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https://www.arca.fiocruz.br/handle/icict/25660
RISK FACTORS FOR NON-ATOPIC ASTHMA/WHEEZE IN CHILDREN AND ADOLESCENTS: A SYSTEMATIC REVIEW
Chiado não atópico
Fatores de risco
Mofo
Infecções respiratórias
Affilliation
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
St George’s University of London. Division of Clinical Sciences. London, UK.
Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, UK.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
St George’s University of London. Division of Clinical Sciences. London, UK.
Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, UK.
Abstract
The study of non-atopic asthma/wheeze in children separately from atopic asthma is relatively recent. Studies have focused on single risk factors and had inconsistent findings. Objective: To review evidence on factors associated with non-atopic asthma/wheeze in children and adolescents.
Methods: A review of studies of risk factors for non-atopic asthma/wheeze which had a non-asthmatic comparison group, and assessed atopy by skin-prick test or allergen-specific IgE. Results: Studies of non-atopic asthma/wheeze used a wide diversity of definitions of asthma/wheeze, comparison groups and methods to assess atopy. Among 30 risk factors evaluated in the 43 studies only 3 (family history of asthma/rhinitis/eczema, dampness/mold in the household, and lower respiratory tract infections in childhood) showed consistent associations with non-atopic asthma/wheeze. No or limited period of breastfeeding was less consistently associated with non-atopic asthma/wheeze. The few studies examining the effects of overweight/obesity and psychological/social factors showed consistent associations. We used a novel graphical presentation of different risk factors for non-atopic asthma/wheeze, allowing a more complete perception of the complex pattern of effects. Conclusions: More research using standardized methodology is needed on the causes of non-atopic asthma.
Keywords in Portuguese
Asma não atópicaChiado não atópico
Fatores de risco
Mofo
Infecções respiratórias
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