Features of the Course and Control of Bronchial Asthma among Schoolchildren with Overweight
The study of clinical features and identification of inflammatory markers in the bronchi of 52 schoolchildren with overweight and bronchial asthma has been carried out. It was found that overweight children are characterized by long persistent nature of bronchial asthma, and, compared with patients with normal body weight, — by worse asthma control, especially due to more frequent use of β-agonists as needed and more exacerbations. It was noted that after 6 months of the basic anti-inflammatory therapy, patients with overweight still had worse indicators of asthma control in comparison with children with normal weight, and a significant improvement was only in terms of such indicator of the subjective assessment of their condition, as the incidence of daytime symptoms, and of objective criteria of the control — respiratory function. It should be noted that the effectiveness of a standard basic treatment in patients with overweight is insufficient, indicating the need for individualized treatment in this cohort of patients.
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