Posts Tagged ‘pediatric asthma’

Children with persistent asthma are more at risk to develop COPD

Thursday, June 3rd, 2010

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May 17, 2010 — Children who suffer from severe, persistent asthma are nearly 32 times more likely to develop chronic obstructive lung disease (COPD) in adulthood, according to a study spanning nearly half a century.

That conclusion is based on data from the Melbourne Asthma Study, which includes children born in 1957 who were recruited at age 7 and tracked until their 50th birthdays. At the time they were recruited, the children were placed into four groups:  those who did not experience wheezing or asthma symptoms, those who experienced occasional asthma symptoms such as wheezing associated with a viral respiratory infection, those who had persistent asthma not associated with a viral respiratory infection, and those who had severe, persistent asthma.

The objective was to determine which children developed COPD as adults. At age 50, 197 of the surviving participants answered a detailed questionnaire and underwent lung function testing. COPD was identified in 28 of the participants and was found to be more common among males. There was a direct correlation between the severity of the asthma as a child and the incidence of COPD as an adult. (source: WebMD,  Childhood Asthma Linked to Risk of COPD)

While parents of asthmatic children are trying to do their best to follow the doctor’s prescribed medication regimen and hope that their child will eventually outgrow asthma, years of daily drug use, frequent respiratory infections and limited physical activity takes a toll on children with persistent asthma. 

Moreover, a dangerous trend among many trying-to-please doctors and anxious parents is that they encourage a child to overuse fast-acting relievers, nebulizers and peak flow meters. Relievers are meant to be nothing more than as-needed, emergency medication for temporary relief of symptoms. Instead, they are often used either as a preventative measure or at the slightest sign that a child is unwell. 

All that dramatically increases an asthmatic child’s hyperventilation, and the vicious circle is started.  Together with limited sports participation, the emotional trauma of dealing with a chronic health condition, as well as unhealthy food and school stresses, those influences cause over-breathing to reach a critical point, and a child becomes even more prone to asthma symptoms and attacks.  

Struggling with persistent airway inflammation, the side effects of long-term drug use and frequent bacterial and fungal infections, a young body becomes susceptible to COPD development later in life.

If you are a parent who thinks that your child’s asthma is well managed with medication, supplements and strained athletic participation, I urge you to think about a better way to address the root of the problem.  Your child’s body is weak not because it is deficient in bronchodilators, and strained physical activity made possible by extra doses of albuterol is not going to significantly improve your child’s health. The simple truth is – your child’s well-being is stressed by a modern lifestyle, which encourages the development of over-breathing which is hazardous to our health.  Once a faulty breathing pattern is corrected and lifestyle adjustments are made, you child’s body won’t have a reason to throw airway constriction and inflammation as defense against over-breathing. Therefore, asthma will subside on its own.

Pediatric asthma is a scary, life-threatening condition, and as a parent myself, I understand the difficult position parents of asthmatic children are in.  It is crucial to follow prescribed preventative medication regimens and closely monitor your child’s asthma.  But, by giving the Buteyko Breathing Technique a persistent effort, similar, if not better, results could be achieved with much less medication and therefore, less future health risks. 

Lung disease, including COPD, is a number three killer in America and causes one in seven deaths in this country each year. The Buteyko Method could be a life saver for your child and could give you peace of mind that you, as a parent, deserve.



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Buteyko Clinic USA offers unique breathing rehabilitation programs that result in long term drug free control over asthma, allergies, COPD, rhinitis, chronic cough, snoring, sleep apnea, anxiety, panic, chronic hyperventilation syndrome and other chronic conditions. Contact us today for a free consultation.

Flu Shot Not Effective in Preventing Flu-Related Hospitalizations in Asthmatic Children.

Saturday, January 2nd, 2010
 <Like this article? Visit our website www.asthmacare.us>

The inactivated flu vaccine does not appear to be effective in preventing influenza-related hospitalizations in children, especially the ones with asthma. In fact, children who get the flu vaccine are more at risk for hospitalization than their peers who do not get the vaccine, according to new research that will be presented on Tuesday, May 19, at the 105th International Conference of the American Thoracic Society in San Diego. Flu vaccine (trivalent inactivated flu vaccine—TIV) has unknown effects on asthmatics.

In order to determine whether the vaccine was effective in reducing the number of hospitalizations that all children, and especially the ones with asthma, faced over eight consecutive flu seasons, the researchers conducted a cohort study of 263 children who were evaluated at the Mayo Clinic in Minnesota from six months to 18 years of age, each of whom had had laboratory-confirmed influenza between 1996 to 2006. The investigators determined who had and had not received the flu vaccine, their asthma status and who did and did not require hospitalization. Records were reviewed for each subject with influenza-related illness for flu vaccination preceding the illness and hospitalization during that illness. They found that children who had received the flu vaccine had three times the risk of hospitalization, as compared to children who had not received the vaccine. In asthmatic children, there was a significantly higher risk of hospitalization in subjects who received the TIV, as compared to those who did not (p= 0.006). But no other measured factors—such as insurance plans or severity of asthma—appeared to affect risk of hospitalization.

