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Sex Differences in the Relationship between Asthma and Overweight in Dutch Children: a Survey Study

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Listed:
  • Maartje Willeboordse
  • Donna L C M van den Bersselaar
  • Kim D G van de Kant
  • Jean W M Muris
  • Onno C P van Schayck
  • Edward Dompeling

Abstract

Objective: Obesity has been identified as a risk factor for asthma in children. However, in the Netherlands, the obesity prevalence is rising while the asthma prevalence in children is stabilising. The aim of this study is to clarify the association between asthma and Body Mass Index (BMI) in children and whether this association is influenced by sex. Study Design: Parents of 39,316 children (6-16 years) in the south of the Netherlands were invited to complete an online questionnaire on respiratory symptoms, anthropometric variables and several potential confounding factors for asthma and obesity (including sex, birth weight and breastfeeding). Data was analysed by multivariable logistic regression models and an ordinal regression model. Results: The response rate was 24% (n boys= 4,743, n girls= 4,529). The prevalence of asthma, overweight and obesity was 8%, 15% and 2% respectively. Body mass index - standard deviation Score (BMI-SDS) was related to current asthma (adjusted OR: 1.29; 95%CI: 1.14-1.45, p≤0.001). When stratified for sex, asthma and BMI-SDS were only related in girls (Girls: adjusted OR: 1.31; 95%CI: 1.13-1.51, p≤0.001. Boys: adjusted OR: 1.01; 95%CI: 0.91-1.14, p=0.72). Conclusions: The positive association between BMI-SDS and asthma is only present in girls, not boys. Future studies into obesity and asthma should correct for sex in their analyses.

Suggested Citation

  • Maartje Willeboordse & Donna L C M van den Bersselaar & Kim D G van de Kant & Jean W M Muris & Onno C P van Schayck & Edward Dompeling, 2013. "Sex Differences in the Relationship between Asthma and Overweight in Dutch Children: a Survey Study," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-1, October.
    • Handle: RePEc:plo:pone00:0077574
    DOI: 10.1371/journal.pone.0077574
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    References listed on IDEAS

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    1. Ming-Wei Su & Kuan-Yen Tung & Pi-Hui Liang & Ching-Hui Tsai & Nai-Wei Kuo & Yungling Leo Lee, 2012. "Gene-Gene and Gene-Environmental Interactions of Childhood Asthma: A Multifactor Dimension Reduction Approach," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-9, February.
    2. William Axinn & Cynthia Link & Robert Groves, 2011. "Responsive Survey Design, Demographic Data Collection, and Models of Demographic Behavior," Demography, Springer;Population Association of America (PAA), vol. 48(3), pages 1127-1149, August.
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    Cited by:

    1. Margreet W Harskamp-van Ginkel & Stephanie J London & Maria C Magnus & Maaike G Gademan & Tanja G Vrijkotte, 2015. "A Study on Mediation by Offspring BMI in the Association between Maternal Obesity and Child Respiratory Outcomes in the Amsterdam Born and Their Development Study Cohort," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-13, October.

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