Association of maternal anemia with increased wheeze and asthma in children

Elizabeth W Triche1, Lisbet S Lundsberg, Paige G Wickner

  • 1Brown University, Department of Community Health/Epidemiology, Providence, RI, USA. Elizabeth_triche@brown.edu

Insights

Maternal anemia during pregnancy is linked to respiratory issues in children, including wheezing and asthma. This highlights maternal anemia as a potential target for interventions to improve infant respiratory health.

Area of Science:

  • Obstetrics and Gynecology
  • Pediatrics
  • Respiratory Medicine

Background:

  • Maternal nutrition and micronutrient status during pregnancy are increasingly recognized for their impact on offspring respiratory health.
  • Understanding the link between maternal health conditions during pregnancy and childhood respiratory diseases is crucial for public health.

Purpose of the Study:

  • To investigate the association between maternal anemia during pregnancy and the development of wheeze and asthma in early childhood.
  • To identify specific wheeze patterns and asthma diagnoses linked to maternal anemia.

Main Methods:

  • A cohort study followed children from pregnancy until age 6, assessing respiratory health.
  • Maternal anemia was identified via diagnosis and hemoglobin levels (< 11 g/dL) at delivery.
  • Respiratory outcomes included wheezing, specific wheeze patterns (transient, persistent), and asthma diagnosis.

Main Results:

  • Maternal anemia was associated with recurrent infant wheeze (first year and before age 3) and specific wheeze patterns.
  • In mothers with asthma, maternal anemia showed stronger associations with infant wheeze and increased offspring asthma diagnosis.
  • Adjusted odds ratios indicated significant links between maternal anemia and various respiratory outcomes in children.

Conclusions:

  • Maternal anemia during pregnancy is significantly associated with adverse respiratory health outcomes in offspring.
  • These findings suggest maternal anemia as a potential modifiable risk factor for childhood respiratory diseases.
  • Further research and potential interventions targeting maternal anemia may improve infant respiratory health.
Abstract

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