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Cited by 503Asthma and respiratory diseasesOccupational exposure and asthmaChronic Obstructive Pulmonary Disease (COPD) Research

The melbourne asthma study: 1964–1999

Phelan, Peter D., Robertson, Colin F., Olinsky, Anthony·2002·Journal of Allergy and Clinical Immunology
DOI 10.1067/mai.2002.120951
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Abstract

A group of children with a past history of wheezing was randomly selected from the Melbourne community at the age of 7 years in 1964, and a further group of children with severe wheezing was selected from the same birth cohort at the age of 10 years. These subjects have been followed prospectively at 7-year intervals, with the last review in 1999, when their average age was 42 years. Eighty-seven percent of the original cohort who were still alive participated in the 1999 review. This study showed that the majority of children who had only a few episodes of wheezing associated with symptoms of a respiratory infection had a benign course, with many ceasing to wheeze by adult life. Most who continued with symptoms into adult life were little troubled by them. Conversely, those children with asthma mostly continued with significant wheezing into adult life, and the more troubled they were in childhood, the more likely symptoms continued. There was a loss in lung function by the age of 14 years in those with severe asthma, but the loss did not progress in adult life. The childhood asthma had been treated before the availability of inhaled steroids. There was no significant loss of lung function in those with milder symptoms.

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  • Childhood asthma has been associated with adult lung function deficits and increased risk of COPD.

    “Childhood asthma has been associated with adult lung function deficits and increased risk of COPD (157–159).”

    From Epidemiology of Asthma in Children and Adults (2019) · cites this paper as [157]

  • A number of studies have reported that childhood asthma itself has no impact on adult lung function decline.

    “While a number of studies have reported that childhood asthma itself has no impact on adult lung function decline (154, 157, 158, 160), a study that collected childhood asthma status retrospectively has reported that it is associated with greater lung function decline, which may be related to recall bias (161).”

    From Epidemiology of Asthma in Children and Adults (2019) · cites this paper as [157]

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Authors
Phelan, P. D., Robertson, C. F., & Olinsky, A.
Affiliations
Royal Children's Hospital (AU)
Venue
Journal of Allergy and Clinical Immunology
Publisher
Elsevier BV
Published
2002-02
Volume
109
Issue
2
Pages
189-194
ISSN
0091-6749 (ISSN-L)
DOI
10.1067/mai.2002.120951
OpenAlex
W2070661470
Cited by
503
References
26
Citations by year
2026: 5 · 2025: 8 · 2024: 9 · 2023: 9 · 2022: 13 · 2021: 13 · 2020: 9 · 2019: 15 · 2018: 20 · 2017: 10 · 2016: 14 · 2015: 21 · 2014: 27 · 2013: 28 · 2012: 34
FWCI
17.60
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Allergy and Clinical Immunology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Keywords
childhood asthma, lung function decline, inhaled corticosteroids, respiratory infections, long-term follow-up
MeSH terms
Adolescent, Adult, Asthma, Australia, Bronchitis, Child, Forced Expiratory Volume, Humans, Longitudinal Studies, Prospective Studies, Respiratory Sounds, Vital Capacity

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