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Obesity at the age of 4-5 related to asthma diagnosis in later childhood: A longitudinal study using linked routinely collected data from Wales

Wally Abdeldayem Orcid Logo, Jo Davies, Lucy Griffiths Orcid Logo

International Journal of Population Data Science, Volume: 9, Issue: 1

Swansea University Authors: Wally Abdeldayem Orcid Logo, Lucy Griffiths Orcid Logo

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DOI (Published version): 10.23889/ijpds.v9i1.2374

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IntroductionObesity and asthma are two of the most common childhood conditions and their prevalence have increased over the last decades. Several cross-sectional studies provide strong evidence for a positive association between these two conditions. However, few longitudinal studies have examined t...

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Published in: International Journal of Population Data Science
ISSN: 2399-4908
Published: Swansea University 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa68948
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Several cross-sectional studies provide strong evidence for a positive association between these two conditions. However, few longitudinal studies have examined the temporal relationship between them.ObjectiveTo examine the relationship between body mass index (BMI) at school starting age and the risk of developing bronchial asthma later in childhood.MethodsWe used anthropometric measurements of children aged 4 to 5 years, obtained as part of a national surveillance programme in Wales, linked to multiple population-level longitudinal administrative and clinical datasets within a trusted research environment provided by the Secure Anonymised Information Linkage (SAIL) Databank. We examined whether obesity at age 4 to 5 years was associated with increased risk of having a recorded diagnosis of asthma during a nine year follow-up period using logistic regression analysis.ResultsOut of 22,790 children included in the study, 7% had a recorded diagnosis of asthma during the nine years following their anthropometric measurement. Children with obesity (Body Mass Index [BMI] Z-score &#x2265;98th Centile) had a 41% increased risk of having a recorded diagnosis of asthma (adjusted odds ratio [aOR]: 1.41; 95% confidence interval [CI]: 1.17-1.7). Females were 26% less likely to have a recorded diagnosis of asthma after adjusting for weight status and deprivation index (aOR: 0.74; 95% CI: 0.67-0.82).ConclusionObesity in children aged 4 to 5 years carries an increased risk of developing asthma. Anthropometric measurements obtained through standardised population-level surveillance programmes enable important research that would otherwise be impossible. Expanding these programs to include older age groups is recommended. 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spelling 2025-03-12T13:12:48.2938257 v2 68948 2025-02-23 Obesity at the age of 4-5 related to asthma diagnosis in later childhood: A longitudinal study using linked routinely collected data from Wales 5abd449859d9cbf8a038d7c95e39293a 0009-0002-3396-6680 Wally Abdeldayem Wally Abdeldayem true false e35ea6ea4b429e812ef204b048131d93 0000-0001-9230-624X Lucy Griffiths Lucy Griffiths true false 2025-02-23 MEDS IntroductionObesity and asthma are two of the most common childhood conditions and their prevalence have increased over the last decades. Several cross-sectional studies provide strong evidence for a positive association between these two conditions. However, few longitudinal studies have examined the temporal relationship between them.ObjectiveTo examine the relationship between body mass index (BMI) at school starting age and the risk of developing bronchial asthma later in childhood.MethodsWe used anthropometric measurements of children aged 4 to 5 years, obtained as part of a national surveillance programme in Wales, linked to multiple population-level longitudinal administrative and clinical datasets within a trusted research environment provided by the Secure Anonymised Information Linkage (SAIL) Databank. We examined whether obesity at age 4 to 5 years was associated with increased risk of having a recorded diagnosis of asthma during a nine year follow-up period using logistic regression analysis.ResultsOut of 22,790 children included in the study, 7% had a recorded diagnosis of asthma during the nine years following their anthropometric measurement. Children with obesity (Body Mass Index [BMI] Z-score ≥98th Centile) had a 41% increased risk of having a recorded diagnosis of asthma (adjusted odds ratio [aOR]: 1.41; 95% confidence interval [CI]: 1.17-1.7). Females were 26% less likely to have a recorded diagnosis of asthma after adjusting for weight status and deprivation index (aOR: 0.74; 95% CI: 0.67-0.82).ConclusionObesity in children aged 4 to 5 years carries an increased risk of developing asthma. Anthropometric measurements obtained through standardised population-level