PMID- 26034606 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150602 LR - 20181113 IS - 2052-4439 (Print) IS - 2052-4439 (Electronic) IS - 2052-4439 (Linking) VI - 1 IP - 1 DP - 2014 TI - High body mass index and allergies in schoolchildren: the French six cities study. PG - e000054 LID - 10.1136/bmjresp-2014-000054 [doi] LID - e000054 AB - BACKGROUND: The prevalence of allergic diseases such as asthma, allergic rhinitis and atopic dermatitis is increasing rapidly worldwide, especially among children and in western countries. This coincides with an increase in body mass index (BMI), which might be a major risk factor for atopic diseases. OBJECTIVES: To study the relationship between high BMI and allergic diseases, as well as skin-prick test (SPT) positivity and exercise-induced asthma (EIA) in 6733 randomly selected schoolchildren aged 9-11 years in the French Six Cities Study. METHODS: A cross-sectional study was carried out in Bordeaux, Clermont-Ferrand, Creteil, Marseille, Reims and Strasbourg. Parental questionnaires based on the International Study on Asthma and Allergies in Childhood (ISAAC) were used to collect information on allergic diseases and potential risk factors. Skin-prick testing to common allergens was performed to identify the existence of an allergic hypersensitivity and an exercise test was also performed to assess EIA. Height and weight were collected by trained investigators. After computing the BMI (weight/height squared), the International Obesity Task Force (IOTF) cut-offs were used to define overweight and obesity. The children were also classified as wheezing or non-wheezing. RESULTS: After adjustment for confounding factors, lifetime asthma was associated with high BMI among non-wheezing children (adjusted OR, aOR=1.98, 95% CI (1.06 to 3.70)). In addition, lifetime and past-year allergic rhinitis was associated with high BMI in wheezing children (aOR=1.63, (1.09 to 2.45) and aOR=2.20, (1.13 to 4.27)). However, high BMI was not significantly associated with eczema, SPT positivity or EIA. CONCLUSIONS: This study shows a positive association between high BMI and lifetime asthma in non-wheezing children. High BMI was also associated with lifetime and past-year allergic rhinitis. Further studies are needed to provide causal evidence. FAU - Saadeh, Danielle AU - Saadeh D AD - Clinical and Epidemiological Research Laboratory, Faculty of Pharmacy , Lebanese University , Hadath , Lebanon ; INSERM U897, Institut de Sante Publique d'Epidemiologie et de Developpement, Universite de Bordeaux , Bordeaux , France. FAU - Salameh, Pascale AU - Salameh P AD - Clinical and Epidemiological Research Laboratory, Faculty of Pharmacy , Lebanese University , Hadath , Lebanon. FAU - Caillaud, Denis AU - Caillaud D AD - Hopital Gabriel Montpied , Clermont-Ferrand , France. FAU - Charpin, Denis AU - Charpin D AD - Hopital Nord , Marseille , France. FAU - de Blay, Frederic AU - de Blay F AD - Hopital Civil , Strasbourg , France. FAU - Kopferschmitt, Christine AU - Kopferschmitt C AD - Hopital Civil , Strasbourg , France. FAU - Lavaud, Francois AU - Lavaud F AD - Hopital Maison Blanche , Reims , France. FAU - Annesi-Maesano, Isabella AU - Annesi-Maesano I AD - EPAR, UMR-S 1136, Institute Pierre Louis of Epidemiology and Public Health, INSERM and UPMC Sorbonne Universites , Paris , France. FAU - Baldi, Isabelle AU - Baldi I AD - INSERM U897, Institut de Sante Publique d'Epidemiologie et de Developpement, Universite de Bordeaux , Bordeaux , France. FAU - Raherison, Chantal AU - Raherison C AD - INSERM U897, Institut de Sante Publique d'Epidemiologie et de Developpement, Universite de Bordeaux , Bordeaux , France ; Service des maladies respiratoires , Hopital du Haut-Leveque, Avenue de Magellan , Pessac , France. LA - eng PT - Journal Article DEP - 20141224 PL - England TA - BMJ Open Respir Res JT - BMJ open respiratory research JID - 101638061 PMC - PMC4448005 OTO - NOTNLM OT - Allergic Alveolitis OT - Asthma OT - Asthma Epidemiology OT - Immunodeficiency EDAT- 2014/01/01 00:00 MHDA- 2014/01/01 00:01 PMCR- 2014/12/24 CRDT- 2015/06/03 06:00 PHST- 2014/07/23 00:00 [received] PHST- 2014/10/03 00:00 [accepted] PHST- 2015/06/03 06:00 [entrez] PHST- 2014/01/01 00:00 [pubmed] PHST- 2014/01/01 00:01 [medline] PHST- 2014/12/24 00:00 [pmc-release] AID - bmjresp-2014-000054 [pii] AID - 10.1136/bmjresp-2014-000054 [doi] PST - epublish SO - BMJ Open Respir Res. 2014 Dec 24;1(1):e000054. doi: 10.1136/bmjresp-2014-000054. eCollection 2014.