條氣唔順、點算好？-煲劇、食快餐同哮喘有乜瓜葛?
年紀真的大了，只是練了個鐘頭便上氣唔接下氣，唯有坐在場邊休息，順便跟師母閒談一番。東拉西扯不知不覺傾到現在香港隨處都見到”低頭”一族，每一個人何時何地都在玩智能電話或乜Tad物Pad，不少人很年青就有腰疼背痛，甚至患上什麼電腦肩，滑鼠手……。
其實煲劇不單只傷害視力和筋骨，原來同哮喘病也有莫大關係!
一個有三千多人參與的大型研究[1]指出如果兒童每日看電視多於兩小時, 他們會比那些每日只看壹至兩小時電視的同輩患上哮喘病多一倍風險。若果兒童同時也是過胖；那麼患上哮喘病的風險更明顯[2]。一面煲劇一面嘆零食對很多人來說是人生一大快事，可惜若果小朋友一星期吃多過三次零食，再加上每日煲劇多於兩小時的話，那麼他們會差不多比其他同齡的人多五倍風險患上哮喘病[3] 。總括而言:煲劇、嘆零食、缺乏運動、過胖等都可能使人更容易患上哮喘病或使哮喘病情加劇[4]。
要數新科技和西方文化對我們的衝擊, 為首定必是飲食文化；約七十年代什麼雞、什麼飽打進香港市場，大大傾覆了傳統飲食文化。快餐店到處林立，但西方研究[5] 早己發現就算一星期吃一次漢堡飽 都會引發更多喘嗚。兒童及青少年若果一星期吃三次快餐，就會有較多風險患上嚴重哮喘病[6]。食用快餐甚至能拉倒母乳餵餔對哮喘病的益處[7]，最近更加發現懷孕婦女每天都吃快餐的話, 那麼她所懷的Baby將來會有多於常人四倍的風險患上哮喘病[8]。相反若能多吃水果、蔬菜和漁類就能起保護作用，減少患上哮喘[9,10]
其實任何科技都是兩刃的劍；有研究[11,12]利用智能電話預載特別個人AAP[Asthma Action Plan] 去幫助哮喘病人，初步效果是正面的。正想再繼續大發謬論，但貌似張偉健的堯大師兄卻大大聲周圍問：「有無人練完拳去食飯？」我年紀大還是早睡早起好, 快快閃人也。不過今晚好似無乜練個野啊，但起碼無煲劇、無食零食呀!
參考文獻:
1]Association
of duration of television viewing in early childhood with the subsequent
development of asthma. Thorax 2009;64:321-5
2]High
screen time is associated with asthma in overweight Manitoba youth. Journal of
asthma 2012;49[2]:935-41
3]Salty snack eating, television or video game viewing, and asthma symptoms
among 10-12 year old children: the PANACEA study. J Am Diet Assoc
2011;111:251-7
4]Associations of BMI, TV-watching time, and physical activity on respiratory
symptoms and asthma in 5th grade schoolchildren in Taipei, Taiwan.
Journal of Asthma 2007;44[5]:397-401
5]Fast
foods-are they a risk factor for asthma? Allergy 2005;60[12]:1537-41
6]Do
fast foods cause asthma, rhinoconjunctivitis and eczema? Global findings from
the international study of asthma and allergies in childhood[ISAAC] phase
three. Thorax 2013;68[4]:351-60
7]Fast
food consumption counters the protective effect of breastfeeding on asthma in
children. Clinical & Experimental Allergy 2009;39[4]:556-61
8]Fast
food consumption in pregnancy and subsequent asthma symptoms in young children.
Pediatric Allergy & Immunology 2015;26[6]:571-7
9]Effect
of diet on asthma and allergic sensitization in the international study on
allergies and asthma in childhood[ISAAC] Phase Two. Thorax 2010;65:516-522
10]Fruit
and vegetable intake and risk of wheezing and asthma: a systemic review and
meta-analysis. Nutrition Reviews 2014;72[7]: 411-28
11]Development
and pilot testing of a mobile health solution for asthma self-management:
asthma action plan smartphone application pilot study. Canadian Respiratory
Journal 2013;20[4]:301-6
12]Mobile based asthma
action plans for adolescents. Journal of Asthma 2015;52[6]:583-6
***為保障個人私隱及達到教育效果，因此文中案例可能由真實及/或虛構病例改編而成***
#文章已於2015年12月29日刊登於輔仁網下文教科之科學科技組
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