Recurrent wheezing and asthma-Epidemiology and environmental determinants.

IF 2.7 3区 医学 Q1 PEDIATRICS
Adaeze C Ayuk
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引用次数: 0

Abstract

Wheeze is the musical continuous sound produced by oscillations in any critically narrowed airways, and heard mostly on expiration. It is common in preschool age, about half of all children will experience an episode of wheezing by their sixth birthday. Asthma is usually characterized by cough, wheeze, chest tightness and fast breathing. It is a significant global health issue and affects both children and adults. The prevalence is on the increase, especially in LMIC. Studies from different populations have revealed the key role influencing the progression from preschool wheezing to childhood asthma. Recurrent wheezing is four or more episodes in the preceding year and has a spectrum of phenotypes and with heterogeneous features. Phenotypes of wheezing were proposed to facilitate the identification of young children who are at risk of subsequent development of asthma. The epidemiology and environmental determinants of recurrent wheezing and asthma are discussed.

反复喘息和哮喘--流行病学和环境决定因素。
喘鸣声是气道严重狭窄时振荡产生的连续音乐声,主要在呼气时听到。它常见于学龄前儿童,大约有一半的儿童在六岁之前会出现喘息。哮喘通常以咳嗽、喘息、胸闷和呼吸急促为特征。它是一个重要的全球性健康问题,对儿童和成人都有影响。发病率呈上升趋势,尤其是在低收入和中等收入国家。对不同人群的研究表明,影响学龄前喘息发展为儿童哮喘的关键因素。反复发作的喘息是指在过去一年中发作四次或四次以上,具有多种表型和异质性特征。提出喘息表型的目的是为了便于识别哪些幼儿有随后发展为哮喘的风险。本文讨论了反复喘息和哮喘的流行病学和环境决定因素。
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来源期刊
Pediatric Pulmonology
Pediatric Pulmonology 医学-呼吸系统
CiteScore
6.00
自引率
12.90%
发文量
468
审稿时长
3-8 weeks
期刊介绍: Pediatric Pulmonology (PPUL) is the foremost global journal studying the respiratory system in disease and in health as it develops from intrauterine life though adolescence to adulthood. Combining explicit and informative analysis of clinical as well as basic scientific research, PPUL provides a look at the many facets of respiratory system disorders in infants and children, ranging from pathological anatomy, developmental issues, and pathophysiology to infectious disease, asthma, cystic fibrosis, and airborne toxins. Focused attention is given to the reporting of diagnostic and therapeutic methods for neonates, preschool children, and adolescents, the enduring effects of childhood respiratory diseases, and newly described infectious diseases. PPUL concentrates on subject matters of crucial interest to specialists preparing for the Pediatric Subspecialty Examinations in the United States and other countries. With its attentive coverage and extensive clinical data, this journal is a principle source for pediatricians in practice and in training and a must have for all pediatric pulmonologists.
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