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Preterm birth, infant weight gain, and childhood asthma risk: a meta-analysis of 147,000 European children
AM. Sonnenschein-van der Voort, LR. Arends, JC. de Jongste, I. Annesi-Maesano, SH. Arshad, H. Barros, M. Basterrechea, H. Bisgaard, L. Chatzi, E. Corpeleijn, S. Correia, LC. Craig, G. Devereux, C. Dogaru, M. Dostal, K. Duchen, M. Eggesbø, CK. van...
Language English Country United States
Document type Journal Article, Meta-Analysis, Research Support, Non-U.S. Gov't
- MeSH
- Asthma * epidemiology pathology physiopathology MeSH
- Gestational Age * MeSH
- Weight Gain * MeSH
- Infant MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Birth Weight * MeSH
- Premature Birth * epidemiology pathology physiopathology MeSH
- Risk Factors MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Male MeSH
- Infant, Newborn MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Meta-Analysis MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Europe MeSH
BACKGROUND: Preterm birth, low birth weight, and infant catch-up growth seem associated with an increased risk of respiratory diseases in later life, but individual studies showed conflicting results. OBJECTIVES: We performed an individual participant data meta-analysis for 147,252 children of 31 birth cohort studies to determine the associations of birth and infant growth characteristics with the risks of preschool wheezing (1-4 years) and school-age asthma (5-10 years). METHODS: First, we performed an adjusted 1-stage random-effect meta-analysis to assess the combined associations of gestational age, birth weight, and infant weight gain with childhood asthma. Second, we performed an adjusted 2-stage random-effect meta-analysis to assess the associations of preterm birth (gestational age <37 weeks) and low birth weight (<2500 g) with childhood asthma outcomes. RESULTS: Younger gestational age at birth and higher infant weight gain were independently associated with higher risks of preschool wheezing and school-age asthma (P < .05). The inverse associations of birth weight with childhood asthma were explained by gestational age at birth. Compared with term-born children with normal infant weight gain, we observed the highest risks of school-age asthma in children born preterm with high infant weight gain (odds ratio [OR], 4.47; 95% CI, 2.58-7.76). Preterm birth was positively associated with an increased risk of preschool wheezing (pooled odds ratio [pOR], 1.34; 95% CI, 1.25-1.43) and school-age asthma (pOR, 1.40; 95% CI, 1.18-1.67) independent of birth weight. Weaker effect estimates were observed for the associations of low birth weight adjusted for gestational age at birth with preschool wheezing (pOR, 1.10; 95% CI, 1.00-1.21) and school-age asthma (pOR, 1.13; 95% CI, 1.01-1.27). CONCLUSION: Younger gestational age at birth and higher infant weight gain were associated with childhood asthma outcomes. The associations of lower birth weight with childhood asthma were largely explained by gestational age at birth.
Applied Health Sciences University of Aberdeen Aberdeen United Kingdom
Cancer Epidemiology Unit Department of Medical Sciences University of Turin Turin Italy
Center for Public Health Research University of Valencia Valencia Spain
Centre for Research in Environmental Epidemiology Barcelona Spain
Danish Pediatric Asthma Center Copenhagen University Hospital Gentofte Denmark
Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy
Department of Biostatistics Erasmus Medical Center Rotterdam The Netherlands
Department of Epidemiology Erasmus Medical Center Rotterdam The Netherlands
Department of Epidemiology Lazio Regional Health Service Rome Italy
Department of Experimental and Health Sciences Pompeu Fabra University Barcelona Spain
Department of Paediatric Pneumology and Immunology Charité University Medical Centre Berlin Germany
Department of Paediatrics Division of Neonatology Erasmus Medical Center Rotterdam The Netherlands
Department of Paediatrics Erasmus Medical Center Rotterdam The Netherlands
Department of Social Medicine School of Medicine University of Crete Crete Greece
EPAR UMR S 707 INSERM Paris Paris France
EPAR UMR S 707 Université Pierre et Marie Curie Paris 06 Paris France
Faculty of nursery and chiropody University of Valencia Valencia Spain
Generation R Study Group Erasmus Medical Center Rotterdam The Netherlands
IB SALUT Area de Salut de Menorca Balearic Islands Spain
Institut Municipal d'Investigació Mèdica Hospital del Mar Barcelona Spain
