Comorbid Obesity and Depressive Symptoms in Childhood Asthma: A Harmful Synergy

Publication date: September 2020Source: The Journal of Allergy and Clinical Immunology: In Practice, Volume 8, Issue 8Author(s): Chiun Yu Hsu, Heather K. Lehman, Beatrice L. Wood, Jaspreet Benipal, Quratulain Humayun, Bruce D. Miller
Source: The Journal of Allergy and Clinical Immunology: In Practice - Category: Allergy & Immunology Source Type: research

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By HANS DUVEFELT, MD After my posts on telemedicine were published recently, (this one on Manly Wellness before the pandemic and this one after it erupted, on A Country Doctor Writes, then reblogged on The Health Care Blog, KevinMD and many others), I have been asked about my views on telemedicine’s role in the future of primary care. Things have changed quickly, and a bit chaotically, and there is a lot of experimentation happening right now in practices I work or speak with. Before thinking about telemedicine in Primary Care, we need to agree on some sort of definition of...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: COVID-19 Medical Practice primary care Telehealth Telemedicine Source Type: blogs
Publication date: Available online 15 April 2020Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Chiun Yu Hsu, Heather K. Lehman, Beatrice L. Wood, Jaspreet Benipal, Quratulain Humayun, Bruce D. Miller
Source: The Journal of Allergy and Clinical Immunology: In Practice - Category: Allergy & Immunology Source Type: research
Background: There is little information on the state of asthma, particularly severe asthma, in China.Objectives: To determine the characteristics of severe asthma patients in China and their stability.Methods: We recruited adults with severe asthma (n=349 non-smokers, NSA, &n=114 smokers and ex-smokers, SSA), mild/moderate asthma (MMA; n=97) and healthy controls (HS, n=100) from 33 university hospitals in 15 provinces. Severe asthma was defined by 2014 ERS/ATS guidelines.Results: NSA was mostly female (70%) but SSA exclusively (96.5%), with both groups having most obese subjects (BMI>28) (NSA: 14.6% and SSA: 17.5% v...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Allergy and immunology Source Type: research
This study’s goal is to compare major aspects of these two phenotypes.Methods: A retrospective study of adult patients with asthma diagnosis observed in our Asthma clinic between 2012 and 2016. Patients were divided into EOA (onset 18 years old) groups and their data was statistically analysed.Results: 606 patients were included, 351 had EOA and 233 LOA. In the EOA group, 71.2% were women (N=250), 47.3% (N=116) had smoking history and 27.1% (N=95) were obese. Rhinitis was found in 298 patients (84.9%), gastroesophageal reflux disease (GERD) in 71 (20.2%), anxiety or depression in 30 (8.5%), cardiac disease in 29 (8.2...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Allergy and immunology Source Type: research
Conclusion: Within a pediatric primary care population, we found different patterns of drug use over age, associated with various comorbidities. This helps understanding the diversity within pediatric asthma.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Paediatric asthma and allergy Source Type: research
Conclusion: Inhaler competency and adherence, breathing technique, fitness, and psychological problems are common in children with poor asthma control. Addressing these fundamental issues using an MDT specialist clinic can usually negate the need to step up medical treatment, even in children with severe asthma.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Nurses Source Type: research
Abstract The anti-inflammatory diet is based on two diets that have been shown to have many positive health effects-the Mediterranean diet and the Okinawan diet. The anti-inflammatory diet is more than just a prescription for healthy food, but rather a way of life characterized by a plant-based diet and a pattern of living that includes eating a diverse range of locally grown foods eaten in season, conviviality, culinary activities, physical activity, and rest. The Mediterranean diet has been shown to reduce the burden and even prevent the development of cardiovascular disease, breast cancer, depression, colorecta...
Source: Pediatric Annals - Category: Pediatrics Authors: Tags: Pediatr Ann Source Type: research
Conclusions In conclusion, articles in this Research Topic made a very significant contribution to our understanding of the role played by environmental factors, dysbiotic conditions, and infections in triggering diseases. Since this is a rapidly expanding area of research, many other factors contributing to the onset of these diseases are not covered here. We are confident, however, that further studies will expand the list as well as bring a better understanding of mechanisms involved in the onset of autoimmune and autoinflammatory diseases. Author Contributions All authors listed have made a substantial, direct and i...
Source: Frontiers in Microbiology - Category: Microbiology Source Type: research
It’s hardly news that the gastrointestinal tract is important to human health: It transports food from the mouth to the stomach, converts it into absorbable nutrients and stored energy, and shuttles waste back out of the body. If you don’t properly nourish yourself, you don’t live. It’s that simple. But in recent years, scientists have discovered that the GI system has an even bigger, more complex job than previously appreciated. It’s been linked to numerous aspects of health that have seemingly nothing to do with digestion, from immunity to emotional stress to chronic illnesses, including can...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Research Source Type: news
Conclusions: Severe, uncontrolled, obese or nonatopic asthma patients should be examined for systemic comorbidities. There is a need for further study to assess the relationship between treatment of established comorbidities and asthma course. PMID: 30683023 [PubMed - in process]
Source: Tuberkuloz ve Toraks - Category: Respiratory Medicine Authors: Tags: Tuberk Toraks Source Type: research
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