Associated factors with recurrent wheezing in infants: is there difference between the sexes?

Autor:	Ferreira WFDS; Universidade Federal do Paraná, Departamento de Saúde Coletiva, Curitiba, PR, Brazil., Carvalho DS; Universidade Federal do Paraná, Departamento de Saúde Coletiva, Curitiba, PR, Brazil., Wandalsen GF; Universidade Federal de São Paulo, Departamento de Pediatria, São Paulo, SP, Brazil., Solé D; Universidade Federal de São Paulo, Departamento de Pediatria, São Paulo, SP, Brazil., Sarinho ESC; Universidade Federal de Pernambuco, Departamento de Pediatria, Recife, PE, Brazil., Medeiros D; Universidade Federal de Pernambuco, Departamento de Pediatria, Recife, PE, Brazil., Melo ACCDB; Universidade Federal de Pernambuco, Departamento de Pediatria, Recife, PE, Brazil., Prestes EX; Universidade Estadual do Pará, Departamento de Pediatria, Belém, PA, Brazil., Camargos PAM; Universidade Federal de Minas Gerais, Departamento de Pediatria, Belo Horizonte, MG, Brazil., Luhm KR; Universidade Federal do Paraná, Departamento de Saúde Coletiva, Curitiba, PR, Brazil., Garcia-Marcos L; University of Murcia, Virgen de la Arrixaca Children University Hospital, Unidade de Alergia e Respiratóra Pediátrica, Murcia, Spain., Mallol J; University of Santiago de Chile (USACH), El Pino Hospital, Departamento de Medicina Respiratória, San Bernardo, Chile., Rosário NA; Universidade Federal do Paraná, Departamento de Pediatria, Curitiba, PR, Brazil., Chong-Neto HJ; Universidade Federal do Paraná, Departamento de Pediatria, Curitiba, PR, Brazil. Electronic address: h.chong@uol.com.br.
Jazyk:	angličtina
Zdroj:	Jornal de pediatria [J Pediatr (Rio J)] 2021 Nov-Dec; Vol. 97 (6), pp. 629-636. Date of Electronic Publication: 2021 Feb 07.
DOI:	10.1016/j.jped.2021.01.001
Abstrakt:	Objective: Identify associated factors for recurrent wheezing (RW) in male and female infants. Methods: Cross-sectional multicentric study using the standardized questionnaire from the Estudio Internacional sobre Sibilancias en Lactantes (EISL). The questionnaire was applied to parents of 9345 infants aged 12-15 months at the time of immunization/routine visits. Results: One thousand two hundred and sixty-one (13.5%) males and nine hundred sixty-three (10.3%) females have had RW (≥3 episodes), respectively (p10 colds episodes (OR = 3.46; IC 95% 2.35-5.07), air pollution (OR = 1.33; IC 95% 1.12-1.59), molds at home (OR = 1.23; IC 95% 1.03-1.47), Afro-descendants (OR = 1.42; IC 95% 1.20-1.69), bronchopneumonia (OR = 1.41; IC; 1.11-1.78), severe episodes of wheezing in the first year (OR = 1.56; IC 95% 1.29-1.89), treatment with bronchodilators (OR = 1.60; IC 95% 1.22-2,1) and treatment with oral corticosteroids (OR = 1,23; IC 95% 0.99-1,52). Associated factors for RW for females were passive smoking (OR = 1.24; IC 95% 1.01-1,51), parents diagnosed with asthma (OR = 1.32; IC 95% 1,08-1,62), parents with allergic rhinitis (OR = 1.26; IC 95% 1.04-1.53), daycare attendance (OR = 1.48; IC 95% 1.17-1,88), colds in the first 6 months of life (OR = 2.19; IC 95% 1.69-2.82), personal diagnosis of asthma (OR = 1.84; IC 95% 1.39-2.44), emergency room visits (OR = 1.78; IC 95% 1.44-2.21), nighttime symptoms (OR = 2.89; IC 95% 2.34-3.53) and updated immunization (OR = 0.62; IC 95% 0.41-0.96). Conclusion: There are differences in associated factors for RW between genders. Identification of these differences could be useful to the approach and management of RW between boys and girls. (Copyright © 2021 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.)
Databáze:	MEDLINE
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