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Bronchial hyperreactivity and history of wheezing in children

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Abstract

The objective of this analysis was to determine the relationship between wheezing at different age groups in children and the prevalence of bronchial hyperreactivity at the age of 10. A population-based cross-sectional study was conducted in Leipzig and the region around Halle in Germany. Of 3105 10-year-old children, 2658 questionnaires (85.6%) were returned. In addition 2279 (73.4%)pulmonary function tests were performed before and after cold air challenge. 658 children (24.8%) had recurrent wheezing during their lifetime. In 579 children the individual time course could be evaluated (46 children with and 533 without a physician-confirmed diagnosis of asthma). Wheezing began most frequently in the 1st year of life (44.1 % of all wheezing children) with the highest annual prevalence in the 3rd year (71.0% of all wheezing children). Wheezing which started in the first 2 years of life, had disappeared in most of the children by the age of 10. However, if wheezing began later than the 3rd year it was more persisting. Bronchial hyperreactivity measured after cold air challenge was higher in the group with recurrent wheezing (24.1 %) than in the group without wheezing (18.8%,P = 0.004).

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Abbreviations

FEV 1 :

forced expiratory volume in 1 s

References

  1. American Thorax Society (1987) Standardization of spirometry - 1987 update. Am Rev Respir Dis 136:1285–1298

    Google Scholar 

  2. Anderson HR, Pottier AC, Strachan DP (1992) Asthma from birth to age 23: incidence and relation to prior and concurrent atopic disease. Thorax 47:537–542

    Google Scholar 

  3. Croner S, Kjellman NI (1992) Natural history of bronchial asthma in childhood. A prospective study from birth up to 12-14 years of age. Allergy 47:150–157

    Google Scholar 

  4. Ferris BG (1978) Epidemiological standardisation project. Am Rev Resp Dis 118 [Suppl]:7–53

    Google Scholar 

  5. Gergen PJ, Turkeltaub PC, Kramer RA (1992) Age of onset in childhood asthma: data from a national cohort. Ann Allergy 68:507–514

    Google Scholar 

  6. Halken S, Host A, Husby S, Hansen LG, Osterballe O, Nyboe J (1991) Recurrent wheezing in relation to environmental risk factors in infancy — a prospective study of 276 infants. Allergy 46:507–514

    Google Scholar 

  7. Hart JT (1986) Wheezing in young children: problems of measurement and management. J R Coll Gen Pract 36:78–81

    Google Scholar 

  8. Hill R, Williams J, Britton J, Tattersfield A (1991) Can morbidity associated with untreated asthma in primary school children be reduced — A controlled intervention study. BMJ 303:1169–1174

    Google Scholar 

  9. Kelly MA, Joos TH (1992) All that wheezes is not asthma: the pediatric radiologist saves the day. J Asthma 29:55–56

    Google Scholar 

  10. Levy M, Bell L (1984) General practice audit of asthma in childhood. BMJ 289:1115–1116

    Google Scholar 

  11. Luyt DK, Burton PR, Simpson H (1993) Epidemiological study of wheeze, doctor diagnosed asthma, and cough in preschool children in Leicestershire. BMJ 306:1386–1390

    Google Scholar 

  12. Martin AJ, Landau LI, Phelan PD (1980) Lung function in young adults who had asthma in childhood. Am Rev Respir Dis 122:609–616

    Google Scholar 

  13. Martinez FD, Morgan WJ, Wright AL, Holberg C, Taussig LM (1991) Initial airway function is a risk factor for recurrent wheezing respiratory illness during the first three years of life. Am Rev Respir Dis 143:312–316

    Google Scholar 

  14. Mellis CM (1992) 21: 1101-1111 (1992) Asthma diagnosis and management in the very young child. Aust Fam Physician 21:1101–1111

    Google Scholar 

  15. Nicolai T, Mutius E von, Reitmeir P, Wjst M (1993) Sensitivity and specifity of cold air hyperventilation in normal and asthmatic children in a survey of 5768 school children in southern bavaria. Am Rev Respir Dis 147:565–572

    Google Scholar 

  16. Park ES, Golding J, Carswell F, Stewart Brown S (1986) Preschool wheezing and prognosis at 10. Arch Dis Child 61:642–646

    Google Scholar 

  17. Pullan CR, Hey EN (1982) Wheezing, asthma, and pulmonary dysfunction 10 years after infection with respiratory syncytial virus in infancy. BMJ 284:1665–1669

    Google Scholar 

  18. SAS Institute Inc. (1989) SAS/Stat user's guide, Version 6, Vol 1,2. Cary, NC.

    Google Scholar 

  19. Sherill D, Sears MR, Lebowitz MD, Holdaway MD, Hewitt CJ, Flannery EM, Herbison GP, Silva PA (1992) The effects of airway hyperresponsive ness, wheezing, and atopy on longitudinal pulmonary function in children: a 6-year follow-up study. Pediatr Pulmonol 13: 78–85

    Google Scholar 

  20. Speight AND, Lee DA, Hey EN (1983) Underdiagnosis and undertreatment of asthma in childhood. BMJ 286: 1253–1258

    Google Scholar 

  21. Sporik R, Holgate ST, Cogswell JJ (1991) Natural history of asthma in childhood — a birth cohort study. Arch Dis Child 66: 1050–1053

    Google Scholar 

  22. Wjst M, Dold S, Reitmeir P, Wulff A, Nicolai T (1993) Evaluation of cold air challenge data in a population sample by using a model of bronchial hyperreactivity and disposition for bronchial obstruction. Pediatr Pulmonol 15: 339–344

    Google Scholar 

  23. Yunginger JW, Reed CE, O'Connell EJ, Melton LJ, O' Fallon WM, Silverstein MD (1992) A community-based study of the epidemiology of asthma — incidence rates, 1964–1983. Am Rev Respir Dis 146: 888–894

    Google Scholar 

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Supported by the “Bundesministerium für Forschung und Technologie” [German Ministry for the Sciences and Technology].

Results were presented in part at the “89. Jahrestagung der Deutschen Gesellschaft für Kinderheilkunde”, Würzburg, Germany, 11–14 September 1993

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Wjst, M., Dold, S., Roell, G. et al. Bronchial hyperreactivity and history of wheezing in children. Eur J Pediatr 153, 682–686 (1994). https://doi.org/10.1007/BF02190692

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  • DOI: https://doi.org/10.1007/BF02190692

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