Risk Factors for Recurrent Wheezing in Infants

Authors

  • Wellyne Alves Lustosa Faculdade Santa Maria - Cajazeiras.
  • Marta Lígia Vieira Melo Faculdade Santa Maria - Cajazeiras.
  • Ubiraídys De Andrade Isidório Universidade Cruzeiro do Sul - São Paulo.
  • Milena Nunes Alves de Sousa Universidade de Franca.
  • Luiz Carlos De Abreu Faculdade de Medicina do ABC.
  • Vitor Engrácia Valenti Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Presidente Prudente; Faculdade de Medicina do ABC.
  • Marco A. Cardoso Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Presidente Prudente.
  • Elisangela Vilar de Assis Faculdade de Medicina do ABC.

DOI:

https://doi.org/10.7322/jhgd.61300

Keywords:

risk factors, wheezing, infants, respiratory sounds

Abstract

Abstract
Introduction: wheezing is one of the most common respiratory symptoms in childhood. Regardless of the cause, it is a reason to seek medical care in emergency rooms, especially if there is recurrence of episodes. Very common in childhood, recurrent wheezing has its first episodes in the first year of life. We sought to examine the risk factors for recurrent wheezing in infants in the first year of life. Methods: this is a cross- sectional quantitative study in which a standardized questionnaire of the International Study of Wheezing in Infants, translated and validated in Brazil, consisting of objective questions, applied 40 mothers were enrolled in two Family Health units. Results: the risk factors found were: smoking during pregnancy, family history of asthma, rhinitis and allergic dermatitis, the presence of at least one pet in the home at the time of birth and age at first cold less than or equal to three months of life. No significant relationships were found between males and wheezing, exclusive breastfeeding or numbers of colds in the first year of life. Conclusion: our findings are different from those reported in the literature.

References

Martinez FD, Wright AL, Taussig LM, Holberg CJ, Halonen M, Morgan WJ. Asthma and wheezing in the first six years of life. The Group Health Medical Associates. N Engl J Med. 1995; 332(3):133-138.

Medeiros D, Silva AR, Rizzo JA, Sarinho E, Mallol J, Solé D. Prevalência de sibilância e fatores de risco associados em crianças no primeiro ano de vida, residentes no Município de Recife, Pernambuco, Brasil. Cad. Saúde Pública 2011; 27(8):1551-1559.

Bateman ED, Frith LF, Braunstein GL. Achieving guideline based asthma control: does the patient benefit? EurRespir J. 2002; 20(3): 588-95.

Schneider AP, Stein RT, Fritscher CC. O papel do aleitamento materno, da dieta e do estado nutricional no desenvolvimento de asma e atopia. J BrasPneumol. 2007;33(4):454-462.

Lima JAB, Fischer GB, Sarria EE, Mattiello R, Solé D. Prevalência e fatores de risco para sibilância no primeiro de vida. J BrasPneumol 2010; 36(5): 525-531.

Chong Neto HJ, Rosário NA, Grupo EISL Curitiba (Estudio Internacional de Sibilanciasen Lactantes). Fatores de risco para sibilância no primeiro ano de vida. J Pediatr 2008; 84 (6): 495-502.

Chong Neto HJ, Rosário NA, Solé D, Mallol J. Prevalência de sibilância recorrente em lactentes. J Pediatr. 2007; 83 (4): 357-362.

Mallol J, Andrade R, Auger F, Rodriguez J, Alvarado R, Figueroa L. Wheezing during the first year of life in infants from low-income population: a descriptive study. Allergo lImmunopathol 2005; 33:257-63.

Guerra S, Lohman IC, Halonen M, Martinez FD, Wright AL. Reduced interferon gamma production and soluble CD14 levels in early life predict recurrent wheezing by 1 year of age. AmJ Respir Crit Care Med. 2004; 169:70-6.

Bianca ACCD, Wandalsen GF, Mallol J, Solé D. Prevalência e gravidade da sibilância no primeiro ano de vida. J Bras Pneumol 2010;36(4):402-409.

