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 |
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Rok vydání: | 2021 |
Předmět: |
Male
medicine.medical_specialty Passive smoking Bronchopneumonia medicine.disease_cause Pediatrics RJ1-570 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires 030225 pediatrics Internal medicine Prevalence medicine Humans 030212 general & internal medicine Respiratory Sounds Asthma Wheezing business.industry Infant medicine.disease Cross-Sectional Studies Risk factors Pediatrics Perinatology and Child Health Female Sex business Infants |
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 |
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