دورية أكاديمية

Viral and non-viral episodes of wheezing in early life and the development of asthma and respiratory phenotypes among urban children.

التفاصيل البيبلوغرافية
العنوان: Viral and non-viral episodes of wheezing in early life and the development of asthma and respiratory phenotypes among urban children.
المؤلفون: Havens TN; Department of Pediatrics, University of Michigan Health, Ann Arbor, Michigan, USA., LeBeau P; Rho Federal Systems Division, Inc., Durham, North Carolina, USA.; Thermo Fisher Scientific, Wilmington, North Carolina, USA., Calatroni A; Rho Federal Systems Division, Inc., Durham, North Carolina, USA., Gern JE; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA., O'Connor GT; Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.; Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts, USA., Wood RA; Department of Pediatrics, Johns Hopkins University Medical Center, Baltimore, Maryland, USA., Lamm C; Department of Pediatrics, Columbia University, New York, New York, USA., Krouse RZ; Rho Federal Systems Division, Inc., Durham, North Carolina, USA.; GSK, Philadelphia, Pennsylvania, USA., Visness CM; Thermo Fisher Scientific, Wilmington, North Carolina, USA., Gergen PJ; National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA., Jackson DJ; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA., Bacharier LB; Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
المصدر: Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology [Pediatr Allergy Immunol] 2024 Jul; Vol. 35 (7), pp. e14197.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Publishing Country of Publication: England NLM ID: 9106718 Publication Model: Print Cited Medium: Internet ISSN: 1399-3038 (Electronic) Linking ISSN: 09056157 NLM ISO Abbreviation: Pediatr Allergy Immunol Subsets: MEDLINE
أسماء مطبوعة: Publication: <2010->: Oxford, UK : Blackwell Publishing
Original Publication: Copenhagen : Munksgaard, c1990-
مواضيع طبية MeSH: Respiratory Sounds* , Asthma*/epidemiology , Asthma*/virology , Phenotype* , Urban Population*, Humans ; Infant ; Female ; Male ; Child, Preschool ; Child ; Prospective Studies ; Rhinovirus ; Risk Factors ; Cohort Studies ; Respiratory Tract Infections/epidemiology ; Respiratory Tract Infections/virology ; Picornaviridae Infections/epidemiology ; Picornaviridae Infections/complications ; Infant, Newborn
مستخلص: Background: Viral wheezing is an important risk factor for asthma, which comprises several respiratory phenotypes. We sought to understand if the etiology of early-life wheezing illnesses relates to childhood respiratory and asthma phenotypes.
Methods: Data were collected prospectively on 429 children in the Urban Environment and Childhood Asthma (URECA) birth cohort study through age 10 years. We identified wheezing illnesses and the corresponding viral etiology (PCR testing of nasal mucus) during the first 3 years of life. Six phenotypes of respiratory health were identified at 10 years of age based on trajectories of wheezing, allergic sensitization, and lung function. We compared the etiology of early wheezing illnesses to these wheezing respiratory phenotypes and the development of asthma.
Results: In the first 3 years of life, at least one virus was detected in 324 (67%) of the 483 wheezing episodes documented in the study cohort. Using hierarchical partitioning we found that non-viral wheezing episodes accounted for the greatest variance in asthma diagnosed at both 7 and 10 years of age (8.0% and 5.8% respectively). Rhinovirus wheezing illnesses explained the most variance in respiratory phenotype outcome followed by non-viral wheezing episodes (4.9% and 3.9% respectively) at 10 years of age.
Conclusion and Relevance: Within this high-risk urban-residing cohort in early life, non-viral wheezing episodes were frequently identified and associated with asthma development. Though rhinovirus wheezing illnesses had the greatest association with phenotype outcome, the specific etiology of wheezing episodes in early life provided limited information about subsequent wheezing phenotypes.
(© 2024 The Author(s). Pediatric Allergy and Immunology published by European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: asthma; children; phenotypes; viral; wheeze
تواريخ الأحداث: Date Created: 20240717 Date Completed: 20240717 Latest Revision: 20240717
رمز التحديث: 20240717
DOI: 10.1111/pai.14197
PMID: 39016335
قاعدة البيانات: MEDLINE
الوصف
تدمد:1399-3038
DOI:10.1111/pai.14197