CONCLUSION:
1) TIV did not provide any protection against hospitalization in pediatric subjects’ esp. children with asthma. On the contrary, we found a 3- fold increased risk of hospitalization in subjects who did get the TIV vaccine.This may be a reflection not only of the vaccine effectiveness but also the population of children who are more likely to get the vaccine.
2) More studies are needed to assess not only the immunogenicity but also efficacy of different influenza vaccines in asthmatic subjects. (
Flu Vaccination in Asthmatics: Does It Work?)

What is the best defense strategy against seasonal viral infections? Take a second look at our earlier article Viral respiratory infections. Are you protected?



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Buteyko Clinic USA offers unique breathing rehabilitation programs that result in long term drug free control over asthma, allergies, COPD, rhinitis, chronic cough, snoring, sleep apnea, anxiety, panic, chronic hyperventilation syndrome and other chronic conditions. Contact us today for a free consultation.

Healthy Summer travel

Sunday, July 12th, 2009
 
 summer    Summer has arrived, and with it comes an increase in travel activities. Both exiting and stressful, travel can put more pressure and anxiety on parents who have children with asthma. There are so many factors that could provoke an attack or worsen asthma symptoms – airplane cabins and hotel rooms with  unexpected triggers, a lot of
 time spent outdoors with different plant allergens, accidentally missed doses of preventer medications, lots of unhealthy convenience food, overexposure to sun, sports activities and over-excitement. Children with asthma and allergies have a weakened immune system, and an interrupted everyday routine and switch to an unknown environment might affect them more than healthy children. Does it mean avoiding travel? Not at all.Children, especially the ones living in Northern climates and therefore spending a big part of the year indoors, need to use every day of warm season to strengthen their immune system. Ocean water, fresh air, reasonable sun exposure, and outdoor sports activities are all perfect tools for the task. In addition to being good for physical health, family travel stimulates a child’s mind, boosts their self esteem and promotes positive emotions through the experiences of new places and cultures, sightseeing and adventures.

Spending a majority of time outdoors and being physically active is what we all are biologically designed for. Unfortunately, in the last few decades, we are becoming progressively more allergic to virtually everything, and therefore hiding from the sun and blooming outdoor plants, avoiding animals, avoiding exercise, not letting outdoor air in and not going out because it all might trigger or worsen our respiratory conditions. Sadly, we are becoming allergic to life…

Out of desperation, we are resorting to “Handy Dandy” Claritin and other allergy drugs. But lately a number of allergy and asthma medications have drawn negative attention from the FDA because of the medications’ side effects. The latest warning came out just a couple of weeks ago.

The FDA today (June 12, 2009) asked makers of Singulair, Accolate, Zyflo, and Zyflo CR to include a precaution on those drugs’ labels about reports of behavior and mood changes. Singulair is used to treat asthma and symptoms of allergic rhinitis. Accolate, Zyflo, and Zyflo CR are used to treat asthma. All four drugs are leukotriene inhibitors, which affect the leukotriene pathway, which is involved in the body’s response to inflammatory stimuli (such as breathing in an allergen).The FDA notes that some patients using those drugs have reported neuropsychiatric events (behavior or mood changes) including agitation, aggression, anxiousness, dream abnormalities and hallucinations, depression, insomnia, irritability, restlessness, suicidal thinking and behavior (including suicide), and tremor. The FDA has already reviewed data from clinical trials about suicide risk in patients taking leukotriene inhibitors. (http://www.webmd.com/asthma/news/20090612/4-asthma-drugs-get-new-precaution?ecd=wnl_aaa_062209)

And, we are hiding from “triggers”. There is a parent’s checklist for an asthmatic child’s travel:

• Pack your medication, make sure you have enough refill for the time of travel.

• Keep medication in carry-on bags on the plane.

• If traveling by car, keep the windows closed and the air conditioner on.

• Check the region of travel’s air quality forecast

• In the hotel, request a room that has never had pets in it.

• Request a nonsmoking room.

• Make sure people you’ll be staying with know about your child’s asthma triggers.

• For skiing vacations, make sure you plan for rest indoors.

• Be prepared to change your plans if your child is struggling with his or her asthma.

• If you are camping, keep your child away from the fire.

• Avoid long walks when the air pollution or pollen counts are high or if the weather is going to be extremely cold and dry.

If you’d like your child with asthma to fully enjoy their summer and the great outdoors, come to our class. Learning the Buteyko technique will relieve you of many worries of traveling with a child with asthma. Besides hiding from life and stocking up on medication, you will learn there is a third, better option.


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Buteyko Clinic USA offers unique breathing rehabilitation programs that result in long term drug free control over asthma, allergies, COPD, rhinitis, chronic cough, snoring, sleep apnea, anxiety, panic, chronic hyperventilation syndrome and other chronic conditions. Contact us today for a free consultation.