Factors associated with respiratory morbidity in the first year of life

Samantha M Lessa1, Daniela C Tietzmann2, Sérgio L Amantéa1

  • 1Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Departamento de Pediatria, Porto Alegre, RS, Brazil.

Jornal De Pediatria
|June 23, 2023
PubMed

Insights

Maternal smoking and short breastfeeding duration increase infant respiratory illness risk in Brazil. Being born in the South also poses a higher risk for respiratory morbidity.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Respiratory morbidity is a significant health concern in infants.
  • Socioeconomic and nutritional factors may influence respiratory health outcomes.
  • Regional disparities in Brazil may impact infant health.

Purpose of the Study:

  • To investigate the association between socioeconomic and nutritional factors with respiratory morbidity in the first year of life.
  • To examine these associations across different regions of Brazil.

Main Methods:

  • A nested case-control study was conducted in three Brazilian cities.
  • 222 children were included, with cases defined as those with a history of asthma, bronchiolitis, or pneumonia.
  • Bivariate and multivariate logistic regression analyses were used to assess risk factors.

Main Results:

  • Maternal smoking (OR=2.12) and breastfeeding for less than six months (OR=2.05) were significantly associated with increased respiratory disease risk.
  • Infants born in the Southern region of Brazil had a higher risk of respiratory morbidity.
  • Ultra-processed food consumption did not show a significant association with respiratory disease.

Conclusions:

  • Maternal smoking, insufficient breastfeeding, and birth in Southern Brazil are identified risk factors for infant respiratory morbidity.
  • Ultra-processed food consumption, despite high prevalence, did not emerge as a significant risk factor in this study.
Abstract

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