Prevalence of respiratory symptoms at two time points in a population of children in Manchester--a cohort study
Related Experiment Video
Updated: May 17, 2026

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
Mary F Linehan1, Robert M Niven, David N Baxter
1Manchester Academic Health Science Centre, University Hospital of South Manchester NHS Foundation Trust, The University of Manchester, Manchester, UK.
Insights
This study tracked childhood respiratory symptoms over time, finding a decrease in night cough and respiratory infections but an increase in hay fever and eczema. Asthma symptom prevalence remained constant in this cohort.
Area of Science:
- Pediatric Respiratory Health
- Epidemiology
- Allergy and Immunology
Background:
- Childhood asthma and atopy prevalence have risen, yet tracking trends is challenging.
- Cross-sectional studies are common but do not follow the same individuals over time.
- This study aims to track symptom prevalence in a single cohort at two distinct time points.
Purpose of the Study:
- To determine the prevalence of respiratory symptoms in a consistent cohort of children at two separate time points.
- To analyze trends in childhood asthma and atopy within the same population over a defined period.
- To provide longitudinal data on the changing patterns of respiratory and allergic symptoms in children.
Main Methods:
- Retrospective cohort study design.
- Community-based study in Central Manchester.
- Parent-completed questionnaires collected data on respiratory symptoms at two time points from a cohort of children.
Main Results:
- A significant reduction in night cough (29.5% to 18.3%) and antibiotic use for respiratory infections (9.1% to 4.3%) was observed.
- The prevalence of hay fever/eczema increased from 41.6% to 46.9%.
- No significant changes were found in the prevalence of wheeze, exercise-induced wheeze, or asthma medication use.
Conclusions:
- While asthma symptom prevalence remained constant, there was variability as children matured.
- The burden of allergy symptoms, such as hay fever and eczema, increased within the cohort.
- This longitudinal data highlights evolving patterns in childhood respiratory and allergic conditions.
Objective:
Although the prevalence of asthma and atopy has been noted to have increased in recent decades, patterns of asthma prevalence have, traditionally, been difficult to track. Most reports on trends in childhood asthma have been cross-sectional measuring the prevalence in cohorts of similar aged children at different time points. The aim of this paper is to report on the prevalence of symptoms in the same cohort at two separate time points.
Design:
Retrospective cohort study.
Setting:
Community-based study, Central Manchester.
Participants:
MANCAS1, study n=5086, participation n=2414. MANCAS2, study n=6338, participation n=1608. Children born in a hospital in Manchester within specified dates and still living or attending a school in Central Manchester were eligible for inclusion. Children on an 'at-risk' register or living with short-term carers were excluded.
Outcome Measures:
Data on respiratory symptoms were collected at two separate time points using parent completed questionnaires.
Results:
Response rate for MANCAS1 was 47.5% and 25.4% for MANCAS2. There were 801 individuals for whom a response to both studies was received. There was a significant reduction in the prevalence of night cough (29.5% vs 18.3%, McNemar <0.01) and antibiotic use for respiratory infections (9.1% vs 4.3%, McNemar <0.01) between the two study time points. The prevalence of hay fever/eczema increased (41.6% vs 46.9%, McNemar <0.01) between the two studies. There was no significant difference in the prevalence of wheeze, exercise-induced wheeze or asthma medication.
Conclusions:
Although this report of respiratory symptom prevalence in the same population at two time points over a 7-year period shows a constant burden of asthma symptoms, there is some suggestion of variability in asthma symptom prevalence within the cohort as the children matured while the burden of allergy symptoms increased.
Related Concept Videos
Asthma III: Clinical Manifestations
Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
Physical Assessment of the Respiratory Tract I: Health History
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and key...
Asthma I: Introduction
Asthma-III: Symptoms and Complications
Classification of Asthma
Common Respiratory Disorders
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
