Weight loss in children with asthma improves asthma control and quality of life

2013 ◽  
Vol 43 (7) ◽  
pp. 703-704 ◽  
Author(s):  
F. Holguin
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Asthma Control ◽  
Children With Asthma

scholarly journals Protocolled practice nurse-led care for children with asthma in primary care: protocol for a cluster randomised trial

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e022922
Author(s):  
Sara Bousema ◽  
Annemieke J Verwoerd ◽  
Lucas M Goossens ◽  
Arthur M Bohnen ◽  
Patrick J E Bindels ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
General Practitioner ◽  
Asthma Control ◽  
Practice Nurse ◽  
Asthma Care ◽  
Cluster Randomised ◽  
Children With Asthma

IntroductionIn children with asthma, daily symptoms and exacerbations have a significant impact on the quality of life of both children and parents. More effective use of asthma medication and, consequently, better asthma control is advocated, since both overtreatment and undertreatment are reported in primary care. Trials in adults suggest that asthma control is better when patients receive a regular medical review. Therefore, protocolled care by the general practitioner may also lead to better asthma control in children. However, such protocolled care by the general practitioner may be time consuming and less feasible. Therefore, this study aims to determine whether protocolled practice nurse-led asthma care for children in primary care provides more effective asthma control than usual care.Methods and analysisThe study will be a cluster-randomised open-label trial with an 18-month follow-up. Practice nurses will be the units of randomisation and children with asthma the units of analysis. It is planned to include 180 children aged 6–12 years. Primary outcome will be average asthma control during the 18-month follow-up measured by the Childhood Asthma Control Test (C-ACT). Secondary outcomes include C-ACT scores at t=3, t=6, t=12 and t=18 months; the frequency and severity of exacerbations; cost-effectiveness; quality of life; satisfaction with delivered care; forced expiratory volume in 1 s and forced expiratory flow at 75% and the association of high symptoms scores at baseline and baseline characteristics. Besides, we will conduct identical measurements in a non-randomised sample of children.Ethics and disseminationThis will be the first trial to evaluate the effectiveness of protocolled practice nurse-led care for children with asthma in primary care. The results may lead to improvements in asthma care for children and can be directly implemented in revisions of asthma guidelines.The study protocol was approved by the Medical Research Ethics Committee of the Erasmus Medical Centre in Rotterdam.Trial registrationNTR6847.

scholarly journals Evaluation of asthma control, parents’ quality of life and preference between AeroChamber Plus and AeroChamber Plus Flow-Vu spacers in young children with asthma

2014 ◽  
Vol 52 (3) ◽  
pp. 301-307 ◽  
Author(s):  
Wesam G. Ammari ◽  
Sophie Toor ◽  
Philip Chetcuti ◽  
John Stephenson ◽  
Henry Chrystyn
Keyword(s):  
Quality Of Life ◽  
Young Children ◽  
Asthma Control ◽  
Children With Asthma

Mastery of pMDI technique, asthma control and quality-of-life of children with asthma: A randomized controlled study comparing two inhaler technique training approaches

2017 ◽  
Vol 43 ◽  
pp. 46-54 ◽  
Author(s):  
Wesam G. Ammari ◽  
Nussaibah Al-Hyari ◽  
Nathir Obeidat ◽  
Mona Khater ◽  
Amal Sabouba ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Asthma Control ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Inhaler Technique ◽  
Randomized Controlled ◽  
Children With Asthma

scholarly journals Association of consistently suboptimal quality of life with consistently poor asthma control in children with asthma

2017 ◽  
Vol 119 (6) ◽  
pp. 562-564.e1 ◽  
Author(s):  
Carrie R. Howell ◽  
Lindsay A. Thompson ◽  
Heather E. Gross ◽  
Bryce B. Reeve ◽  
Shih-Wen Huang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Asthma Control ◽  
Children With Asthma

scholarly journals Monitoring asthma in childhood: symptoms, exacerbations and quality of life

2015 ◽  
Vol 24 (136) ◽  
pp. 187-193 ◽  
Author(s):  
Paul L.P. Brand ◽  
Mika J. Mäkelä ◽  
Stanley J. Szefler ◽  
Thomas Frischer ◽  
David Price
Keyword(s):  
Quality Of Life ◽  
Clinical Practice ◽  
Asthma Control ◽  
Task Force ◽  
Night Time ◽  
Frequent Use ◽  
Reliever Medication ◽  
Children With Asthma ◽  
The Impact

Monitoring asthma in children in clinical practice is primarily performed by reviewing disease activity (daytime and night-time symptoms, use of reliever medication, exacerbations requiring frequent use of reliever medication and urgent visits to the healthcare professional) and the impact of the disease on children's daily activities, including sports and play, in a clinical interview. In such an interview, most task force members also discuss adherence to maintenance therapy and the patients' (and parents') views and beliefs on the goals of treatment and the amount of treatment required to achieve those goals. Composite asthma control and quality of life measures, although potentially useful in research, have limited value in clinical practice because they have a short recall window and do not cover the entire spectrum of asthma control. Telemonitoring of children with asthma cannot replace face-to-face follow-up and monitoring because there is no evidence that it is associated with improved health outcomes.

