Wednesday, December 2, 2009

Does a Link Exist Between Obesity and Asthma?

By Clement A. Maccia, M.D.


Each of these disorders has a significant public health impact and most recently there has been significant literature suggesting the association between the two. Childhood obesity has become a significant problem in the United States along with the increase in asthma. In addition to the asthma epidemic there is an obesity epidemic in the United States. Statistics reveal that one third of all 16-year-old children in the United States are overweight, and 15% are obese. Studies indicate an increased prevalence of asthma in the obese. Possible explanations are that there is a decrease in exercise in these individuals however longitudinal studies have shown that obesity predates the development of asthma. Epidemiological data reveals the impact of obesity on asthma is much stronger in females than males. The incident of asthma after age 11 years is 5 to 7 times higher in females who are obese versus lean females. No such relationship exists for males.

The relationship between obesity and asthma is reasonably clear, however the relationship between obesity and airway responsiveness is not clear. It is possible that in- utero events are contributing to the relationship between obesity and asthma in children. Low birthweight is known to be associated with an increased incidence of asthma and high birthweight is associated with a higher subsequent incidence of obesity. There is very little information in regards to maternal caloric intake during pregnancy and hyperinsulinemia during pregnancy on the development of obesity.

The systemic inflammatory state in obesity can lead to metabolic and cardiovascular complications. It is not known positively whether this inflammatory environment alters asthma risk or phenotype. Most of literature has concentrated on the effect of leptin, a hormone produced by adipocytes which increases basal metabolic rate and signals the brain that the individual has reached satiety. Animal studies have indicated that airway inflammatory response to both allergenic and nonallergenic exposures is enhanced by both endogenous and exogenous leptin. Studies have shown in humans a modest overall incidence of asthma and prevalence in the obese, although body mass index does not appear to be a significant modifier of asthma severity.

Asthma and obesity are common conditions and both are major public health problems. Obesity appears to increase the risk of asthma and both conditions may share common genetic and environmental causes. There are mechanical, developmental, hormonal, signal transduction, and immunological reasons for their effects. Ongoing research including genetic understanding of these complex traits and elucidation of genes to specific asthma phenotypes should enhance our understanding of the common genetic basis of these disorders.

Yes, there is an association between the two, however a many studies and questions must be answered before we can directly relate obesity and asthma.

Clement A. Maccia MD

Dr. Maccia is Board certified in Pediatrics and Allergy and Immunology. Presently he is Clinical Professor of Pediatrics at the UMDNJ-Robert Wood Johnson Medical School. Dr. Maccia is the Director of the Allergy Clinic. He is the author of numerous articles and has been selected for the past eight years into the Best Doctors in the New York-New Jersey Metropolitan Area by Castle Connolly. In 2007, he was included in the edition Top Doctors in the New York Metro Area.

He was elected by the residents in Medicine and Pediatrics at UMDNJ-Robert Wood Johnson Medical School for a teaching award in 2001and in 2005 for his excellence as a clinician, teacher and role model. Dr. Maccia was Chief of Pediatrics at Muhlenberg Regional Medical Center, an affiliate of UMDNJ- Robert Wood Johnson Medical School, from 1991-1999.

He presently serves on the Medical Advisory Board of ‘nPLAY A Childhood Obesity Foundation (www.nplayfoundation.org). In addition, he serves on the Board of Governors for Conventus Medical Malpractice Insurance Company. In the past he served on the Board of Governors for Muhlenberg Hospital and the Solaris Health System.

For more information or questions please feel free to write to clement.maccia@gmail.com.


Saturday, November 21, 2009

A Message from Jennie Finch


A Mesage from 'nPLAY Board Member Jennie Finch

http://nplayfoundation.org/video/

Thursday, November 19, 2009


People need to focus on the problem of childhood obesity itself to make sure that the problems of child obesity are solved.

This is why ‘nPLAY was formed. On a daily basis we read to each other alarming facts about childhood obesity like the following:

  1. 1 in 3 children are obese
  2. Physical consequences of childhood obesity include: increased risk of heart disease, high blood pressure, high cholesterol, type 2 diabetes, asthma, and trouble sleeping
  3. According to a Harvard University study, this generation of children is currently is the first generation with a life expectancy that may be shorter than their parents

After doing some research, one of our Founders pulled up a quote James Baldwin made at the 2003 California Child Obesity Conference. Mr. Baldwin stated, “Children have never been very good at listening to their elders, but they have never failed to imitate them.” We at ‘nPLAY couldn’t agree more and that is why we are so proud to be led by amazing athletes from a variety of sports that can offer to the youth of America examples of how to stay fit while having fun.

So here is what ‘nPLAY is. ‘nPLAY is a childhood obesity movement driven by the professional athletes of America. Led by Chairman Paul Pierce, star athletes such as Jennie Finch, Grant Hill, Nastia Liukin, Jerry Stackhouse, Evander Holyfield, Johnny Weir, Cullen Jones, Summer Sanders, Jay Fielder and Kenny Anderson have all teamed up to help provide every child with the opportunity to stay healthy and fit while having fun. ‘nPLAY has put together an amazing Board of professionals from a variety of industries. In addition, our Advisory Boards are comprised of doctors, educators, and fitness trainers that all are decorated in their own fields and dedicated to our mission. We thank each of them for supporting ‘nPLAY and taking time out of their schedules to join this cause.

There is so much at stake. The physical consequences our younger generation is experiencing due to obesity is putting their lives at risk. The increased costs of healthcare directly related to childhood obesity continues to burden our growing health care crisis. The Childhood Obesity epidemic affects everyone in America. We believe that ‘nPLAY can raise funds that can be spent on proven activity curriculum based programs and collect the data that details the effectiveness of those programs.

