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Published on: August 7, 2017
Parental asthma and childhood asthma phenotypes: maternal associations with persistent asthma
Marianne Rørholt Grefslie1,2, Siri Eldevik Håberg3,4, Maria C Magnus3
1Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway mariannehopen.rorholt@fhi.no.
Insights
Parental asthma, particularly maternal, increases offspring asthma risk across various phenotypes. Early-onset persistent asthma showed the strongest association with both parents having asthma.
Area of Science:
- Pediatric Allergy and Immunology
- Reproductive Health
- Epidemiology
Background:
- Maternal asthma is linked to higher offspring asthma rates than paternal asthma.
- The impact of parental asthma on specific asthma phenotypes in children is not well understood.
Purpose of the Study:
- To investigate the association between parental asthma and distinct asthma phenotypes in offspring.
- To determine if maternal or paternal asthma has a differential impact on childhood asthma development.
Main Methods:
- A cohort of 16,055 children from the Norwegian Mother, Father and Child Cohort Study (MoBa) was analyzed.
- Parental asthma status (none, mother only, father only, both) and offspring asthma phenotypes (never, transient early-onset, persistent early-onset, late-onset) were assessed.
- Logistic regression models adjusted for confounders were used to evaluate associations.
Main Results:
- Maternal asthma was associated with increased odds of all offspring asthma phenotypes.
- Paternal asthma also showed associations, generally with smaller effect sizes.
- Asthma in both parents demonstrated the strongest association with early-onset persistent asthma.
Conclusions:
- Maternal asthma showed more pronounced associations with early-onset persistent and late-onset asthma phenotypes compared to paternal asthma.
- Early-onset transient asthma exhibited less differentiation based on parental asthma status.
- Parental asthma is a significant risk factor for developing various childhood asthma phenotypes.
Background:
Maternal asthma has been more strongly associated with asthma in offspring than paternal asthma, but the influence of parental asthma on distinct asthma phenotypes remains unclear.
Methods:
We studied 16 055 children from the Norwegian Mother, Father and Child Cohort Study (MoBa). Parental asthma was reported at recruitment and classified as no parental asthma (reference), maternal asthma only, paternal asthma only or both parents with asthma. Offspring asthma was assessed at ages 3, 7 and 14 years through questionnaire-based parental reports, and four phenotypes were defined: never asthma, early-onset transient, early-onset persistent and late-onset asthma. Logistic regression was used to estimate associations between parental asthma status and offspring phenotypes, adjusting for sociodemographic, lifestyle and atopic factors, including atopic eczema and pollen/hay fever.
Results:
Offspring asthma phenotypes were distributed as follows: never asthma 88.8%, early-onset transient asthma 3.3%, early-onset persistent asthma 2.7% and late-onset asthma 5.2%. Maternal asthma was associated with increased odds of all offspring asthma phenotypes: early-onset transient asthma (OR 2.09, 95% CI 1.52 to 2.88), early-onset persistent asthma (OR 3.47, 95% CI 2.56 to 4.71) and late-onset asthma (OR 2.18, 95% CI 1.69 to 2.81). Paternal asthma showed similar associations, although point estimates were generally smaller: early-onset transient asthma (OR 2.01, 95% CI 1.48 to 2.73), early-onset persistent asthma (OR 2.49, 95% CI 1.81 to 3.44) and late-onset asthma (OR 1.85, 95% CI 1.44 to 2.38). Asthma in both parents was most strongly associated with early-onset persistent asthma (OR 5.34, 95% CI 2.86 to 9.98), whereas associations with early-onset transient and late-onset asthma were smaller and accompanied by wider CIs. The overall pattern of associations was similar across analyses stratified by parental atopy.
Conclusions:
Associations with maternal asthma were more pronounced than those with paternal asthma, particularly for early-onset persistent and late-onset phenotypes, although CIs overlapped for most comparisons. In contrast, early-onset transient asthma showed less differentiation by parental asthma status.
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