Risk factors for asthma after infant bronchiolitis
Background Five studies carried out after bronchiolitis at less than 24 months of age, with a follow‐up of more than 10 years, reported that atopic dermatitis, family asthma, early‐life exposure to tobacco smoke and rhinovirus aetiology were early‐life risk factors for later asthma. This study evalu...
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Published in | Allergy (Copenhagen) Vol. 73; no. 4; pp. 916 - 922 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
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Blackwell Publishing Ltd
01.04.2018
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Abstract | Background
Five studies carried out after bronchiolitis at less than 24 months of age, with a follow‐up of more than 10 years, reported that atopic dermatitis, family asthma, early‐life exposure to tobacco smoke and rhinovirus aetiology were early‐life risk factors for later asthma. This study evaluated the long‐term outcome at 11‐13 years of age of children who were hospitalized for bronchiolitis in early infancy.
Methods
We previously prospectively followed 166 children hospitalized for bronchiolitis at less than 6 months of age until 5‐7 years of age. The current study included a structured questionnaire, parental interviews, clinical examinations and bronchodilation test of 138 of those children at 11‐13 years of age.
Results
Respiratory syncytial virus caused 66% of the bronchiolitis cases, and nearly half of the patients were exposed to tobacco smoke in early life. Doctor‐diagnosed asthma was present in 13% of the former bronchiolitis patients at 11‐13 years of age. Maternal asthma was the only independently significant risk factor in early life (adjusted OR 3.45, 95% CI 1.07‐11.74), as was allergic rhinitis at 5‐7 years of age (adjusted OR 4.06, 95% CI 1.35‐12.25).
Conclusions
After bronchiolitis at less than 6 months of age, the risk of doctor‐diagnosed asthma at 11‐13 years was about twice that of the general Finnish population. Maternal asthma was the only independently significant early‐life risk factor for current asthma at 11‐13 years of age. |
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AbstractList | Abstract
Background
Five studies carried out after bronchiolitis at less than 24 months of age, with a follow‐up of more than 10 years, reported that atopic dermatitis, family asthma, early‐life exposure to tobacco smoke and rhinovirus aetiology were early‐life risk factors for later asthma. This study evaluated the long‐term outcome at 11‐13 years of age of children who were hospitalized for bronchiolitis in early infancy.
Methods
We previously prospectively followed 166 children hospitalized for bronchiolitis at less than 6 months of age until 5‐7 years of age. The current study included a structured questionnaire, parental interviews, clinical examinations and bronchodilation test of 138 of those children at 11‐13 years of age.
Results
Respiratory syncytial virus caused 66% of the bronchiolitis cases, and nearly half of the patients were exposed to tobacco smoke in early life. Doctor‐diagnosed asthma was present in 13% of the former bronchiolitis patients at 11‐13 years of age. Maternal asthma was the only independently significant risk factor in early life (adjusted
OR
3.45, 95%
CI
1.07‐11.74), as was allergic rhinitis at 5‐7 years of age (adjusted
OR
4.06, 95%
CI
1.35‐12.25).
Conclusions
After bronchiolitis at less than 6 months of age, the risk of doctor‐diagnosed asthma at 11‐13 years was about twice that of the general Finnish population. Maternal asthma was the only independently significant early‐life risk factor for current asthma at 11‐13 years of age. Background Five studies carried out after bronchiolitis at less than 24 months of age, with a follow‐up of more than 10 years, reported that atopic dermatitis, family asthma, early‐life exposure to tobacco smoke and rhinovirus aetiology were early‐life risk factors for later asthma. This study evaluated the long‐term outcome at 11‐13 years of age of children who were hospitalized for bronchiolitis in early infancy. Methods We previously prospectively followed 166 children hospitalized for bronchiolitis at less than 6 months of age until 5‐7 years of age. The current study included a structured questionnaire, parental interviews, clinical examinations and bronchodilation test of 138 of those children at 11‐13 years of age. Results Respiratory syncytial virus caused 66% of the bronchiolitis cases, and nearly half of the patients were exposed to tobacco smoke in early life. Doctor‐diagnosed asthma was present in 13% of the former bronchiolitis patients at 11‐13 years of age. Maternal asthma was the only independently significant risk factor in early life (adjusted OR 3.45, 95% CI 1.07‐11.74), as was allergic rhinitis at 5‐7 years of age (adjusted OR 4.06, 95% CI 1.35‐12.25). Conclusions After bronchiolitis at less than 6 months of age, the risk of doctor‐diagnosed asthma at 11‐13 years was about twice that of the general Finnish population. Maternal asthma was the only independently significant early‐life risk factor for current asthma at 11‐13 years of age. Five studies carried out after bronchiolitis at less than 24 months of age, with a follow-up of more than 10 years, reported that atopic dermatitis, family asthma, early-life exposure to tobacco smoke and rhinovirus aetiology were early-life risk factors for later asthma. This study evaluated the long-term outcome at 11-13 years of age of children who were hospitalized for bronchiolitis in early infancy. We previously prospectively followed 166 children