4.6 Article

Early-life respiratory tract infections and the risk of school-age lower lung function and asthma: a meta-analysis of 150 000 European children

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EUROPEAN RESPIRATORY JOURNAL
卷 60, 期 4, 页码 -

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EUROPEAN RESPIRATORY SOC JOURNALS LTD
DOI: 10.1183/13993003.02395-2021

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资金

  1. Swedish Research Council [K2005-72X-11242-11A, K2008-69X-20826-01-4]
  2. Swedish Child Diabetes Foundation (Barndiabetesfonden)
  3. JDRF Wallenberg Foundation [K 98-99D-12813-01A]
  4. Medical Research Council of Southeast Sweden (FORSS)
  5. Swedish Council for Working Life and Social Research [FAS2004-1775]
  6. Ostgota Brandstodsbolag
  7. UK Medical Research Council
  8. Wellcome [217065/Z/19/Z]
  9. University of Bristol
  10. Swedish Heart Lung Foundation
  11. ALF Region Stockholm
  12. SFO Epidemiology Karolinska Institutet
  13. European Research Council [757919, ERC-2014-CoG-648916]
  14. Programme Grants for Applied Research funding scheme [RP-PG-0407-10044]
  15. Wellcome Trust [WT101597MA]
  16. Swiss National Science Foundation [320030_163311, SNF: 320030-182628, 320030-162820, 3233-069348, 3200-069349]
  17. Italian Ministry of Health
  18. Lundbeck Foundation [R16-A1694, 195/04, R100-A9193, R264-2017-3099]
  19. Ministry of Health [903516]
  20. Danish Council for Strategic Research [0603-00280B]
  21. Capital Region Research Foundation
  22. Danish National Research Foundation
  23. Danish Regional Committees
  24. Egmont Foundation
  25. March of Dimes Birth Defects Foundation
  26. Novo Nordisk Foundation
  27. Danish Medical Research Council [SSVF 0646, 271-08-0839/06-066023, O602-01042B, 0602-02738B]
  28. Innovation Fund Denmark [0603-00294B (09-067124)]
  29. Nordea Foundation [02-2013-2014]
  30. University of Copenhagen
  31. Danish Council for Independent Research [DFF-4183-00594, DFF-4183-00152]
  32. Foundation for Medical Research (FRM)
  33. National Institute for Research in Public health
  34. French Ministry of Health (DGS)
  35. French Ministry of Research
  36. INSERM Bone and Joint Diseases National Research (PRO-A) and Human Nutrition National Research Programs
  37. French National Institute for Health Education (INPES)
  38. European Union [733206]
  39. Diabetes National Research Program
  40. Mutuelle Generale de l'Education Nationale complementary health insurance (MGEN)
  41. French national agency for food security
  42. European Community [261357]
  43. Erasmus MC Rotterdam
  44. Erasmus University Rotterdam
  45. Netherlands Organisation for Health Research and Development [2001-1-1322]
  46. ERA-Net on Biomarkers for Nutrition and Health (ERA HDHL) [696295]
  47. Netherlands Organisation for Health Research and Development (ZonMw) [529051014, 2100.0090]
  48. Science Foundation Ireland [SFI/16/ERA-HDHL/3360]
  49. European Union's Horizon 2020 research and innovation programme [733206, 824989, 874583]
  50. European Regional Development Fund (ERDF) through the Operational Programme Competitiveness and Internationalization
  51. Foundation for Science and Technology (FCT), Portuguese Ministry of Science, Technology and Higher Education
  52. Unidade de Investigacao em Epidemiologia-Instituto de Saude Publica da Universidade do Porto (EPIUnit) [UIDB/04750/2020]
  53. Fundacao Calouste Gulbenkian
  54. FCT [IF/01060/2015]
  55. Federal Ministry for Education, Science, Research and Technology (interventional arm)
  56. Helmholtz Zentrum Muenchen
  57. Norwegian Research Council [226402]
  58. Instituto de Salud Carlos III (FEDER funds) [FIS-PI09/00090, FIS-PI18/01142]
  59. CIBERESP, Dept of Health of the Basque Government [2013111089]
  60. Instituto de Salud Carlos III (including FEDER funds) [Red INMA G03/176, CB06/02/0041, 97/0588, 00/0021-2, PI061756, PS0901958, PI14/00677]
  61. CIBERESP
  62. EC [QLK4-CT-200-00263]
  63. Instituto de Salud Carlos III [Red INMA G03/176, CB06/02/0041, PI041436, PI081151, CP16/00128]
  64. Generalitat de Catalunya-CIRIT [1999SGR 00241]
  65. Fundacio La marato de TV3 [090430]
  66. European Social Fund Investing in your future
  67. Spain: Instituto de Salud Carlos III [Red INMA G03/176, CB06/02/0041]
  68. FIS-FEDER [PI03/1615, PI04/1509, PI04/1112, PI04/1931, PI05/1079, PI05/1052, PI06/1213, PI07/0314, PI09/02647, PI11/01007, PI11/02591, PI11/02038, PI13/1944, PI13/2032, PI14/00891, PI14/01687, PI16/1288, PI17/00663, Miguel Servet-FEDERCP11/00178, CP15/00025, CPII16/00051]
  69. Generalitat Valenciana: FISABIO [UGP 15-230, UGP-15-244, UGP-15-249]
  70. Alicia Koplowitz Foundation
  71. Asthma UK [364, 07/048]
  72. Isle of Wight NHS Trust
  73. British Medical Association
  74. Netherlands Asthma Foundation [3.2.03.48, 3.2.07.022]
  75. Health Research Board, Ireland
  76. Irish Dept of Health and Children's Health Promotion Policy Unit
  77. Federal Ministry for Education, Science, Research and Technology
  78. Helmholtz Centre for Environmental Research-UFZ, Leipzig
  79. Federal Ministry for Environment (IUF Duesseldorf) [FKZ 20462296]
  80. Commission of the European Communities
  81. European Research Council under the European Union [949906]
  82. Child and Youth Health Care Zuyderland
  83. Public Health Service South Limburg
  84. Juho Vainio Foundation
  85. EVO/VTR
  86. Paeivikki and Sakari Sohlberg Foundation
  87. Farmers' Social Insurance Institution (Mela)
  88. Finnish Cultural Foundation
  89. Foundation for Pediatric Research
  90. Finnish Institute for Health and Welfare, Finland
  91. German Research Foundation (DFG) [KE1462/2-1]
  92. Economic and Social Research Council
  93. consortium of UK government
  94. Welcome Trust [187389/B/08/Z]
  95. Norwegian Ministry of Health and Care Services
  96. Research Council of Norway through its Centres of Excellence [262700]
  97. Compagnia San Paolo Foundation
  98. INSERM
  99. French National Research Agency
  100. Fondation de France
  101. French Agency for Food, Environmental and Occupational Health Safety
  102. French Ministry of Labour
  103. National Science Center Poland [DEC-2014/15/B/N27/00998]
  104. European Union Social Fund
  105. Hellenic Ministry of Health [MIS 349580]
  106. National Institute of Environmental Health Sciences (NIEHS) [R01ES030691, R01ES029944, R01ES030364, R21ES029681, R21ES028903, P30ES007048]
  107. University of Turku
  108. Abo Akademi University
  109. Foundation for Pediatric Research Finland
  110. British Heart Foundation
  111. Arthritis Research UK
  112. NIHR Southampton Biomedical Research Centre
  113. GlaxoSmithKline Netherlands
  114. University Medical Center Utrecht (UMCU)
  115. Pharmacy Foundation
  116. Health Foundation
  117. Aarhus Ideas [AU R9-A959-13-S804]
  118. National Agency for Research (ANR)
  119. Paris-Sud University
  120. Nestle
  121. French National Institute for Population Health Surveillance (InVS)
  122. French Association of Diabetic Patients (AFD)
  123. ANSES
  124. French speaking association for the study of diabetes and metabolism (ALFEDIAM)
  125. Dept of the Environment of the Flemish Government
  126. Flemish Agency of Care and Health
  127. Flemish Dept of Economy, Science and Innovation
  128. Administracao Regional de Saude Norte (Regional Dept of Ministry of Health)
  129. Beca de la IV convocatoria de Ayudas a la Investigacion en Enfemerdades Neurodegeneratives de La Caixa
  130. National Institutes of Health USA [R01HL082925]
  131. Research Institute at Marien-Hospital Bad Honnef
  132. Maastricht University
  133. Academy of Finland [139021, 287675, 296814, 296817, 308254, 123571, 140251, 277535]
  134. German Federal Ministry of Education and Research (MBMF) [07015633m 07ALE27, 01EE9405/5, 01EE9406]
  135. Ministry of Education and Research
  136. French Ministry of Ecology
  137. Netherlands Organisation of Health Research and Development
  138. Netherlands Organisation for Scientific Research
  139. Netherlands Asthma Fund
  140. Netherlands Ministry of Spatial Planning, Housing and the Environment
  141. Netherlands Ministry of Health, Welfare and Sport
  142. Turku University Hospital
  143. Medical Research Council
  144. Food Standards Agency
  145. Swiss National Science Foundation (SNF) [320030_182628, 320030_163311] Funding Source: Swiss National Science Foundation (SNF)
  146. European Research Council (ERC) [949906] Funding Source: European Research Council (ERC)
  147. Academy of Finland (AKA) [287675, 296814, 296817, 308254, 308254, 296817, 296814] Funding Source: Academy of Finland (AKA)
  148. Science Foundation Ireland (SFI) [16/ERA-HDHL/3360] Funding Source: Science Foundation Ireland (SFI)

