[Asthma in infants and young children. Prevention, challenge of the 21st century?]
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Published on: November 4, 2010
P Le Roux1, F Toutain, B Le Luyer
1Département de pédiatrie, groupe hospitalier, 55 bis, rue Gustave-Flaubert, 76600 Le Havre, France. pleroux@ch-havre.fr
Insights
Preventing infant asthma involves prenatal factors like maternal diet and smoke exposure. Prolonged breastfeeding and avoiding environmental allergens are key protective strategies for high-risk infants.
Area of Science:
- Pediatrics
- Allergology
- Public Health
Background:
- Asthma prevention in infants and children is a significant public health concern.
- Primary prevention strategies target prenatal and early life exposures.
- The impact of infections and lifestyle on asthma risk remains debated.
Purpose of the Study:
- To review current strategies for the primary prevention of infant and childhood asthma.
- To highlight key factors influencing asthma development from conception through the first year of life.
Main Methods:
- Literature review of studies on infant and childhood asthma prevention.
- Analysis of factors including maternal exposures, breastfeeding, infections, lifestyle, and environmental measures.
Main Results:
- Prenatal factors (maternal smoke, diet, allergen exposure) are crucial for primary prevention.
- Prolonged breastfeeding demonstrates a protective effect against allergy and asthma development.
- Environmental interventions like smoke avoidance and allergen reduction are recommended for high-risk infants.
Conclusions:
- Early life interventions, including prenatal care and breastfeeding, are vital for asthma prevention.
- Environmental control measures are essential for infants at high risk of developing asthma.
- Further research is needed to clarify the role of infections and lifestyle in asthma etiology.
Abstract:
Many studies have been dedicated to the prevention of infant and childhood asthma in recent years. Primary prevention begins during intra uterine life (maternal smoke, diet, allergen exposure). During the first year of life, prolonged breastfeeding has been found to be a protective factor against the development of allergy and asthma. The role of infections and lifestyle is controversial and it is not clear whether these factors reduce or increase the risk of asthma. Environmental measures such as avoidance of tobacco smoke and reducing allergens exposure must be recommended to infants with high risk of asthma.
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