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Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S.
OBJECTIVE: To assess the association between birth weight and childhood asthma risk using data from the 2019–2020 National Survey of Children’s Health database. DESIGN: Cross-sectional study. SETTING: The USA. PATIENTS: A representative cohort of American children. EXPOSURE: The exposure of this stu...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693893/ https://www.ncbi.nlm.nih.gov/pubmed/38040432 http://dx.doi.org/10.1136/bmjopen-2023-076884 |
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author | Ni, Meng Li, Baihe Zhang, Qianqian Zhao, Jiuru Li, Wei Qi, Sudong Shen, Qianwen Yao, Dongting Chen, Ze Wang, Tao Ding, Xiya Lin, Zhenying Cheng, Chunyu Liu, Zhiwei Chen, Hao |
author_facet | Ni, Meng Li, Baihe Zhang, Qianqian Zhao, Jiuru Li, Wei Qi, Sudong Shen, Qianwen Yao, Dongting Chen, Ze Wang, Tao Ding, Xiya Lin, Zhenying Cheng, Chunyu Liu, Zhiwei Chen, Hao |
author_sort | Ni, Meng |
collection | PubMed |
description | OBJECTIVE: To assess the association between birth weight and childhood asthma risk using data from the 2019–2020 National Survey of Children’s Health database. DESIGN: Cross-sectional study. SETTING: The USA. PATIENTS: A representative cohort of American children. EXPOSURE: The exposure of this study was birth weight regardless of gestational age. Birth weight was divided into three groups: <1500 g, 1500–2500 g and >2500 g. MAIN OUTCOME MEASURES: Primary outcomes were parent-reported diagnosis of asthma. METHOD: The Rao-Scott χ(2) test was used to compare the groups. The main analyses examined the association between birth weight and parent-report asthma in children using univariable and multivariable logistic models adjusting for preterm birth, age, sex, race, family poverty, health insurance, smoking, maternal age. Subgroup analysis was performed based on interaction test. RESULTS: A total of 60 172 children aged 3–17 years were enrolled in this study; of these, 5202 (~8.6%) had asthma. Children with asthma were more likely to be born preterm, with low birth weight (LBW) or very LBW (VLBW). The incidence of asthma was the highest in VLBW children at 20.9% and showed a downward trend with an increase in birth weight class, with rates of 10.7% and 8.1% in the LBW and normal birthweight groups, respectively. Children with VLBW (OR 1.97; 95% CI 1.29 to 3.01) had higher odds of developing asthma in the adjusted analysis model. However, VLBW was only shown to be a risk factor for asthma among Hispanics, black/African-Americans and children between the ages of 6 and 12 years, demonstrating racial and age disparities. CONCLUSIONS: VLBW increases the risk of childhood asthma; however, racial and age disparities are evident. |
format | Online Article Text |
id | pubmed-10693893 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-106938932023-12-04 Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. Ni, Meng Li, Baihe Zhang, Qianqian Zhao, Jiuru Li, Wei Qi, Sudong Shen, Qianwen Yao, Dongting Chen, Ze Wang, Tao Ding, Xiya Lin, Zhenying Cheng, Chunyu Liu, Zhiwei Chen, Hao BMJ Open Paediatrics OBJECTIVE: To assess the association between birth weight and childhood asthma risk using data from the 2019–2020 National Survey of Children’s Health database. DESIGN: Cross-sectional study. SETTING: The USA. PATIENTS: A representative cohort of American children. EXPOSURE: The exposure of this study was birth weight regardless of gestational age. Birth weight was divided into three groups: <1500 g, 1500–2500 g and >2500 g. MAIN OUTCOME MEASURES: Primary outcomes were parent-reported diagnosis of asthma. METHOD: The Rao-Scott χ(2) test was used to compare the groups. The main analyses examined the association between birth weight and parent-report asthma in children using univariable and multivariable logistic models adjusting for preterm birth, age, sex, race, family poverty, health insurance, smoking, maternal age. Subgroup analysis was performed based on interaction test. RESULTS: A total of 60 172 children aged 3–17 years were enrolled in this study; of these, 5202 (~8.6%) had asthma. Children with asthma were more likely to be born preterm, with low birth weight (LBW) or very LBW (VLBW). The incidence of asthma was the highest in VLBW children at 20.9% and showed a downward trend with an increase in birth weight class, with rates of 10.7% and 8.1% in the LBW and normal birthweight groups, respectively. Children with VLBW (OR 1.97; 95% CI 1.29 to 3.01) had higher odds of developing asthma in the adjusted analysis model. However, VLBW was only shown to be a risk factor for asthma among Hispanics, black/African-Americans and children between the ages of 6 and 12 years, demonstrating racial and age disparities. CONCLUSIONS: VLBW increases the risk of childhood asthma; however, racial and age disparities are evident. BMJ Publishing Group 2023-12-01 /pmc/articles/PMC10693893/ /pubmed/38040432 http://dx.doi.org/10.1136/bmjopen-2023-076884 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Paediatrics Ni, Meng Li, Baihe Zhang, Qianqian Zhao, Jiuru Li, Wei Qi, Sudong Shen, Qianwen Yao, Dongting Chen, Ze Wang, Tao Ding, Xiya Lin, Zhenying Cheng, Chunyu Liu, Zhiwei Chen, Hao Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. |
title | Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. |
title_full | Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. |
title_fullStr | Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. |
title_full_unstemmed | Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. |
title_short | Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. |
title_sort | relationship between birth weight and asthma diagnosis: a cross-sectional survey study based on the national survey of children’s health in the u.s. |
topic | Paediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693893/ https://www.ncbi.nlm.nih.gov/pubmed/38040432 http://dx.doi.org/10.1136/bmjopen-2023-076884 |
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