Nutritional Status and Diarrheal Illness as Independent Risk Factors for Alveolar Pneumonia

Community-acquired alveolar pneumonia (CAAP) is typically associated with bacterial infections and is especially prevalent in vulnerable populations worldwide. The authors studied nutritional status and diarrheal history as risk factors for CAAP in Bedouin children

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Veröffentlicht in:American journal of epidemiology 2005-11, Vol.162 (10), p.999-1007
Hauptverfasser: Coles, Christian L., Fraser, Drora, Givon-Lavi, Noga, Greenberg, David, Gorodischer, Raphael, Bar-Ziv, Jacob, Dagan, Ron
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container_end_page 1007
container_issue 10
container_start_page 999
container_title American journal of epidemiology
container_volume 162
creator Coles, Christian L.
Fraser, Drora
Givon-Lavi, Noga
Greenberg, David
Gorodischer, Raphael
Bar-Ziv, Jacob
Dagan, Ron
description Community-acquired alveolar pneumonia (CAAP) is typically associated with bacterial infections and is especially prevalent in vulnerable populations worldwide. The authors studied nutritional status and diarrheal history as risk factors for CAAP in Bedouin children
doi_str_mv 10.1093/aje/kwi312
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The authors studied nutritional status and diarrheal history as risk factors for CAAP in Bedouin children &lt;5 years of age living in Israel. In this prospective case-control study (2001–2002), 334 children with radiographically confirmed CAAP were compared with 529 controls without pneumonia with regard to nutritional status and diarrhea history. Controls were frequency matched to cases on age and enrollment month. Logistic regression models were used to evaluate associations of CAAP with nutritional status and recent diarrhea experience. Anemia (adjusted odds ratio (AOR) = 3.32, 95% confidence interval (CI): 2.24, 4.94; p &lt; 0.001), low birth weight (AOR = 2.16, 95% CI: 1.32, 3.54; p = 0.002), stunting (AOR = 2.22, 95% CI: 1.31, 3.78; p = 0.004), serum retinol concentration (AOR = 1.03 per μg/dl, 95% CI: 1.02, 1.05; p &lt; 0.001), and having ≥1 diarrhea episodes within 31 days prior to enrollment (AOR = 2.30, 95% CI: 1.26, 4.19; p = 0.007) were identified as risk factors for CAAP. Results suggest that improving antenatal care and the nutritional status of infants may reduce the risk of CAAP in Bedouin children. Furthermore, they suggest that vaccines developed to prevent diarrhea may also lower the risk of CAAP.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/aje/kwi312</identifier><identifier>PMID: 16207807</identifier><identifier>CODEN: AJEPAS</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject>adjusted odds ratio ; Analysis. Health state ; anemia ; Anemia - epidemiology ; Anemias. Hemoglobinopathies ; AOR ; Arabs - statistics &amp; numerical data ; Biological and medical sciences ; CAAP ; Case-Control Studies ; Child, Preschool ; community-acquired alveolar pneumonia ; Community-Acquired Infections - epidemiology ; Comorbidity ; confidence interval ; Diarrhea ; Diarrhea - epidemiology ; Diseases of red blood cells ; Epidemiology ; Female ; Follow-Up Studies ; General aspects ; Growth Disorders - epidemiology ; Hematologic and hematopoietic diseases ; Humans ; Infant ; Infant, Low Birth Weight ; Infant, Newborn ; Israel - epidemiology ; Logistic Models ; Male ; Medical sciences ; micronutrients ; Multivariate Analysis ; Nutrition ; Nutrition Surveys ; Nutritional Status ; Pneumonia ; Pneumonia - blood ; Pneumonia - epidemiology ; Prospective Studies ; Public health. Hygiene ; Public health. 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J. Epidemiol</addtitle><description>Community-acquired alveolar pneumonia (CAAP) is typically associated with bacterial infections and is especially prevalent in vulnerable populations worldwide. The authors studied nutritional status and diarrheal history as risk factors for CAAP in Bedouin children &lt;5 years of age living in Israel. In this prospective case-control study (2001–2002), 334 children with radiographically confirmed CAAP were compared with 529 controls without pneumonia with regard to nutritional status and diarrhea history. Controls were frequency matched to cases on age and enrollment month. Logistic regression models were used to evaluate associations of CAAP with nutritional status and recent diarrhea experience. Anemia (adjusted odds ratio (AOR) = 3.32, 95% confidence interval (CI): 2.24, 4.94; p &lt; 0.001), low birth weight (AOR = 2.16, 95% CI: 1.32, 3.54; p = 0.002), stunting (AOR = 2.22, 95% CI: 1.31, 3.78; p = 0.004), serum retinol concentration (AOR = 1.03 per μg/dl, 95% CI: 1.02, 1.05; p &lt; 0.001), and having ≥1 diarrhea episodes within 31 days prior to enrollment (AOR = 2.30, 95% CI: 1.26, 4.19; p = 0.007) were identified as risk factors for CAAP. Results suggest that improving antenatal care and the nutritional status of infants may reduce the risk of CAAP in Bedouin children. Furthermore, they suggest that vaccines developed to prevent diarrhea may also lower the risk of CAAP.