Risk factors associated with transient wheezing in young children

Michael R. Simon, Suzanne L. Havstad, Ganesa R. Wegienka, Dennis Randall Ownby, Christine Cole Johnson

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Transient wheezing in young children has been reported to be independent of atopy. Although persistence of early wheezing has been associated with factors related to allergy in multiple studies, transient wheezing has not been similarly studied. The Childhood Allergy Study birth cohort was the source of these data. Transient wheezing was defined as history of wheezing in the past 12 months at ages 1, 2, and/or 4 years, but not at 6 years, and evaluated in relationship to aeroallergen-specific circulating IgE and positive skin testing as markers of an atopic profile. Testing for IgE and skin-prick testing to dust mites, dogs, cats, ragweed, and timothy were performed at the age of 6 years. Other variables in logistic regression analyses were sex; breast-feeding; birth order; parental allergy and smoking history; and household pets, daycare, fever, and antibiotic use in the 1st year of life. Of 372 children, 128 (34.4%) experienced transient wheezing and 175 (47.0%) never wheezed. Atopy was not associated with transient wheezing (adjusted odds ratio for a positive allergen-specific IgE test = 1.2, p = 0.66; skin-prick test = 0.8, p = 0.47). Boys were more likely to be transient wheezers (adjusted relative risk [RR] = 1.7; 95% confidence interval [CI], 1.1-2.8; p = 0.018). Transient wheeze was associated with antibiotic treatment in the first 6 months of life (adjusted RR - 1.6; 95% CI, 1.0-2.6; p = 0.048). We confirm previous observations that transient wheezing in young children is not associated with an atopic predisposition.

Original languageEnglish (US)
Pages (from-to)161-165
Number of pages5
JournalAllergy and Asthma Proceedings
Volume29
Issue number2
DOIs
StatePublished - Mar 1 2008

Fingerprint

Respiratory Sounds
Immunoglobulin E
Hypersensitivity
Confidence Intervals
Anti-Bacterial Agents
Ambrosia
Skin
Birth Order
Mites
Information Storage and Retrieval
Pets
Skin Tests
Breast Feeding
Dust
Allergens
Cats
Cohort Studies
Fever
Logistic Models
Smoking

Keywords

  • Asthma
  • Atopy
  • Breast-feeding
  • Childhood allergy study
  • Children
  • Epidemiology
  • IgE
  • Pediatric allergy
  • Skin-prick testing
  • Transient wheezing

ASJC Scopus subject areas

  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

Cite this

Risk factors associated with transient wheezing in young children. / Simon, Michael R.; Havstad, Suzanne L.; Wegienka, Ganesa R.; Ownby, Dennis Randall; Johnson, Christine Cole.

In: Allergy and Asthma Proceedings, Vol. 29, No. 2, 01.03.2008, p. 161-165.

Research output: Contribution to journalArticle

Simon, Michael R. ; Havstad, Suzanne L. ; Wegienka, Ganesa R. ; Ownby, Dennis Randall ; Johnson, Christine Cole. / Risk factors associated with transient wheezing in young children. In: Allergy and Asthma Proceedings. 2008 ; Vol. 29, No. 2. pp. 161-165.
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