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Auricular Acupressure as an Adjuvant Treatment for Wheezing in Stable Chronic Obstructive Pulmonary Disease
Published on: May 10, 2024
Prevalence of recurrent wheezing in infants
Herberto J Chong Neto1, Nelson Augusto Rosário, Dirceu Solé
1Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil. h.chong@uol.com.br
Insights
Recurrent wheezing is common in infants in Curitiba, Brazil, affecting nearly half of those studied. Many infants experienced early-onset wheezing, suggesting a potential link to childhood asthma.
Area of Science:
- Pediatric respiratory health
- Epidemiology of infant wheezing
Background:
- Recurrent wheezing in infants is a significant health concern.
- Understanding its prevalence is crucial for early diagnosis and management.
Purpose of the Study:
- To determine the prevalence of recurrent wheezing in infants in Curitiba, Brazil.
- To analyze the onset, symptoms, and treatment of wheezing episodes in this population.
Main Methods:
- A cross-sectional study involving 1,364 infants aged 12-15 months in Curitiba.
- Standardized questionnaires administered to parents regarding wheezing, respiratory infections, and risk factors.
- Data collected from health centers between August 2005 and December 2006.
Main Results:
- 45.4% of infants experienced wheezing in their first year, with onset around 5.5 months.
- 22.6% had three or more wheezing episodes.
- Wheezing was associated with nocturnal symptoms, breathing difficulties, emergency visits, hospital admissions, and a medical diagnosis of asthma, particularly in those with frequent episodes.
Conclusions:
- Infants in Curitiba exhibit a high prevalence of early-onset wheezing with significant morbidity.
- Frequent wheezing episodes in infancy may indicate a higher likelihood of developing asthma.
- Further investigation into the long-term outcomes and asthma development in this cohort is warranted.
Objective:
To identify the prevalence of recurrent wheezing in infants in the city of Curitiba, PR, Brazil.
Methods:
A cross-sectional study carried out by means of administering questionnaires to the parents of infants aged 12 to 15 months attending health centers for immunization during the period between August 2005 and December 2006. This is a standardized and validated instrument consisting of questions on demographic characteristics, wheezing, respiratory infections and risk factors. At the time of the study the City Health Department had 107 health centers, 35 of which were selected by lots and distributed homogeneously across the municipal territory.
Results:
A total of 1,364 infants (45.4%) had episodes of wheezing during their first 12 months of life, with onset at 5.5+/-3.1 months (mean +/- standard deviation), and 678 (22.6%) had had three or more episodes. In 84.6% of the wheezing children treatment was with .2-agonists, with inhaled corticosteroids in 18.5%, oral corticosteroids in 24.3% and leukotriene receptor antagonists were used with 5.4%. The wheezing children exhibited nocturnal symptoms, intense difficulty breathing and visits to emergency services in the proportions of 58.9, 46.2 and 57.6%, respectively; 12.7% were admitted to hospital for asthma and 10.9% had had a medical diagnosis of asthma. Nocturnal symptoms, visits to emergency, severity of symptoms, hospital admissions for asthma and medical diagnoses of asthma were all more common among those who had suffered three or more crises (p < 0.001).
Conclusions:
There is an elevated prevalence of wheezing among the infants of Curitiba, with early onset and elevated morbidity. It is possible that these infants represent a large contingent of asthmatics.
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