Factors Influencing the Asthma Control among Children

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Published Jul 31, 2022
DOI: https://doi.org/10.18103/mra.v10i7.2942

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Main Article Content

Razia Sultana Mansoor Ghani
University of Health Sciences Lahore, Pakistan
Ann Smith
University of South Florida, College of Nursing, Tampa, Florida, USA
Shazia Ashraf
Aman Medical Institute, Islamabad, Pakistan
Shakeela Bashir
Pakistan Institute of Fashion and Design, Lahore, Pakistan

Abstract

Background: Bronchial sensitive individuals are prone to develop many health issues from airborne allergens, and viral and bacterial respiratory infections. Studies have shown that airborne allergen causes allergies and asthma in the susceptible population. Some other environmental factors such as tobacco smoke, air pollution and diet have also been linked to an increased risk for the onset of asthma. The burden of asthma is increasing day by day but the exact etiology of asthma is yet unknown. Some genetic predisposition and environmental factors are thought to play a role in causation of disease, yet how they interact to cause asthma it is still being investigated.


Methods & Study Design: A Cross- sectional analytical study design was used to determine the various environmental factors that can trigger asthma and their association with asthma control among school aged asthmatic children, 4-12 years age. A questionnaire was used to find out various environmental factors that can trigger asthma attacks. Data was represented in the form of tables and the chi square test was used to determine the association of various environmental factors with asthma control.


Results: A total of 196 asthmatic children and their parents participated in this study. The chi-square test showed that female parents control asthma more effectively as compared to male parents. The majority of parents 118 (60.2%) were living in urban areas, 180 (91.8%) parents had low income adequacy level, 119 (60.7%) parents' homes had 1-2 rooms, and 118 (60.2%) homes were congested/poor ventilated. Environmental factors had a direct link with asthma. Children exposure to passive-smoking 106 (54.08%), exercise (p =.035*), sports (p =.015*), cold weather (p =.002*), seasonal allergy (p =.002*), allergic rhinitis (p =.004*), small homes (p =.008*) and, uneducated parents (no education or primary only) (p =.035*) are factors that are associated with high asthma rates.


Conclusion: Asthma is influenced by environmental factors. By modifying environmental factors, we can improve the number of asthma episodes among asthmatic children.

Keywords: Asthma, Control, Environmental Factors, Children

Article Details

How to Cite
SULTANA, Razia et al. Factors Influencing the Asthma Control among Children. Medical Research Archives, [S.l.], v. 10, n. 7, july 2022. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2942>. Date accessed: 21 nov. 2024. doi: https://doi.org/10.18103/mra.v10i7.2942.
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Issue
Vol 10 No 7 (2022): Vol.10 Issue 7 July 2022
Section
Review Articles

The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.

 

