Abstract
The general practice records of 437 children were reviewed at seven years of age. Of 369 children with complete records, 115 (31 per cent) had some record of wheeze. Over half of these had first presented before the age of three years. In terms of consultations for wheezing or lower respiratory tract illness at the ages of five to seven years, the earlier the onset of wheeze the better the prognosis.
Comparison of data from parental questionnaires with the general practice records of 174 children suggested that parental recall of early episodes of wheeze is incomplete and biassed by the severity and persistence of the symptoms of the child. Questionnaire surveys may therefore have excluded many mild cases of wheezing in early childhood, thus underestimating the prevalance of wheezing in infancy, and overestimating the proportion of such cases who progress to persistent wheezing in later childhood.
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- Fry J. "Acute Wheezy Chests". Br Med J. 1961 Jan 28;1(5221):227–232. doi: 10.1136/bmj.1.5221.227. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hamman R. F., Halil T., Holland W. W. Asthma in schoolchildren. Demographic associations and peak expiratory flow rates compared in children with bronchitis. Br J Prev Soc Med. 1975 Dec;29(4):228–238. doi: 10.1136/jech.29.4.228. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Horn M. E., Brain E. A., Gregg I., Inglis J. M., Yealland S. J., Taylor P. Respiratory viral infection and wheezy bronchitis in childhood. Thorax. 1979 Feb;34(1):23–28. doi: 10.1136/thx.34.1.23. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lee D. A., Winslow N. R., Speight A. N., Hey E. N. Prevalence and spectrum of asthma in childhood. Br Med J (Clin Res Ed) 1983 Apr 16;286(6373):1256–1258. doi: 10.1136/bmj.286.6373.1256. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leeder S. R., Corkhill R. T., Irwig L. M., Holland W. W. Influence of family factors on asthma and wheezing during the first five years of life. Br J Prev Soc Med. 1976 Dec;30(4):213–218. doi: 10.1136/jech.30.4.213. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Martin A. J., McLennan L. A., Landau L. I., Phelan P. D. The natural history of childhood asthma to adult life. Br Med J. 1980 Jun 14;280(6229):1397–1400. doi: 10.1136/bmj.280.6229.1397. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Peckham C., Butler N. A national study of asthma in childhood. J Epidemiol Community Health. 1978 Jun;32(2):79–85. doi: 10.1136/jech.32.2.79. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pullan C. R., Hey E. N. Wheezing, asthma, and pulmonary dysfunction 10 years after infection with respiratory syncytial virus in infancy. Br Med J (Clin Res Ed) 1982 Jun 5;284(6330):1665–1669. doi: 10.1136/bmj.284.6330.1665. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sims D. G., Downham M. A., Gardner P. S., Webb J. K., Weightman D. Study of 8-year-old children with a history of respiratory syncytial virus bronchiolitis in infancy. Br Med J. 1978 Jan 7;1(6104):11–14. doi: 10.1136/bmj.1.6104.11. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Taylor B., Wadsworth J., Golding J., Butler N. Breast feeding, eczema, asthma, and hayfever. J Epidemiol Community Health. 1983 Jun;37(2):95–99. doi: 10.1136/jech.37.2.95. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Williams H., McNicol K. N. Prevalence, natural history, and relationship of wheezy bronchitis and asthma in children. An epidemiological study. Br Med J. 1969 Nov 8;4(5679):321–325. doi: 10.1136/bmj.4.5679.321. [DOI] [PMC free article] [PubMed] [Google Scholar]