Asthma in children
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Who's at risk?

Some children are more likely than others to get asthma. This is because they have certain risk factors.

Risk factors are things that increase a person's chance of getting an illness.

Having parents who smoke increases a child's risk of getting asthma. There's a risk from:

  • Smoking during pregnancy. If a woman smokes when she's pregnant the chance that her baby will get asthma increases by more than 50 percent.
     
     
     
     
     
    Source:
    Benenson AS, Chin J.
    Control of communicable diseases manual.
    16th edition. American Public Health Association, Washington DC, USA; 1995.
     
     
     
     
     
    1
  • Smoking around children. Children whose parents smoke are more likely to get asthma than children whose parents don't smoke.
     
     
     
     
     
    Source:
    U.S. Department of Health and Human Services.
    Chapter 6. Respiratory Effects in Children from Exposure to Secondhand Smoke. In: The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General.
    Available at http://www.surgeongeneral.gov/library/secondhandsmoke/report (accessed on 9 May 2008).
     
     
     
     
     
    2

There's a link between asthma and other allergic conditions, such as eczema and hay fever. About 1 in 3 children with eczema will go on to get asthma.
 
 
 
 
 
Source:
van der Hulst AE, Klip H, Brand PL.
Risk of developing asthma in young children with atopic eczema: A systematic review.
Journal of Clinical Immunology. 2007; 120: 565-9.
 
 
 
 
 
3

Some studies have found a link between being treated with antibiotics as a baby and getting asthma in later life.
 
 
 
 
 
Source:
van der Hulst AE, Klip H, Brand PL.
Risk of developing asthma in young children with atopic eczema: A systematic review.
Journal of Clinical Immunology. 2007; 120: 565-9.
 
 
 
 
 
3
 
 
 
 
 
Source:
Kozyrskyj AL, Ernst P, Becker AB.
Increased risk of childhood asthma from antibiotic use in early life.
Chest. 2007; 131: 1753-1759.
 
 
 
 
 
4 But it's hard to know whether antibiotic use in babies could actually cause asthma. It might just be that when babies become wheezy, doctors may think they have a chest infection and treat them with antibiotics. So the children in the study might have been given antibiotics for a chest infection, when they really had asthma all along.

Sources for the information on this page:
  1. Benenson AS, Chin J.Control of communicable diseases manual.16th edition. American Public Health Association, Washington DC, USA; 1995.
  2. U.S. Department of Health and Human Services.Chapter 6. Respiratory Effects in Children from Exposure to Secondhand Smoke. In: The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General.Available at http://www.surgeongeneral.gov/library/secondhandsmoke/report (accessed on 9 May 2008).
  3. van der Hulst AE, Klip H, Brand PL.Risk of developing asthma in young children with atopic eczema: A systematic review.Journal of Clinical Immunology. 2007; 120: 565-9.
  4. Kozyrskyj AL, Ernst P, Becker AB.Increased risk of childhood asthma from antibiotic use in early life.Chest. 2007; 131: 1753-1759.
This information was last updated on Jan 09, 2009
BMJ Group
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2009. All rights reserved.