hospitalized for bronchiolitis at less than 6 months of age until 5-7 years of age. The current study included a structured questionnaire, parental interviews, clinical examinations and bronchodilation test of 138 of those children at 11-13 years of age. Respiratory syncytial virus caused 66% of the bronchiolitis cases, and nearly half of the patients were exposed to tobacco smoke in early life. Doctor-diagnosed asthma was present in 13% of the former bronchiolitis patients at 11-13 years of age. Maternal asthma was the only independently significant risk factor in early life (adjusted OR 3.45, 95% CI 1.07-11.74), as was allergic rhinitis at 5-7 years of age (adjusted OR 4.06, 95% CI 1.35-12.25). After bronchiolitis at less than 6 months of age, the risk of doctor-diagnosed asthma at 11-13 years was about twice that of the general Finnish population. Maternal asthma was the only independently significant early-life risk factor for current asthma at 11-13 years of age. BackgroundFive studies carried out after bronchiolitis at less than 24 months of age, with a follow‐up of more than 10 years, reported that atopic dermatitis, family asthma, early‐life exposure to tobacco smoke and rhinovirus aetiology were early‐life risk factors for later asthma. This study evaluated the long‐term outcome at 11‐13 years of age of children who were hospitalized for bronchiolitis in early infancy.MethodsWe previously prospectively followed 166 children hospitalized for bronchiolitis at less than 6 months of age until 5‐7 years of age. The current study included a structured questionnaire, parental interviews, clinical examinations and bronchodilation test of 138 of those children at 11‐13 years of age.ResultsRespiratory syncytial virus caused 66% of the bronchiolitis cases, and nearly half of the patients were exposed to tobacco smoke in early life. Doctor‐diagnosed asthma was present in 13% of the former bronchiolitis patients at 11‐13 years of age. Maternal asthma was the only independently significant risk factor in early life (adjusted OR 3.45, 95% CI 1.07‐11.74), as was allergic rhinitis at 5‐7 years of age (adjusted OR 4.06, 95% CI 1.35‐12.25).ConclusionsAfter bronchiolitis at less than 6 months of age, the risk of doctor‐diagnosed asthma at 11‐13 years was about twice that of the general Finnish population. Maternal asthma was the only independently significant early‐life risk factor for current asthma at 11‐13 years of age. BACKGROUNDFive studies carried out after bronchiolitis at less than 24 months of age, with a follow-up of more than 10 years, reported that atopic dermatitis, family asthma, early-life exposure to tobacco smoke and rhinovirus aetiology were early-life risk factors for later asthma. This study evaluated the long-term outcome at 11-13 years of age of children who were hospitalized for bronchiolitis in early infancy.METHODSWe previously prospectively followed 166 children hospitalized for bronchiolitis at less than 6 months of age until 5-7 years of age. The current study included a structured questionnaire, parental interviews, clinical examinations and bronchodilation test of 138 of those children at 11-13 years of age.RESULTSRespiratory syncytial virus caused 66% of the bronchiolitis cases, and nearly half of the patients were exposed to tobacco smoke in early life. Doctor-diagnosed asthma was present in 13% of the former bronchiolitis patients at 11-13 years of age. Maternal asthma was the only independently significant risk factor in early life (adjusted OR 3.45, 95% CI 1.07-11.74), as was allergic rhinitis at 5-7 years of age (adjusted OR 4.06, 95% CI 1.35-12.25).CONCLUSIONSAfter bronchiolitis at less than 6 months of age, the risk of doctor-diagnosed asthma at 11-13 years was about twice that of the general Finnish population. Maternal asthma was the only independently significant early-life risk factor for current asthma at 11-13 years of age. |
Author | Koponen, P. Törmänen, S. Helminen, M. Riikonen, R. Korppi, M. Huhtala, H. Lauhkonen, E. Nuolivirta, K. |
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Keywords | maternal asthma parental smoking allergic rhinitis childhood asthma bronchiolitis |
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Five studies carried out after bronchiolitis at less than 24 months of age, with a follow‐up of more than 10 years, reported that atopic dermatitis,... Five studies carried out after bronchiolitis at less than 24 months of age, with a follow-up of more than 10 years, reported that atopic dermatitis, family... Abstract Background Five studies carried out after bronchiolitis at less than 24 months of age, with a follow‐up of more than 10 years, reported that atopic... BackgroundFive studies carried out after bronchiolitis at less than 24 months of age, with a follow‐up of more than 10 years, reported that atopic dermatitis,... BACKGROUNDFive studies carried out after bronchiolitis at less than 24 months of age, with a follow-up of more than 10 years, reported that atopic dermatitis,... |
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SubjectTerms | Adolescent Age Allergic rhinitis Asthma Asthma - epidemiology Asthma - etiology Atopic dermatitis bronchiolitis Bronchiolitis - complications Bronchodilation Bronchodilators Bronchopneumonia Child Child, Preschool childhood asthma Children Dermatitis Eczema Female Humans Infant Male maternal asthma parental smoking Prospective Studies Respiratory syncytial virus Rhinitis Rhinovirus Risk Factors Smoke Tobacco Tobacco smoke |
Title | Risk factors for asthma after infant bronchiolitis |
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