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 |
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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 <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 < 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 < 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 & 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</subject><ispartof>American journal of epidemiology, 2005-11, Vol.162 (10), p.999-1007</ispartof><rights>2006 INIST-CNRS</rights><rights>Copyright Oxford University Press(England) Nov 15, 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-19af045d6090feaa0594d79378b8176490b240005202f8952869a5b6d61c9e323</citedby><cites>FETCH-LOGICAL-c447t-19af045d6090feaa0594d79378b8176490b240005202f8952869a5b6d61c9e323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27906,27907</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17376767$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16207807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coles, Christian L.</creatorcontrib><creatorcontrib>Fraser, Drora</creatorcontrib><creatorcontrib>Givon-Lavi, Noga</creatorcontrib><creatorcontrib>Greenberg, David</creatorcontrib><creatorcontrib>Gorodischer, Raphael</creatorcontrib><creatorcontrib>Bar-Ziv, Jacob</creatorcontrib><creatorcontrib>Dagan, Ron</creatorcontrib><title>Nutritional Status and Diarrheal Illness as Independent Risk Factors for Alveolar Pneumonia</title><title>American journal of epidemiology</title><addtitle>Am. 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 <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 < 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 < 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 & 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. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>Vitamin A - blood</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0VtrFDEUB_Agil2rL34ACYI-CGNzz-SxVrdd2FbxAqIP4exMBrObnaxJxsu3b8ouLfgigQTO-XEg54_QU0peU2L4Cazdyea355TdQzMqtGoUk-o-mhFCWGOYYkfoUc5rQig1kjxER1QxoluiZ-j71VSSLz6OEPCnAmXKGMYev_WQ0g9Xi4sQRpdrNePF2Ludq9dY8EefN3gOXYkp4yEmfBp-uRgg4Q-jm7Zx9PAYPRggZPfk8B6jL_N3n88umuX788XZ6bLphNCloQYGImSviCGDAyDSiF4brttVS7UShqyYqF-RjLChNZK1yoBcqV7RzjjO-DF6uZ-7S_Hn5HKxW587FwKMLk7ZqlbrlgvzX1iXwjhRvMLn_8B1nFJdUTVcGiZapit6tUddijknN9hd8ltIfy0l9iYYW4Ox-2AqfnaYOK22rr-jhyQqeHEAkDsIQ4Kx8_nOaa5VPdU1e-dzcX9u-5A2tna1tBdfv1l1KZeX8zdXVvBrGO-j0g</recordid><startdate>20051115</startdate><enddate>20051115</enddate><creator>Coles, Christian L.</creator><creator>Fraser, Drora</creator><creator>Givon-Lavi, Noga</creator><creator>Greenberg, David</creator><creator>Gorodischer, Raphael</creator><creator>Bar-Ziv, Jacob</creator><creator>Dagan, Ron</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>IQODW</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>7QP</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QL</scope><scope>7U1</scope><scope>7X8</scope></search><sort><creationdate>20051115</creationdate><title>Nutritional Status and Diarrheal Illness as Independent Risk Factors for Alveolar Pneumonia</title><author>Coles, Christian L. ; Fraser, Drora ; Givon-Lavi, Noga ; Greenberg, David ; Gorodischer, Raphael ; Bar-Ziv, Jacob ; Dagan, Ron</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-19af045d6090feaa0594d79378b8176490b240005202f8952869a5b6d61c9e323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>adjusted odds ratio</topic><topic>Analysis. Health state</topic><topic>anemia</topic><topic>Anemia - epidemiology</topic><topic>Anemias. Hemoglobinopathies</topic><topic>AOR</topic><topic>Arabs - statistics & 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. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>Vitamin A - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coles, Christian L.</creatorcontrib><creatorcontrib>Fraser, Drora</creatorcontrib><creatorcontrib>Givon-Lavi, Noga</creatorcontrib><creatorcontrib>Greenberg, David</creatorcontrib><creatorcontrib>Gorodischer, Raphael</creatorcontrib><creatorcontrib>Bar-Ziv, Jacob</creatorcontrib><creatorcontrib>Dagan, Ron</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Risk Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coles, Christian L.</au><au>Fraser, Drora</au><au>Givon-Lavi, Noga</au><au>Greenberg, David</au><au>Gorodischer, Raphael</au><au>Bar-Ziv, Jacob</au><au>Dagan, Ron</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutritional Status and Diarrheal Illness as Independent Risk Factors for Alveolar Pneumonia</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am. 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 <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 < 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 < 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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