Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Department of Physical Therapy Studies, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.
NPJ Prim Care Respir Med. 2019 May 3;29(1):15. doi: 10.1038/s41533-019-0131-0.
This prospective cohort study investigates whether the suggested association between weight status and respiratory complaints in open populations is also reflected in the frequency of consultations for respiratory complaints at the general practice. Children aged 2-18 years presenting at one of the participating general practices in the Netherlands could be included. Electronic medical files were used to extract data on consultations. Logistic regression analyses and negative binomial regression analyses were used to assess the associations between weight status and the presence, and frequency of respiratory consultations, respectively, during 2-year follow-up. Subgroup analyses were performed in children aged 2-6, 6-12, and 12-18 years old. Of the 617 children, 115 (18.6%) were underweight, 391 (63.4%) were normal-weight, and 111 (18%) were overweight. Respiratory consultations were not more prevalent in underweight children compared to normal-weight children (odds ratio (OR) 0.87, 95% confidence inteval (CI) 0.64-1.10), and in overweight children compared to normal-weight children (OR 1.33, 95% CI 0.99-1.77). Overweight children aged 12-18 years had more respiratory consultations (OR 2.14, 95% CI 1.14-4.01), more asthma-like consultations (OR 3.94, 95%CI 1.20-12.88), and more respiratory allergy-related consultations (OR 3.14, 95% CI 1.25-7.86) than normal-weight children. General practitioners should pay attention to weight loss as part of the treatment of respiratory complaints in overweight and obese children.
本前瞻性队列研究旨在调查在开放人群中体重状况与呼吸主诉之间的关联是否也反映在普通科的呼吸主诉就诊频率中。荷兰参与的普通科之一就诊的 2-18 岁儿童可纳入研究。电子病历用于提取就诊数据。采用逻辑回归分析和负二项回归分析评估体重状况与 2 年随访期间呼吸主诉的存在和频率之间的相关性。在 2-6 岁、6-12 岁和 12-18 岁的儿童中进行亚组分析。在 617 名儿童中，115 名（18.6%）体重不足，391 名（63.4%）体重正常，111 名（18%）超重。与体重正常的儿童相比，体重不足的儿童呼吸主诉并不更常见（比值比（OR）0.87，95%置信区间（CI）0.64-1.10），与超重的儿童相比也不更常见（OR 1.33，95% CI 0.99-1.77）。12-18 岁超重儿童的呼吸主诉就诊更多（OR 2.14，95% CI 1.14-4.01），哮喘样主诉就诊更多（OR 3.94，95%CI 1.20-12.88），以及更多与呼吸过敏相关的就诊（OR 3.14，95% CI 1.25-7.86），与体重正常的儿童相比。全科医生应注意超重和肥胖儿童的体重减轻，作为治疗呼吸主诉的一部分。