Geraldini M, Santos HLBS, Rosário NA, Araújo LML, Riedi CA et al. Quando sibilância recorrente no lactente não é asma. Rev. bras. alerg. imunopatol. 2008; 31(10):42-5.

Bianca ACCD, Wandalsen GF, Solé D. Lactente sibilante: prevalência e fatores de risco. Rev. bras. alerg. imunopatol. 2010; 33 (2): 43-50.

Muiño A, Menezes AMB, Reichert FF, Duquia RP, Chatkin M. Padrões de sibilância respiratória do nascimento até o início da adolescência: coorte de Pelotas (RS) Brasil, 1993-2004. J Bras Pneumol. 2008;34(6):347-355.

Wright AL. Epidemiology of asthma and recurrent wheeze in childhood. Clin Rev Allergy Immunol. 2002 ;22(1):33-44.

Chatkin MN, Menezes AMB. Prevalência e fatores de risco para asma em escolares de uma coorte no Sul do Brasil. J Pediatr. 2005;81(5):411-6.

Halken S. Prevention of allergic disease in childhood: clinical and epidemiological aspects of primary and secondary allergy prevention. Pediatr Allergy Immunol. 2004; 15 Suppl 16: 4-5, 9-32.

Chong Neto HJ, Rosário NA, Grupo EISL Curitiba. Fatores de proteção e risco para sibilância recorrente no primeiro ano de vida em Curitiba. Rev. Bras. Alerg. Imunopatol. 2009; 32(5):189-93.

Chong Neto HJ, Rosário NA. Sibilância no lactente: epidemiologia, investigação e tratamento. J Pediatr. 2010;86(3):171-178.

Hanson LA, Korotkova M, Telemo E. Breastfeeding, infant formulas, and the immune system. Ann Allergy Asthma Immunol. 2003; 90(6 Suppl 3):59-63.

Oliveira JS, Campos TF, Borja RO, Silva ROE, Freitas DA, de Oliveira LC,de Mendonça KMPP. Analysis of the rate of perceived exertion in the assessment of maximal respiratory pressures in children and adolescents. J Hum Growth Dev 2012;22(3):314-320.

Amancio CT, Nascimento LFC, Amancio TT. Environmental pollutants and odds of hospitalization for asthma in children - São José dos Campos, Brazil, in the years 2004-2005. J Hum Growth Dev 2012;22(2):202-208.

Downloads

Published

2013-08-23

Issue

Vol. 23 No. 2 (2013)

Section

Artigos Originais

License

CODE OF CONDUCT FOR JOURNAL  PUBLISHERS

 

Publishers who are Committee on Publication Ethics members and who support COPE membership for journal editors should:

 

Publishers should:

 

  • Define the relationship between publisher, editor and other parties in a contract
  • Respect privacy (for example, for research participants, for authors, for peer reviewers)
  • Protect intellectual property and copyright
  • Foster editorial independence

 

Publishers should work with journal editors to:

 

  • Set journal policies appropriately and aim to meet those policies, particularly with respect to:

–         Editorial  independence

–         Research ethics, including confidentiality, consent, and the special requirements for human and animal research

–         Authorship

–         Transparency and integrity (for example, conflicts of interest, research funding, reporting standards

–         Peer review and the role of the editorial team beyond that of the journal editor

–         Appeals and complaints

  • Communicate journal policies (for example, to authors, readers, peer reviewers)
  • Review journal policies periodically, particularly with respect to new recommendations from the COPE
  • Code of Conduct for Editors and the COPE Best Practice Guidelines
  • Maintain the integrity of the academic record
  • Assist the parties (for example, institutions, grant funders, governing bodies) responsible for the investigation of suspected research and publication misconduct and, where possible, facilitate in the resolution of these cases
  • Publish corrections, clarifications, and retractions
  • Publish content on a timely basis