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Published on: August 7, 2017
Birth weight and subsequent risk of asthma: a systematic review and meta-analysis
Min Mu1, Song Ye1, Ming-Jie Bai1
1Department of Public Health, School of Medicine, Anhui University of Science and Technology, People's Republic of China.
Insights
Low birth weight is linked to a higher risk of asthma in both children and adults. High birth weight, however, showed no association with increased asthma risk in this meta-analysis.
Area of Science:
- Epidemiology
- Respiratory Medicine
- Perinatal Health
Background:
- Previous research indicates a connection between birth weight and subsequent asthma development.
- Meta-analyses on this topic are limited, necessitating further investigation.
- This study aims to clarify the birth weight-asthma relationship through a comprehensive meta-analysis.
Purpose of the Study:
- To evaluate the association between various birth weight classifications and the risk of asthma.
- To provide robust evidence on the impact of low and high birth weight on asthma prevalence.
- To explore birth weight as a potential mediator of prenatal influences on adult and childhood asthma.
Main Methods:
- A systematic meta-analysis was conducted using data from major scientific databases (PubMed, ScienceDirect, EMBASE, EBSCO, Springer) from 1990 to 2013.
- Relevant articles were identified using MeSH terms including "birth weight", "fetal growth retardation", "intrauterine growth restriction", "asthma", and "wheezing".
- Included studies comprised data from over 90,000 children and adults.
Main Results:
- Low birth weight (less than 2,500g) was significantly associated with an increased risk of asthma in both children (OR, 1.28-1.34) and adults (OR, 1.25).
- Comparisons were made against reference groups with birth weights greater than 2,500g and between 2,500-4,000g.
- High birth weight (greater than 4,000g) did not demonstrate a significant association with an increased risk of asthma.
Conclusions:
- Low birth weight (<2,500g) is a significant risk factor for developing asthma in both pediatric and adult populations.
- Birth weight may act as a crucial mediator linking prenatal factors to the later development of respiratory diseases like asthma.
- High birth weight (>4,000g) was not found to be associated with an elevated risk of asthma.
Background:
Previous studies suggest that birth weight is related to later risk of asthma. However, few meta-analyses have investigated these associations. Therefore, we performed a meta-analysis with different classifications to further validate the relationship between birth weight and asthma.
Methods:
PubMed (1990-2013), ScienceDirect (1990-2013), EMBASE(1990-2013),EBSCO (1990-2013) and Springer (1990-2013) were searched for articles. The following MeSH terms were used: "birth weight", "fetal growth retardation", "intrauterine growth restriction", "asthma", "wheezing".
Results:
We included 18 studies with data from a total of over 90,000 children and adults. (1) Low birth weight (<2,500g) as compared with BW>2,500g and BW=2500-4000g was associated with increased risk of asthma (Children: OR, 1.28; 95% CI, 1.09-1.50, P<0.05; OR, 1.34; 95% CI, 1.13-1.60, P<0.05, Adults: OR, 1.25; 95% CI, 1.12-1.39, P<0.05; OR, 1.25; 95% CI, 1.12-1.40, P<0.05). (2) High birth weight (>4,000g) was not associated with the risk of asthma when BW<4,000g and BW=2500-4000g were used as the reference.
Conclusions:
These results suggest that low birth weight (<2,500g) is associated with increased risk of asthma both in children and adults and may serve as a mediator between prenatal influences and later disease risk; but high birth weight (>4,000g) was not associated with increased risk of asthma.
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