Early childhood wheeze across Europe: prevalence estimates and risk factors in the EuroPrevall birth cohort
Background: Preschool wheeze is an important problem worldwide. No comparative population-based studies covering different countries have previously been undertaken. Objective: To assess the prevalence of early childhood wheeze across Europe and evaluate risk factors, focusing on food allergy, breas...
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ftsouthampton:oai:eprints.soton.ac.uk:421976 2023-07-30T04:04:26+02:00 Early childhood wheeze across Europe: prevalence estimates and risk factors in the EuroPrevall birth cohort Selby, Anna C Munro, Alasdair Grimshaw, Kathryn Cornelius, Victoria Keil, Thomas Grabenhenrich, Linus Clausen, Michael Dubakiene, Ruta Fiocchi, Alessandro Kowalski, Marek L Papadopoulos, Nikolaos G Reche, Marta Sigurdardottir, Sigurveig T Sprikkelman, Aline B Xepapadaki, Paraskevi Mills, E N Clare Beyer, Kirsten Roberts, Graham 2018-11 text https://eprints.soton.ac.uk/421976/ https://eprints.soton.ac.uk/421976/1/Early_Childhood_Wheeze_across_Europe_Revised_Manuscript_December_2017_FINAL.docx en English eng https://eprints.soton.ac.uk/421976/1/Early_Childhood_Wheeze_across_Europe_Revised_Manuscript_December_2017_FINAL.docx Selby, Anna C, Munro, Alasdair, Grimshaw, Kathryn, Cornelius, Victoria, Keil, Thomas, Grabenhenrich, Linus, Clausen, Michael, Dubakiene, Ruta, Fiocchi, Alessandro, Kowalski, Marek L, Papadopoulos, Nikolaos G, Reche, Marta, Sigurdardottir, Sigurveig T, Sprikkelman, Aline B, Xepapadaki, Paraskevi, Mills, E N Clare, Beyer, Kirsten and Roberts, Graham (2018) Early childhood wheeze across Europe: prevalence estimates and risk factors in the EuroPrevall birth cohort. Thorax, 1-13. (doi:10.1136/thoraxjnl-2016-209429 <http://dx.doi.org/10.1136/thoraxjnl-2016-209429>). accepted_manuscript Article PeerReviewed 2018 ftsouthampton https://doi.org/10.1136/thoraxjnl-2016-209429 2023-07-09T22:23:29Z Background: Preschool wheeze is an important problem worldwide. No comparative population-based studies covering different countries have previously been undertaken. Objective: To assess the prevalence of early childhood wheeze across Europe and evaluate risk factors, focusing on food allergy, breastfeeding and smoke exposure. Methods: Infants from nine countries were recruited into the EuroPrevall birth cohort. At 12 and 24 months, data on wheeze, allergic signs/symptoms, feeding, smoke exposure, infections and day care attendance were collected using questionnaires. Poisson regression was used to assess risk factors for wheeze. Results: 12,049 infants were recruited. Data from the second year of life were available in 8,805 (73.1%). The prevalence of wheeze in the second year of life ranged from <2% in Lodz (Poland) and Vilnius (Lithuania) to 13.1% (95% CI 10.7-15.5%) in Southampton (UK) and 17.2% (15.0-19.5%) in Reykjavik (Iceland). In multivariable analysis, frequent lower respiratory tract infections in the first and second years of life (incidence rate ratio (IRR) 1.9 (95% CI 1.3-2.6) and 2.5 (1.9-3.4), respectively), postnatal maternal smoking (IRR 1.6, 95% CI 1.1-2.4), day care attendance (IRR 1.6, 95% CI 1.1-2.5) and male gender (IRR 1.3, 95% CI 1.0-1.7) were associated with wheeze. The strength of their association with wheeze differed between countries. Food allergy and breastfeeding were not independently associated with wheeze. Conclusion: The prevalence of early childhood wheeze varied considerably across Europe. Lower respiratory tract infections, day care attendance, postnatal smoke exposure and male gender are important risk factors. Further research is needed to identify additional modifiable risk factors which may differ between countries. Article in Journal/Newspaper Iceland University of Southampton: e-Prints Soton Thorax 73 11 1049 1061 |
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Open Polar |
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University of Southampton: e-Prints Soton |
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ftsouthampton |
language |
English |
description |