</description><subject>adjusted odds ratio</subject><subject>Analysis. Health state</subject><subject>anemia</subject><subject>Anemia - epidemiology</subject><subject>Anemias. Hemoglobinopathies</subject><subject>AOR</subject><subject>Arabs - statistics &amp; numerical data</subject><subject>Biological and medical sciences</subject><subject>CAAP</subject><subject>Case-Control Studies</subject><subject>Child, Preschool</subject><subject>community-acquired alveolar pneumonia</subject><subject>Community-Acquired Infections - epidemiology</subject><subject>Comorbidity</subject><subject>confidence interval</subject><subject>Diarrhea</subject><subject>Diarrhea - epidemiology</subject><subject>Diseases of red blood cells</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Growth Disorders - epidemiology</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Israel - epidemiology</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>micronutrients</subject><subject>Multivariate Analysis</subject><subject>Nutrition</subject><subject>Nutrition Surveys</subject><subject>Nutritional Status</subject><subject>Pneumonia</subject><subject>Pneumonia - blood</subject><subject>Pneumonia - epidemiology</subject><subject>Prospective Studies</subject><subject>Public health. 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Health state</topic><topic>anemia</topic><topic>Anemia - epidemiology</topic><topic>Anemias. Hemoglobinopathies</topic><topic>AOR</topic><topic>Arabs - statistics &amp; numerical data</topic><topic>Biological and medical sciences</topic><topic>CAAP</topic><topic>Case-Control Studies</topic><topic>Child, Preschool</topic><topic>community-acquired alveolar pneumonia</topic><topic>Community-Acquired Infections - epidemiology</topic><topic>Comorbidity</topic><topic>confidence interval</topic><topic>Diarrhea</topic><topic>Diarrhea - epidemiology</topic><topic>Diseases of red blood cells</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Growth Disorders - epidemiology</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Israel - epidemiology</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>micronutrients</topic><topic>Multivariate Analysis</topic><topic>Nutrition</topic><topic>Nutrition Surveys</topic><topic>Nutritional Status</topic><topic>Pneumonia</topic><topic>Pneumonia - blood</topic><topic>Pneumonia - epidemiology</topic><topic>Prospective Studies</topic><topic>Public health. 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J. Epidemiol</addtitle><date>2005-11-15</date><risdate>2005</risdate><volume>162</volume><issue>10</issue><spage>999</spage><epage>1007</epage><pages>999-1007</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><coden>AJEPAS</coden><abstract>Community-acquired alveolar pneumonia (CAAP) is typically associated with bacterial infections and is especially prevalent in vulnerable populations worldwide. The authors studied nutritional status and diarrheal history as risk factors for CAAP in Bedouin children &lt;5 years of age living in Israel. In this prospective case-control study (2001–2002), 334 children with radiographically confirmed CAAP were compared with 529 controls without pneumonia with regard to nutritional status and diarrhea history. Controls were frequency matched to cases on age and enrollment month. Logistic regression models were used to evaluate associations of CAAP with nutritional status and recent diarrhea experience. Anemia (adjusted odds ratio (AOR) = 3.32, 95% confidence interval (CI): 2.24, 4.94; p &lt; 0.001), low birth weight (AOR = 2.16, 95% CI: 1.32, 3.54; p = 0.002), stunting (AOR = 2.22, 95% CI: 1.31, 3.78; p = 0.004), serum retinol concentration (AOR = 1.03 per μg/dl, 95% CI: 1.02, 1.05; p &lt; 0.001), and having ≥1 diarrhea episodes within 31 days prior to enrollment (AOR = 2.30, 95% CI: 1.26, 4.19; p = 0.007) were identified as risk factors for CAAP. Results suggest that improving antenatal care and the nutritional status of infants may reduce the risk of CAAP in Bedouin children. Furthermore, they suggest that vaccines developed to prevent diarrhea may also lower the risk of CAAP.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>16207807</pmid><doi>10.1093/aje/kwi312</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects adjusted odds ratio
Analysis. Health state
anemia
Anemia - epidemiology
Anemias. Hemoglobinopathies
AOR
Arabs - statistics & numerical data
Biological and medical sciences
CAAP
Case-Control Studies
Child, Preschool
community-acquired alveolar pneumonia
Community-Acquired Infections - epidemiology
Comorbidity
confidence interval
Diarrhea
Diarrhea - epidemiology
Diseases of red blood cells
Epidemiology
Female
Follow-Up Studies
General aspects
Growth Disorders - epidemiology
Hematologic and hematopoietic diseases
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Israel - epidemiology
Logistic Models
Male
Medical sciences
micronutrients
Multivariate Analysis
Nutrition
Nutrition Surveys
Nutritional Status
Pneumonia
Pneumonia - blood
Pneumonia - epidemiology
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
Socioeconomic Factors
Vitamin A - blood
title Nutritional Status and Diarrheal Illness as Independent Risk Factors for Alveolar Pneumonia
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