Childhood Infections and the Risk of Asthma: A Longitudinal Study Over 37 Years
Identifieur interne : 005E03 ( Main/Exploration ); précédent : 005E02; suivant : 005E04Childhood Infections and the Risk of Asthma: A Longitudinal Study Over 37 Years
Auteurs : John A. Burgess [Australie] ; Michael J. Abramson [Australie] ; Lyle C. Gurrin [Australie] ; Graham B. Byrnes [France] ; Melanie C. Matheson [Australie] ; Cathryn L. May [Australie] ; Graham G. Giles [Australie] ; David P. Johns [Australie] ; John L. Hopper [Australie] ; E. Haydn Walters [Australie] ; Shyamali C. Dharmage [Australie]Source :
- Chest : (American College of Chest Physicians) [ 0012-3692 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Enfant.
English descriptors
- KwdEn :
Abstract
Background: Few studies have examined common childhood infections and adult asthma. We examined associations between childhood infectious diseases, childhood pneumonia, and current, persisting, and incident asthma to middle age. Methods: We analyzed data from the Tasmanian Longitudinal Health Study (TAHS). A history of pneumonia was ascertained from their parents when the TAHS participants were 7 years old. Measles, rubella, mumps, chickenpox, diphtheria, and pertussis were identified from school medical records. Associations with current, persisting, or incident asthma were examined using regression techniques. Results: Greater infectious diseases load was negatively associated with persisting asthma at all ages. Individually, pertussis (adjusted OR [aOR], 0.53; 95% CI, 0.28-1.00) was negatively associated with asthma persisting to age 13 years, chickenpox (aOR, 0.58; 95% CI, 0.38-0.88) was negatively associated with asthma persisting to age 32 years, and rubella was negatively associated with asthma persisting to ages 32 (aOR, 0.61; 95% CI, 0.31-0.96) and 44 years (aOR 0.53; 95% CI, 0.35-0.82). Pertussis was associated with preadolescent incident asthma (adjusted hazard ratio [aHR], 1.80; 95% CI, 1.10-2.96), whereas measles was associated with adolescent incident asthma (aHR, 1.66; 1.06-2.56). Childhood pneumonia was associated with current asthma at ages 7 (aOR, 3.12; 95% CI, 2.61-3.75) and 13 years (aOR, 1.32; 95% CI, 1.00-1.75), an association stronger in those without than those with eczema (aOR, 3.46; 95% CI, 2.83-4.24 vs aOR, 2.08; 95% CI, 1.38-3.12). Conclusions: Overall, childhood infectious diseases protected against asthma persisting in later life, but pertussis and measles were associated with new-onset asthma after childhood. Measles and pertussis immunization might lead to a reduction in incident asthma in later life.
Affiliations:
- Australie, France
- Auvergne-Rhône-Alpes, Rhône-Alpes, Victoria (État)
- Lyon, Melbourne
- Université de Melbourne
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May</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Victorian Cervical Cytology Registry</s1><s2>East Melbourne, VIC</s2><s3>AUS</s3><sZ>6 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Victorian Cervical Cytology Registry</wicri:noRegion></affiliation></author><author><name sortKey="Giles, Graham G" sort="Giles, Graham G" uniqKey="Giles G" first="Graham G." last="Giles">Graham G. Giles</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Cancer Epidemiology Centre The Cancer Council Victoria</s1><s2>Carlton, VIC</s2><s3>AUS</s3><sZ>7 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Cancer Epidemiology Centre The Cancer Council Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Johns, David P" sort="Johns, David P" uniqKey="Johns D" first="David P." last="Johns">David P. Johns</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Respiratory Research Group Menzies Research Institute, The University of Tasmania</s1><s2>Hobart, TAS</s2><s3>AUS</s3><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Hobart, TAS</wicri:noRegion></affiliation></author><author><name sortKey="Hopper, John L" sort="Hopper, John L" uniqKey="Hopper J" first="John L." last="Hopper">John L. Hopper</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Centre for Molecular, Environmental, Genetic, and Analytic Epidemiology The University of Melbourne</s1><s2>Carlton, VIC</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Walters, E Haydn" sort="Walters, E Haydn" uniqKey="Walters E" first="E. Haydn" last="Walters">E. 