Medeiros Mércia L, da Costa Auxiliadora D P V, Vieira Ciane J G, Silva Pedro H N, Santos Diego A M, Vitalle Maria Sylvia S
Universidade Federal de São Paulo (UNIFESP), Ciências Aplicadas à Pediatria, São Paulo, SP, Brazil; Universidade Federal de Alagoas (UFAL), Faculdade de Medicina, Maceió, AL, Brazil.
Universidade Federal de Alagoas (UFAL), Faculdade de Medicina, Maceió, AL, Brazil.
J Pediatr (Rio J). 2025 Mar-Apr;101(2):202-208. doi: 10.1016/j.jped.2024.08.003. Epub 2024 Sep 5.
To investigate the association between allergic diseases and the tendency to self-harm in adolescents, considering the role of sedentary behavior.
This was a population-based cross-sectional study, carried out in 2022, with 727 adolescents aged 12 to 19 years, from a capital in the Northeast of Brazil. The authors evaluated the association between each allergic disease (asthma, rhinitis and eczema) and self-harm, sedentary behavior and other variables. The authors performed an adjusted analysis of the associations between each allergy disease and the tendency to self-harm and then adjusted to the presence of family members and sedentary behavior.
The prevalence of asthma, rhinitis and eczema were 18.76%, 36.21% and 12.86%, respectively. Sedentary behavior and tendency to self-harm were more frequently reported in asthmatics (PR 2.16; 95% CI: 1.55 - 3.00 and PR 1.98; 95% CI: 1.47 - 2.68, for sedentary behavior and self-harm respectively), rhinitis (PR 1.53; 95% CI: 1.25 - 1.88 and PR 1.33; 95% CI: 1.09 - 1.62, respectively) and eczema (PR 2.35; 95% CI: 1.54 - 3.58 and PR 1.55; 95% CI: 1.05 - 2.28, respectively). There was a reduction in the strength of this association in the three conditions, which included a loss of association.
High rates of sedentary behavior and self-harm in those with asthma, rhinitis and eczema. Physical activity attenuated the risk for self-harm. It warns about the urgency in detecting these factors, whether in the diagnosis or in the implementation of therapy, seeking to reduce their harmful consequences in the short and long term.
考虑久坐行为的作用，调查青少年过敏性疾病与自我伤害倾向之间的关联。
这是一项基于人群的横断面研究，于2022年开展，研究对象为来自巴西东北部一个首府的727名12至19岁的青少年。作者评估了每种过敏性疾病（哮喘、鼻炎和湿疹）与自我伤害、久坐行为及其他变量之间的关联。作者对每种过敏性疾病与自我伤害倾向之间的关联进行了校正分析，然后对家庭成员的存在和久坐行为进行了校正。
哮喘、鼻炎和湿疹的患病率分别为18.76%、36.21%和12.86%。哮喘患者中久坐行为和自我伤害倾向的报告更为频繁（久坐行为和自我伤害的PR分别为2.16；95%CI：1.55 - 3.00和PR 1.98；95%CI：1.47 - 2.68），鼻炎患者中分别为（PR 1.53；95%CI：1.25 - 1.88和PR 1.33；95%CI：1.09 - 1.62），湿疹患者中分别为（PR 2.35；95%CI：1.54 - 3.58和PR 1.55；95%CI：1.05 - 2.28）。在这三种情况下，这种关联的强度有所降低，其中包括关联消失。
哮喘、鼻炎和湿疹患者的久坐行为和自我伤害发生率较高。体育活动可降低自我伤害风险。这警示了在诊断或治疗实施过程中检测这些因素的紧迫性，旨在减少其短期和长期的有害后果。
