感觉加工障碍可能是儿童哮喘的合并症:一项横断面研究。

IF 2.7 3区 医学 Q1 PEDIATRICS
Berna Uzunoğlu, Emre Fırat, İrem Karadeniz, Figen Çelebi Çelik, Canan Şule Ünsal Karkıner, Özlem Sancaklı, Demet Can
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引用次数: 0

摘要

背景:哮喘是一种影响多器官系统的慢性炎症性疾病,包括中枢神经系统(CNS)。最近的研究表明,哮喘与神经发育障碍,如自闭症谱系障碍(ASD)和注意缺陷多动障碍(ADHD)之间存在关联。感觉加工障碍(SPD)是一种以对感觉刺激的非典型反应为特征的神经发育疾病,也可能通过共同的炎症机制与哮喘有关。目的:本研究旨在调查哮喘患儿与非哮喘患儿SPD的患病率,并探讨其与哮喘严重程度的关系。方法:本前瞻性横断面研究纳入182名5-12岁儿童,研究组91名哮喘儿童,对照组91名非哮喘儿童。用感觉加工量表(SPM)评估感觉加工能力。统计分析包括逻辑回归和通径分析,以评估哮喘与感觉处理异常之间的关系。结果:与对照组相比,哮喘儿童在多个感觉领域(包括视觉、听觉、触觉、身体意识、平衡和运动)中的非典型感觉处理明显更普遍(p结论:我们的研究结果表明,哮喘儿童SPD的患病率更高,支持神经炎症可能导致感觉处理异常的假设。这些结果强调需要多学科的方法来管理哮喘儿童,同时考虑呼吸和神经发育方面。有必要进一步研究潜在的机制和潜在的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sensory Processing Disorder Could Be a Comorbidity of Childhood Asthma: A Cross-Sectional Study.

Background: Asthma is a chronic inflammatory disease affecting multiple organ systems, including the central nervous system (CNS). Recent studies suggest an association between asthma and neurodevelopmental disorders such as autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD). Sensory processing disorder (SPD), a neurodevelopmental condition characterized by atypical responses to sensory stimuli, may also be linked to asthma through shared inflammatory mechanisms.

Objective: This study aimed to investigate the prevalence of SPD in children with asthma as compared to those without asthma and explore its relationship with asthma severity.

Methods: This prospective, cross-sectional study included 182 children aged 5-12 years, with 91 asthmatic children in the study group and 91 nonasthmatic children in the control group. Sensory processing abilities were assessed using the Sensory Processing Measure (SPM) Home-Form. Statistical analyses, including logistic regression and path analysis, were performed to evaluate the association between asthma and sensory processing abnormalities.

Results: Atypical sensory processing was significantly more prevalent in asthmatic children compared to the control group across multiple sensory domains, including vision, auditory, tactile, body awareness, balance, and movement (p < 0.005). Logistic regression analysis revealed that asthma was associated with increased risk of atypical sensory processing, particularly in tactile (OR: 5.716, 95% CI: 2.9-11.3 p < 0.001) and balance/movement (OR: 8.8, 95% CI: 2.5-30.7, p = 0.001) domains. However, no significant association was found between asthma severity and SPD prevalence.

Conclusion: Our findings suggest that children with asthma exhibit a higher prevalence of SPD, supporting the hypothesis that neuroinflammation may contribute to sensory processing abnormalities. These results highlight the need for multidisciplinary approaches in managing asthmatic children, considering both respiratory and neurodevelopmental aspects. Further research is warranted to explore underlying mechanisms and potential interventions.

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来源期刊
Pediatric Pulmonology
Pediatric Pulmonology 医学-呼吸系统
CiteScore
6.00
自引率
12.90%
发文量
468
审稿时长
3-8 weeks
期刊介绍: Pediatric Pulmonology (PPUL) is the foremost global journal studying the respiratory system in disease and in health as it develops from intrauterine life though adolescence to adulthood. Combining explicit and informative analysis of clinical as well as basic scientific research, PPUL provides a look at the many facets of respiratory system disorders in infants and children, ranging from pathological anatomy, developmental issues, and pathophysiology to infectious disease, asthma, cystic fibrosis, and airborne toxins. Focused attention is given to the reporting of diagnostic and therapeutic methods for neonates, preschool children, and adolescents, the enduring effects of childhood respiratory diseases, and newly described infectious diseases. PPUL concentrates on subject matters of crucial interest to specialists preparing for the Pediatric Subspecialty Examinations in the United States and other countries. With its attentive coverage and extensive clinical data, this journal is a principle source for pediatricians in practice and in training and a must have for all pediatric pulmonologists.
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