Can Honey Help Manage Asthma in Children? Expert Insights - Pediatrics

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Dietary Therapy for Health Maintenance


Dear Dr.
Pei,
I would like to ask you about my six-year-old child who experienced acute asthma for the first time last year.
After several months of maintenance treatment using only inhaled maintenance medications, the doctor said we could stop the medication and observe.
However, with autumn approaching, I am concerned about potential impacts.
I would like to inquire whether consuming honey has any health benefits.
Would one tablespoon in the morning and evening be too much? Is there a risk of developing diabetes with long-term use? Thank you for your response.

Qing, 40~49 year old female. Ask Date: 2010/08/29

Dr. Pei Rensheng reply Pediatrics


Hello: According to the literature on honey, its medical benefits are as follows: Honey contains not only glucose and fructose but also various vitamins, minerals, and amino acids.
Because honey is composed of simple sugars like glucose and fructose, it can be directly absorbed by the body without the need for further breakdown.
Honey has a low moisture content, which prevents bacteria and yeast from surviving in it; therefore, it does not need to be refrigerated.
Certain anaerobic bacteria, such as Clostridium botulinum, can exist in an inactive spore form within honey.
Since infants have underdeveloped gastrointestinal systems and lower gastric acid secretion, honey that has not been pasteurized should not be given to children under one year of age.
Medically, honey can be used to treat stomatitis and cough.
As a topical agent, honey can promote wound healing and treat ulcers.
In traditional Chinese medicine, honey is often combined with powdered herbal ingredients to make honey pills, such as Ba Wei Wan (also known as Ba Wei Di Huang Wan or Gui Fu Shen Qi Wan) and Gui Zhi Fu Ling Wan, which are made using this method.
Additionally, honey is considered to have moisturizing and laxative effects in traditional medicine.
One gram of honey can produce 2.94 kilocalories of energy; however, excessive consumption of sweets is not the primary cause of diabetes.
Factors such as obesity, genetics, and lack of exercise are the main contributors to diabetes.
For your reference.
Wishing you health and happiness! Sincerely, Pei Ren-Sheng.

Reply Date: 2010/08/29

More Info


When considering the potential benefits and risks of honey for managing asthma in children, it's essential to look at both the scientific evidence and the general health guidelines regarding honey consumption.

Honey has been traditionally used for its soothing properties, particularly for coughs and throat irritation. Some studies suggest that honey may have anti-inflammatory and antioxidant effects, which could theoretically benefit individuals with respiratory conditions like asthma. However, it is crucial to note that while honey may provide symptomatic relief for coughs, it is not a substitute for prescribed asthma medications or treatments.
For a six-year-old child who has experienced acute asthma, it is important to prioritize their asthma management plan as outlined by their healthcare provider. If the child has been stable and off medication, it is still advisable to monitor for any signs of asthma exacerbation, especially with the changing seasons, as autumn can trigger asthma symptoms due to allergens like pollen and mold.

Regarding the consumption of honey, it is generally safe for children over the age of one. However, there are a few considerations to keep in mind:
1. Dosage: A teaspoon or tablespoon of honey in the morning and evening is typically considered safe for a child of this age. However, moderation is key. Excessive sugar intake, including honey, can contribute to weight gain and increase the risk of developing conditions like type 2 diabetes, especially if the child has a sedentary lifestyle or poor dietary habits.

2. Sugar Content: Honey is high in natural sugars, primarily fructose and glucose. While these sugars are natural, they can still impact blood sugar levels. It is essential to balance honey consumption with a healthy diet rich in fruits, vegetables, whole grains, and lean proteins to mitigate any potential risks associated with high sugar intake.

3. Potential Allergies: Although rare, some children may develop allergies to honey or its components. If you notice any adverse reactions after introducing honey, such as hives, swelling, or difficulty breathing, it is crucial to discontinue use and consult a healthcare professional.

4. Long-term Use: Long-term consumption of honey should be approached with caution. While honey can be a part of a healthy diet, it should not replace other essential nutrients that children need for growth and development. It is also important to ensure that honey is not the primary source of sweetness in the child's diet.

In summary, while honey may offer some soothing benefits for a child with asthma, it should not be relied upon as a treatment. It is essential to maintain a comprehensive asthma management plan and consult with a healthcare provider before making any significant changes to the child's diet or treatment regimen. If you have concerns about your child's asthma or dietary choices, it is always best to discuss them with a pediatrician or a specialist in pediatric respiratory health.

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