Impact of childhood wheezing on lung function in adulthood: A meta-analysis.
A growing body of evidence shows that childhood wheezing may lead to recurrent or persistent symptoms in adulthood, such that persistent wheezing associated with lung function deficits often have their roots in the first few years of life.We summarized information from several prospective cohort stu...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5796725?pdf=render |
| _version_ | 1818058311243661312 |
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| author | Huan Ma Yuanyuan Li Lin Tang Xin Peng Lili Jiang Jiao Wan Fengtao Suo Guangli Zhang Zhengxiu Luo |
| author_facet | Huan Ma Yuanyuan Li Lin Tang Xin Peng Lili Jiang Jiao Wan Fengtao Suo Guangli Zhang Zhengxiu Luo |
| author_sort | Huan Ma |
| collection | DOAJ |
| description | A growing body of evidence shows that childhood wheezing may lead to recurrent or persistent symptoms in adulthood, such that persistent wheezing associated with lung function deficits often have their roots in the first few years of life.We summarized information from several prospective cohort studies following children with or without wheezing into adulthood, to estimate the effect of childhood wheezing on adulthood lung function.Medical literatures were searched in the Medline, PubMed, ScienceDirect, Web of Science and Embase databases up to October 31, 2016. The adulthood lung function was selected as primary outcome, and chronic obstructive pulmonary disease (COPD) prevalence was selected as secondary outcome. The meta-analysis was performed with the Stata Version 14.0. A random-effects model was applied to estimate standardized mean difference (SMD) of lung function, and relative risk (RR) of COPD.Six articles enrolling 1141 and 1005 children with and without wheezing, respectively. Meta-analysis showed that childhood wheezing decreased adulthood lung function as compared with no-wheezing subjects (SMD = -0.365, 95% confidence interval (CI): -0.569~-0.161, P = 0.000). Subgroup analyses indicated that childhood atopic wheezing reduced adulthood FEV1/FVC and FEV1%pred when compared with no-wheezing subjects. In addition, childhood atopic wheezing was significantly associated with COPD prevalence (RR = 5.307, 95% CI:1.033~27.271, P = 0.046).Our meta-analysis suggests that childhood wheezing may induce ongoing declined lung function that extends into adult life, as well as an increased risk of COPD prevalence when accompanied with atopy. |
| first_indexed | 2024-12-10T12:58:37Z |
| format | Article |
| id | doaj.art-ae51f789ceb1479da982abc3f3523bd6 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-10T12:58:37Z |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-ae51f789ceb1479da982abc3f3523bd62022-12-22T01:48:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01132e019239010.1371/journal.pone.0192390Impact of childhood wheezing on lung function in adulthood: A meta-analysis.Huan MaYuanyuan LiLin TangXin PengLili JiangJiao WanFengtao SuoGuangli ZhangZhengxiu LuoA growing body of evidence shows that childhood wheezing may lead to recurrent or persistent symptoms in adulthood, such that persistent wheezing associated with lung function deficits often have their roots in the first few years of life.We summarized information from several prospective cohort studies following children with or without wheezing into adulthood, to estimate the effect of childhood wheezing on adulthood lung function.Medical literatures were searched in the Medline, PubMed, ScienceDirect, Web of Science and Embase databases up to October 31, 2016. The adulthood lung function was selected as primary outcome, and chronic obstructive pulmonary disease (COPD) prevalence was selected as secondary outcome. The meta-analysis was performed with the Stata Version 14.0. A random-effects model was applied to estimate standardized mean difference (SMD) of lung function, and relative risk (RR) of COPD.Six articles enrolling 1141 and 1005 children with and without wheezing, respectively. Meta-analysis showed that childhood wheezing decreased adulthood lung function as compared with no-wheezing subjects (SMD = -0.365, 95% confidence interval (CI): -0.569~-0.161, P = 0.000). Subgroup analyses indicated that childhood atopic wheezing reduced adulthood FEV1/FVC and FEV1%pred when compared with no-wheezing subjects. In addition, childhood atopic wheezing was significantly associated with COPD prevalence (RR = 5.307, 95% CI:1.033~27.271, P = 0.046).Our meta-analysis suggests that childhood wheezing may induce ongoing declined lung function that extends into adult life, as well as an increased risk of COPD prevalence when accompanied with atopy.http://europepmc.org/articles/PMC5796725?pdf=render |
| spellingShingle | Huan Ma Yuanyuan Li Lin Tang Xin Peng Lili Jiang Jiao Wan Fengtao Suo Guangli Zhang Zhengxiu Luo Impact of childhood wheezing on lung function in adulthood: A meta-analysis. PLoS ONE |
| title | Impact of childhood wheezing on lung function in adulthood: A meta-analysis. |
| title_full | Impact of childhood wheezing on lung function in adulthood: A meta-analysis. |
| title_fullStr | Impact of childhood wheezing on lung function in adulthood: A meta-analysis. |
| title_full_unstemmed | Impact of childhood wheezing on lung function in adulthood: A meta-analysis. |
| title_short | Impact of childhood wheezing on lung function in adulthood: A meta-analysis. |
| title_sort | impact of childhood wheezing on lung function in adulthood a meta analysis |
| url | http://europepmc.org/articles/PMC5796725?pdf=render |
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