Early life exposures and risk of adult respiratory disease during 50 years of follow-up
Johansson, Carl J ; Nilsson, Peter M LU and Ignell, Claes LU
(2020)
In European Journal of Epidemiology
35(12).
p.1157-1166
- Abstract
Adult health is influenced by factors during fetal life affecting organ development and birth weight. We aimed to study such factors in relation to adult respiratory disease (ARD) risk. The Helsingborg Birth Cohort, Sweden, contributed baseline data collected by medical staff through clinical examination and questionnaires on maternal and birth characteristics 1964-1967. Register linkages were performed with completions of data on ARD by ICD 8-10 classifications (1969-2016), and/or ARD-related drug usage (2005-2016) enabling a 50-year follow-up time. Cox proportional hazard regression analyses were made to adjust for potential confounders, adjusted hazard ratio (aHR). A total of 3675 mothers and their offspring were included. Female... (More)
Adult health is influenced by factors during fetal life affecting organ development and birth weight. We aimed to study such factors in relation to adult respiratory disease (ARD) risk. The Helsingborg Birth Cohort, Sweden, contributed baseline data collected by medical staff through clinical examination and questionnaires on maternal and birth characteristics 1964-1967. Register linkages were performed with completions of data on ARD by ICD 8-10 classifications (1969-2016), and/or ARD-related drug usage (2005-2016) enabling a 50-year follow-up time. Cox proportional hazard regression analyses were made to adjust for potential confounders, adjusted hazard ratio (aHR). A total of 3675 mothers and their offspring were included. Female offspring showed higher frequency of ARD than males, aHR 1.5 (95% CI 1.3-1.8). Maternal use of sedatives during second trimester, aHR 2.2 (95% CI 1.4-3.4), and maternal smoking during most of pregnancy, aHR 1.2 (95% CI 1.0-1.4), were associated with offspring ARD. Stratified by sex, large-for-gestational-age, aHR 1.4 (95% CI 1.0-1.9), was significantly associated with ARD in female offspring along with maternal sedative use during second trimester and maternal smoking during most of pregnancy. Maternal sedative use during second trimester or all trimesters were the only significant risk factors for male offspring. In conclusion, maternal sedative use in second trimester was independently associated with subsequent respiratory disease in adult offspring irrespective of sex.
(Less)
- author
- Johansson, Carl J
; Nilsson, Peter M
LU
and Ignell, Claes
LU
- organization
- publishing date
- 2020-12
- type
- Contribution to journal
- publication status
- published
- subject
- in
- European Journal of Epidemiology
- volume
- 35
- issue
- 12
- pages
- 10 pages
- publisher
- Springer
- external identifiers
-
- pmid:32270394
- scopus:85083047591
- ISSN
- 1573-7284
- DOI
- 10.1007/s10654-020-00626-3
- project
- Helsingborg Birth cohort 1964-1967 - subsequent health of mother and child
- language
- English
- LU publication?
- yes
- id
- 6454cd32-bd02-452a-85ef-04b70fd853eb
- date added to LUP
- 2020-04-21 16:36:47
- date last changed
- 2024-09-18 22:39:31
@article{6454cd32-bd02-452a-85ef-04b70fd853eb,
abstract = {{<p>Adult health is influenced by factors during fetal life affecting organ development and birth weight. We aimed to study such factors in relation to adult respiratory disease (ARD) risk. The Helsingborg Birth Cohort, Sweden, contributed baseline data collected by medical staff through clinical examination and questionnaires on maternal and birth characteristics 1964-1967. Register linkages were performed with completions of data on ARD by ICD 8-10 classifications (1969-2016), and/or ARD-related drug usage (2005-2016) enabling a 50-year follow-up time. Cox proportional hazard regression analyses were made to adjust for potential confounders, adjusted hazard ratio (aHR). A total of 3675 mothers and their offspring were included. Female offspring showed higher frequency of ARD than males, aHR 1.5 (95% CI 1.3-1.8). Maternal use of sedatives during second trimester, aHR 2.2 (95% CI 1.4-3.4), and maternal smoking during most of pregnancy, aHR 1.2 (95% CI 1.0-1.4), were associated with offspring ARD. Stratified by sex, large-for-gestational-age, aHR 1.4 (95% CI 1.0-1.9), was significantly associated with ARD in female offspring along with maternal sedative use during second trimester and maternal smoking during most of pregnancy. Maternal sedative use during second trimester or all trimesters were the only significant risk factors for male offspring. In conclusion, maternal sedative use in second trimester was independently associated with subsequent respiratory disease in adult offspring irrespective of sex.</p>}},
author = {{Johansson, Carl J and Nilsson, Peter M and Ignell, Claes}},
issn = {{1573-7284}},
language = {{eng}},
number = {{12}},
pages = {{1157--1166}},
publisher = {{Springer}},
series = {{European Journal of Epidemiology}},
title = {{Early life exposures and risk of adult respiratory disease during 50 years of follow-up}},
url = {{http://dx.doi.org/10.1007/s10654-020-00626-3}},
doi = {{10.1007/s10654-020-00626-3}},
volume = {{35}},
year = {{2020}},
}