Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S.
Objective To assess the association between birth weight and childhood asthma risk using data from the 2019–2020 National Survey of Children’s Health database.Design Cross-sectional study.Setting The USA.Patients A representative cohort of American children.Exposure The exposure of this study was bi...
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BMJ Publishing Group
2023-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/12/e076884.full |
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| author | Wei Li Tao Wang Qianqian Zhang Hao Chen Ze Chen Zhiwei Liu Meng Ni Baihe Li Jiuru Zhao Sudong Qi Qianwen Shen Dongting Yao Xiya Ding Zhenying Lin Chunyu Cheng |
| author_facet | Wei Li Tao Wang Qianqian Zhang Hao Chen Ze Chen Zhiwei Liu Meng Ni Baihe Li Jiuru Zhao Sudong Qi Qianwen Shen Dongting Yao Xiya Ding Zhenying Lin Chunyu Cheng |
| author_sort | Wei Li |
| collection | DOAJ |
| description | Objective To assess the association between birth weight and childhood asthma risk using data from the 2019–2020 National Survey of Children’s Health database.Design Cross-sectional study.Setting The USA.Patients A representative cohort of American children.Exposure The exposure of this study was birth weight regardless of gestational age. Birth weight was divided into three groups: <1500 g, 1500–2500 g and >2500 g.Main outcome measures Primary outcomes were parent-reported diagnosis of asthma.Method The Rao-Scott χ2 test was used to compare the groups. The main analyses examined the association between birth weight and parent-report asthma in children using univariable and multivariable logistic models adjusting for preterm birth, age, sex, race, family poverty, health insurance, smoking, maternal age. Subgroup analysis was performed based on interaction test.Results A total of 60 172 children aged 3–17 years were enrolled in this study; of these, 5202 (~8.6%) had asthma. Children with asthma were more likely to be born preterm, with low birth weight (LBW) or very LBW (VLBW). The incidence of asthma was the highest in VLBW children at 20.9% and showed a downward trend with an increase in birth weight class, with rates of 10.7% and 8.1% in the LBW and normal birthweight groups, respectively. Children with VLBW (OR 1.97; 95% CI 1.29 to 3.01) had higher odds of developing asthma in the adjusted analysis model. However, VLBW was only shown to be a risk factor for asthma among Hispanics, black/African-Americans and children between the ages of 6 and 12 years, demonstrating racial and age disparities.Conclusions VLBW increases the risk of childhood asthma; however, racial and age disparities are evident. |
| format | Article |
| id | doaj-art-a3090b3735e5454d8f9c7ac468e3bde3 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-a3090b3735e5454d8f9c7ac468e3bde32025-08-20T03:10:59ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-076884Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S.Wei Li0Tao Wang1Qianqian Zhang2Hao Chen3Ze Chen4Zhiwei Liu5Meng Ni6Baihe Li7Jiuru Zhao8Sudong Qi9Qianwen Shen10Dongting Yao11Xiya Ding12Zhenying Lin13Chunyu Cheng14International Peace Maternity and Child Health Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai, China1 Department of Neurology and Department of Psychiatry, Wuxi Branch of Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Wuxi, Jiangsu, ChinaDepartment of Cerebrovascular Disease, Henan University People’s Hospital, Henan Provincial People’s Hospital, Zhengzhou, Henan, China4 Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, ChinaInternational Peace Maternity and Child Health Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai, ChinaInternational Peace Maternity and Child Health Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai, ChinaInternational Peace Maternity and Child Health Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai, ChinaShanghai Key Laboratory of Embryo Original Disease, Shanghai, ChinaInternational Peace Maternity and Child Health Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai, ChinaInternational Peace Maternity and Child Health Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai, ChinaInternational Peace Maternity and Child Health Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai, ChinaInternational Peace Maternity and Child Health Hospital of China Welfare Institution, Shanghai, ChinaInternational Peace Maternity and Child Health Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai, ChinaInternational Peace Maternity and Child Health Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai, ChinaInternational Peace Maternity and Child Health Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai, ChinaObjective To assess the association between birth weight and childhood asthma risk using data from the 2019–2020 National Survey of Children’s Health database.Design Cross-sectional study.Setting The USA.Patients A representative cohort of American children.Exposure The exposure of this study was birth weight regardless of gestational age. Birth weight was divided into three groups: <1500 g, 1500–2500 g and >2500 g.Main outcome measures Primary outcomes were parent-reported diagnosis of asthma.Method The Rao-Scott χ2 test was used to compare the groups. The main analyses examined the association between birth weight and parent-report asthma in children using univariable and multivariable logistic models adjusting for preterm birth, age, sex, race, family poverty, health insurance, smoking, maternal age. Subgroup analysis was performed based on interaction test.Results A total of 60 172 children aged 3–17 years were enrolled in this study; of these, 5202 (~8.6%) had asthma. Children with asthma were more likely to be born preterm, with low birth weight (LBW) or very LBW (VLBW). The incidence of asthma was the highest in VLBW children at 20.9% and showed a downward trend with an increase in birth weight class, with rates of 10.7% and 8.1% in the LBW and normal birthweight groups, respectively. Children with VLBW (OR 1.97; 95% CI 1.29 to 3.01) had higher odds of developing asthma in the adjusted analysis model. However, VLBW was only shown to be a risk factor for asthma among Hispanics, black/African-Americans and children between the ages of 6 and 12 years, demonstrating racial and age disparities.Conclusions VLBW increases the risk of childhood asthma; however, racial and age disparities are evident.https://bmjopen.bmj.com/content/13/12/e076884.full |
| spellingShingle | Wei Li Tao Wang Qianqian Zhang Hao Chen Ze Chen Zhiwei Liu Meng Ni Baihe Li Jiuru Zhao Sudong Qi Qianwen Shen Dongting Yao Xiya Ding Zhenying Lin Chunyu Cheng Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. BMJ Open |
| title | Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. |
| title_full | Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. |
| title_fullStr | Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. |
| title_full_unstemmed | Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. |
| title_short | Relationship Between Birth Weight and Asthma Diagnosis: A Cross-Sectional Survey Study Based on the National Survey of Children’s Health in the U.S. |
| title_sort | relationship between birth weight and asthma diagnosis a cross sectional survey study based on the national survey of children s health in the u s |
| url | https://bmjopen.bmj.com/content/13/12/e076884.full |
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