Early growth characteristics and the risk of reduced lung function and asthma: A meta-analysis of 25,000 children

Autor: Leone C A Craig, Claudia E. Kuehni, Liesbeth Duijts, Jordi Sunyer, Johan C. de Jongste, Hans Bisgaard, S. Hasan Arshad, Claudia Flexeder, Maria Vassilaki, Urs Frey, Irwin K M Reiss, Caroline Beardsmore, Erik Melén, Davide Gori, Alet H. Wijga, Anne C. van der Gugten, Agnes M.M. Sonnenschein-van der Voort, C. Kors van der Ent, Jesús Ibarluzea, Ana Esplugues, Carlos Zabaleta, Herman T. den Dekker, Francesco Forastiere, Henrique Barros, Monique Mommers, Anne Schmidt, Thomas Keil, Hazel Inskip, John Penders, A. John Henderson, Sofia Correia Phar, Vincent W. V. Jaddoe, Holger Schulz, Maria Pia Fantini, Matias Torrent, Daniela Porta, Katy Pike, Ulrike Gehring, Isabella Anessi-Maesano, Graham Devereux, Erica S. Schultz, Susanne Lau, Eva Morales, Manolis Kogevinas, Eskil Kreiner-Møller, Barbara Heude, Graham Roberts
Přispěvatelé: Den Dekker, Herman T., Sonnenschein-Van Der Voort, Agnes M.M., De Jongste, Johan C., Anessi-Maesano, Isabella, Arshad, S. Hasan, Barros, Henrique, Beardsmore, Caroline S., Bisgaard, Han, Phar, Sofia Correia, Craig, Leone, Devereux, Graham, Van Der Ent, C. Kor, Esplugues, Ana, Fantini, Maria P., Flexeder, Claudia, Frey, Ur, Forastiere, Francesco, Gehring, Ulrike, Gori, Davide, Van Der Gugten, Anne C., Henderson, A. John, Heude, Barbara, Ibarluzea, Jesú, Inskip, Hazel M., Keil, Thoma, Kogevinas, Manoli, Kreiner-Møller, Eskil, Kuehni, Claudia E., Lau, Susanne, Mélen, Erik, Mommers, Monique, Morales, Eva, Penders, John, Pike, Katy C., Porta, Daniela, Reiss, Irwin K., Roberts, Graham, Schmidt, Anne, Schultz, Erica S., Schulz, Holger, Sunyer, Jordi, Torrent, Matia, Vassilaki, Maria, Wijga, Alet H., Zabaleta, Carlo, Jaddoe, Vincent W.V., Duijts, Liesbeth, LS IRAS EEPI ME (Milieu epidemiologie), dIRAS RA-2, RS: CAPHRI - R5 - Optimising Patient Care, Epidemiologie, Medische Microbiologie, RS: CAPHRI - R4 - Health Inequities and Societal Participation, RS: NUTRIM - R2 - Gut-liver homeostasis, Epidemiology, Erasmus MC other, Pediatrics
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Vital capacity
Pediatrics
Vital Capacity
CHILDHOOD
Diseases
Infant
Premature
Diseases

Weight Gain
meta-analysi
0302 clinical medicine
AIRWAY FUNCTION
Child Development
Models
Risk Factors
Forced Expiratory Volume
Immunology and Allergy
Respiratory function
030212 general & internal medicine
610 Medicine & health
Non-U.S. Gov't
Child
Lung
infant growth
medicine.diagnostic_test
RESPIRATORY-FUNCTION
Research Support
Non-U.S. Gov't

Gestational age
Statistical
respiratory system
ADOLESCENCE
Child
Preschool

Infant
Small for Gestational Age

medicine.symptom
360 Social problems & social services
Infant
Premature

Spirometry
medicine.medical_specialty
Adolescent
Birth weight
Immunology
Gestational Age
Research Support
OBSTRUCTIVE PULMONARY-DISEASE
03 medical and health sciences
FEV1/FVC ratio
AGE
children
medicine
Journal Article
Humans
low birth weight
Preschool
Premature
Models
Statistical

business.industry
Infant
Newborn

Infant
lung function
Preterm birth
Odds ratio
asthma
Newborn
SPIROMETRY
BIRTH-WEIGHT
Asthma
respiratory tract diseases
Low birth weight
Preterm Birth
Children
Infant Growth
Low Birth Weight
Lung Function
Meta-analysis
030228 respiratory system
Small for Gestational Age
MEASUREMENT ERROR
business
Meta-Analysis
Zdroj: Journal of Allergy and Clinical Immunology, 137(4), 1026. Mosby Inc.
Journal of Allergy and Clinical Immunology, 137(4), 1026-1035. MOSBY-ELSEVIER
Journal of Allergy and Clinical Immunology, 137(4), 1026–1035. Mosby Inc.
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
r-FISABIO. Repositorio Institucional de Producción Científica
instname
r-FISABIO: Repositorio Institucional de Producción Científica
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
J. Allergy Clin. Immunol. 137, 1026-1035 (2016)
Journal of Allergy and Clinical Immunology, 137(4), 1026-1035. Mosby Inc.
ISSN: 0091-6749
Popis: Background: Children born preterm or with a small size for gestational age are at increased risk for childhood asthma. Objective: We sought to assess the hypothesis that these associations are explained by reduced airway patency. Methods: We used individual participant data of 24,938 children from 24 birth cohorts to examine and meta-analyze the associations of gestational age, size for gestational age, and infant weight gain with childhood lung function and asthma (age range, 3.9-19.1 years). Second, we explored whether these lung function outcomes mediated the associations of early growth characteristics with childhood asthma. Results: Children born with a younger gestational age had a lower FEV1, FEV1/forced vital capacity (FVC) ratio, and forced expiratory volume after exhaling 75% of vital capacity (FEF75), whereas those born with a smaller size for gestational age at birth had a lower FEV1 but higher FEV1/FVC ratio (P < .05). Greater infant weight gain was associated with higher FEV1 but lower FEV1/FVC ratio and FEF75 in childhood (P < .05). All associations were present across the full range and independent of other early-life growth characteristics. Preterm birth, low birth weight, and greater infant weight gain were associated with an increased risk of childhood asthma (pooled odds ratio, 1.34 [95% CI, 1.15-1.57], 1.32 [95% CI, 1.07-1.62], and 1.27 [95% CI, 1.21-1.34], respectively). Mediation analyses suggested that FEV1, FEV1/FVC ratio, and FEF75 might explain 7% (95% CI, 2% to 10%) to 45% (95% CI, 15% to 81%) of the associations between early growth characteristics and asthma. Conclusions: Younger gestational age, smaller size for gestational age, and greater infant weight gain were across the full ranges associated with childhood lung function. These associations explain the risk of childhood asthma to a substantial extent.
Databáze: OpenAIRE