Prevalence of and risk factors for wheezing in the first year of life

João Antonio Bonfadini Lima1, Gilberto Bueno Fischer, Edgar Enrique Sarria

  • 1Federal University of Rio Grande do Sul – Porto Alegre, Brazil. jabl@superig.com.br

Insights

Wheezing is common in Porto Alegre infants, affecting 61%. Key risk factors include male gender, maternal smoking, daycare, and early weaning, highlighting the need for targeted infant respiratory health interventions.

Area of Science:

  • Pediatric Respiratory Medicine
  • Public Health Epidemiology
  • Childhood Illness Risk Factors

Background:

  • Wheezing is a prevalent respiratory symptom in infants, impacting a significant portion of this age group.
  • Identifying risk factors for infant wheezing is crucial for developing effective prevention and management strategies.

Purpose of the Study:

  • To determine the prevalence of wheezing in infants under one year of age in Porto Alegre, Brazil.
  • To identify significant risk factors associated with wheezing episodes in this population.

Main Methods:

  • A cross-sectional study involving 1,013 infants in Porto Alegre, Brazil.
  • Data collected via standardized questionnaires administered to parents/guardians during home visits or at primary care clinics.
  • Poisson regression with robust variance estimation used to analyze potential risk factors.

Main Results:

  • The prevalence of wheezing was 61% among infants studied.
  • Recurrent wheezing (≥3 episodes) occurred in one-third of affected infants.
  • Identified risk factors included male gender, maternal smoking during pregnancy, daycare attendance, low maternal education, early weaning, recurrent infections, and family history of asthma.

Conclusions:

  • Infant wheezing is highly prevalent in Porto Alegre, Brazil.
  • Multiple modifiable and non-modifiable risk factors contribute to wheezing in infants.
  • Findings underscore the importance of public health initiatives addressing identified risk factors to reduce wheezing incidence.
Abstract

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