Evidence map›Paper›PMID 23036483›Full record

ArticleThe Journal of pediatrics2013

Predictors for asthma at age 7 years for low-income children enrolled in the Childhood Asthma Prevention Study.

Grace P Tamesis, Ronina A Covar, Matthew Strand, Andrew H Liu, Stanley J Szefler, Mary D Klinnert

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Grace P TamesisChildren's Hospital of the King's Daughters, Norfolk, VA, USA.
Ronina A Covar
Matthew Strand
Andrew H Liu
Stanley J Szefler
Mary D Klinnert

Funding

ZOPOLRESTAT PHARMACOKINETICS IN DIABETICS WITH VARYING RENAL FUNCTIONM01RR000051 · NCRR · UNIVERSITY OF COLORADO DENVER · PI KOSMISKI, LISA A. · 1985 to 2008
$52.6M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Colorado Clinical and Translational Science Institute (UL1)UL1TR000154 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2012 to 2013
$20.4M
PREVENTION OF CHRONIC ASTHMA IN YOUNG CHILDRENR18AI041137 · NIAID · NATIONAL JEWISH HEALTH · PI KLINNERT, MARY D. · 1997 to 2005
$1.5M
NCATS NIH HHS UL1 TR000154NCATS NIH HHS UL1 TR001082NCRR NIH HHS M01 RR000051NIAID NIH HHS R18 AI041137NIAID NIH HHS R18-AI-41137
6 · The paper itself

Abstract

objectiveTo identify the predictive factors of early childhood wheezing in children of low socioeconomic status. STUDY

designThe Childhood Asthma Prevention Study enrolled 177 low-income children (9-24 months old) with frequent wheezing. At age 7 years, presence of asthma was assessed through caregiver reports of physician diagnosis of asthma (CRPDA) and corroborated by assessment of bronchial hyperresponsiveness (BHR). Lung function, inflammatory markers, and asthma symptom severity were compared for children with ±CRPDA, ±BHR, and asthma. Baseline predictors for CRPDA, BHR, and asthma at 7 years of age were examined.

resultsMaternal symptom report strongly differentiated children with +CRPDA (49%) despite comparable airflow measurements (P < .0001), and spirometric lung function measurements were different for +BHR (65%) versus -BHR (P < .005). Univariate analyses revealed different baseline predictors of +CRPDA and +BHR for children at age 7 years. Higher levels of maternal psychological resources were associated with +CRPDA, but not +BHR. Only 39% of children with a history of frequent wheezing met the conservative definition of asthma at age 7 years, with the following significant predictors found: low birth weight, baseline symptom severity, and maternal psychological resources.

conclusionsThis low-income, multi-ethnic group of wheezing infants represents a unique population of children with distinct characteristics and risks for persistent asthma. Determination of asthma status at 7 years of age required objective measurement of BHR in addition to CRPDA. The association of maternal psychological resources with +CRPDA may represent a previously unrecognized factor in the determination of asthma status among low-income groups.

Indexed as

AsthmaBronchial HyperreactivityChild, PreschoolFemaleHumansInfantMalePovertyRespiratory SoundsRisk FactorsSpirometry

Identifiers

PMID23036483
PMCPMC3582795

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.