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Day care and asthma morbidity

G J Connett1, C J Connett, S C Quek

  • 1Department of Paediatrics, National University Hospital, Singapore.

Journal of Paediatrics and Child Health
|June 1, 1994
PubMed
Summary

Children with asthma attending daycare experienced more respiratory symptoms like coughing and wheezing. This suggests daycare may exacerbate asthma symptoms in young children.

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Area of Science:

  • Pediatric Pulmonology
  • Environmental Health
  • Epidemiology

Background:

  • Asthma is a common chronic respiratory disease in preschool children.
  • Daycare attendance is prevalent among preschool children.
  • Understanding environmental triggers for childhood asthma exacerbations is crucial.

Purpose of the Study:

  • To investigate the association between daycare attendance and lower respiratory symptoms in preschool asthmatic children.
  • To compare symptom frequency in asthmatic children attending daycare versus those cared for at home.

Main Methods:

  • A questionnaire-based study was conducted with parents of 69 preschool asthmatic children attending a specialist respiratory clinic.
  • Analysis was restricted to 49 children aged 2-4 years due to age distribution variations.
  • Symptom frequency (cough, nocturnal wheeze, waking wheeze) in the two weeks prior to clinic visits was assessed.

Main Results:

  • Asthmatic children attending daycare reported significantly more frequent cough and wheezing (nighttime and upon waking) compared to those cared for at home.
  • Daycare attendees showed a higher likelihood of experiencing lower respiratory symptoms.

Conclusions:

  • Daycare attendance is associated with an increased frequency of lower respiratory symptoms in preschool children with asthma.
  • Environmental exposures in daycare settings may contribute to asthma symptom exacerbation.
  • Further research into specific daycare-related triggers is warranted.

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