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Early-life lower respiratory tract infections may increase the risk of asthma and lower lung function in school-age children. The study also found that early-life lower respiratory tract infections have the strongest impact on respiratory diseases in children with wheezing.
Background Early-life respiratory tract infections might affect chronic obstructive respiratory diseases, but conclusive studies from general populations are lacking. Our objective was to examine if children with early-life respiratory tract infections had increased risks of lower lung function and asthma at school age. Methods We used individual participant data of 150 090 children primarily from the EU Child Cohort Network to examine the associations of upper and lower respiratory tract infections from age 6 months to 5 years with forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), FEV1/FVC, forced expiratory flow at 75% of FVC (FEF75%) and asthma at a median (range) age of 7 (4-15) years. Results Children with early-life lower, not upper, respiratory tract infections had a lower school-age FEV1, FEV1/FVC and FEF75% (z-score range: -0.09 (95% CI -0.14- -0.04) to -0.30 (95% CI -0.36- -0.24)). Children with early-life lower respiratory tract infections had a higher increased risk of school-age asthma than those with upper respiratory tract infections (OR range: 2.10 (95% CI 1.98-2.22) to 6.30 (95% CI 5.64-7.04) and 1.25 (95% CI 1.18-1.32) to 1.55 (95% CI 1.47-1.65), respectively). Adjustment for preceding respiratory tract infections slightly decreased the strength of the effects. Observed associations were similar for those with and without early-life wheezing as a proxy for early-life asthma. Conclusions Our findings suggest that early-life respiratory tract infections affect development of chronic obstructive respiratory diseases in later life, with the strongest effects for lower respiratory tract infections.

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