By Lisa Rapaport
(Reuters Health) - 11/3/2019
Kids with asthma may struggle more in school when their symptoms aren't well-controlled, and minority students with this breathing disorder are more likely to fall behind than their white counterparts, a U.S. study suggests.
The researchers looked at asthma and allergies, lung function, school attendance, and academic performance for 182 Latino school children, 182 black students, and 81 white kids. All of the kids were between 7 and 9 years old and students in one of four large urban public school districts.
"We found associations between poor asthma status, poorer asthma control, lower lung function, more asthma symptoms, and decline in academic performance," said lead study author Daphne Koinis-Mitchell of Bradley/Hasbro Children's Research Center in Providence, Rhode Island.
"These associations were stronger in ethnic minority children, particularly Latino children," Koinis-Mitchell said.
Compared to children with well-controlled asthma, students with more daily asthma symptoms missed more days of school, completed fewer assignments, and had lower quality work, researchers reported March 11 online in the Annals of Allergy, Asthma and Immunology.
The biggest indicator of poor school performance, however was asthma control.
Poorly controlled asthma appeared to have the worst impact on academic performance for Latino students, although black students also fared worse than white students with the breathing disorder.
The study wasn't a controlled experiment designed to prove whether asthma directly impacts school outcomes or to what extent racial or ethnic background might directly impact the connection between asthma and school success.
Children may struggle to manage the condition when their parents have difficulty getting them to doctor checkups, paying for care, or affording medications. Children in poor urban neighborhoods may also be more likely to attend schools without a nurse on staff or formal support programs in place to help kids manage asthma and other chronic health problems.
And when kids have severe asthma, it can impact their health and school performance even when parents and children don't see obvious symptoms, said Dr. Jason Lang, a researcher at Duke University School of Medicine in Durham, North Carolina, who wasn't involved in the study.
"Good asthma control is not just important to reduce the risk for full-blown asthma attacks, but also because mild increases in asthma symptoms affect sleep quality, school attendance and academic performance," Lang said by email. "It's hard for kids who are struggling with just minor breathing symptoms to concentrate and do their best in class."
Ann Allerg Asthma Immunol 2019.