Year : 2020  |  Volume : 19  |  Issue : 1  |  Page : 18-24

Body composition changes in asthmatic children regarding steroid therapy duration

1 Department of Biological Anthropology, National Research Centre (NRC) and Medical Research Centre of Excellence (MRCE), Giza, Egypt
2 Department of Pediatric Physical Therapy, Faculty of Physical Therapy, Cairo University, Cairo, Egypt

Correspondence Address:
MD Safenaz Y El Sherity
Department of Biological Anthropology, Medical Division, National Research Centre (NRC) and Medical Research Centre of Excellence (MRCE), Giza, 11331
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/epj.epj_37_19

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Background Childhood asthma is markedly increasing in developing countries. The first line of management according to national asthma guidelines is inhaled corticosteroids. Accurate body composition analysis, with persistent asthma control by steroid therapy, is essential in childhood, as the potential effects of the long-term and short-term treatments are still a matter of concern. Aim To assess the body composition (total and regional) distribution in Egyptian children with asthma receiving inhaled steroid with different duration therapy. Patients and methods Body composition was measured by dual-energy X-ray absorptiometry in a cross-section study of 160 Egyptian prepubertal school-aged children (4–12 years). There were 60 asthmatic children controlled by long-term steroid therapy and 60 asthmatics controlled by short-term steroid therapy, who were compared with 40 healthy children to assess the effect of duration of therapy. Results Asthmatic children controlled by long-term steroid therapy had significantly higher weight, BMI, and total and chest lean masses among both sexes within all different age groups (P<0.05). However, asthmatic female children controlled by long-term therapy had significantly higher total and pelvic fat masses rather than both short-term and healthy groups (P<0.05). Moreover, the body composition parameters (total and regional) had positive significant correlations with BMI. Conclusion The total lean mass, specifically chest lean mass, is increased in asthmatic children who are controlled by long-term steroid therapy, and evaluation of those children using dual-energy X-ray absorptiometry provides an accurate analysis of both total and regional body composition.

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