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Published on: August 7, 2017
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.
Objective:
To determine the prevalence of and the risk factors for wheezing in infants under one year of age and residing in the city of Porto Alegre, Brazil.
Methods:
This was a cross-sectional study and is part of a multicenter, multinational project. The parents or legal guardians of the infants were interviewed at primary health care clinics or during home visits. We used a standardized questionnaire, validated for use in Brazil. Potential risk factors were assessed by means of a Poisson regression model with robust variance estimation, using the Wald test to determine the significance of each variable in the model.
Results:
The sample comprised 1,013 infants. The majority of those were male (53%), and the mean age was 13.5 ± 1.2 months. In 61% of the infants, there had been at least one episode of wheezing, which had recurred at least three times in one third of those infants. The mean age at the first episode of wheezing was 5.16 months (median, 5 months). Over 40% of the infants with wheezing visited emergency rooms due to wheezing, and 17% of those were hospitalized at least once in the first year of life because of this symptom. In the multivariate analysis, the risk factors for wheezing were as follows: male gender; history of pneumonia; maternal smoking during pregnancy; day care center attendance; low maternal level of education; early weaning; multiple episodes of cold; first viral infection prior to 3 months of age; existence of siblings; and history of asthma in the nuclear family.
Conclusions:
The prevalence of wheezing is high among infants in the city of Porto Alegre. We identified various risk factors for wheezing in infants.
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