Epidemiology of wheeze among preschool children: a population-based cross-sectional study from rural Sri Lanka

Shashanka Indeevara Rajapakse Rajapakse Mudiyanselage1, Wadu Arachchige Dharshika Lakmali Amarasiri2, Bannek Mudiyanselage Gedara Duminda Yasaratne3

  • 1Department of Physiology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka shashanka1015@gmail.com.

BMJ Open
|July 8, 2021
PubMed

Insights

Wheezing affects about 30% of preschool children in rural Sri Lanka. Key risk factors for severe wheeze include allergic rhinitis, dog exposure, and passive smoking, with cement floors showing a protective effect.

Area of Science:

  • Pediatric respiratory health
  • Epidemiology of childhood wheeze

Background:

  • Wheezing is a common respiratory symptom in preschool children.
  • Understanding its prevalence and associated factors is crucial for early intervention.

Purpose of the Study:

  • To determine the prevalence of wheeze in 3-6 year old children in rural Sri Lanka.
  • To identify factors associated with the severity of wheezing episodes.

Main Methods:

  • A population-based, cross-sectional study involving 1060 preschool children aged 3-6 years.
  • Utilized the International Study of Asthma and Allergy in Childhood (ISAAC) questionnaire.
  • Employed WHO 30 cluster methodology with probability proportionate to size sampling.

Main Results:

  • Prevalence of ever wheezing was 30.47%, with 23.30% experiencing wheezing in the past year.
  • Severe wheezing episodes occurred in 7.17% of children, with only 35.53% diagnosed with asthma.
  • Independent risk factors for severe wheeze included allergic rhinitis, domestic dogs, skipjack tuna consumption, and passive smoking. Cement flooring was protective.

Conclusions:

  • Wheezing is prevalent in Sri Lankan preschoolers, often undiagnosed as asthma.
  • Allergic rhinitis, pet ownership, dietary factors, and passive smoking are significant risk factors for severe wheeze.
Abstract

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