Cited by 650Asthma and respiratory diseasesOccupational exposure and asthmaChronic Obstructive Pulmonary Disease (COPD) Research

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Outcome of Asthma and Wheezing in the First 6 Years of Life

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Morgan, Wayne J., Stern, Debra A., Sherrill, Duane L., Guerra, Stefano, Holberg, Catharine J., Guilbert, Theresa W., Taussig, Lynn M., Wright, Anne L., Martinez, Fernando D.·2005·American Journal of Respiratory and Critical Care Medicine

DOI 10.1164/rccm.200504-525ocPMC PMC2718414

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Abstract

RATIONALE: The effect of early life wheezing on respiratory function and continued symptoms through adolescence has not been fully described. Using data from a population-based birth cohort in Tucson, Arizona, we previously described four phenotypes based on the occurrence of wheezing lower respiratory illnesses before age 3 yr and active wheeze at age 6 yr: never wheezers (n = 425), transient early wheezers (n = 164), persistent wheezers (n = 113), and late-onset wheezers (n = 124). OBJECTIVE: We sought to determine the prognosis for these phenotypes, with reference to lung function and symptoms, through adolescence. METHODS: Current wheeze was assessed by questionnaire, lung function was measured by conventional spirometry, and atopy was determined by skin prick tests. RESULTS: The prevalence of atopy and wheeze by age 16 yr was similar for never and transient wheezers and for persistent and late-onset wheezers. Both transient early, and persistent wheezers had significantly lower FEF(25-75) (-259 ml/s, p < 0.001, and -260 ml/s, p = 0.001, respectively), FEV1 (-75 ml, p = 0.02, and -87 ml, p = 0.03, respectively), and FEV1:FVC ratio (-1.9%, p = 0.002, and -2.5%, p = 0.001, respectively) through age 16 yr compared with never wheezers. Late-onset wheezers had levels of lung function similar to those of never wheezers through age 16 yr. There was no significant change in lung function among subjects with any of the four phenotypes, relative to their peers, from age 6 to 16 yr. CONCLUSION: Patterns of wheezing prevalence and levels of lung function are established by age 6 yr and do not appear to change significantly by age 16 yr in children who start having asthma-like symptoms during the preschool years.

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Asthma and Wheezing in the First Six Years of Life
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Self-citation
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Authors: Morgan, W. J., Stern, D. A., Sherrill, D. L., Guerra, S., Holberg, C. J., Guilbert, T. W., Taussig, L. M., Wright, A. L., & Martinez, F. D.
Affiliations: University of Arizona (US)
Arizona Respiratory Center and Department of Pediatrics, University of Arizona Health Sciences Center, Tucson, Arizona; and National Jewish Medical and Research Center and University of Colorado Health Sciences Center, Denver, Colorado
ORCID: Morgan, Wayne J.
Stern, Debra A.
Guerra, Stefano
Guilbert, Theresa W.
Venue: American Journal of Respiratory and Critical Care Medicine
Publisher: Oxford University Press (OUP)
Published: 2005-11
Volume: 172
Issue: 10
Pages: 1253-1258
ISSN: 1073-449X (ISSN-L)
1535-4970
DOI: 10.1164/rccm.200504-525oc
PMC: PMC2718414
OpenAlex: W1979846404
Cited by: 650
References: 23
Citations by year: 2026: 6 · 2025: 11 · 2024: 17 · 2023: 15 · 2022: 15 · 2021: 24 · 2020: 17 · 2019: 24 · 2018: 36 · 2017: 24 · 2016: 27 · 2015: 42 · 2014: 31 · 2013: 27 · 2012: 40
FWCI: 29.77
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: academic.oup.com/pages/standard-publication-reuse-rights (vor)
Locations: American Journal of Respiratory and Critical Care Medicine (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Research Explorer (The University of Manchester) (submittedVersion)
Funders: National Institutes of Health (5k14hl003154-02, 5p50hl014136-25, 14136)
National Heart, Lung, and Blood Institute (HL-14136, HL 03154, R01HL056177, HL-56177)
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › 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: wheezing phenotypes, persistent wheezing, lung function, respiratory function, atopy, asthma, adolescence, preschool wheeze, FEV1/FVC ratio
MeSH terms: Adolescent, Age Factors, Asthma, Child, Child, Preschool, Forced Expiratory Flow Rates, Humans, Immunoglobulin E, Phenotype, Prognosis, Respiratory Sounds

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Outcome of Asthma and Wheezing in the First 6 Years of Life

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