References

1. Deng, X., Yang, M., Wang, S., Wang, Q., Pang, B., Wang, K., & Niu, W. (2021). Factors Associated With Childhood Asthma and Wheeze in Chinese Preschool-Aged Children. Frontiers in medicine, 8.
2. Serebrisky, D., & Wiznia, A. (2019). Pediatric asthma: a global epidemic. Annals of global Health, 85(1).
3. Sabar, M. F., Akram, M., Awan, F. I., Ghani, M. U., Shahid, M., Iqbal, Z., & Idrees, M. (2018). Awareness of Asthma Genetics in Pakistan: A review with some recommendations. Advancements in Life Sciences, 6(1), 1-10.
4. Khan, D. M., Zahoor, R., Ali, A., Khalil, U., & Khan, S. A. (2019). Risk factors associated with childhood asthma in District Mardan, Pakistan. JPMA. The Journal of the Pakistan Medical Association, 69(12), 1767-1770.
5. Kamran, A., Hanif, S., & Murtaza, G. (2015). Risk factors of childhood asthma in children attending Lyari General Hospital. J Pak Med Assoc, 65(6), 647e50.
6. Jabeen, U., Zeeshan, F., Bano, I., Bari, A., & Rathore, A. W. (2018). Adherence to asthma treatment and their association with asthma control in children. J Pak Med Assoc, 68(5), 725-728.
7. NHLBI updates. What Causes Asthma? Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/asthma/causes
8. Redd, S., Axelrad, R., White, M. et al. (1998). Asthma and the Environment: A Strategy to Protect Children. President’s Task Force on Environmental Health, Risks and Safety Risks to Children. p.5, 6.
9. Huss, K., Adkinson, N., Eggleston, P. et al. (2001). House dust mite and cockroach exposure are strong risk factors for positive allergy skin test responses in the Childhood Asthma Management Program. J Allergy Clin Immunol, 107(1):48–54.
10. Sporik, R., Holgate, S., Platts-Mills, T. et al. (1990). Exposure to house-dust mite allergen and the development of asthma in childhood. A prospective study. N Engl J Med, 323(8):502–7.
11. Wahn, U., Lau, S., Bergmann, R. et al. (1997). Indoor allergen exposure is a risk factor for sensitization during the first three years of life. J Allergy Clin Immunol, 99(6):763–9.
12. Malo, J., Lemiere, C., Gautrin, D. et al. (2004). Occupational asthma. Curr Opin Pulm Med, 10(1):57–61.
13. Strachan, D. and Cook, D. (1998). Health effects of passive smoking. Parental smoking and childhood asthma: longitudinal and case-control studies. Thorax b, 53(3):204–12.
14. Linjie, Z., Costa, M., Ávila, L. et al. (2005). Knowledge of parents of asthmatic children about the disease at the time of admission to a specialized service. Brazilian Medical Association.
15. Yazdanparast, T., Seyedmehdi, M., Khalilzadeh, S. et al. (2013). Knowledge and Practice of Asthmatic Children’s Parents About Daily Air Quality. National Research Institute of Tuberculosis and Lung Disease. Iran ISSN, 12(3): p.23 & 24.
16. Dezateux, C., Stocks, J., Dundas, I. et al. (1999). Impaired airway function and wheezing in infancy: the influence of maternal smoking and a genetic predisposition to asthma. Am J Respir Crit Care Med, 159(2):403–10.
17. McConnell, R., Berhane, K., Gilliland, F. et al. (2002). Asthma in exercising children exposed to ozone: a cohort study. Lancet, 359(9304):386–91.
18. Papadopoulos, G., Arakawa, H., Carlsen, H. et al. (2012). International consensus on (ICON) pediatric asthma. J Allergy, 67, 976–997.p.7&8.
19. Khan, A. A., Tanzil, S., Jamali, T., Shahid, A., Naeem, S., Sahito, A., & Fatmi, Z. (2014). Burden of asthma among children in a developing megacity: childhood asthma study, Pakistan. Journal of Asthma, 51(9), 891-899.
20. Gandhi, P., Kenzik, K., Thompson, L. et al. (2013). Exploring factors influencing asthma control and asthma-specific health-related quality of life among children. Respiratory Research, p.1-2.
21. Nordlund, B., (2013). Severe asthma and asthma control in schoolchildren. The department of women’s and children’s health. ISBN, 978-9. p. 3.
22. Prapphal, N., Laosunthara, N., Deerojanawong, J. et al. (2007). Knowledge of asthma among caregivers of asthmatic children: Outcomes of preliminary education. J Med Assoc Thai, 90(4): p.748.
23. Stephens T, Yuelin L, Community asthma education program for parents of urban asthmatic children. J Natl Med Assoc. 2004; 96(7):954- 960.
