A systematic review and meta-analysis exploring the bidirectional association between asthma and gastroesophageal

KaiWen Zheng1, Xiang Wang1, LinYan Tang1

  • 1From the School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, China and.

PubMed

Insights

Asthma and gastroesophageal reflux disease (GERD) in children have a two-way link, with asthma increasing GERD risk more significantly. Further research is needed to confirm this association.

Area of Science:

  • Pediatric Pulmonology
  • Pediatric Gastroenterology
  • Epidemiology

Background:

  • Asthma is a leading chronic respiratory illness in children.
  • Gastroesophageal reflux disease (GERD) is a recognized extraesophageal complication of pediatric asthma.
  • The causal relationship between asthma and GERD in children remains under investigation.

Approach:

  • A systematic review and meta-analysis were conducted to investigate the bidirectional association between asthma and GERD in pediatric populations.
  • Original studies published between January 2000 and February 2024 were systematically searched and screened.
  • Study quality was assessed using the Newcastle-Ottawa Scale, and relevant outcome measures were extracted.

Key Points:

  • Nine eligible studies encompassing 304,399 children across seven countries were included in the analysis.
  • Children with asthma exhibited a higher risk of developing GERD (OR 2.16) compared to children with GERD developing asthma (OR 1.55).
  • The findings indicate a mutually aggravating relationship between asthma and GERD in children.

Conclusions:

  • Asthma and GERD present a bidirectional association in children, acting as mutually aggravating factors.
  • The risk of developing GERD is notably higher in children with asthma.
  • High-quality, large-scale prospective cohort studies are recommended to further elucidate this relationship.

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