We hope you will support ‘nPLAY by joining this movement.

Help make a difference in creating a healthy America.

Wednesday, November 18, 2009

'nPLAY Foundation- livestreaming video powered by Livestream

'nPLAY Foundation- livestreaming video powered by Livestream

Teaming up to Fight Child Obesity by Chris Lineberry

Posted November 9, 2009 on www.weplay.com

As parents, we are collectively raising the first generation of children in over 100 years that may not outlive their parents. This potential decrease in lifespan is directly related to the epidemic of obesity in our children. This statistic, coupled with extensive related research on the topic, has led many schools and school districts to begin to address the issue of childhood obesity. The pressures of No Child Left Behind, coupled with local and state standards leaves many educators asking, “Why should schools address this issue?"

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In 2001, No Child Left Behind was signed into law, mandating that all children perform on grade level. According to No Child Left Behind, by 2014 all children in America will pass mandated, standardized tests at the end of every school year. Failure to do so may result in the government taking those schools over, firing administration, or in some cases, closing schools. With this push to assess and mandate student achievement, many schools have dropped Physical Education, the Fine Arts, and other electives, favoring math and reading instruction for low achieving students in order to promote higher levels of performance on state standardized tests. Although the goal of educators to limit these choices in favor of math and reading is well-intended, research has demonstrated that the contrary may very well be true. A 2009 study done in Texas involving 2.44 million students determined a direct relationship between cardiovascular fitness and student achievement. In other words, the better the cardiovascular condition, the higher the test scores.

The question has then become, how do we add recess or PE time without adding time to the school day or taking away from core subject areas? We do this by advocating for the education of the whole child, by incorporating health and wellness into the general curriculum, through strong instructional leadership in our schools, and by advocating for mandatory Physical Education and the fine arts in our schools. In my school here in Arizona, my students all are physically active for a minimum of 45 minutes every school day. We do 15 minutes of walking, 15 minutes of calisthenics, and 15 minutes of free play everyday. My staff walks and exercises with our students every day. Additionally, my students participate in a Physical Education curriculum with a certified PE teacher at least one time per week.

I am proud to say that our levels of academic achievement and performance are higher than they have ever been in our school’s four year history. We have been able to do this because as a staff we believe that educating the whole child is important, that if we get kids up and get them moving we will see higher levels of academic performance, improved health, and enhanced learning. We do this because we believe we must educate the whole child.

Many organizations have stepped up in recent years to help schools address this issue. I would like to share with you the creation of one such organization that incorporates the starpower and passion of many of our country’s most prominent athletes to advocate for the reversal of childhood obesity. The organization is called ‘nPLAY. ‘nPLAY is a movement of professional athletes to unite the sports world to reverse the trend of childhood obesity. Many of you may have heard of our Chairman of the Board, Paul “The Truth” Pierce of the 2008 NBA World Champion Boston Celtics! Mr. Pierce believes that this is an important issue and has committed his efforts to this movement.

Mr. Pierce is not alone in this endeavor; in fact, he has successfully started uniting his fellow professional athletes. Both Jennie Finch and Summer Sanders, athletes associated with weplay.com, have joined Mr. Pierce in this fight and have assumed active roles in ‘nPLAY. Additionally, Grant Hill of the Phoenix Suns, boxing legend Evander Holyfield, basketball greats Jerry Stackhouse and Kenny Anderson, as well as Olympic gold medalists Nastia Liukin and Cullen Jones are also valuable forces in the ‘nPLAY organization.

The mission of ‘nPLAY is to ensure that all children have the opportunity to stay healthy and fit while having fun. ‘nPLAY’s primary focus will be to fund effective, curriculum and activity-based programs that will address the issue of childhood obesity in schools and community centers. ‘nPLAY will also launch an extensive media campaign, encouraging children and parents to get moving and stay active. In order to support schools, ‘nPLAY has also partnered with the National Association for Sport and Physical Education (NASPE). Through this partnership, ‘nPLAY will support and aggressively advocate for 150 minutes per week of physical activity for elementary school students and 225 minutes per week for high school students. These great athletes have joined forces to help raise awareness, improve the health and wellness of children, and reverse this epidemic. For those of you interested in joining Paul, Jennie, Summer and the rest of these all stars your chance is here. The ‘nPLAY site is up and functional at www.nplayfoundation.org. Take a look and see how you can get involved.

Chris has been an educator since graduating from The University of North Carolina at Charlotte in 1994. Chris has taught high school English, Sports Medicine, and Physical Education. In addition to teaching, Chris has coached swimming and worked as an athletic trainer on both the high school and college level. Currently, Chris is the principal of Jack W. Harmon Elementary School in Queen Creek, Arizona where he and his staff are working together to improve the lives of children, academically, physically, and emotionally. Chris lives in Queen Creek with his wife, son, and two step-daughters.

A Message From Paul Pierce Chairman of 'nPLAY

Go to http://www.livestream.com/nplayfoundation to view a Message from Paul Pierce and other videos of 'nPLAY athletes

'nPLAY Website is up go to www.nplayfoundation.org


Paul Pierce and a core group of professional athletes, both active and retired representing a variety of sports, have banded together to mobilize a movement that tackles the epidemic of childhood obesity in America. The goal is to bring about change – in thinking, in attitude, and in lifestyle. These professional athletes have never united before for a common cause in any capacity. This core group has developed ‘nPLAY, a not-for-profit 501(c)(3) foundation. With the credibility and connections necessary to influence culture and bring about the needed changes to successfully reverse the childhood obesity epidemic, ‘nPLAY is aggressively reaching out and cementing these relationships with innovative, successful leaders and with the professional sports world to rally the movement.

Help make a difference in creating a healthy America.

Mission:

To provide every child with the opportunity to stay healthy and fit while having fun.