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.
Abstract

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