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PREVALENCE AND RISK FACTORS FOR WHEEZING IN SALVADOR, BRAZIL: A POPULATION-BASED STUDY
Asma
Recem-nascido de baixo peso
Crianças
Estudos de coortes
Baixo peso ao nascer
Consumo de tabaco
Prevalência
Fator de risco
Salvador
Author
Affilliation
Federal University of Bahia. Postgraduate Program in Health Sciences. School of Medicine. Salvador, BA, Brasil
Federal University of Bahia. School of Medicine. Department of Paediatrics. Salvador, BA, Brasil
São Paulo University School of Public Health. Department of Epidemiology. São Paulo, SP, Brasil
Federal University of São Paulo. Division of Allergy, Clinical Immunology and Rheumatology. Department of Paediatrics. São Paulo, SP, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil / Federal University of Bahia. School of Medicine. Salvador, BA, Brasil
Federal University of Bahia. Postgraduate Program in Health Sciences. School of Medicine. Salvador, BA, Brasil / Federal University of Bahia. School of Medicine. Department of Paediatrics. Salvador, BA, Brasil
Federal University of Bahia. School of Medicine. Department of Paediatrics. Salvador, BA, Brasil
São Paulo University School of Public Health. Department of Epidemiology. São Paulo, SP, Brasil
Federal University of São Paulo. Division of Allergy, Clinical Immunology and Rheumatology. Department of Paediatrics. São Paulo, SP, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil / Federal University of Bahia. School of Medicine. Salvador, BA, Brasil
Federal University of Bahia. Postgraduate Program in Health Sciences. School of Medicine. Salvador, BA, Brasil / Federal University of Bahia. School of Medicine. Department of Paediatrics. Salvador, BA, Brasil
Abstract
Background: Wheezing is one of the most frequent
causes of visit to emergency rooms among children.
However, data on wheezing burden are mostly provided
at healthcare setting, and particularly only for
infants.
Aims: We sought to estimate the prevalence of
wheezing in children under 4 years and to assess
potential risk factors in the community.
Design: This was a cross-sectional analysis of a
population-based cohort study.
Methods: The sample comprised children aged <4
years living in Salvador, Brazil. Data were collected
via home visits when the parents/guardians were
interviewed. Data were recorded on standardized
forms.
Results: Of 1534 children, mean age was 21 14
months (minimum 3 days; maximum 47 months;
6% <2 months); 780 (51%) were males and 501
[33%; 95% confidence interval (95% CI): 30–35%]reported wheezing in the last 12 months. Among
wheezers, 321 (64%) had occasional wheezing.
Overall, 180 (12%; 95% CI: 10–14%) had recurrent
wheezing and 157 (10%; 95% CI: 9–12%) had
asthma. For children in the first, second, third and
fourth year of life wheezing was reported in 23, 41,
34 and 37%, respectively. Mother atopic-related disease
was independently associated with recurrent
wheezing (AdjPR[95% CI]: 1.54 [1.12–2.11]) and
asthma (AdjPR[95% CI]: 1.54 [1.10–2.16]). Smoker
at home (AdjPR[95% CI]: 1.34 [1.07–1.67]) and low
birth weight (AdjPR[95%CI]: 1.38 [1.05–1.81]) were
independently associated with occasional wheezing.
Conclusions: One-third of under 4 years reported
wheezing; history of mother’s atopic-related disease
was an independent risk factor for recurrent wheezing
and asthma; smoker at home and low birth
weight were independent risk factors for occasional
wheezing.
Keywords in Portuguese
ChiadoAsma
Recem-nascido de baixo peso
Crianças
Estudos de coortes
Baixo peso ao nascer
Consumo de tabaco
Prevalência
Fator de risco
Salvador
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