Background: Preschool wheeze is an important problem worldwide. No comparative population-based studies covering different countries have previously been undertaken. Objective: To assess the prevalence of early childhood wheeze across Europe and evaluate risk factors, focusing on food allergy, breastfeeding and smoke exposure. Methods: Infants from nine countries were recruited into the EuroPrevall birth cohort. At 12 and 24 months, data on wheeze, allergic signs/symptoms, feeding, smoke exposure, infections and day care attendance were collected using questionnaires. Poisson regression was used to assess risk factors for wheeze. Results: 12,049 infants were recruited. Data from the second year of life were available in 8,805 (73.1%). The prevalence of wheeze in the second year of life ranged from <2% in Lodz (Poland) and Vilnius (Lithuania) to 13.1% (95% CI 10.7-15.5%) in Southampton (UK) and 17.2% (15.0-19.5%) in Reykjavik (Iceland). In multivariable analysis, frequent lower respiratory tract infections in the first and second years of life (incidence rate ratio (IRR) 1.9 (95% CI 1.3-2.6) and 2.5 (1.9-3.4), respectively), postnatal maternal smoking (IRR 1.6, 95% CI 1.1-2.4), day care attendance (IRR 1.6, 95% CI 1.1-2.5) and male gender (IRR 1.3, 95% CI 1.0-1.7) were associated with wheeze. The strength of their association with wheeze differed between countries. Food allergy and breastfeeding were not independently associated with wheeze. Conclusion: The prevalence of early childhood wheeze varied considerably across Europe. Lower respiratory tract infections, day care attendance, postnatal smoke exposure and male gender are important risk factors. Further research is needed to identify additional modifiable risk factors which may differ between countries. |
format |
Article in Journal/Newspaper |
author |
Selby, Anna C Munro, Alasdair Grimshaw, Kathryn Cornelius, Victoria Keil, Thomas Grabenhenrich, Linus Clausen, Michael Dubakiene, Ruta Fiocchi, Alessandro Kowalski, Marek L Papadopoulos, Nikolaos G Reche, Marta Sigurdardottir, Sigurveig T Sprikkelman, Aline B Xepapadaki, Paraskevi Mills, E N Clare Beyer, Kirsten Roberts, Graham |
spellingShingle |
Selby, Anna C Munro, Alasdair Grimshaw, Kathryn Cornelius, Victoria Keil, Thomas Grabenhenrich, Linus Clausen, Michael Dubakiene, Ruta Fiocchi, Alessandro Kowalski, Marek L Papadopoulos, Nikolaos G Reche, Marta Sigurdardottir, Sigurveig T Sprikkelman, Aline B Xepapadaki, Paraskevi Mills, E N Clare Beyer, Kirsten Roberts, Graham Early childhood wheeze across Europe: prevalence estimates and risk factors in the EuroPrevall birth cohort |
author_facet |
Selby, Anna C Munro, Alasdair Grimshaw, Kathryn Cornelius, Victoria Keil, Thomas Grabenhenrich, Linus Clausen, Michael Dubakiene, Ruta Fiocchi, Alessandro Kowalski, Marek L Papadopoulos, Nikolaos G Reche, Marta Sigurdardottir, Sigurveig T Sprikkelman, Aline B Xepapadaki, Paraskevi Mills, E N Clare Beyer, Kirsten Roberts, Graham |
author_sort |
Selby, Anna C |
title |
Early childhood wheeze across Europe: prevalence estimates and risk factors in the EuroPrevall birth cohort |
title_short |
Early childhood wheeze across Europe: prevalence estimates and risk factors in the EuroPrevall birth cohort |
title_full |
Early childhood wheeze across Europe: prevalence estimates and risk factors in the EuroPrevall birth cohort |
title_fullStr |
Early childhood wheeze across Europe: prevalence estimates and risk factors in the EuroPrevall birth cohort |
title_full_unstemmed |
Early childhood wheeze across Europe: prevalence estimates and risk factors in the EuroPrevall birth cohort |
title_sort |
early childhood wheeze across europe: prevalence estimates and risk factors in the europrevall birth cohort |
publishDate |
2018 |
url |
https://eprints.soton.ac.uk/421976/ https://eprints.soton.ac.uk/421976/1/Early_Childhood_Wheeze_across_Europe_Revised_Manuscript_December_2017_FINAL.docx |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
https://eprints.soton.ac.uk/421976/1/Early_Childhood_Wheeze_across_Europe_Revised_Manuscript_December_2017_FINAL.docx Selby, Anna C, Munro, Alasdair, Grimshaw, Kathryn, Cornelius, Victoria, Keil, Thomas, Grabenhenrich, Linus, Clausen, Michael, Dubakiene, Ruta, Fiocchi, Alessandro, Kowalski, Marek L, Papadopoulos, Nikolaos G, Reche, Marta, Sigurdardottir, Sigurveig T, Sprikkelman, Aline B, Xepapadaki, Paraskevi, Mills, E N Clare, Beyer, Kirsten and Roberts, Graham (2018) Early childhood wheeze across Europe: prevalence estimates and risk factors in the EuroPrevall birth cohort. Thorax, 1-13. (doi:10.1136/thoraxjnl-2016-209429 <http://dx.doi.org/10.1136/thoraxjnl-2016-209429>). |
op_rights |
accepted_manuscript |
op_doi |
https://doi.org/10.1136/thoraxjnl-2016-209429 |
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Thorax |
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73 |
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11 |
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1049 |
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1061 |
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