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Published on: August 7, 2017
Maternal preeclampsia and childhood asthma in the offspring
Xiaoqin Liu1, Jørn Olsen, Esben Agerbo
1Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus, Denmark; Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research, WHO Collaborating Center for Research in Human Reproduction, National Population & Family Planning Key Laboratory of Contraceptive Drugs and Devices, Shanghai, China.
Insights
Preeclampsia, a pregnancy complication, is linked to a higher risk of childhood asthma. Early-onset preeclampsia showed a stronger association, though shared family factors may play a role.
Area of Science:
- Obstetrics and Gynecology
- Pediatric Pulmonology
- Epidemiology
Background:
- Preeclampsia is a serious pregnancy complication.
- A potential link exists between preeclampsia and childhood asthma.
- Investigating shared familial factors is crucial for understanding this association.
Purpose of the Study:
- To determine if preeclampsia is associated with childhood asthma.
- To assess if shared sibling factors confound the preeclampsia-asthma link.
Main Methods:
- A large cohort study of Danish singletons born 1993-2007 (N=923,533).
- Nested case-control and case-sibling analyses were performed.
- Conditional logistic regression estimated incidence rate ratios (IRR) for asthma.
Main Results:
- Overall, maternal preeclampsia was associated with a 19% increased asthma risk (IRR=1.19).
- Early-onset preeclampsia showed a higher IRR (1.88) compared to late-onset (1.14).
- Case-sibling analysis indicated some confounding by shared factors, reducing the IRR for early-onset preeclampsia.
Conclusions:
- Early-onset preeclampsia is associated with increased childhood asthma risk.
- Shared familial factors partially explain the association.
- Further research is needed to elucidate underlying mechanisms.
Background:
Preeclampsia is a possible risk factor for childhood asthma in the offspring. Our aim was to find whether preeclampsia is associated with childhood asthma. We also aimed to study whether a possible association can be explained by factors shared by siblings.
Methods:
All eligible live singletons born in Denmark during 1993-2007 were identified (N = 923,533), and the occurrence of preeclampsia during the index pregnancy was determined. The children were followed from their 3rd birthday to the first hospitalization, outpatient contact or prescription for asthma, emigration, death, their 18th birthday, or the end of 2010, whichever came first. We carried out a nested case-control and a case-sibling study with density sampling to estimate incidence rate ratio (IRR) of asthma as a function of maternal preeclampsia, using conditional logistic regression.
Results:
A total of 115,522 asthma cases were identified during 1996-2010. In the case-control analysis, the overall IRR of asthma for those exposed to maternal preeclampsia was 1.19 (95% confidence interval (CI): 1.15, 1.24). The IRRs for asthma according to early and late onset preeclampsia were 1.88 (95% CI: 1.67, 2.11) and 1.14 (95% CI: 1.10, 1.19). In the case-sibling analysis, the corresponding IRRs were 1.06 (95% CI: 0.98, 1.14), 1.15 (95% CI: 1.02, 1.29), and 1.02 (95% CI: 0.93, 1.11), respectively.
Conclusions:
Early onset preeclampsia was associated with an increased risk of asthma in the offspring, but part of this association may be due to confounding by factors shared by siblings.
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