Asthma in every fifth child in Oslo, Norway: a 10‐year follow up of a birth cohort study

Background:  The western world's increase in childhood asthma is suggested to level off. We aimed to investigate asthma prevalence in 10‐year‐old children within the prospective birth cohort Environment and Childhood Asthma (ECA) Study in Oslo established in 1992/1993. Subjects and methods:  Si...

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Veröffentlicht in:Allergy (Copenhagen) 2006-04, Vol.61 (4), p.454-460
Hauptverfasser: Carlsen, K. C. L., Håland, G., Devulapalli, C. S., Munthe‐Kaas, M., Pettersen, M., Granum, B., Løvik, M., Carlsen, K.‐H.
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container_end_page 460
container_issue 4
container_start_page 454
container_title Allergy (Copenhagen)
container_volume 61
creator Carlsen, K. C. L.
Håland, G.
Devulapalli, C. S.
Munthe‐Kaas, M.
Pettersen, M.
Granum, B.
Løvik, M.
Carlsen, K.‐H.
description Background:  The western world's increase in childhood asthma is suggested to level off. We aimed to investigate asthma prevalence in 10‐year‐old children within the prospective birth cohort Environment and Childhood Asthma (ECA) Study in Oslo established in 1992/1993. Subjects and methods:  Six hundred and sixteen (77%) of 803 children (mean age 10.9 ± 0.9 (SD) years) with lung function measurements at birth were reinvestigated at age 10 years. At birth they corresponded to the entire birth cohort (n = 3754) regarding gender, socio‐demographic factors, parental allergic diseases, pet keeping and maternal smoking. Results from structured parental interview, spirometry, and skin prick test for inhalant and food allergens are presented. Asthma definition required minimum two positive criteria, (i) doctor's diagnosis of asthma, (ii) wheeze and/or chest tightness, (iii) use of anti‐asthmatic treatment. Current asthma required asthma definition plus either (ii) and/or (iii) in the last 12 months, and/or ≥10% fall in forced expired volume in 1 s after treadmill running. Results:  Lifetime prevalence of asthma was 20.2%; current asthma 11.1%, doctor diagnosis of asthma 16.1% and wheezes ever 30.3%. Allergic sensitization (29.3% overall) was more common among children with current (56.3%) compared to asymptomatic (last 12 months) (26.0%) or no asthma (27.6%) (P 
doi_str_mv 10.1111/j.1398-9995.2005.00938.x
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C. L. ; Håland, G. ; Devulapalli, C. S. ; Munthe‐Kaas, M. ; Pettersen, M. ; Granum, B. ; Løvik, M. ; Carlsen, K.‐H.</creator><creatorcontrib>Carlsen, K. C. L. ; Håland, G. ; Devulapalli, C. S. ; Munthe‐Kaas, M. ; Pettersen, M. ; Granum, B. ; Løvik, M. ; Carlsen, K.‐H.</creatorcontrib><description>Background:  The western world's increase in childhood asthma is suggested to level off. We aimed to investigate asthma prevalence in 10‐year‐old children within the prospective birth cohort Environment and Childhood Asthma (ECA) Study in Oslo established in 1992/1993. Subjects and methods:  Six hundred and sixteen (77%) of 803 children (mean age 10.9 ± 0.9 (SD) years) with lung function measurements at birth were reinvestigated at age 10 years. At birth they corresponded to the entire birth cohort (n = 3754) regarding gender, socio‐demographic factors, parental allergic diseases, pet keeping and maternal smoking. Results from structured parental interview, spirometry, and skin prick test for inhalant and food allergens are presented. Asthma definition required minimum two positive criteria, (i) doctor's diagnosis of asthma, (ii) wheeze and/or chest tightness, (iii) use of anti‐asthmatic treatment. Current asthma required asthma definition plus either (ii) and/or (iii) in the last 12 months, and/or ≥10% fall in forced expired volume in 1 s after treadmill running. Results:  Lifetime prevalence of asthma was 20.2%; current asthma 11.1%, doctor diagnosis of asthma 16.1% and wheezes ever 30.3%. Allergic sensitization (29.3% overall) was more common among children with current (56.3%) compared to asymptomatic (last 12 months) (26.0%) or no asthma (27.6%) (P &lt; 0.001). Boys more often than girls had current asthma (14.4 vs 7.1%, P = 0.004), wheeze ever (36.9 vs 22.5%, P = 0.002) and allergic sensitization (36.2 vs 22.1%, respectively, P &lt; 0.001). Conclusion:  Childhood asthma apparently continues to increase in Oslo, having affected every fifth 10‐year‐old child.