[Omeo33] Art 1054 - Nutr Clin Practice, 2009, 24 (5), 578-588

[Gino Santini]

Pediatric Asthma
John David Mark

Asthma in children and young adults is a complex disease with many  
different phenotypic expressions. Diagnosis is often made based on  
history and lung function including measuring airway reversibility.  
However, in children younger than 6 years of age, the diagnosis is  
more difficult because many children wheeze in the first 4-6 years of  
life, especially with viral infections. For those children, asthma  
treatment is often started empirically. Those who go on to develop  
chronic asthma most likely have a genetic predisposition and exposure  
to various environmental factors resulting in chronic inflammation of  
the lower respiratory tract. There are established national guidelines  
for diagnosing and treating asthma in children and adults. For  
persistent asthma, it is recommended that medications be taken on a  
regular basis after identifying and avoiding environmental triggers.  
Because many factors play a role in developing asthma in children,  
many nonmedical approaches to asthma and asthma-like conditions have  
been promoted even when the diagnosis is at times uncertain. The  
nonmedical approaches and therapies are often referred to as  
complementary and alternative medicine (CAM). This review will discuss  
the conventional therapies recommended for children with asthma in  
addition to CAM therapies, some of which have supporting scientific  
evidence. Integrating conventional and CAM therapies can prove to be  
an effective way to treat pediatric asthma, a common and chronic  
childhood lung disorder. A case is provided to illustrate how such an  
integrative approach was used in the successful treatment of a child  
with moderate persistent asthma.

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