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Burgess</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Centre for Molecular, Environmental, Genetic, and Analytic Epidemiology The University of Melbourne</s1><s2>Carlton, VIC</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Abramson, Michael J" sort="Abramson, Michael J" uniqKey="Abramson M" first="Michael J." last="Abramson">Michael J. Abramson</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Epidemiology and Preventive Medicine Monash University, The Alfred</s1><s2>Melbourne, VIC</s2><s3>AUS</s3><sZ>2 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Melbourne, VIC</wicri:noRegion></affiliation></author><author><name sortKey="Gurrin, Lyle C" sort="Gurrin, Lyle C" uniqKey="Gurrin L" first="Lyle C." last="Gurrin">Lyle C. Gurrin</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Centre for Molecular, Environmental, Genetic, and Analytic Epidemiology The University of Melbourne</s1><s2>Carlton, VIC</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Byrnes, Graham B" sort="Byrnes, Graham B" uniqKey="Byrnes G" first="Graham B." last="Byrnes">Graham B. Byrnes</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Biostatistics Group International Agency for Research on Cancer</s1><s2>Lyon</s2><s3>FRA</s3><sZ>4 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Matheson, Melanie C" sort="Matheson, Melanie C" uniqKey="Matheson M" first="Melanie C." last="Matheson">Melanie C. Matheson</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Centre for Molecular, Environmental, Genetic, and Analytic Epidemiology The University of Melbourne</s1><s2>Carlton, VIC</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="May, Cathryn L" sort="May, Cathryn L" uniqKey="May C" first="Cathryn L." last="May">Cathryn L. May</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Victorian Cervical Cytology Registry</s1><s2>East Melbourne, VIC</s2><s3>AUS</s3><sZ>6 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Victorian Cervical Cytology Registry</wicri:noRegion></affiliation></author><author><name sortKey="Giles, Graham G" sort="Giles, Graham G" uniqKey="Giles G" first="Graham G." last="Giles">Graham G. Giles</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Cancer Epidemiology Centre The Cancer Council Victoria</s1><s2>Carlton, VIC</s2><s3>AUS</s3><sZ>7 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Cancer Epidemiology Centre The Cancer Council Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Johns, David P" sort="Johns, David P" uniqKey="Johns D" first="David P." last="Johns">David P. Johns</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Respiratory Research Group Menzies Research Institute, The University of Tasmania</s1><s2>Hobart, TAS</s2><s3>AUS</s3><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Hobart, TAS</wicri:noRegion></affiliation></author><author><name sortKey="Hopper, John L" sort="Hopper, John L" uniqKey="Hopper J" first="John L." last="Hopper">John L. Hopper</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Centre for Molecular, Environmental, Genetic, and Analytic Epidemiology The University of Melbourne</s1><s2>Carlton, VIC</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Walters, E Haydn" sort="Walters, E Haydn" uniqKey="Walters E" first="E. Haydn" last="Walters">E. Haydn Walters</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Respiratory Research Group Menzies Research Institute, The University of Tasmania</s1><s2>Hobart, TAS</s2><s3>AUS</s3><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Hobart, TAS</wicri:noRegion></affiliation></author><author><name sortKey="Dharmage, Shyamali C" sort="Dharmage, Shyamali C" uniqKey="Dharmage S" first="Shyamali C." last="Dharmage">Shyamali C. Dharmage</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Centre for Molecular, Environmental, Genetic, and Analytic Epidemiology The University of Melbourne</s1><s2>Carlton, VIC</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author></analytic><series><title level="j" type="main">Chest : (American College of Chest Physicians)</title><title level="j" type="abbreviated">Chest : (Amer. Coll. Chest Phys.)</title><idno type="ISSN">0012-3692</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Chest : (American College of Chest Physicians)</title><title level="j" type="abbreviated">Chest : (Amer. Coll. Chest Phys.)