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What accounts for the association between late preterm births and risk of asthma?

Abstract Although results of many studies have indicated an increased risk of asthma in former late preterm (LPT) infants, most of these studies did not fully address covariate imbalance.
PMID
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Authors

Mayor MeshTerms

Term Birth

Keywords
Journal Title allergy and asthma proceedings
Publication Year Start




PMID- 28234052
OWN - NLM
STAT- MEDLINE
DA  - 20170224
DCOM- 20170306
LR  - 20170309
IS  - 1539-6304 (Electronic)
IS  - 1088-5412 (Linking)
VI  - 38
IP  - 2
DP  - 2017 Mar 01
TI  - What accounts for the association between late preterm births and risk of asthma?
PG  - 152-156
LID - 10.2500/aap.2017.38.4021 [doi]
AB  - BACKGROUND: Although results of many studies have indicated an increased risk of 
      asthma in former late preterm (LPT) infants, most of these studies did not fully 
      address covariate imbalance. OBJECTIVE: To compare the cumulative frequency of
      asthma in a population-based cohort of former LPT infants to that of matched term
      infants in their early childhood, when accounting for covariate imbalance.
      METHODS: From a population-based birth cohort of children born 2002-2006 in
      Olmsted County, Minnesota, we assessed a random sample of LPT (34 to 36 6/7
      weeks) and frequency-matched term (37 to 40 6/7 weeks) infants. The subjects were
      followed-up through 2010 or censored based on the last date of contact, with the 
      asthma status based on predetermined criteria. The Kaplan-Meier method was used
      to estimate the cumulative incidence of asthma during the study period. Cox
      models were used to estimate the hazard ratio and 95% confidence interval for the
      risk of asthma, when adjusting for potential confounders. RESULTS: LPT infants (n
      = 282) had a higher cumulative frequency of asthma than did term infants (n =
      297), 29.9 versus 19.5%, respectively; p = 0.01. After adjusting for covariates
      associated with the risk of asthma, an LPT birth was not associated with a risk
      of asthma, whereas maternal smoking during pregnancy was associated with a risk
      of asthma. CONCLUSION: LPT birth was not independently associated with a risk of 
      asthma and other atopic conditions. Clinicians should make an effort to reduce
      exposure to smoking during pregnancy as a modifiable risk factor for asthma.
FAU - Voge, Gretchen A
AU  - Voge GA
FAU - Carey, William A
AU  - Carey WA
FAU - Ryu, Euijung
AU  - Ryu E
FAU - King, Katherine S
AU  - King KS
FAU - Wi, Chung-Il
AU  - Wi CI
FAU - Juhn, Young J
AU  - Juhn YJ
LA  - eng
GR  - R01 AG034676/AG/NIA NIH HHS/United States
GR  - R01 HL126667/HL/NHLBI NIH HHS/United States
GR  - R21 AI116839/AI/NIAID NIH HHS/United States
GR  - UL1 TR000135/TR/NCATS NIH HHS/United States
PT  - Journal Article
PL  - United States
TA  - Allergy Asthma Proc
JT  - Allergy and asthma proceedings
JID - 9603640
SB  - IM
MH  - Asthma/*epidemiology
MH  - Case-Control Studies
MH  - Child
MH  - Child, Preschool
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Infant
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Kaplan-Meier Estimate
MH  - Male
MH  - Minnesota/epidemiology
MH  - Pregnancy
MH  - Premature Birth/*epidemiology
MH  - Proportional Hazards Models
MH  - Retrospective Studies
MH  - Risk Factors
MH  - *Term Birth
PMC - PMC5332548
EDAT- 2017/02/25 06:00
MHDA- 2017/03/07 06:00
CRDT- 2017/02/25 06:00
AID - 10.2500/aap.2017.38.4021 [doi]
PST - ppublish
SO  - Allergy Asthma Proc. 2017 Mar 1;38(2):152-156. doi: 10.2500/aap.2017.38.4021.

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