Association of asthma with extra-respiratory symptoms in schoolchildren: two cross-sectional studies 6 years apart.
Epidemiological information on symptoms affecting extra-respiratory organs and apparatuses in asthmatic children is scarce. The aim of this study therefore was to evaluate, at a population level, if and what extra-respiratory symptoms are associated with asthma. Two questionnaire-based, cross-sectional surveys were carried out on 1,262 students (651 males; mean age 9.57 years, age-range 6-14 years) in 1992 and on 1,210 students (639 males; mean age 9.02 years, age-range 6-14 years) in 1998, from two elementary and two junior high schools in Rome, Italy. Questionnaires included queries about asthma and its risk factors and extra-respiratory symptoms (headache, restlessness, sleep disturbances, urticaria, itching, and abdominal pain). Of responders, 11.9% (279/2,342) had a history of asthma. After adjustment for gender, family history of atopic disease, low birth weight, early respiratory problems, and damp house, asthma was significantly associated with recurrent abdominal pain (odds ratio [OR] 1.90; 95% confidence interval [CI]: 1.04, 3.16), itching (OR 3.15; 95% CI: 1.75, 5.68), and urticaria (OR 2.52; 95% CI: 1.02, 6.20). Asthma was reported by 10.2% (201/1,962) of children unaffected by this triad, by 20.1% (56/279; OR 2.20) with one of the symptoms, and by 31.6% (12/38; OR 4.04) with two or more symptoms. An emerging characteristic of pediatric asthma in our setting appears to be its association with certain extra-respiratory symptoms (abdominal pain, itching, and urticaria). A global, internistic approach to asthmatic children is increasingly required both in the clinical setting and in future epidemiological studies.
Ronchetti
Roberto
R
Department of Pediatrics, Second School of Medicine, University of Rome La Sapienza, Rome, Italy. ronchetti@uniroma1.it
Villa
Maria Pia
MP
Matricardi
Paolo Maria
PM
La Grutta
Stefania
S
Barreto
Mario
M
Pagani
Jacopo
J
Mortella
Susy
S
Falasca
Carlo
C
Ciofetta
Giancarlo
G
Poggi
Barbara
B
D015746:Abdominal Pain / Q000453:epidemiology*; D000293:Adolescent; D001249:Asthma / Q000150:complications*; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D015995:Prevalence; D011537:Pruritus / Q000453:epidemiology*; D012140:Respiratory Tract Diseases / Q000453:epidemiology*; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014581:Urticaria / Q000453:epidemiology*