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Differences in respiratory consultations in primary care between underweight, normal-weight, and overweight children.
npj Primary Care Respiratory Medicine ( IF 3.1 ) Pub Date : 2019-05-03 , DOI: 10.1038/s41533-019-0131-0
Janneke van Leeuwen 1 , Zoubeir El Jaouhari 1 , Winifred D Paulis 2 , Patrick J E Bindels 1 , Bart W Koes 1 , Marienke van Middelkoop 1
Affiliation  

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.

中文翻译:

体重不足,体重正常和体重超重的儿童之间在初级保健中进行呼吸咨询的差异。

这项前瞻性队列研究调查了在一般人群中,在开放人群中体重状况与呼吸系统不适之间建议的关联是否也反映在呼吸系统疾病咨询的频率上。可以包括在荷兰参加其中一项常规活动的2-18岁儿童。电子医疗档案被用于提取咨询数据。在两年的随访中,分别使用逻辑回归分析和负二项式回归分析评估体重状况与呼吸系统诊治的存在和频率之间的关联。在2-6、6-12和12-18岁的儿童中进行了亚组分析。在617名儿童中,有115名(18.6%)体重过轻,有391名(63.4%)体重不足,超重的人数为111(18%)。与体重正常的儿童相比,体重过轻的儿童(比值比(OR)为0.87,95%置信区间(CI)为0.64-1.10)和超重的儿童相比,体重正常儿童(OR 1.33、95) %CI 0.99-1.77)。12-18岁的超重儿童进行了更多的呼吸道咨询(OR 2.14,95%CI 1.14-4.01),更多的哮喘样咨询(OR 3.94,95%CI 1.20-12.88),以及更多的呼吸道过敏相关咨询(OR 3.14) ,比正常体重的儿童高95%CI 1.25-7.86)。全科医生应注意减肥,这是超重和肥胖儿童呼吸道不适治疗的一部分。95%的置信区间(CI)为0.64-1.10),超重儿童的体重与正常体重的儿童相比(OR 1.33,95%CI 0.99-1.77)。年龄在12-18岁之间的超重儿童进行了更多的呼吸道咨询(OR 2.14,95%CI 1.14-4.01),更多的哮喘样咨询(OR 3.94,95%CI 1.20-12.88),以及更多的与呼吸道过敏相关的咨询(OR 3.14) ,比正常体重的儿童高95%CI 1.25-7.86)。全科医生应注意减肥,这是超重和肥胖儿童呼吸道不适治疗的一部分。95%的置信区间(CI)为0.64-1.10),超重儿童的体重与正常体重的儿童相比(OR 1.33,95%CI 0.99-1.77)。12-18岁的超重儿童进行了更多的呼吸道咨询(OR 2.14,95%CI 1.14-4.01),更多的哮喘样咨询(OR 3.94,95%CI 1.20-12.88),以及更多的呼吸道过敏相关咨询(OR 3.14) ,比正常体重的儿童高95%CI 1.25-7.86)。全科医生应注意减肥,这是超重和肥胖儿童呼吸道不适治疗的一部分。与体重正常儿童相比,与呼吸道过敏相关的咨询次数更多(OR 3.14,95%CI 1.25-7.86)。全科医生应注意减肥,这是超重和肥胖儿童呼吸道不适治疗的一部分。与体重正常儿童相比,与呼吸道过敏相关的咨询次数更多(OR 3.14,95%CI 1.25-7.86)。全科医生应注意减肥,这是超重和肥胖儿童呼吸道不适治疗的一部分。
更新日期:2019-05-03
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