Trends in wheeze in Dutch school children and the role of medication use
Summary Background While the prevalence of childhood wheeze continues to increase in many countries, decreasing trends have also been reported. This may be explained by increased use of asthma medication, which effectively suppresses wheeze symptoms. In this study we investigated trends in wheeze in...
Gespeichert in:
| Veröffentlicht in: | Pediatric pulmonology 2015-07, Vol.50 (7), p.665-671 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 671 |
|---|---|
| container_issue | 7 |
| container_start_page | 665 |
| container_title | Pediatric pulmonology |
| container_volume | 50 |
| creator | de Korte-de Boer, Dianne Mommers, Monique Gielkens-Sijstermans, Cindy M.L. Creemers, Huub M.H. Feron, Frans J.M. van Schayck, Onno C.P. |
| description | Summary
Background
While the prevalence of childhood wheeze continues to increase in many countries, decreasing trends have also been reported. This may be explained by increased use of asthma medication, which effectively suppresses wheeze symptoms. In this study we investigated trends in wheeze in Dutch school children between 1989 and 2005, and their association with medication use.
Methods
In five repeated cross‐sectional surveys between 1989 and 2005, parents of all 5‐ to 6‐year‐old and 8‐ to 11‐year‐old children eligible for a routine physical examination were asked to complete a questionnaire on their child's respiratory health. We identified all children for whom a questionnaire was completed in two successive surveys. Children were grouped according to birth year and classified into one out of four wheeze categories: “no wheeze,” “discontinued wheeze,” “continued wheeze,” or “new‐onset wheeze.”
Results
In total, 3,339 children, born in 1983 (N = 670), 1988 (N = 607), 1992 (N = 980), and 1995 (N = 1,082), participated twice. Over the study period, the proportion of children with “no wheeze” increased from 73.8% to 86.1% (Ptrend |
| doi_str_mv | 10.1002/ppul.23077 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1697209662</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1697209662</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4657-3aeed83113e575e2d7baaa11f8328b7398d5addfc77b62038cad6c7e306af41f3</originalsourceid><addsrcrecordid>eNp90E9P2zAYBnBrAo2u7LIPMFnaZZqU4j-1HR-hGxSpAqaBdrRc-42SksbFTtTBpyehlMMOnGzJv_eR3wehL5RMKCHsZLPp6gnjRKkPaESJ1hmZanmARrkSIpO55EfoU0orQvo3TT-iIzbVWmhOR2h-G6HxCVcN3pYATzDcfnatK3FyZQg1dmVV-x5h23jcloBjqAGHAq_BV862VWhwl-AYHRa2TvD59Ryju_Nft7N5tri-uJydLjI3lUJl3AL4nFPKQSgBzKultZbSIucsXyqucy-s94VTaikZ4bmzXjoFnEhbTGnBx-j7LncTw0MHqTXrKjmoa9tA6JKhUitGtJSsp9_-o6vQxab_3aAkkVSKQf3YKRdDShEKs4nV2sZHQ4kZ-jVDv-al3x5_fY3slv3-b3RfaA_oDmyrGh7fiTI3N3eLfWi2m6lSC__eZmy8N1JxJczfqwsz__1HsbO5NJI_A3Vsk64</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1696061652</pqid></control><display><type>article</type><title>Trends in wheeze in Dutch school children and the role of medication use</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>de Korte-de Boer, Dianne ; Mommers, Monique ; Gielkens-Sijstermans, Cindy M.L. ; Creemers, Huub M.H. ; Feron, Frans J.M. ; van Schayck, Onno C.P.</creator><creatorcontrib>de Korte-de Boer, Dianne ; Mommers, Monique ; Gielkens-Sijstermans, Cindy M.L. ; Creemers, Huub M.H. ; Feron, Frans J.M. ; van Schayck, Onno C.P.</creatorcontrib><description>Summary
Background
While the prevalence of childhood wheeze continues to increase in many countries, decreasing trends have also been reported. This may be explained by increased use of asthma medication, which effectively suppresses wheeze symptoms. In this study we investigated trends in wheeze in Dutch school children between 1989 and 2005, and their association with medication use.
