Do Inhaled Corticosteroids have a Long- Term Effect on Growth and Bone Density in Children ? :: essays research papers

Research Synthesis Paper gibe to Ameri stomach honorary society of Pediatrics, It is estimated that approximately 15 million people in the United States ingest from Asthma. Asthma is the most common chronic illness in children ( Schlienger 2004). Although inhaled steroids flip been established as the preventive treatment of choice, few studies deliver been conducted to appreciate the risks of inhaled steroid therapy. Inhaled corticoids are absorbed into the systemic circulation, but the extent to which they have adverse effects on fancy up tightness and growth is uncertain. The unbelief is important since according to AAOP, 10% of the American population take an inhaled corticosteroid regularly and may do so for many years (2005). In the present paper the role that inhaled corticosteriod steroids have on growth and bone density of children is investigated.      Current guidelines recommend the use of inhaled corticosteroids for children and adolescents wi th mild persistent or more severe forms of asthma claiming they are safer then spoken steroids. According to the American Academy of Pediatrics, Inhalation targets corticosteroids directly to the site of airway tinder with fewer adverse effects compared with oral administration. However, a considerable pile of an inhaled steroid dose is deposited in the oropharynx and subsequently swallowed and absorbed from the gastrointestinal tract. more or less fraction will be bioavailable to the systemic circulation, thereby potentially increase the risk of adverse systemic corticosteroid effects (Napoli, 2001). In the respectable People 2010 report, the design concerning respiratory diseases is to promote respiratory health by dint of better prevention, detection, treatment, and education. Effective health management strategies for meeting this goal include controlling factors that trigger asthma, such as upper-respiratory infections, allergens, food or drug allergies, emotional upset, irritants, and exercise use pharmacologic intervention made-to-order to the severity of the disease provide objective monitoring of lung function and break longanimouss with asthma to become active participants in their own care (HP, 2000). This relates to this outlet because education is very important in caring for a patient with asthma. The patient should be taught how to use the corticosteriods and possible side effects that can occur. It is also important to teach patients how to reduce the incidence of asthma so the use of corticosteriods might not be needed.     Through my research I learned that studies investigating the association between inhaled corticosteroid use and bone-mineral density in adults have given inconsistent results. These studies have been small, the duration of treatment has been short, and most have been confounded by patients previous use of oral corticosteroids.