</title><idno type="ISSN">0012-3692</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anesthesia</term><term>Asthma</term><term>Cardiology</term><term>Child</term><term>Circulatory system</term><term>Infection</term><term>Risk</term><term>Risk factor</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Infection</term><term>Asthme</term><term>Enfant</term><term>Facteur risque</term><term>Risque</term><term>Anesthésie</term><term>Appareil circulatoire</term><term>Cardiologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Enfant</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Few studies have examined common childhood infections and adult asthma. We examined associations between childhood infectious diseases, childhood pneumonia, and current, persisting, and incident asthma to middle age. Methods: We analyzed data from the Tasmanian Longitudinal Health Study (TAHS). A history of pneumonia was ascertained from their parents when the TAHS participants were 7 years old. Measles, rubella, mumps, chickenpox, diphtheria, and pertussis were identified from school medical records. Associations with current, persisting, or incident asthma were examined using regression techniques. Results: Greater infectious diseases load was negatively associated with persisting asthma at all ages. Individually, pertussis (adjusted OR [aOR], 0.53; 95% CI, 0.28-1.00) was negatively associated with asthma persisting to age 13 years, chickenpox (aOR, 0.58; 95% CI, 0.38-0.88) was negatively associated with asthma persisting to age 32 years, and rubella was negatively associated with asthma persisting to ages 32 (aOR, 0.61; 95% CI, 0.31-0.96) and 44 years (aOR 0.53; 95% CI, 0.35-0.82). Pertussis was associated with preadolescent incident asthma (adjusted hazard ratio [aHR], 1.80; 95% CI, 1.10-2.96), whereas measles was associated with adolescent incident asthma (aHR, 1.66; 1.06-2.56). Childhood pneumonia was associated with current asthma at ages 7 (aOR, 3.12; 95% CI, 2.61-3.75) and 13 years (aOR, 1.32; 95% CI, 1.00-1.75), an association stronger in those without than those with eczema (aOR, 3.46; 95% CI, 2.83-4.24 vs aOR, 2.08; 95% CI, 1.38-3.12). Conclusions: Overall, childhood infectious diseases protected against asthma persisting in later life, but pertussis and measles were associated with new-onset asthma after childhood. Measles and pertussis immunization might lead to a reduction in incident asthma in later life.</div></front></TEI><affiliations><list><country><li>Australie</li><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li><li>Victoria (État)</li></region><settlement><li>Lyon</li><li>Melbourne</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><country name="Australie"><region name="Victoria (État)"><name sortKey="Burgess, John A" sort="Burgess, John A" uniqKey="Burgess J" first="John A." last="Burgess">John A. Burgess</name></region><name sortKey="Abramson, Michael J" sort="Abramson, Michael J" uniqKey="Abramson M" first="Michael J." last="Abramson">Michael J. Abramson</name><name sortKey="Dharmage, Shyamali C" sort="Dharmage, Shyamali C" uniqKey="Dharmage S" first="Shyamali C." last="Dharmage">Shyamali C. Dharmage</name><name sortKey="Giles, Graham G" sort="Giles, Graham G" uniqKey="Giles G" first="Graham G." last="Giles">Graham G. Giles</name><name sortKey="Gurrin, Lyle C" sort="Gurrin, Lyle C" uniqKey="Gurrin L" first="Lyle C." last="Gurrin">Lyle C. Gurrin</name><name sortKey="Hopper, John L" sort="Hopper, John L" uniqKey="Hopper J" first="John L." last="Hopper">John L. Hopper</name><name sortKey="Johns, David P" sort="Johns, David P" uniqKey="Johns D" first="David P." last="Johns">David P. Johns</name><name sortKey="Matheson, Melanie C" sort="Matheson, Melanie C" uniqKey="Matheson M" first="Melanie C." last="Matheson">Melanie C. Matheson</name><name sortKey="May, Cathryn L" sort="May, Cathryn L" uniqKey="May C" first="Cathryn L." last="May">Cathryn L. May</name><name sortKey="Walters, E Haydn" sort="Walters, E Haydn" uniqKey="Walters E" first="E. Haydn" last="Walters">E. Haydn Walters</name></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Byrnes, Graham B" sort="Byrnes, Graham B" uniqKey="Byrnes G" first="Graham B." last="Byrnes">Graham B. 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