Outcomes of childhood asthma and wheezy bronchitis. A 50-year cohort study
Open accessAbstract
RATIONALE: Cohort studies suggest that airflow obstruction is established early in life, manifests as childhood asthma and wheezy bronchitis, and continues into early adulthood. Although an association between childhood asthma and chronic obstructive pulmonary disease (COPD) in later life has been demonstrated, it is unclear if childhood wheezy bronchitis is associated with COPD. OBJECTIVES: To investigate whether childhood wheezy bronchitis increases the risk of COPD in the seventh decade. METHODS: A cohort of children recruited in 1964 at age 10 to 15 years, which was followed up in 1989, 1995, and 2001, was followed up again in 2014 when at age 60 to 65 years. Discrete time-to-event and linear mixed effects models were used. MEASUREMENTS AND MAIN RESULTS: FEV1 and FVC were measured. COPD was defined as post-bronchodilator FEV1/FVC <0.7. Childhood wheezing phenotype was related to 1989, 1995, 2001, and 2014 spirometry data. Three hundred thirty subjects, mean age 61 years, were followed up: 38 with childhood asthma; 53 with childhood wheezy bronchitis; and 239 control subjects (of whom 57 developed adulthood-onset wheeze between ages 16 and 46 yr). In adjusted multivariate analyses, childhood asthma was associated with an increased risk of COPD (odds ratio, 6.37; 95% confidence interval, 3.73-10.94), as was childhood wheezy bronchitis (odd ratio 1.81; 95% confidence interval, 1.12-2.91). The COPD risk increased with childhood asthma, and wheezy bronchitis was associated with reduced FEV1 that was evident by the fifth decade and not an accelerated rate of FEV1 decline. In contrast, adulthood-onset wheeze was associated with accelerated FEV1 decline. CONCLUSIONS: Childhood wheezy bronchitis and asthma are associated with an increased risk of COPD and reduced ventilatory function.
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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 [158]
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 [158]
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Epidemiology of Asthma in Children and Adults
Dharmage, S. C., Perret, J. L., & Custovic, A. (2019) · Frontiers in Pediatrics · doi:10.3389/fped.2019.00246 · Cited by 1,200 · see citing works
- Authors
- Tagiyeva, N., Devereux, G., Fielding, S., Turner, S., & Douglas, G.
- Affiliations
- University of Aberdeen (GB)
- Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, Scotland, United Kingdom; and
- Aberdeen Royal Infirmary (GB)
- Corresponding author
- Tagiyeva, Nara
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-01-01
- Volume
- 193
- Issue
- 1
- Pages
- 23-30
- ISSN
- 1073-449X (ISSN-L)
- 1535-4970
- PMC
- PMC4731615
- OpenAlex
- W1686816393
- Cited by
- 128
- References
- 26
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 6 · 2023: 9 · 2022: 7 · 2021: 17 · 2020: 17 · 2019: 11 · 2018: 14 · 2017: 22 · 2016: 15 · 2015: 1
- FWCI
- 13.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Respiratory and Critical Care Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- CLOK (University of Central Lancashire) (acceptedVersion)
- Aberdeen University Research Archive (Aberdeen University) (submittedVersion)
- Funders
- Chest Heart and Stroke Scotland
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
- Keywords
- childhood asthma, wheezy bronchitis, chronic obstructive pulmonary disease, COPD risk, airflow obstruction, FEV1 decline, lung function, long-term outcomes
- MeSH terms
- Adolescent, Adult, Asthma, Bronchitis, Child, Female, Forced Expiratory Volume, Humans, Male, Middle Aged, Respiratory Sounds, Risk Factors, Vital Capacity, Cohort Studies, Age of Onset, Pulmonary Disease, Chronic Obstructive, Young Adult
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