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Wheezing in Preschool Children and Total IgE Levels: A Birth Cohort Study
Kana Ram Jat1, Prawin Kumar1, Aparna Mukherjee1
1Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Insights
Total immunoglobulin E (IgE) levels rise with age in Indian preschool children. This study found no significant difference in total IgE levels between children who experienced wheezing and those who did not.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Health
- Epidemiology
Background:
- Wheezing is a common respiratory symptom in preschool children.
- Total immunoglobulin E (IgE) is a marker often associated with allergic conditions.
- Understanding the relationship between IgE levels and wheezing is crucial for diagnosis and management.
Purpose of the Study:
- To investigate the association between total IgE levels and the occurrence of wheezing episodes in preschool children in India.
- To determine if elevated total IgE levels correlate with increased wheezing frequency.
Main Methods:
- Prospective birth cohort study design.
- Total IgE levels measured at enrollment, 1 year, and 2 years of age.
- Correlation analysis between total IgE levels and reported wheezing episodes up to age three.
Main Results:
- A total of 310 children were enrolled in the study.
- Total IgE levels demonstrated a significant increase with age (P<0.001).
- No significant difference in median total IgE levels was observed between children with and without wheezing at one year (P=0.39) and two years of age (P=0.92).
Conclusions:
- Total IgE levels increase with age in preschool children.
- Total IgE levels do not appear to be a differentiating factor for wheezing in this population.
- Further research may be needed to explore other biomarkers or factors associated with childhood wheezing.
Objectives:
To evaluate association between total IgE levels and wheezing in preschool children from India.
Methods:
Data were collected in a prospective birth cohort study related to wheezing till three years of age. Total IgE was measured at enrolment, at one year and two years of age and correlated with wheezing episodes.
Results:
A total of 310 (167 boys) children were enrolled. Total IgE levels increased with age (P<0.001). Overall, 101 (32.6%) children had 182 episodes of wheezing. The median (IQR) total IgE levels in children with wheezing and without wheezing were similar at one year [42.1 (12.7, 93.5) vs 41.9 (17.1, 96.7) kU/L; P=0.39] and two years of age [62.8 (32.4, 212.0) vs 75 (25.8, 173.0) kU/L, P=0.92).
Conclusion:
Total IgE levels increased with age and were not different in preschool children with and without wheezing.
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