scholarly journals Evidence for lifestyle interventions in asthma

Breathe ◽  
2019 ◽  
Vol 15 (2) ◽  
pp. e50-e61 ◽  
Author(s):  
Isobel Stoodley ◽  
Lily Williams ◽  
Cherry Thompson ◽  
Hayley Scott ◽  
Lisa Wood
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Weight Loss ◽  
Asthma Control ◽  
Asthma Management ◽  
Massage Therapy ◽  
List Type ◽  
Lifestyle Interventions ◽  
Asthmatic Patients

Asthma is a chronic inflammatory airways disease, estimated to affect 300 million people worldwide. Asthma management plans focus on optimisation of asthma pharmacotherapy. Lifestyle interventions also hold great promise for asthma sufferers as they are accessible, low cost and have minimal side-effects, thus making adherence more likely. This review explores lifestyle interventions that have been tested in asthma, including improving nutrition, increasing physical activity and introduction of relaxation therapies such as yoga and massage therapy. Available evidence suggests a protective effect of increasing fruit, vegetable and wholegrain intake and increasing physical activity levels in asthma. Weight loss is recommended for obese asthmatic patients, as just 5–10% weight loss has been found to improve quality of life and asthma control in most obese asthmatic patients. Other lifestyle interventions such as meditation, yoga and massage therapy show promise, with positive effects on asthma seen in some studies. However, the study protocols are highly variable and the results are inconsistent. Additional research is needed to further develop and refine recommendations regarding lifestyle modifications that can be implemented to improve asthma.Key pointsImproving diet quality, by increasing fruit, vegetable and wholegrain intake and reducing saturated fat intake, should be recommended in asthma, as there is evidence suggesting that this leads to improvements in airway inflammation, asthma control and exacerbation risk.Regular physical activity should be promoted for people with asthma, as it can improve quality of life and lung function, as well as general health.In obese asthmatic patients, weight loss should be recommended, as it leads to numerous health benefits, including improvements in asthma. Even small amounts of weight loss in adults (5–10% body weight) have been shown to improve asthma quality of life and asthma control in the majority of people with asthma.There is some evidence of benefit of meditation, yoga and breathing exercises for adults with asthma, while massage therapy shows promise in children with asthma. However, the evidence is inconsistent and more research is needed to make definitive recommendations.Educational aimsTo summarise current knowledge on lifestyle interventions in asthma.To improve awareness of how lifestyle modification can be used in asthma management.To identify areas for future research on lifestyle interventions in asthma.

scholarly journals Longitudinal associations among asthma control, sleep problems, and health-related quality of life in children with asthma: a report from the PROMIS® Pediatric Asthma Study

2016 ◽  
Vol 20 ◽  
pp. 41-50 ◽  
Author(s):  
Zheng Li ◽  
Lindsay A. Thompson ◽  
Heather E. Gross ◽  
Elizabeth A. Shenkman ◽  
Bryce B. Reeve ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Asthma Control ◽  
Sleep Problems ◽  
Pediatric Asthma ◽  
Health Related Quality ◽  
Children With Asthma ◽  
Related Quality ◽  
Health Related ◽  
Longitudinal Associations

Quality of Life in Children with Asthma as a Marker of Clinical Stability

2014 ◽  
Vol 68 (1) ◽  
pp. 21-24 ◽  
Author(s):  
Valentina Cvejoska-Cholakovska ◽  
Emilija Vlaski ◽  
Vesna Velic-Stefanovska
Keyword(s):  
Quality Of Life ◽  
Asthma Control ◽  
Life Questionnaire ◽  
Asthmatic Children ◽  
Hospital Facility ◽  
Significant Difference ◽  
Children With Asthma ◽  
The University ◽  
Clinical Stability

Abstract Introduction. In order to improve asthma control, in the last decades an emphasis has been put on the assessment of quality of life (QL). The aim of the study was to assess the role of the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) in order to assess the QL as a marker of clinical stability in asthmatic children. Methods. A total of 64 asthmatic children aged 7-17 years treated in an outpatient/hospital facility within the University Children’s Hospital in Skopje during 2 years were investigated. The children were assessed 3 times during a period of 3 months. To assess the asthma control the Clinical Stability Score (CSS) was used, and for the assessment of the QL the Macedonian version of the PAQLQ from Elizabeth Juniper was used, consisting of 23 questions organized into three domains: symptoms, activities, and emotions. The data were statistically analyzed using Statistica for Windows, version 7.0 and SPSS 14. Results. An increase in the average values of the PAQLQ scores was established, which means better control of asthma by the end of the 3-month follow-up. There was no statistically significant difference in the QL changes and the age of asthmatic children regarding all three domains and the overall score. Better PAQLQ scores were detected in children with better CSS. A significant improvement of all the PAQLQ scores in the case of beginning the inhaled corticosteroid therapy during the study was found. According to CSS, all of the children were classified as stable (good QL) at the end of the study compared to 78% stability at the beginning of the study. Conclusions. The Macedonian version of the PAQLQ can be used for assessment of the effects of anti-inflammatory therapy and for attainment of complete asthma control in children between 7 and 17 years of age.

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