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Asthma in preschool children: prevalence and risk factors
M M Haby1, J K Peat, G B Marks
1Centre for Community Child Health, Royal Children's Hospital Melbourne, Parkville, Victoria 3052, Australia. michelle.haby@dhs.vic.gov.au
Insights
Asthma risk in preschoolers is linked to genetics and infections, but can be reduced by breastfeeding and diet. Understanding these factors is key to preventing childhood asthma.
Area of Science:
- Pediatric respiratory health
- Epidemiology of childhood diseases
Background:
- Childhood asthma prevalence is rising globally.
- Identifying early-life risk factors is crucial for intervention.
- This study investigated asthma prevalence and risk factors in preschool children.
Purpose of the Study:
- To determine the prevalence of recent asthma in preschool children.
- To identify significant risk factors associated with childhood asthma.
- To explore modifiable factors for asthma prevention.
Main Methods:
- Survey of parents with children aged 3-5 years in two Australian cities.
- Defined recent asthma based on diagnosis, symptoms, and medication use.
- Assessed atopy via skin prick tests and collected data on other risk factors.
Main Results:
- Prevalence of recent asthma was 18-22%.
- Risk factors included atopy, parental asthma history, early respiratory infections, and high polyunsaturated fat intake.
- Breastfeeding and having 3+ older siblings were protective.
Conclusions:
- Breastfeeding and polyunsaturated fat consumption are key modifiable factors.
- Targeting these factors may help reduce childhood asthma risk.
Background:
The prevalence of asthma in children has increased in many countries over recent years. To plan effective interventions to reverse this trend we need a better understanding of the risk factors for asthma in early life. This study was undertaken to measure the prevalence of, and risk factors for, asthma in preschool children.
Methods:
Parents of children aged 3-5 years living in two cities (Lismore, n=383; Wagga Wagga, n=591) in New South Wales, Australia were surveyed by questionnaire to ascertain the presence of asthma and various proposed risk factors for asthma in their children. Recent asthma was defined as ever having been diagnosed with asthma and having cough or wheeze in the last 12 months and having used an asthma medication in the last 12 months. Atopy was measured by skin prick tests to six common allergens.
Results:
The prevalence of recent asthma was 22% in Lismore and 18% in Wagga Wagga. Factors which increased the risk of recent asthma were: atopy (odds ratio (OR) 2.35, 95% CI 1.49 to 3.72), having a parent with a history of asthma (OR 2.05, 95% CI 1.34 to 3.16), having had a serious respiratory infection in the first 2 years of life (OR 1.93, 95% CI 1.25 to 2.99), and a high dietary intake of polyunsaturated fats (OR 2.03, 95% CI 1.15 to 3.60). Breast feeding (OR 0.41, 95% CI 0.22 to 0.74) and having three or more older siblings (OR 0.16, 95% CI 0.04 to 0.71) decreased the risk of recent asthma.
Conclusions:
Of the factors tested, those that have the greatest potential to be modified to reduce the risk of asthma are breast feeding and consumption of polyunsaturated fats.
Related Concept Videos
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-I: Introduction
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma I: Introduction
Asthma III: Clinical Manifestations