Methods
In five repeated cross‐sectional surveys between 1989 and 2005, parents of all 5‐ to 6‐year‐old and 8‐ to 11‐year‐old children eligible for a routine physical examination were asked to complete a questionnaire on their child's respiratory health. We identified all children for whom a questionnaire was completed in two successive surveys. Children were grouped according to birth year and classified into one out of four wheeze categories: “no wheeze,” “discontinued wheeze,” “continued wheeze,” or “new‐onset wheeze.”
Results
In total, 3,339 children, born in 1983 (N = 670), 1988 (N = 607), 1992 (N = 980), and 1995 (N = 1,082), participated twice. Over the study period, the proportion of children with “no wheeze” increased from 73.8% to 86.1% (Ptrend < 0.001), while the proportion of children with “discontinued” and “continued” wheeze decreased from 13.2% to 6.3% (Ptrend < 0.001) and from 8.8% to 3.1% (Ptrend < 0.001), respectively. Medication use was consistently associated only with the presence of wheeze symptoms and this association did not change over time (Pbirth year × medication use > 0.05 for all wheeze categories).
Conclusion
An increasing trend of Dutch school children with “no wheeze,” and decreasing trends of children with “discontinued” and “continued” wheeze between 1989 and 2005 could not be explained by (increased) medication use. This suggests that wheeze prevalence is not masked by medication use, but is truly declining. Pediatr Pulmonol. 2015; 50:665–671. © 2014 Wiley Periodicals, Inc.</description><identifier>ISSN: 8755-6863</identifier><identifier>EISSN: 1099-0496</identifier><identifier>DOI: 10.1002/ppul.23077</identifier><identifier>PMID: 24995931</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>asthma ; Child ; Child, Preschool ; children ; Cross-Sectional Studies ; Female ; Health Surveys ; Humans ; Linear Models ; Male ; medication ; Netherlands - epidemiology ; prevalence ; Respiratory Sounds ; Respiratory System Agents - therapeutic use ; trends ; wheeze</subject><ispartof>Pediatric pulmonology, 2015-07, Vol.50 (7), p.665-671</ispartof><rights>2014 Wiley Periodicals, Inc.</rights><rights>2015 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4657-3aeed83113e575e2d7baaa11f8328b7398d5addfc77b62038cad6c7e306af41f3</citedby><cites>FETCH-LOGICAL-c4657-3aeed83113e575e2d7baaa11f8328b7398d5addfc77b62038cad6c7e306af41f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fppul.23077$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fppul.23077$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24995931$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Korte-de Boer, Dianne</creatorcontrib><creatorcontrib>Mommers, Monique</creatorcontrib><creatorcontrib>Gielkens-Sijstermans, Cindy M.L.</creatorcontrib><creatorcontrib>Creemers, Huub M.H.</creatorcontrib><creatorcontrib>Feron, Frans J.M.</creatorcontrib><creatorcontrib>van Schayck, Onno C.P.</creatorcontrib><title>Trends in wheeze in Dutch school children and the role of medication use</title><title>Pediatric pulmonology</title><addtitle>Pediatr Pulmonol</addtitle><description>Summary
Background
While the prevalence of childhood wheeze continues to increase in many countries, decreasing trends have also been reported. This may be explained by increased use of asthma medication, which effectively suppresses wheeze symptoms. In this study we investigated trends in wheeze in Dutch school children between 1989 and 2005, and their association with medication use.
Methods
In five repeated cross‐sectional surveys between 1989 and 2005, parents of all 5‐ to 6‐year‐old and 8‐ to 11‐year‐old children eligible for a routine physical examination were asked to complete a questionnaire on their child's respiratory health. We identified all children for whom a questionnaire was completed in two successive surveys. Children were grouped according to birth year and classified into one out of four wheeze categories: “no wheeze,” “discontinued wheeze,” “continued wheeze,” or “new‐onset wheeze.”
