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Cited by 263

The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.

The effects of respiratory infections, atopy, and breastfeeding on childhood asthma

Open access
Oddy, W.H., de Klerk, N.H., Sly, P.D., Holt, P.G.·2002·European Respiratory Journal

Abstract

The objectives of the present study were to quantify the association of atopy and respiratory infections with asthma, and exclusive breastfeeding with respiratory illness, atopy and asthma in children. A cohort study of 2,602 children enrolled prior to birth and followed prospectively, provided data on respiratory illness, the method of feeding in the first year of life, as reported on a prospective diary card, and current asthma at the age of 6 yrs (defined as doctor-diagnosed asthma with wheeze in the last year or cough without a cold, and currently taking either preventer or reliever asthma medication), as reported by parental questionnaire. Atopy was defined by a positive skin-prick test assessed at the age of 6 yrs. Wheezing lower respiratory illness (LRI) in the first year of life, particularly multiple episodes of wheezing LRI, increased the risk for current asthma in both nonatopic (odds ratio (OR) 4.10, p⪕0.0005) and atopic children (OR 9.00, p⪕0.0005), but did not increase the risk for atopy. In contrast, up to three upper respiratory tract infections demonstrated a negative association and four or more a positive risk for current asthma in unadjusted (p=0.006) and adjusted (p=0.057) analysis. Following adjustment, exclusive breastfeeding for <4 months was associated with an increased risk for current asthma (OR 1.36, 95% confidence interval 1.00–1.85, p=0.047). Wheezing lower respiratory illness in the first year of life and atopy are independently associated with increased risk for current asthma at the age of 6 yrs, suggesting that their effects are mediated via different causal pathways and that these risk factors are multiplicative when they operate concomitantly within individual children. Exclusive breastfeeding protects against asthma via effects on both these pathways, as well as through other as yet undefined mechanisms.

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Metadata

Authors
Oddy, W. H., de Klerk, N. H., Sly, P. D., & Holt, P. G.
Venue
European Respiratory Journal
Published
2002-05
Volume
19
Issue
5
Pages
899-905
ISSN
  • 0903-1936 (ISSN-L)
  • 1399-3003
OpenAlex
W2110422192
Cited by
263
References
36
FWCI
8.27
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: The effects of respiratory infections, atopy, and breastfeeding on childhood asthma. https://app.cochat.ai/papers/10.1183/09031936.02.00103602
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Oddy, W. H., de Klerk, N. H., Sly, P. D., & Holt, P. G. (2002). The effects of respiratory infections, atopy, and breastfeeding on childhood asthma. European Respiratory Journal. https://doi.org/10.1183/09031936.02.00103602

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.