RESUMO
BACKGROUND: Anomalies in pulmonary function tests in obese are oriented predominantly to restrictive pathology, not been demonstrated efficiently. OBJECTIVE: To determine and compare pulmonary function tests (PFT) with anthropometric measurements by spirometry and plethysmograph in asthmatic obese (AO) and non-asthmatic obese (NAO) adolescents. PATIENTS AND METHOD: Cross-sectional study, with 86 adolescents. Obesity was defined as body mass index (BMI) greater to 95% percentile according to CDC and asthma, on the basis of the definition and criteria of GINA guidelines. Clinical history was made, doing anthropometric measures and PFT with determination of: forced vital capacity with maximal expiratory effort, forced expiratory volume in the first second, specific resistance and conductance. RESULTS: The average age was 12.68 years +/- 1.85, 39 were NAO and 47 AO, who had intermittent to persistent asthma, 14 patients received 200 mcg budesonide/day at least 4 weeks previous to the study. The average values in AO and their standard error for anthropometry were: weight: 68.5 +/- 13.6 kg, height: 154.58 +/- 9.1 cm, BMI: 28.27 +/- 3.24 kg/m2, abdominal circumference (AC): 98 +/- 8.85 cm and hip circumference (HC): 100 +/- 8.87 cm, in NAO: weight: 76.1 +/- 14.7 kg, height: 155.7 +/- 7.85 cm, BMI: 31.04 +/- 4.46 kg/m2, AC: 102 +/- 11.05 cm and HC: 103.28 +/- 10.6 cm. CONCLUSIONS: In NAO post-beta2 Raw diminished whereas Sgaw increased. Greater BMI in AO displayed greater FEV1 with statistic significance. Obstructive ventilator pattern mechanics was observed in both groups.
Assuntos
Resistência das Vias Respiratórias , Antropometria , Asma/fisiopatologia , Volume Expiratório Forçado , Obesidade/fisiopatologia , Capacidade Vital , Adolescente , Agonistas Adrenérgicos beta/farmacologia , Agonistas Adrenérgicos beta/uso terapêutico , Antiasmáticos/farmacologia , Antiasmáticos/uso terapêutico , Asma/complicações , Asma/tratamento farmacológico , Asma/epidemiologia , Estatura , Índice de Massa Corporal , Peso Corporal , Budesonida/uso terapêutico , Criança , Estudos Transversais , Feminino , Humanos , Masculino , México/epidemiologia , Obesidade/complicações , Obesidade/epidemiologia , População Urbana/estatística & dados numéricos , Circunferência da Cintura , Relação Cintura-QuadrilAssuntos
Vulvovaginite/patologia , Adolescente , Criança , Pré-Escolar , Vestuário , Feminino , Humanos , Higiene , Lactente , Recém-Nascido , Vulvovaginite/microbiologia , Vulvovaginite/parasitologiaRESUMO
Se revisaron 60 ninas que presentaban vulvovaginitis y que acudieron al Servicio de la Consulta Externa de Medicinas del Hospital Infantil de Mexico, "Federico Gomez" en el lapso del 1o. de enero al 30 de junio de 1982. Se hace una revision del cuadro clinico y de laboratorio, asi como el tratamiento y el resultado obtenido
