Introducere. Astmul bronşic contribuie la dezvoltarea obezităţii prin limitarea activităţii fizice sau prin mecanisme inflamatorii, iar obezitatea poate fi, la rândul său, una din cauzele astmului bronşic la copii. Scopul lucrării. Analiza problemei comorbidităţii dintre astmul bronşic şi obezitate la copii, precum şi influenţa acestor maladii asupra activităţii fizice a copiilor cu vârsta de 7-14 ani. Material şi metode. Studiu analitic, retrospectiv, transversal, de prevalenţă; lot de studiu – 80 de copii: 7-14 ani, mediul urban, fără dizabilităţi fizice, dintre care 30 (37,5%) aveau în anamneză/diagnosticul curent de astm bronşic, iar 50 (62,5%) erau non-astmatici. Toţi copiii au completat „Chestionarul-tip de evaluare a activităţii fizice la copii” pentru o săptămână, fiecare activitate fizică având o valoare MET (echivalent metabolic atribuit) prestabilită conform criteriilor CDC. Percentila IMC a fost stabilită utilizând calculatorul online OMS. Analiza statistică a datelor: Microsoft Excel, testul t Student. Rezultate. Prevalenţa supraponderabilităţii/obezităţii la copii astmatici din lotul de studiu a fost de 0,85 vs 0,26, la copiii non-astmatici (PR=3,26, p=0,007). MET săptămânal mediu al copiilor astmatici a fost 59,73 vs 72,68, la cei non-astmatici (SE=9,34, F=1,13, p=0,0081). MET săptămânal mediu, acumulat de copiii astmatici cu percentila IMC>85 a fost mai mic, comparativ cu copiii astmatici cu masa corpului sănătoasă (56,375 vs 64,0, F=5,86, p>0,005). Concluzii. Copiii diagnosticați cu astm bronşic au avut o prevalenţă mai mare a supraponderabilităţii/ obezităţii faţă de copiii fără astm bronşic. Activitatea fizică a copiilor astmatici a fost mai mică, comparativ cu cea a semenilor non-astmatici.

Introduction. Bronchial asthma can cause obesity by contributing to physical activity restrictions and through inflammatory physiopathological mechanisms, and obesity itself might be one of the factors leading to bronchial asthma in chidlren. Objective of the study. To analyse the comorbidity of bronchial asthma and obesity in children, as well as their influence on the physical activity of children aged 7 to 14 years old. Material şi methods. Analytic, retrospective, cross-sectional study, that involved a group of 80 urban children aged 7 to 14 years old, without any physical disabilities, of which 30 (37.5%) had a history or current diagnosis of bronchial asthma, and 50 (62.5%) were non-asthmatic. All of them completed the „Questionnaire for physical activity assessment in children” for a previous week, each activity having a CDC pre-established MET (metabolic equivalent) assigned. BMI percentile was obtained using the online WHO calculator. Statistical analysis of data: Microsoft Excel, tStudent test. Results. The prevalence of overweight/obese status in the asthmatic children was 0.85 vs 0.26 in nonasthmatic children from the group of 80 (PR=3.26, p=0.007). The average weekly MET of asthmatic children was 59.73 compared to 72.68 in non-asthmatic (SE=9.34, F=1.13, p=0.0081). The average weekly MET of asthmatic children with a BMI percentile>85 was lower compared to healthy-weight asthmatic children in the study group (56.375 vs 64.0, F=5.86, p>0.005). Conclusions. Children diagnosed with bronchial asthma had a higher prevalence of overweight/obesity compared to the non-asthmatic children in the study group. The physical activity of asthmatic children was lower compared to their non-asthmatic peers.