Are you afraid of having a child with
asthma? A new study suggests that the time of the year in which a child is born
may have something to do with his/her asthma risk.
Children who celebrate their
birthday before the height of cold and flu season have a higher risk of developing
childhood asthma than children born in any other time of the year, the study
shows. At the same time, the researchers say here
are a number of ways to reduce the risk associated with birth timing.
For the study, researchers at Vanderbilt University,
in Nashville, analyzed the medical records of
95,000 children and their mothers in Tennessee
to determine whether date of birth in relationship with the peak in winter
respiratory viruses posed a higher risk for developing early childhood asthma. Birth
during the fall months, which is most likely for babies conceived in December
or January, was associated with a 30 percent greater risk for developing
asthma, study authors report in the first issue of the American Journal of Respiratory and Critical Care Medicine, a
publication of the American Thoracic Society. The researchers also found that
risk for childhood asthma was higher for babies who suffered from a respiratory
tract infection early in life; for those born in the fall months the risk for
contracting respiratory viral infections was higher.
The researchers said that the risk of
developing asthma from bronchiolitis “is almost certainly influenced by genetic
factors.” “However, if this association were due only to genetic factors, there
would be a seasonal effect on infection but not on asthma…Instead we have shown
that there is variation in the risk of developing asthma by the timing of birth
in relationship to the winter virus peak for each year studied. This supports a
causal relationship of childhood asthma with the winter virus peak after birth,”
the researchers explained.
The number of children with asthma has more
than doubled since the 1980s. According to the CDC estimates, about 20 million
Americans have asthma, including 9 million children.
“Infant age at the winter virus peak
following birth independently predicts asthma development, with the highest
risk being for infants born approximately four months prior to the peak, which
is represented by birth in the fall months in the Northern hemisphere. Birth
during this time conferred a nearly 30 percent increase in odds of developing
asthma,” said Tina V. Hartert, M.D., M.P.H., associate professor of medicine
and director of the center for Asthma Research at Vanderbilt University,
and first author of the study.
Researchers note that for families whose
babies are at high risk for developing asthma, timing of birth in the spring
months, or avoid infection through administration of a vaccine may significantly
reduce their asthma risk.
Asthma is a chronic disease involving the
respiratory system in which the airways occasionally constrict, become
inflamed, and are lined with excessive amounts of mucus, often as a response to
one or more triggers, such as exposure to an environmental stimulant (e.g. an
allergen, environmental tobacco smoke, cold or warm air, perfume, pet dander,
moist air) or even emotional stress.
Although there is no cure, medication can
help control the disease and relieve pressure in the airways during an
asthmatic episode.