24. Shivbalan S, Balasubramanian S, Anandnathan K, What Do Parents of wectvyuk90-erwqghjAsthmatic Children Know About Asthma? An Indian Perspective. Indian J Chest Dis Allied Sci. 2004; 47: 81-87.
25. Chen, Y., Dales, R., Krewski, D., & Breithaupt, K. (1999). Increased effects of smoking and obesity on asthma among female Canadians: the National Population Health Survey, 1994–1995. American Journal of Epidemiology, 150(3), 255-262.
26. Sultana, R., Ghani, M., Yasmeen, T., & Ashraf, S. (2018). ASTHMA: AWARENESS OF PARENTS/GUARDIANS OF ASTHMATIC CHILDREN ABOUT ASTHMA AND ITS CONTROL. The Professional Medical Journal, 25(12), 1937-1944.
27. Ann, R., (2012). Childhood Asthma. Journal of American Medical Association, 307: 4 -421.
28. Glaser, A., (2005). Asthma, Children and Pesticides. Pesticides and You Beyond Pesticides/National Coalition Against the Misuse of Pesticides, 25(2), p. 18.
29. Floyd, J. & Malveaux, MD. (2009). The State of Childhood Asthma: Introduction, American Academy of Pediatrics, 123(10), p. S129.
30. New Jersey Asthma Strategic Plan. (2008-2013). Addressing Asthma through the lifespan, New Jersey Department of Health and Senior Services, Executive Summary, p. 2.
31. Anwar, M., Khan, M., Muhmmad, S. et al. (2009). Prevalence of Allergy and Asthma in School Children of Islamabad, Pakistan. World Appl. Sci. J, 6 (3): 426-432.
32. Mohamad, A., Alwan, A., Hamed, A. et al. (2009). The Relationship between Asthma and Allergic Rhinitis in the Iraqi Population. Allergology International, 58:549-555.
33. Padilla, J., Uceda, M., Ziegler, O. et al. (2013). Association between Allergic Rhinitis and Asthma Control in Peruvian School Children: A Cross-Sectional Study. BioMed Research International, 1(7).
34. Groot, E., Nijkamp, A., Duiverman, E. et al. (2011). Allergic rhinitis is associated with poor asthma control in children with asthma. Thoraxjnl, 10: 1136.
35. Schroeder, A., Kumar, R., Pongracic, JA. et al. (2009). Food Allergy is Associated with an Increased Risk of Asthma. Clin Exp Allergy, 39(2): 261–270.
36. Calamelli, E., Ricci, G., Bendandi, B. et al. (2008). Food Allergy in Children with Asthma: Prevalence and Correlation with Clinical Severity of Respiratory Disease. The Open Allergy Journal, 1, 5-11.
37. BinSaeed, A. A., Torchyan, A. A., Alsadhan, A. A., Almidani, G. M., Alsubaie, A. A., Aldakhail, A. A., & Alsaadi, M. M. (2014). Determinants of asthma control among children in Saudi Arabia. Journal Of Asthma, 51(4), 435-439.
38. Cope, S. F., Ungar, W. J., & Glazier, R. H. (2008). Socioeconomic factors and asthma control in children. Pediatric pulmonology, 43(8), 745-752.
39. Pinto, L., Stein, R. and Kabesch, M. (2008). Impact of genetics in childhood asthma. J Pediatr (Rio J), 84(4):S68-75.
40. Baidi, B. & Mahnik, N. (2005). Parental knowledge on childhood asthma in an outpatient setting. Malaysian Journal of Pharmaceutical Sciences, 3: 1-10.
41. Fadzil, A. & Norzila, M. (2002). Parental asthma knowledge. Medical Journal of Malaysia, 57: 474-481.
42. Teng, S. & Teng, W. (2002). Outpatient management of bronchial asthma in relation to Ministry of Health Guidelines: A hospital- specific study. Noncommunicable Disease Malaysia, 1: 12-18.
43. McGhan, SL., MacDonald, C., James, DE. et al. (2006). Factors associated with poor asthma control in children aged five to 13 years. Can Respir J, 13(1):23-29.
44. Majeed, R., Shaikh, N., Majeed, F. et al. (2008). Risk Factors Associated with Childhood Asthma. Journal of the College of Physicians and Surgeons Pakistan, 18 (5): 299-302.
45. Silva, C.M. and Barros, L. (2013). Asthma knowledge, subjective assessment of severity and symptom perception in parents of children with asthma J Asthma, 50(9), p. 1002–1009.
46. Westergren, T., Fegran, L., Nilsen, T. et al. (2016). Active play exercise intervention in children with asthma: a PILOT STUDY. BMJ Open, 10: 1136.
47. Morton, R. & Fitch, K. (2011). Australian Association for Exercise and Sports Science position statement on exercise and asthma. Journal of Science and Medicine in Sport, 14: 312–316.
48. Balaji, M., Shaji, S. and Krishnadas, A. (2015). Clinical profile and triggers of childhood asthma among patients diagnosed at paediatric asthma clinic. IJPTM, 3 (2).