Risk of Steroid Treatment for Asthma in Children

Children experiencing an asthma attack who are treated with a short burst of oral steroids may have a brief and transient depression of immune response, according to a new study led by Université de Montréal. These findings, published in this month’s issue of Pediatric Allergy, Immunology and Pulmonology, have implications for asthmatic children who have flare-ups and who may be exposed to new contagious diseases.

Francine M. Ducharme, a Université de Montréal professor and pediatrician and researcher at the Sainte-Justine University Hospital Research Center sums it up. “There is no question that the administration of corticosteroids reduces the risk and duration of hospital admission in children with acute asthma and remains the most effective treatment for moderate and severe asthma exacerbations. However, the safety profile of these medications continues to raise concerns among parents and physicians. Concerns over their possible impact on the immune system stem from few rare reports linking or severe chickenpox infections linked with corticosteroid administration.”

The study is based on the immune response of children aged 3 to 17 years, who had arrived at the emergency department (ED) with an asthma attack. All subjects were given immune triggers (known as antigens) and the immune response between those who received corticosteroids versus those who did not were compared. “Several corticosteroid-treated children had a lower immune response, as measured by the amount of antibody produced, than non-treated kids,” says Ducharme.

However it seems that these findings indicate there may be a very transient immune suppression only in some children exposed to a new antigen at the same time as a corticosteroid administration. In other words your child needs to have an attack, steroids and a new antigen such as chicken pox within a six week period. This is reassuring as it does not apply to the majority of children who suffer asthma attacks, but before your child is prescribed oral corticosteroids you need to inform your doctor about any recent exposure to chickenpox in children who did not have chickenpox or the vaccine.

The researchers recommend that all children with asthma who have not had chickenpox should be vaccinated for this condition. Yet vaccinations are not the ideal route for everyone, and there are a number of well tried homoeopathic remedies which may be suitable for your child. Seek the advice of a qualified homoepath and to find one near you consult the register at www.homeopathy-soh.org/

Mediteranean diet reduces kids asthma risk by 78%

With 1 in 11 children currently receiving treatment for asthma it is now a very common condition – but that doesn’t make it any the less worrying. We have dealt with asthma before, but some news in this week might help make life easier for some of those children, and their parents. For those who are unsure about asthma in young children, the symptoms to look out for are:

* A cough at night
* A cold that doesn’t go away
* A whistling sound when breathing out

That last symptom is particularly relevant in the UK as we apparently have the highest prevalence of severe wheeze in children aged 13-14 years than anywhere else in the world.

Now the medical journal Allergy is suggesting a way parents can be more in control of the condition through some simple dietary changes. I have talked about the health benefits of the Mediterranean diet for heart health in adults, but now it seems it could also relieve asthma symptoms in children. In Crete, where the Mediterranean diet is the norm, an estimated 80% of the children there eat fresh fruit at least twice a day and almost that same number also have fresh vegetables twice daily as well. (Sadly the research doesn’t tell us how they get them to eat so much without a fistfight) So why is it important? Well very few children in Crete have asthma or hay fever and the researchers from the University of Porto in Portugal concluded that their best asthma-fighting foods were oranges, apples, tomatoes and grapes.

Adults on the same type of diet, who had asthma, were found to have fewer attacks and flare-ups. However, if they also included nuts in their diet at least three times a week then that produced less wheezing. A likely explanation for this is that nuts contain a lot of magnesium which helps boost your lung power.

AVOID THIS: There was however one substance that the researchers found that would double the risk of children getting asthma and allergic rhinitis – margarine. This finding confirms what an Australian study found over 7 years ago when they first warned that the polyunsaturated fats found in many margarines can double a child’s chances of having asthma.

If you want more information, please visit www.asthma.org.uk