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Cited by 567

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Early childhood infectious diseases and the development of asthma up to school age: a birth cohort study

Open access
Illi, Sabina, Mutius, Erika von, Lau, Susanne, Bergmann, Renate, Niggemann, Bodo, Sommerfeld, Christine, Wahn, Ulrich·2001·BMJ

Abstract

Objective: To investigate the association between early childhood infections and subsequent development of asthma. Design: Longitudinal birth cohort study. Setting: Five children's hospitals in five German cities. Participants: 1314 children born in 1990 followed from birth to the age of 7 years. Main outcome measures: Asthma and asthmatic symptoms assessed longitudinally by parental questionnaires; atopic sensitisation assessed longitudinally by determination of IgE concentrations to various allergens; bronchial hyperreactivity assessed by bronchial histamine challenge at age 7 years. Results: Compared with children with 1 episode of runny nose before the age of 1 year, those with 2 episodes were less likely to have a doctor's diagnosis of asthma at 7 years old (odds ratio 0.52 (95% confidence interval 0.29 to 0.92)) or to have wheeze at 7 years old (0.60 (0.38 to 0.94)), and were less likely to be atopic before the age of 5 years. Similarly, having 1 viral infection of the herpes type in the first 3 years of life was inversely associated with asthma at age 7 (odds ratio 0.48 (0.26 to 0.89)). Repeated lower respiratory tract infections in the first 3 years of life showed a positive association with wheeze up to the age of 7 years (odds ratio 3.37 (1.92 to 5.92) for 4 infections v 3 infections). Conclusion: Repeated viral infections other than lower respiratory tract infections early in life may reduce the risk of developing asthma up to school age.

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Metadata

Authors
Illi, S., Mutius, E. V., Lau, S., Bergmann, R., Niggemann, B., Sommerfeld, C., & Wahn, U.
Venue
BMJ
Publisher
BMJ
Published
2001-02-17
Volume
322
Issue
7283
Pages
390-395
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W1973720627
Cited by
567
References
30
FWCI
32.97
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Early childhood infectious diseases and the development of asthma up to school age: a birth cohort study. https://app.cochat.ai/papers/10.1136/bmj.322.7283.390
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Illi, S., Mutius, E. V., Lau, S., Bergmann, R., Niggemann, B., Sommerfeld, C., & Wahn, U. (2001). Early childhood infectious diseases and the development of asthma up to school age: a birth cohort study. BMJ. https://doi.org/10.1136/bmj.322.7283.390

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