Early-life lung function deficits partially explain the link between maternal asthma and bronchiolitis or asthma in

Carla Rebeca Da Silva Sena1,2,3, Adam Collison2, Vanessa E Murphy2,4

  • 1University Children's Hospital Basel UKBB, University of Basel, Basel, Switzerland carla.dasilva@ukbb.ch joerg.mattes@newcastle.edu.au urs.frey@ukbb.ch.

Insights

Maternal asthma in pregnancy increases offspring’s risk for bronchiolitis and childhood asthma. Impaired infant lung function partially mediates this risk, highlighting its role in respiratory outcomes.

Area of Science:

  • Pediatric Respiratory Medicine
  • Maternal-Fetal Medicine
  • Epidemiology

Background:

  • Maternal asthma during pregnancy is linked to increased risk of infant bronchiolitis and childhood asthma.
  • The underlying mechanisms connecting maternal asthma to offspring respiratory issues are not fully understood.

Purpose of the Study:

  • To investigate if impaired postnatal infant lung function independently affects bronchiolitis and childhood asthma risk.
  • To determine if infant lung function mediates the association between maternal asthma and offspring respiratory outcomes.

Main Methods:

  • Analysis of infant lung function data from two birth cohorts.
  • Assessment of bronchiolitis hospitalization and childhood asthma as primary outcomes.
  • Utilized tidal breathing lung function ratios: MTIF/MTEF and tPTEF/tE.

Main Results:

  • Impaired lung function ratios (MTIF/MTEF, tPTEF/tE) were significantly associated with increased risk of bronchiolitis and childhood asthma.
  • The MTIF/MTEF ratio mediated 11% of the effect of maternal asthma on bronchiolitis risk.
  • MTIF/MTEF and tPTEF/tE ratios mediated 3% of the effect of maternal asthma on childhood asthma.

Conclusions:

  • Postnatal infant lung function is a significant factor associated with subsequent bronchiolitis and childhood asthma.
  • Impaired infant lung function partially mediates the impact of maternal asthma during pregnancy on offspring respiratory health.
Abstract

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