</description><identifier>ISSN: 0105-4538</identifier><identifier>EISSN: 1398-9995</identifier><identifier>DOI: 10.1111/j.1398-9995.2005.00938.x</identifier><identifier>PMID: 16512808</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>allergy ; Asthma - epidemiology ; Asthma - genetics ; Asthma - physiopathology ; asthma prevalence ; birth cohort ; Child ; Child, Preschool ; Cohort Studies ; Family ; Female ; Ga2len ; Humans ; Infant ; Infant, Newborn ; Lung - physiopathology ; Male ; Norway - epidemiology ; Prevalence ; Risk ; Skin Tests</subject><ispartof>Allergy (Copenhagen), 2006-04, Vol.61 (4), p.454-460</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5138-e542976915cab3812b5870bea29827f0220755914b1f8b3d7e78d812b6b6ca523</citedby><cites>FETCH-LOGICAL-c5138-e542976915cab3812b5870bea29827f0220755914b1f8b3d7e78d812b6b6ca523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1398-9995.2005.00938.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1398-9995.2005.00938.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27903,27904,45553,45554,46387,46811</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16512808$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carlsen, K. C. L.</creatorcontrib><creatorcontrib>Håland, G.</creatorcontrib><creatorcontrib>Devulapalli, C. S.</creatorcontrib><creatorcontrib>Munthe‐Kaas, M.</creatorcontrib><creatorcontrib>Pettersen, M.</creatorcontrib><creatorcontrib>Granum, B.</creatorcontrib><creatorcontrib>Løvik, M.</creatorcontrib><creatorcontrib>Carlsen, K.‐H.</creatorcontrib><title>Asthma in every fifth child in Oslo, Norway: a 10‐year follow up of a birth cohort study</title><title>Allergy (Copenhagen)</title><addtitle>Allergy</addtitle><description>Background:  The western world's increase in childhood asthma is suggested to level off. We aimed to investigate asthma prevalence in 10‐year‐old children within the prospective birth cohort Environment and Childhood Asthma (ECA) Study in Oslo established in 1992/1993. Subjects and methods:  Six hundred and sixteen (77%) of 803 children (mean age 10.9 ± 0.9 (SD) years) with lung function measurements at birth were reinvestigated at age 10 years. At birth they corresponded to the entire birth cohort (n = 3754) regarding gender, socio‐demographic factors, parental allergic diseases, pet keeping and maternal smoking. Results from structured parental interview, spirometry, and skin prick test for inhalant and food allergens are presented. Asthma definition required minimum two positive criteria, (i) doctor's diagnosis of asthma, (ii) wheeze and/or chest tightness, (iii) use of anti‐asthmatic treatment. Current asthma required asthma definition plus either (ii) and/or (iii) in the last 12 months, and/or ≥10% fall in forced expired volume in 1 s after treadmill running. Results:  Lifetime prevalence of asthma was 20.2%; current asthma 11.1%, doctor diagnosis of asthma 16.1% and wheezes ever 30.3%. Allergic sensitization (29.3% overall) was more common among children with current (56.3%) compared to asymptomatic (last 12 months) (26.0%) or no asthma (27.6%) (P &lt; 0.001). Boys more often than girls had current asthma (14.4 vs 7.1%, P = 0.004), wheeze ever (36.9 vs 22.5%, P = 0.002) and allergic sensitization (36.2 vs 22.1%, respectively, P &lt; 0.001). Conclusion:  Childhood asthma apparently continues to increase in Oslo, having affected every fifth 10‐year‐old child.</description><subject>allergy</subject><subject>Asthma - epidemiology</subject><subject>Asthma - genetics</subject><subject>Asthma - physiopathology</subject><subject>asthma prevalence</subject><subject>birth cohort</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Family</subject><subject>Female</subject><subject>Ga2len</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Lung - physiopathology</subject><subject>Male</subject><subject>Norway - epidemiology</subject><subject>Prevalence</subject><subject>Risk</subject><subject>Skin Tests</subject><issn>0105-4538</issn><issn>1398-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkb1OwzAUhS0EoqXwCsgTEwm2U8c2Yqkq_qQIFlhYLCdxlFRJXeyENhuPwDPyJDi0ghG82Lr3O_da5wAAMQqxPxeLEEeCB0IIGhKEaIiQiHi42QPjn8Y-GCOMaDClER-BI-cWCCFGBDoEIxxTTDjiY_Ayc23ZKFgtoX7TtodFVbQlzMqqzofio6vNOXwwdq36S6j8Dz7fP3qtLCxMXZs17FbQFL6RVnbQmdLYFrq2y_tjcFCo2umT3T0BzzfXT_O7IHm8vZ_PkiCjOOKBplMiWCwwzVQacUxSyhlKtSKCE1YgQhCjVOBpigueRjnTjOcDFqdxpiiJJuBsO3dlzWunXSubymW6rtVSm87JmDEcE_E3iBn2q0XsQb4FM2ucs7qQK1s1yvYSIzkEIBdy8FkOPsshAPkdgNx46eluR5c2Ov8V7hz3wNUWWFe17v89WM6SxD-iL4-Hkp4</recordid><startdate>200604</startdate><enddate>200604</enddate><creator>Carlsen, K. 