Childhood asthma as a risk factor for adult chronic obstructive pulmonary disease: a systematic review and meta-analysis.

IF 2.9 3区医学 Q2 RESPIRATORY SYSTEM

Expert Review of Respiratory Medicine Pub Date : 2022-04-01 Epub Date: 2020-12-29 DOI:10.1080/17476348.2021.1864328

Kosar Mohamed Ali

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引用次数: 7

Abstract

Background: Due to the disagreement in studies, the present study performed a systematic review and meta-analysis to investigate the relationship between childhood asthma and the development of chronic obstructive pulmonary disease (COPD) in adulthood.

Methods: Literature search was performed in Medline and Embase databases until the end of 2019. Data were recorded as adjusted odds ratio (OR) and 95% confidence interval (95%CI). Analyses were performed on STATA 14.0 and an overall OR was reported. Subgroup analysis was performed to determine the source of heterogeneity.

Results: Data from 11 articles were included in the meta-analysis. Overall, the odds of developing adulthood COPD in children with asthma were 3.0 times higher than that in non-asthmatic children (OR = 3.00; 95%CI: 2.25-4.00; p < 0.001). The relationship between childhood asthma and COPD in adulthood was reported somewhat greater in random sampling method studies than consecutive sampling method studies (OR = 2.89; 95% CI: 1.72-4.86; p = 0.001).

Conclusion: Asthma in childhood could be considered as an independent risk factor for COPD in adulthood. Since type of study, sampling method, sample size of study and COPD prevalence are the main sources of heterogeneity, further prospective high-quality studies assessing the relationship of childhood asthma and adulthood COPD are recommended to be performed.

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儿童哮喘是成人慢性阻塞性肺疾病的危险因素:一项系统综述和荟萃分析

背景:由于研究存在分歧，本研究通过系统回顾和荟萃分析，探讨儿童哮喘与成年期慢性阻塞性肺疾病(COPD)发展的关系。方法:截至2019年底，在Medline和Embase数据库中进行文献检索。数据以校正优势比(OR)和95%置信区间(95% ci)记录。在STATA 14.0上进行分析，并报告了总体OR。进行亚组分析以确定异质性的来源。结果:meta分析纳入了11篇文章的数据。总体而言，患有哮喘的儿童患成年期COPD的几率是非哮喘儿童的3.0倍(OR = 3.00;95%置信区间:2.25—-4.00;结论:儿童期哮喘可被认为是成年期COPD的独立危险因素。由于研究类型、抽样方法、研究样本量和COPD患病率是异质性的主要来源，建议进一步开展评估儿童哮喘与成年COPD关系的前瞻性高质量研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Respiratory Medicine RESPIRATORY SYSTEM-

CiteScore

6.80

自引率

2.60%

发文量

期刊介绍： Coverage will include the following key areas: - Prospects for new and emerging therapeutics - Epidemiology of disease - Preventive strategies - All aspects of COPD, from patient self-management to systemic effects of the disease and comorbidities - Improved diagnostic methods, including imaging techniques, biomarkers and physiological tests. - Advances in the treatment of respiratory infections and drug resistance issues - Occupational and environmental factors - Progress in smoking intervention and cessation methods - Disease and treatment issues for defined populations, such as children and the elderly - Respiratory intensive and critical care - Updates on the status and advances of specific disease areas, including asthma, HIV/AIDS-related disease, cystic fibrosis, COPD and sleep-disordered breathing morbidity