Risk Factors and Age-Related Patterns of Asthma-Like Symptoms in Early Childhood

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Background: Episodes of asthma-like symptoms in young children are common, but little is known about risk factors and their patterns for the daily symptom burden. Objective: We investigated a variety of possible risk factors and their age-related impact on the number of asthma-like episodes during age 0 to 3 years. Methods: The study population included 700 children from the Copenhagen Prospective Studies on Asthma in Childhood2010 mother-child cohort followed prospectively from birth. Asthma-like symptoms were recorded until age 3 by daily diaries. Risk factors were analyzed by quasi-Poisson regressions, and interaction with age was explored. Results: Diary data were available in 662 children. Male sex, maternal asthma, low birth weight, maternal antibiotic use, high asthma exacerbation polygenic risk score, and high airway immune score were associated with a higher number of episodes in a multivariable analysis. Maternal asthma, preterm birth, caesarean section, and low birth weight showed an increasing impact with age, whereas sibling(s) at birth showed a decreased association with age. The remaining risk factors had a stable pattern during age 0 to 3 years. For every additional clinical risk factor (male sex, low birth weight, and maternal asthma) a child had, we found 34% more episodes (incidence rate ratio: 1.34, 95% confidence interval: 1.21-1.48; P < .001). Conclusion: Using unique day-to-day diary recordings, we identified risk factors for the burden of asthma-like symptoms in the first 3 years of life and described their unique age-related patterns. This provides novel insight into the origin of asthma-like symptoms in early childhood that potentially pave a path for personalized prognostics and treatment.

OriginalsprogEngelsk
TidsskriftJournal of Allergy and Clinical Immunology: In Practice
Vol/bind11
Udgave nummer6
Sider (fra-til)1773-1784.e10
Antal sider22
ISSN2213-2198
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
The Danish Foundation for Lung Diseases in Children (Børnelungefonden), the Capital Region, Region Zealand, and Naestved, Slagelse, and Ringsted Hospital's local foundation have provided support to the study project. The funders had no role in the study design, data collection, data analysis, data interpretation, or writing of the report. All authors had access to the raw data and had final responsibility for the decision to submit for publication.

Publisher Copyright:
© 2023 American Academy of Allergy, Asthma & Immunology

ID: 357052681