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S. ; Munthe‐Kaas, M. ; Pettersen, M. ; Granum, B. ; Løvik, M. ; Carlsen, K.‐H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5138-e542976915cab3812b5870bea29827f0220755914b1f8b3d7e78d812b6b6ca523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>allergy</topic><topic>Asthma - epidemiology</topic><topic>Asthma - genetics</topic><topic>Asthma - physiopathology</topic><topic>asthma prevalence</topic><topic>birth cohort</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>Family</topic><topic>Female</topic><topic>Ga2len</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Lung - physiopathology</topic><topic>Male</topic><topic>Norway - epidemiology</topic><topic>Prevalence</topic><topic>Risk</topic><topic>Skin Tests</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carlsen, K. C. L.</creatorcontrib><creatorcontrib>Håland, G.</creatorcontrib><creatorcontrib>Devulapalli, C. S.</creatorcontrib><creatorcontrib>Munthe‐Kaas, M.</creatorcontrib><creatorcontrib>Pettersen, M.</creatorcontrib><creatorcontrib>Granum, B.</creatorcontrib><creatorcontrib>Løvik, M.</creatorcontrib><creatorcontrib>Carlsen, K.‐H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Allergy (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carlsen, K. C. L.</au><au>Håland, G.</au><au>Devulapalli, C. S.</au><au>Munthe‐Kaas, M.</au><au>Pettersen, M.</au><au>Granum, B.</au><au>Løvik, M.</au><au>Carlsen, K.‐H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Asthma in every fifth child in Oslo, Norway: a 10‐year follow up of a birth cohort study</atitle><jtitle>Allergy (Copenhagen)</jtitle><addtitle>Allergy</addtitle><date>2006-04</date><risdate>2006</risdate><volume>61</volume><issue>4</issue><spage>454</spage><epage>460</epage><pages>454-460</pages><issn>0105-4538</issn><eissn>1398-9995</eissn><abstract>Background:  The western world's increase in childhood asthma is suggested to level off. We aimed to investigate asthma prevalence in 10‐year‐old children within the prospective birth cohort Environment and Childhood Asthma (ECA) Study in Oslo established in 1992/1993. Subjects and methods:  Six hundred and sixteen (77%) of 803 children (mean age 10.9 ± 0.9 (SD) years) with lung function measurements at birth were reinvestigated at age 10 years. At birth they corresponded to the entire birth cohort (n = 3754) regarding gender, socio‐demographic factors, parental allergic diseases, pet keeping and maternal smoking. Results from structured parental interview, spirometry, and skin prick test for inhalant and food allergens are presented. Asthma definition required minimum two positive criteria, (i) doctor's diagnosis of asthma, (ii) wheeze and/or chest tightness, (iii) use of anti‐asthmatic treatment. Current asthma required asthma definition plus either (ii) and/or (iii) in the last 12 months, and/or ≥10% fall in forced expired volume in 1 s after treadmill running. Results:  Lifetime prevalence of asthma was 20.2%; current asthma 11.1%, doctor diagnosis of asthma 16.1% and wheezes ever 30.3%. Allergic sensitization (29.3% overall) was more common among children with current (56.3%) compared to asymptomatic (last 12 months) (26.0%) or no asthma (27.6%) (P &lt; 0.001). Boys more often than girls had current asthma (14.4 vs 7.1%, P = 0.004), wheeze ever (36.9 vs 22.5%, P = 0.002) and allergic sensitization (36.2 vs 22.1%, respectively, P &lt; 0.001). Conclusion:  Childhood asthma apparently continues to increase in Oslo, having affected every fifth 10‐year‐old child.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>16512808</pmid><doi>10.1111/j.1398-9995.2005.00938.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Online Library Free Content; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects allergy
Asthma - epidemiology
Asthma - genetics
Asthma - physiopathology
asthma prevalence
birth cohort
Child
Child, Preschool
Cohort Studies
Family
Female
Ga2len
Humans
Infant
Infant, Newborn
Lung - physiopathology
Male
Norway - epidemiology
Prevalence
Risk
Skin Tests
title Asthma in every fifth child in Oslo, Norway: a 10‐year follow up of a birth cohort study
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