Results
In total, 3,339 children, born in 1983 (N = 670), 1988 (N = 607), 1992 (N = 980), and 1995 (N = 1,082), participated twice. Over the study period, the proportion of children with “no wheeze” increased from 73.8% to 86.1% (Ptrend < 0.001), while the proportion of children with “discontinued” and “continued” wheeze decreased from 13.2% to 6.3% (Ptrend < 0.001) and from 8.8% to 3.1% (Ptrend < 0.001), respectively. Medication use was consistently associated only with the presence of wheeze symptoms and this association did not change over time (Pbirth year × medication use > 0.05 for all wheeze categories).
Conclusion
An increasing trend of Dutch school children with “no wheeze,” and decreasing trends of children with “discontinued” and “continued” wheeze between 1989 and 2005 could not be explained by (increased) medication use. This suggests that wheeze prevalence is not masked by medication use, but is truly declining. Pediatr Pulmonol. 2015; 50:665–671. © 2014 Wiley Periodicals, Inc.</description><subject>asthma</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>medication</subject><subject>Netherlands - epidemiology</subject><subject>prevalence</subject><subject>Respiratory Sounds</subject><subject>Respiratory System Agents - therapeutic use</subject><subject>trends</subject><subject>wheeze</subject><issn>8755-6863</issn><issn>1099-0496</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90E9P2zAYBnBrAo2u7LIPMFnaZZqU4j-1HR-hGxSpAqaBdrRc-42SksbFTtTBpyehlMMOnGzJv_eR3wehL5RMKCHsZLPp6gnjRKkPaESJ1hmZanmARrkSIpO55EfoU0orQvo3TT-iIzbVWmhOR2h-G6HxCVcN3pYATzDcfnatK3FyZQg1dmVV-x5h23jcloBjqAGHAq_BV862VWhwl-AYHRa2TvD59Ryju_Nft7N5tri-uJydLjI3lUJl3AL4nFPKQSgBzKultZbSIucsXyqucy-s94VTaikZ4bmzXjoFnEhbTGnBx-j7LncTw0MHqTXrKjmoa9tA6JKhUitGtJSsp9_-o6vQxab_3aAkkVSKQf3YKRdDShEKs4nV2sZHQ4kZ-jVDv-al3x5_fY3slv3-b3RfaA_oDmyrGh7fiTI3N3eLfWi2m6lSC__eZmy8N1JxJczfqwsz__1HsbO5NJI_A3Vsk64</recordid><startdate>201507</startdate><enddate>201507</enddate><creator>de Korte-de Boer, Dianne</creator><creator>Mommers, Monique</creator><creator>Gielkens-Sijstermans, Cindy M.L.</creator><creator>Creemers, Huub M.H.</creator><creator>Feron, Frans J.M.</creator><creator>van Schayck, Onno C.P.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201507</creationdate><title>Trends in wheeze in Dutch school children and the role of medication use</title><author>de Korte-de Boer, Dianne ; Mommers, Monique ; Gielkens-Sijstermans, Cindy M.L. ; Creemers, Huub M.H. ; Feron, Frans J.M. ; van Schayck, Onno C.P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4657-3aeed83113e575e2d7baaa11f8328b7398d5addfc77b62038cad6c7e306af41f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>asthma</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>children</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Male</topic><topic>medication</topic><topic>Netherlands - epidemiology</topic><topic>prevalence</topic><topic>Respiratory Sounds</topic><topic>Respiratory System Agents - therapeutic use</topic><topic>trends</topic><topic>wheeze</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Korte-de Boer, Dianne</creatorcontrib><creatorcontrib>Mommers, Monique</creatorcontrib><creatorcontrib>Gielkens-Sijstermans, Cindy M.L.</creatorcontrib><creatorcontrib>Creemers, Huub M.H.</creatorcontrib><creatorcontrib>Feron, Frans J.M.</creatorcontrib><creatorcontrib>van Schayck, Onno C.P.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric pulmonology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Korte-de Boer, Dianne</au><au>Mommers, Monique</au><au>Gielkens-Sijstermans, Cindy M.L.</au><au>Creemers, Huub M.H.</au><au>Feron, Frans J.M.</au><au>van Schayck, Onno C.P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in wheeze in Dutch school children and the role of medication use</atitle><jtitle>Pediatric pulmonology</jtitle><addtitle>Pediatr Pulmonol</addtitle><date>2015-07</date><risdate>2015</risdate><volume>50</volume><issue>7</issue><spage>665</spage><epage>671</epage><pages>665-671</pages><issn>8755-6863</issn><eissn>1099-0496</eissn><abstract>Summary
