explore body weight misconception. : A total of 28,771 (47.2%) respondents incorrectly classified their weight status, with 13,684 (22.5%) under-assessing and 15,087 (24.7%) over-assessing their weight. Body weight misconceptions were positively associated with middle school attendance (odds ratio [OR] 1.02, 95% confidence interval [CI] 1.02-1.06), co-educational school attendance (OR 1.07, 95% CI 1.01-1.11), living without parents (OR 1.11, 95% CI 1.03-1.19), self-rated poor health status (OR 1.04, 95% CI 1.00-1.10), self-rated unhappiness (OR 1.15, 95% CI 1.09-1.20), moderate-to-severe stress (OR 1.14, 95% CI 1.11-1.18), depressive mood (OR 1.10, 95% CI 1.06-1.14), suicidal ideation (OR 1.09, 95% CI 1.04-1.13), and suicide attempts (OR 1.12, 95% CI 1.05-1.21); negatively associated with male gender (OR 0.86, 95% CI 0.83-0.89) and higher level academic achievement (OR 0.92, 95% CI 0.88-0.96), respectively. Negative psychological factors and school type were found to be associated with body weight misconceptions in adolescents with asthma. Our study shows that more efforts are needed to improve such misconceptions and to develop healthy behaviors in adolescents with asthma.
随着青少年哮喘患者数量的增加，正确认识体重的重要性十分必要。本研究探讨了青少年哮喘患者对体重的错误认知及相关因素。本研究使用了韩国青少年风险行为网络调查中60974名经医生诊断的青少年哮喘患者基于网络的自我报告数据。采用自我报告问卷来评估社会经济状况、健康行为和心理因素。在对混杂因素进行调整后，使用多元逻辑回归来探讨体重错误认知情况。共有28771名（47.2%）受访者错误分类了自己的体重状况，其中13684名（22.5%）低估了体重，15087名（24.7%）高估了体重。体重错误认知与就读中学（优势比[OR]1.02，95%置信区间[CI]1.02 - 1.06）、男女同校（OR 1.07，95% CI 1.01 - 1.11）、与父母分开居住（OR 1.11，95% CI 1.03 - 1.19）、自评健康状况差（OR 1.04，95% CI 1.00 - 1.10）、自评不幸福（OR 1.15，95% CI 1.09 - 1.20）、中度至重度压力（OR 1.14，95% CI 1.11 - 1.18）、抑郁情绪（OR 1.10，95% CI 1.06 - 1.14）、自杀意念（OR 1.09，95% CI 1.04 - 1.13）和自杀未遂（OR 1.12，95% CI 1.05 - 1.21）呈正相关；分别与男性（OR 0.86，95% CI 0.83 - 0.89）和较高学业成绩（OR 0.92，95% CI 0.88 - 0.96）呈负相关。研究发现，负面心理因素和学校类型与青少年哮喘患者的体重错误认知有关。我们的研究表明，需要做出更多努力来改善这种错误认知，并培养青少年哮喘患者的健康行为。