Institute for Clinical Epidemiology and Biometry University of Würzburg Würzburg Germany
Institute for Risk Assessment Sciences Utrecht University Utrecht The Netherlands
Institute of Experimental Medicine Academy of Sciences of the Czech Republic Prague Czech Republic
Institute of Pedagogical Sciences Erasmus University Rotterdam Rotterdam The Netherlands
Institute of Psychology Erasmus University Rotterdam Rotterdam The Netherlands
Institute of Social and Preventive Medicine University of Bern Bern Switzerland
National School of Public Health Athens Greece
Nofer Institute of Occupational Medicine Department of Environmental Epidemiology Lodz Poland
Public Health Division of Gipuzkoa Gipuzkoa Spain
School of Social and Community Medicine University of Bristol Bristol United Kingdom
Section of Social Medicine Department of Public Health University of Copenhagen Copenhagen Denmark
Spanish Consortium for Research on Epidemiology and Public Health Barcelona Spain
University Children's Hospital Basel University of Basel Basel Switzerland
References provided by Crossref.org
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- $a Sonnenschein-van der Voort, Agnes M M $u Generation R Study Group, Erasmus Medical Center, Rotterdam, The Netherlands; Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands; Department of Paediatrics, Division of Respiratory Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
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- $a Preterm birth, infant weight gain, and childhood asthma risk: a meta-analysis of 147,000 European children / $c AM. Sonnenschein-van der Voort, LR. Arends, JC. de Jongste, I. Annesi-Maesano, SH. Arshad, H. Barros, M. Basterrechea, H. Bisgaard, L. Chatzi, E. Corpeleijn, S. Correia, LC. Craig, G. Devereux, C. Dogaru, M. Dostal, K. Duchen, M. Eggesbø, CK. van der Ent, MP. Fantini, F. Forastiere, U. Frey, U. Gehring, D. Gori, AC. van der Gugten, W. Hanke, AJ. Henderson, B. Heude, C. Iñiguez, HM. Inskip, T. Keil, CC. Kelleher, M. Kogevinas, E. Kreiner-Møller, CE. Kuehni, LK. Küpers, K. Lancz, PS. Larsen, S. Lau, J. Ludvigsson, M. Mommers, AM. Nybo Andersen, L. Palkovicova, KC. Pike, C. Pizzi, K. Polanska, D. Porta, L. Richiardi, G. Roberts, A. Schmidt, RJ. Sram, J. Sunyer, C. Thijs, M. Torrent, K. Viljoen, AH. Wijga, M. Vrijheid, VW. Jaddoe, L. Duijts,
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- $a BACKGROUND: Preterm birth, low birth weight, and infant catch-up growth seem associated with an increased risk of respiratory diseases in later life, but individual studies showed conflicting results. OBJECTIVES: We performed an individual participant data meta-analysis for 147,252 children of 31 birth cohort studies to determine the associations of birth and infant growth characteristics with the risks of preschool wheezing (1-4 years) and school-age asthma (5-10 years). METHODS: First, we performed an adjusted 1-stage random-effect meta-analysis to assess the combined associations of gestational age, birth weight, and infant weight gain with childhood asthma. Second, we performed an adjusted 2-stage random-effect meta-analysis to assess the associations of preterm birth (gestational age <37 weeks) and low birth weight (<2500 g) with childhood asthma outcomes. RESULTS: Younger gestational age at birth and higher infant weight gain were independently associated with higher risks of preschool wheezing and school-age asthma (P < .05). The inverse associations of birth weight with childhood asthma were explained by gestational age at birth. Compared with term-born children with normal infant weight gain, we observed the highest risks of school-age asthma in children born preterm with high infant weight gain (odds ratio [OR], 4.47; 95% CI, 2.58-7.76). Preterm birth was positively associated with an increased risk of preschool wheezing (pooled odds ratio [pOR], 1.34; 95% CI, 1.25-1.43) and school-age asthma (pOR, 1.40; 95% CI, 1.18-1.67) independent of birth weight. Weaker effect estimates were observed for the associations of low birth weight adjusted for gestational age at birth with preschool wheezing (pOR, 1.10; 95% CI, 1.00-1.21) and school-age asthma (pOR, 1.13; 95% CI, 1.01-1.27). CONCLUSION: Younger gestational age at birth and higher infant weight gain were associated with childhood asthma outcomes. The associations of lower birth weight with childhood asthma were largely explained by gestational age at birth.
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