surveillance programmes enable important research that would otherwise be impossible. Expanding these programs to include older age groups is recommended. Additionally, lifestyle interventions aimed at weight loss may help reduce the risk of developing asthma. Journal Article International Journal of Population Data Science 9 1 Swansea University 2399-4908 obesity; asthma; child health; linked data; administrative data; SAIL Databank; longitudinal 26 6 2024 2024-06-26 10.23889/ijpds.v9i1.2374 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University This research was supported by Administrative DataResearch Wales. ADR Wales (ES/W012227/1) is part of the Economic and Social Research Council (part of UK Researchand Innovation) funded ADR UK. 2025-03-12T13:12:48.2938257 2025-02-23T15:23:19.8922544 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Wally Abdeldayem 0009-0002-3396-6680 1 Jo Davies 2 Lucy Griffiths 0000-0001-9230-624X 3 68948__33797__b2753a6b0fb54447b1c232812841cec6.pdf 68948.VoR.pdf 2025-03-12T13:11:00.6692534 Output 748785 application/pdf Version of Record true © The Authors. Open Access under CC BY 4.0. true eng https://creativecommons.org/licenses/by/4.0/deed.en
title Obesity at the age of 4-5 related to asthma diagnosis in later childhood: A longitudinal study using linked routinely collected data from Wales
spellingShingle Obesity at the age of 4-5 related to asthma diagnosis in later childhood: A longitudinal study using linked routinely collected data from Wales
Wally Abdeldayem
Lucy Griffiths
title_short Obesity at the age of 4-5 related to asthma diagnosis in later childhood: A longitudinal study using linked routinely collected data from Wales
title_full Obesity at the age of 4-5 related to asthma diagnosis in later childhood: A longitudinal study using linked routinely collected data from Wales
title_fullStr Obesity at the age of 4-5 related to asthma diagnosis in later childhood: A longitudinal study using linked routinely collected data from Wales
title_full_unstemmed Obesity at the age of 4-5 related to asthma diagnosis in later childhood: A longitudinal study using linked routinely collected data from Wales
title_sort Obesity at the age of 4-5 related to asthma diagnosis in later childhood: A longitudinal study using linked routinely collected data from Wales
author_id_str_mv 5abd449859d9cbf8a038d7c95e39293a
e35ea6ea4b429e812ef204b048131d93
author_id_fullname_str_mv 5abd449859d9cbf8a038d7c95e39293a_***_Wally Abdeldayem
e35ea6ea4b429e812ef204b048131d93_***_Lucy Griffiths
author Wally Abdeldayem
Lucy Griffiths
author2 Wally Abdeldayem
Jo Davies
Lucy Griffiths
format Journal article
container_title International Journal of Population Data Science
container_volume 9
container_issue 1
publishDate 2024
institution Swansea University
issn 2399-4908
doi_str_mv 10.23889/ijpds.v9i1.2374
publisher Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
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description IntroductionObesity and asthma are two of the most common childhood conditions and their prevalence have increased over the last decades. Several cross-sectional studies provide strong evidence for a positive association between these two conditions. However, few longitudinal studies have examined the temporal relationship between them.ObjectiveTo examine the relationship between body mass index (BMI) at school starting age and the risk of developing bronchial asthma later in childhood.MethodsWe used anthropometric measurements of children aged 4 to 5 years, obtained as part of a national surveillance programme in Wales, linked to multiple population-level longitudinal administrative and clinical datasets within a trusted research environment provided by the Secure Anonymised Information Linkage (SAIL) Databank. We examined whether obesity at age 4 to 5 years was associated with increased risk of having a recorded diagnosis of asthma during a nine year follow-up period using logistic regression analysis.ResultsOut of 22,790 children included in the study, 7% had a recorded diagnosis of asthma during the nine years following their anthropometric measurement. Children with obesity (Body Mass Index [BMI] Z-score ≥98th Centile) had a 41% increased risk of having a recorded diagnosis of asthma (adjusted odds ratio [aOR]: 1.41; 95% confidence interval [CI]: 1.17-1.7). Females were 26% less likely to have a recorded diagnosis of asthma after adjusting for weight status and deprivation index (aOR: 0.74; 95% CI: 0.67-0.82).ConclusionObesity in children aged 4 to 5 years carries an increased risk of developing asthma. Anthropometric measurements obtained through standardised population-level surveillance programmes enable important research that would otherwise be impossible. Expanding these programs to include older age groups is recommended. Additionally, lifestyle interventions aimed at weight loss may help reduce the risk of developing asthma.
published_date 2024-06-26T08:20:42Z
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