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Published on: August 7, 2017
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.
Background:
Increasing interest has focused on maternal nutrition and micronutrient status during pregnancy and respiratory disease development in the offspring.
Objective:
To examine the relationship between maternal anemia in pregnancy with wheeze and asthma in early childhood.
Methods:
The cohort included children of women followed through pregnancy and recontacted when the child was 6 years of age to evaluate respiratory health. Exposure was assessed using maternal anemia diagnosis and hemoglobin (Hgb) < 11 during delivery hospitalization. Study outcomes include wheezing in early childhood; patterns of wheeze from birth to age 6 (early-onset transient wheeze; late-onset wheeze; early-onset persistent wheeze); and diagnosis of childhood asthma.
Results:
Maternal anemia was reported by 11.9% of mothers and was associated with recurrent infant wheeze in the first year (adjusted odds ratio [ORa] = 2.17, 95% confidence interval [CI] 1.18, 4.00), wheezing before age 3 (Ora = 2.42, 95% CI 1.38, 4.23), and early-onset transient and early-onset persistent wheeze patterns (Ora = 2.81, 95%CI 1.38, 5.72, and Ora = 2.07, 95% CI 1.02, 4.22), respectively. Among children of mothers with asthma, maternal anemia was associated with recurrent wheeze in year 1 (Ora = 4.22, 95% CI 1.65, 10.80) and wheeze before age 3 (Ora = 2.73, 95% CI 1.17, 6.35). Offspring of mothers with asthma also had increased odds of asthma diagnosis (Ora = 2.53, 95% CI 1.04, 6.17) and current asthma (Ora = 3.46, 95% CI 1.45, 8.26).
Conclusions:
Maternal anemia during pregnancy is associated with infant respiratory health outcomes. If this observation is replicated, maternal anemia may be a target for intervention and future research.
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