Background
While the prevalence of childhood wheeze continues to increase in many countries, decreasing trends have also been reported. This may be explained by increased use of asthma medication, which effectively suppresses wheeze symptoms. In this study we investigated trends in wheeze in Dutch school children between 1989 and 2005, and their association with medication use.
Methods
In five repeated cross‐sectional surveys between 1989 and 2005, parents of all 5‐ to 6‐year‐old and 8‐ to 11‐year‐old children eligible for a routine physical examination were asked to complete a questionnaire on their child's respiratory health. We identified all children for whom a questionnaire was completed in two successive surveys. Children were grouped according to birth year and classified into one out of four wheeze categories: “no wheeze,” “discontinued wheeze,” “continued wheeze,” or “new‐onset wheeze.”
Results
In total, 3,339 children, born in 1983 (N = 670), 1988 (N = 607), 1992 (N = 980), and 1995 (N = 1,082), participated twice. Over the study period, the proportion of children with “no wheeze” increased from 73.8% to 86.1% (Ptrend < 0.001), while the proportion of children with “discontinued” and “continued” wheeze decreased from 13.2% to 6.3% (Ptrend < 0.001) and from 8.8% to 3.1% (Ptrend < 0.001), respectively. Medication use was consistently associated only with the presence of wheeze symptoms and this association did not change over time (Pbirth year × medication use > 0.05 for all wheeze categories).
Conclusion
An increasing trend of Dutch school children with “no wheeze,” and decreasing trends of children with “discontinued” and “continued” wheeze between 1989 and 2005 could not be explained by (increased) medication use. This suggests that wheeze prevalence is not masked by medication use, but is truly declining. Pediatr Pulmonol. 2015; 50:665–671. © 2014 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24995931</pmid><doi>10.1002/ppul.23077</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 8755-6863 |
| ispartof | Pediatric pulmonology, 2015-07, Vol.50 (7), p.665-671 |
| issn | 8755-6863 1099-0496 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1697209662 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | asthma Child Child, Preschool children Cross-Sectional Studies Female Health Surveys Humans Linear Models Male medication Netherlands - epidemiology prevalence Respiratory Sounds Respiratory System Agents - therapeutic use trends wheeze |
| title | Trends in wheeze in Dutch school children and the role of medication use |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T15%3A32%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Trends%20in%20wheeze%20in%20Dutch%20school%20children%20and%20the%20role%20of%20medication%20use&rft.jtitle=Pediatric%20pulmonology&rft.au=de%20Korte-de%20Boer,%20Dianne&rft.date=2015-07&rft.volume=50&rft.issue=7&rft.spage=665&rft.epage=671&rft.pages=665-671&rft.issn=8755-6863&rft.eissn=1099-0496&rft_id=info:doi/10.1002/ppul.23077&rft_dat=%3Cproquest_cross%3E1697209662%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1696061652&rft_id=info:pmid/24995931&rfr_iscdi=true |