0110/2021 - ASSOCIATION BETWEEN PRENATAL AND NEONATAL FACTORS AND OCCURRENCE OF ASTHMA SYMPTOMS IN 6-YEAR-OLD CHILDREN ASSOCIAÇÃO ENTRE FATORES PRÉ-NATAIS E NEONATAIS E OCORRÊNCIA DE SINTOMAS DE ASMA EM CRIANÇAS AOS 6 ANOS DE IDADE
O objetivo foi estimar associação entre fatores pré-natais e neonatais sintomas de asma crianças aos 6 anos de idade. Estudo epidemiológico transversal com dados secundários provenientes de um estudo de coorte com uma amostragem de 578 crianças foi realizado. Os dados foram analisados por meio de Regressão de Poisson. Do total de 578 crianças incluídas no estudo, 43,4% (IC 95% 39,4; 47,4) apresentavam sintomas de asma. As variáveis com prevalências significativamente maiores de sintomas de asma aos 6 anos de idade foram: sexo masculino, com prevalência 5% maior (RP= 1,05 IC 95% 1,01; 1,11) (p=0,043); crianças de gestantes portadoras de doenças infecciosas, com prevalência 7% maior (RP= 1,07; IC 95% 1,02; 1,13) (p=0,011); crianças que não foram amamentadas, com prevalência 12% maior (RP= 1,12; IC 95% 1,02; 1,24) (p=0,022) e crianças com problemas respiratórios no primeiro mês de vida, com uma prevalência 14% maior (RP= 1,14; IC 95% 1,01; 1,29) (p=0,033). Concluiu-se que sexo masculino, privação de amamentação independente do tempo e problemas respiratórios no primeiro mês de vida foram associados de forma independente aos sintomas de asma aos 6 anos de idade. A ocorrência de doenças infecciosas durante a gravidez foi o único fator fisiológico intra-uterino associado à ocorrência de sintomas de asma aos 6 anos de idade.
Palavras-chave:
Asma, Criança, Saúde da Criança
Abstract:
The objective was to estimate association between prenatal and neonatal factors and asthma symptoms in children at 6 years of age. A cross-sectional study using secondary data from a cohort study with a sample of 578 children was carried out. Data were analyzed using three levels hierarchical Poisson Regression. Of the 578 children included in the study, 43.4% (95% CI 39.4; 47.4) had asthma symptoms. The variables with significantly higher prevalence of symptoms and asthma at 6 years of age were: male gender, with 5% higher prevalence (PR = 1.05 95% CI 1.01; 1.11) (p = 0.043); children of pregnant women presenting infectious diseases with 7% higher prevalence (PR = 1.07; 95% CI 1.02; 1.13) (p = 0.011); children who were not breastfed, with a 12% higher prevalence (PR = 1.12; 95% CI 1.02; 1.24) (p = 0.022) and children with respiratory problems in the first month of life, with a 14% higher prevalence (PR = 1.14; 95% CI 1.01; 1.29) (p = 0.033). It could be concluded that male gender, time-independent breastfeeding deprivation and respiratory problems in the first month of life were independently associated with asthma symptoms at 6 years of age. The occurrence of infectious diseases during pregnancy was the only factor with intrauterine physiology that was associated with the occurrence of asthma symptoms at 6 years of age.
ASSOCIAÇÃO ENTRE FATORES PRÉ-NATAIS E NEONATAIS E OCORRÊNCIA DE SINTOMAS DE ASMA EM CRIANÇAS AOS 6 ANOS DE IDADE
Resumo (abstract):
The objective was to estimate association between prenatal and neonatal factors and asthma symptoms in children at 6 years of age. A cross-sectional study using secondary data from a cohort study with a sample of 578 children was carried out. Data were analyzed using three levels hierarchical Poisson Regression. Of the 578 children included in the study, 43.4% (95% CI 39.4; 47.4) had asthma symptoms. The variables with significantly higher prevalence of symptoms and asthma at 6 years of age were: male gender, with 5% higher prevalence (PR = 1.05 95% CI 1.01; 1.11) (p = 0.043); children of pregnant women presenting infectious diseases with 7% higher prevalence (PR = 1.07; 95% CI 1.02; 1.13) (p = 0.011); children who were not breastfed, with a 12% higher prevalence (PR = 1.12; 95% CI 1.02; 1.24) (p = 0.022) and children with respiratory problems in the first month of life, with a 14% higher prevalence (PR = 1.14; 95% CI 1.01; 1.29) (p = 0.033). It could be concluded that male gender, time-independent breastfeeding deprivation and respiratory problems in the first month of life were independently associated with asthma symptoms at 6 years of age. The occurrence of infectious diseases during pregnancy was the only factor with intrauterine physiology that was associated with the occurrence of asthma symptoms at 6 years of age.
Esmeraldino, L, Traebert, E., Nunes, R. D., Traebert, J.. ASSOCIATION BETWEEN PRENATAL AND NEONATAL FACTORS AND OCCURRENCE OF ASTHMA SYMPTOMS IN 6-YEAR-OLD CHILDREN. Cien Saude Colet [periódico na internet] (2021/Mar). [Citado em 20/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/association-between-prenatal-and-neonatal-factors-and-occurrence-of-asthma-symptoms-in-6yearold-children/18009?id=18009&id=18009
