Purpose of Review The aim of this study was to identify risk factors of asthma among children < 6 years old (preschool age) for predicting asthma during the preschool age and early school age (<= 10 years of age). Method of the study MEDLINE, Cochrane, EMBASE, and Google Scholar databases were searched until June 30, 2017. Prospective or retrospective cohort and case-control studies were included. Studies had to have evaluated risk factors or a predictive model for developing asthma in children <= 6 years of age or persistent asthma in early school age. Recent Findings A total of 17 studies were included in the analysis. Factors associated with developing asthma in children <= 10 years of age (both pre-school and early school age) included male gender (pooled OR = 1.70, P < 0.001), atopic dermatitis (pooled OR = 2.02, P < 0.001), a family history of asthma (pooled OR = 2.20, P < 0.001), and serum IgE levels <= 60 kU/l or having specific IgE (pooled OR = 2.36, P < 0.001). A history of exposure to smoke or wheezing was also associated with persistent asthma in early school age (pooled OR = 1.51, P = 0.030 and pooled OR = 2.59, P < 0.001, respectively). In general, asthma predictive models (e.g., API, PIAMA, PAPS) had relatively low sensitivity (range, 21% to 71.4%) but high specificity (range, 69% to 98%). Summary The study found that male gender, exposure to smoke, atopic dermatitis, family history of asthma, history of wheezing, and serum IgE level = 60 kU/l or having specific IgE were significantly associated with developing asthma by either preschool or early school age. Asthma predictive models can be developed by those risk factors.
第一作者机构:[1]Shanghai Jiao Tong Univ, Natl Childrens Med Ctr, Shanghai Childrens Med Ctr, Sch Med, Shanghai 200127, Peoples R China;[2]Shanghai EverBetter Pubin Childrens Hosp, Dept Pediat, Shanghai 200120, Peoples R China;
通讯作者:
通讯机构:[1]Shanghai Jiao Tong Univ, Natl Childrens Med Ctr, Shanghai Childrens Med Ctr, Sch Med, Shanghai 200127, Peoples R China;[2]Shanghai EverBetter Pubin Childrens Hosp, Dept Pediat, Shanghai 200120, Peoples R China;[7]Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Dept Pediat, 100 Haining Rd, Shanghai 200080, Peoples R China
推荐引用方式(GB/T 7714):
Bao Yixia,Chen Zhimin,Liu Enmei,et al.Risk Factors in Preschool Children for Predicting Asthma During the Preschool Age and the Early School Age: a Systematic Review and Meta-Analysis[J].CURRENT ALLERGY AND ASTHMA REPORTS.2017,17(12):-.doi:10.1007/s11882-017-0753-7.
APA:
Bao, Yixia,Chen, Zhimin,Liu, Enmei,Xiang, Li,Zhao, Deyu&Hong, Jianguo.(2017).Risk Factors in Preschool Children for Predicting Asthma During the Preschool Age and the Early School Age: a Systematic Review and Meta-Analysis.CURRENT ALLERGY AND ASTHMA REPORTS,17,(12)
MLA:
Bao, Yixia,et al."Risk Factors in Preschool Children for Predicting Asthma During the Preschool Age and the Early School Age: a Systematic Review and Meta-Analysis".CURRENT ALLERGY AND ASTHMA REPORTS 17..12(2017):-