por J182 Mar Mar 05, 2019 4:19 am
Hay una cierta controversia en el mundo científico sobre si el asma influye en el crecimiento o no pues distintos estudios llegan a distintas conclusiones.
Según este estudio solo afecta a los que toman grandes dosis de esteroides.
Our findings could help explain why there has been such a diversity in the results from previous work. Community based studies have shown that asthma has no effect on growth, while hospital studies concentrating on small numbers of severely asthmatic children receiving high doses of inhaled steroids have reported impaired growth. Our study suggests that only a small subset of children have impaired stature—those who require hospital management and are prescribed high doses of inhaled steroids—and this would explain the findings of previous reports. If these children are included as part of a larger community based study the impairment to their stature is masked by children whose stature is not affected. The results also imply that high doses of inhaled corticosteroids may affect growth rate. Whereas the paper cannot answer the debate on severity and treatment, high doses of inhaled steroids seem not to affect stature, although they may adversely effect growth rate. Reduction in stature is thus caused by a combination of influences, including degree of control and severity of asthma.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC28474/
Según este otro, los niños con asma tienen un crecimiento retardado pero al final alcanzan una estatura adulta normal, incluso ligeramente superior que los que no tienen asma.
Our study suggests that although children with asthma have retardation of growth and maturation, they will ultimately grow to normal height and weight. Of interest is the observation that children with mild asthma tend be become even taller and heavier than children who have not had asthma. As children who mature late are likely to present a slightly taller adult stature when compared with those who mature early the fact that children with asthma often have delayed bone age and adolescence may be the reason for their slightly taller stature. We have not tested whether this observation in our group with asthma was due to an eventual socioeconomic selection; as this difference was observed in all the ethnic groups studied, however, it seems less likely that this is the reason.
Asthma is not considered to be related to socioeconomic state. It has been shown previously that a relation exists between the severity of symptoms of asthma and the degree of growth retardation. Our study suggests that the severity of the asthma also influences the final growth. Most severely affected patients had retarded growth in height and weight in comparison with the mildly affected children.
https://adc.bmj.com/content/archdischild/62/1/63.full.pdf
Otro estudio llega a unas conclusiones parecidas:
Patients with asthma, regardless of its severity, may have a growth delay with posterior catching-up; severe asthmatics are the most susceptible to present such alterations.
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-35862003000100008
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