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Published on: August 7, 2017
Asthma and risk factors in the first 6 years of life in a population-based cohort
Ayşe Şenay Şaşihüseyinoğlu1, Dilek Özcan1, Derya Ufuk Altıntaş1
1Department of Pediatric Allergy and Immunology, Çukurova University Faculty of Medicine, Adana, Turkey.
Insights
Childhood asthma prevalence was assessed up to age six. Maternal antibiotic use during pregnancy, parental allergies, and early wheezing were key risk factors for pediatric asthma.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Medicine
- Epidemiology
Background:
- Asthma prevalence increases in childhood, with age-specific risk factors.
- Understanding early-life risk factors is crucial for pediatric asthma management.
Purpose of the Study:
- To determine the prevalence of asthma in children up to six years of age.
- To identify associated risk factors for asthma development in early childhood.
Main Methods:
- The Adana Pediatric Allergy and Risk Factor (ADAPAR) birth cohort study followed 203 infants with early wheezing and 223 controls until age six.
- Asthma diagnosis was confirmed at the end of the sixth year.
Main Results:
- Asthma was diagnosed in 22.7% of children by age six.
- Significant risk factors included maternal antibiotic use during pregnancy (OR: 2.98), maternal allergies (OR: 4.70), sibling allergies (OR: 2.11), atopy (OR: 4.76), and recurrent early wheezing (OR: 17.35).
Conclusions:
- The study found a higher asthma prevalence at six years compared to other studies.
- Preventing early-life and prenatal infections may reduce pediatric asthma rates.
Background:
The frequency of asthma increases in childhood and asthma is associated with risk factors varying across age groups. The aim of our study was to assess the prevalence of asthma and its associated risk factors in the first six years of life.
Methods:
Within the scope of the Adana Pediatric Allergy and Risk Factor (ADAPAR) birth cohort study, 203 infants that had experienced at least one wheezing attack during the first year of life were followed for asthma development until the age of six years. Additionally, 223 infants that were followed within the scope of the same study and had no wheezing attacks in the first year of life were assigned to the control group.
Results:
At the end of the sixth year, 46 (22.7%) infants were diagnosed with asthma and the use of antibiotics of the mother during pregnancy (OR: 2.98), the presence of allergic diseases in the mother (OR: 4.70) and sibling (OR:2.11), the presence of atopy (OR:4.76), and recurrence of wheezing in the first age (OR:17.35) were identified as risk factors for asthma.
Conclusions:
The prevalence of asthma at six years of age was higher than that of other studies. Prevention of infections at an early age and during pregnancy can reduce the prevalence of asthma.
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