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

Autor: Emanuel C. Sarinho, Décio Medeiros, Paulo Augusto Moreira Camargos, Herberto José Chong-Neto, Ana Carolina Cavalcanti Dela Bianca Melo, Karin Regina Luhm, Denise Siqueira de Carvalho, Nelson Rosario, Dirceu Solé, Wellington Fernando da Silva Ferreira, Javier Mallol, Gustavo Falbo Wandalsen, Luis Garcia-Marcos, Elaine Prestes
Rok vydání: 2021
Předmět:
Zdroj: Jornal de Pediatria, Volume: 97, Issue: 6, Pages: 629-636, Published: 06 DEC 2021
Jornal de Pediatria v.97 n.6 2021
Jornal de Pediatria
Sociedade Brasileira de Pediatria (SBP)
instacron:SBPE
Jornal de Pediatria, Vol 97, Iss 6, Pp 629-636 (2021)
ISSN: 0021-7557
DOI: 10.1016/j.jped.2021.01.001
Popis: 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.
Databáze: OpenAIRE