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Diminished Lung Function as a Predisposing Factor for Wheezing Respiratory Illness in Infants
Abstract
In a prospective study of 124 infants enrolled as newborns, we assessed the relation between initial lung function and the subsequent incidence of lower respiratory tract illness during the first year of life. The risk of having a wheezing illness was 3.7 times higher (95 percent confidence interval, 0.9 to 15.5; P = 0.06) among infants whose values for total respiratory conductance (the reciprocal of the resistance to air flow of the entire respiratory system) were in the lowest third, as compared with infants with values in the upper two thirds of the range of values for the group. Boys with initial values in the lowest third for an indirect index of airway conductance had a 10-fold increase (95 percent confidence interval, 2.2 to 44.2; P = 0.001) in the risk of having a wheezing illness. A 16-fold increase (95 percent confidence interval, 1.7 to 147.1; P = 0.002) in the risk of having a wheezing illness was found among girls whose initial values for lung volume at the end of tidal expiration were in the lowest third. We conclude that diminished lung function is a predisposing factor for the development of a first wheezing illness in infants.
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Citations
Cited by
Asthma and Wheezing in the First Six Years of Life
Martinez, F. D., Wright, A. L., Taussig, L. M., Holberg, C. J., Halonen, M., & Morgan, W. J. (1995) · New England Journal of Medicine · doi:10.1056/nejm199501193320301 · Cited by 3,823
Self-citationAfter asthma: redefining airways diseases
Pavord, I. D., Beasley, R., Agusti, A., Anderson, G. P., Bel, E., Brusselle, G., Cullinan, P., Custovic, A., Ducharme, F. M., Fahy, J. V., et al. (2018) · The Lancet · doi:10.1016/s0140-6736(17)30879-6 · Cited by 1,073
Stern, D. A., Morgan, W. J., Wright, A. L., Guerra, S., & Martinez, F. D. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61379-8 · Cited by 615
Self-citationRespiratory function among preterm infants whose mothers smoked during pregnancy
HOO, A.-F., HENSCHEN, M., DEZATEUX, C., COSTELOE, K., & STOCKS, J. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.158.3.9711057 · Cited by 220
Trajectories of lung function during childhood
Belgrave, D. C. M., Buchan, I., Bishop, C., Lowe, L., Simpson, A., & Custovic, A. (2014) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201309-1700oc · Cited by 184
Pneumonia in childhood and impaired lung function in adults: a longitudinal study
Chan, J. Y. C., Stern, D. A., Guerra, S., Wright, A. L., Morgan, W. J., & Martinez, F. D. (2015) · Pediatrics · doi:10.1542/peds.2014-3060 · Cited by 180
Self-citationEffect of pneumonia and whooping cough in childhood on adult lung function
Johnston, I. D. A., Strachan, D. P., & Anderson, H. R. (1998) · New England Journal of Medicine · doi:10.1056/nejm199802263380904 · Cited by 169
Effects of pre- and postnatal exposure to parental smoking on early childhood respiratory health
Haberg, S. E., Stigum, H., Nystad, W., & Nafstad, P. (2007) · American Journal of Epidemiology · doi:10.1093/aje/kwm134 · Cited by 157
Prenatal Nicotine Exposure Alters Lung Function and Airway Geometry through α7 Nicotinic Receptors
Wongtrakool, C., Wang, N., Hyde, D. M., Roman, J., & Spindel, E. R. (2012) · American Journal of Respiratory Cell and Molecular Biology · doi:10.1165/rcmb.2011-0028oc · Cited by 147
Krouse, J. H., Brown, R. W., Fineman, S. M., Han, J. K., Heller, A. J., Joe, S., Krouse, H. J., Pillsbury, H. C., Ryan, M. W., & Veling, M. C. (2007) · Otolaryngology–Head and Neck Surgery · doi:10.1016/j.otohns.2007.02.019 · Cited by 132
Metadata
- Authors
- Martinez, F. D., Morgan, W. J., Wright, A. L., Holberg, C. J., Taussig, L. M., & The Group Health Medical Associates' Personnel*
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1988-10-27
- Volume
- 319
- Issue
- 17
- Pages
- 1112-1117
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W1966893328
- Cited by
- 690
- References
- 0
- FWCI
- 7.55
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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