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Vol. 43. Issue 6.
Pages 543-552 (November - December 2015)
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Vol. 43. Issue 6.
Pages 543-552 (November - December 2015)
Original Article
DOI: 10.1016/j.aller.2014.09.001
Wheezing and risk factors in the first year of life in Cantabria, Spain. The EISL study
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A. Bercedo-Sanza,
Corresponding author
alberto.bercedo@scsalud.es

Corresponding author.
, L. Lastra-Martínezb, J. Pellegrini-Belinchónc, E. Vicente-Galindod, F. Lorente-Toledanoe, L. García-Marcosf
a Primary Care Pediatrician, Centro de Salud Buelna, Los Corrales de Buelna, Spain
b Primary Care Pediatrician, Centro de Salud Cudeyo, Rubayo, Spain
c Primary Care Pediatrician, Centro de Salud de Pizarrales, Salamanca, Spain
d Department of Statistics, University of Salamanca, Spain
e Department of Pediatrics, University of Salamanca, Spain
f Unit of Pediatric Pneumology and Allergy, “Virgen de la Arrixaca” University Children's Hospital, University of Murcia, Spain
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Figures (1)
Tables (4)
Table 1. Study subjects. Descriptive results.
Table 2. Descriptive results in the infants who have presented wheezing.
Table 3. Wheezing risk factors. Odds ratio (OR) with 95% confidence interval (95%CI).
Table 4. Recurrent wheezing (RW) risk factors. Odds ratio (OR) with 95% confidence interval (95%CI).
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Abstract
Objectives

To determine the prevalence of wheezing during the first year of life in Cantabria, Spain and its associated risk factors.

Methodology

A cross-sectional, multicentre, descriptive epidemiological study was carried out in a representative sample of 958 infants in the first year of life, born in Cantabria. A previously validated and standardised written questionnaire was completed by the parents of infants seen between 12 and 15 months of age in the Primary Care Centres.

Results

The prevalence of wheezing was 32.7%. A relationship was found with male gender (OR 1.38, 95%CI [1.05–1.81]), the presence of a sibling (OR 2.43 [1.38–3.98]), attending nursery school (OR 2.40 [1.71–3.35]), exclusive breastfeeding for <3 months (OR 1.47 [1.12–1.93]), a first cold at ≤3 months (OR 2.07 [1.56–2.74]), asthma in siblings (OR 2.17 [1.25–3.77]), parental allergic rhinitis (OR 1.62 [1.10–2.37]) and paracetamol use >1 a week (OR 2.49 [1.31–4.73]), and maternal smoking during pregnancy (OR 2.18 [1.51–3.15]). The prevalence of recurrent wheezing (≥3 episodes) was 14.3%. Significant associations were observed with the male gender (OR 1.79 [1.23–2.60]), attending nursery school (OR 2.92 [1.96–4.35]), first cold at ≤3 months (OR 2.11 [1.46–3.04]), eczema (OR 1.92 [1.21–3.04]), maternal asthma (OR 1.77 [1.00–3.14]), exclusive breastfeeding for <3 months (OR 1.53 [1.06–2.22]), and maternal smoking during pregnancy (OR 1.53 [1.05–2.22]).

Conclusions

One third of the infants experienced wheezing during the first year of life; those who were less exclusively breastfed, attended nursery school, presented eczema, family asthma or allergic rhinitis, and maternal smoking during pregnancy.

Keywords:
Wheezing
Asthma
Wheezing in infants
Recurrent wheeze
Epidemiology
Prevalence
EISL

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