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Respiratory morbidity before and during the COVID-19 pandemic from birth to 18 months in a Swedish birth cohort
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology. Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, Australia.ORCID iD: 0000-0003-3391-2308
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.ORCID iD: 0000-0002-3606-3797
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2025 (English)In: Journal of Allergy and Clinical Immunology, ISSN 0091-6749, E-ISSN 1097-6825, Vol. 155, no 4, p. 1214-1223.e10Article in journal (Refereed) Published
Abstract [en]

Background: Respiratory infections in early life are an identified risk factor for asthma. We hypothesized that infection-prevention measures during the coronavirus disease 2019 (COVID-19) pandemic influenced the risk of respiratory morbidity and aeroallergen sensitization in early childhood. Objective: We compared respiratory morbidity and aeroallergen sensitization in children born before and during the pandemic. Methods: We compared a COVID-19 category (exposed children; n = 1661) to a pre–COVID-19 category (nonexposed children; n = 1676) by using data from the prospective population-based NorthPop Birth Cohort study in Sweden. Data on respiratory morbidity and concomitant medication were retrieved from national registers. Prospectively collected data on respiratory morbidity using web-based questionnaires at 9 and 18 months of age were applied. At age 18 months, serum IgE levels to aeroallergens were determined (n = 1702). Results: The risk of developing any respiratory tract infection (adjusted odds ratio [aOR] = 0.33 [95% CI, 0.26-0.42]), bronchitis (aOR = 0.50 [95% CI, 0.27-0.95]) and croup (aOR = 0.59 [95% CI, 0.37-0.94]) were decreased in the COVID-19 category. The risk of wheeze in the first 9 months was lower in the COVID-19 category (aOR = 0.70 [95% CI, 0.55-0.89]). There were also fewer prescriptions of antibiotics in the COVID-19 category. The prevalence of aeroallergen sensitization was similar between categories. Conclusion: Children born during the COVID-19 pandemic demonstrated significantly decreased risks of respiratory infections and prescribed antibiotics until 18 months of age compared to children born before the COVID-19 pandemic. Whether this will affect the risk of developing asthma in childhood is being followed.

Place, publisher, year, edition, pages
Elsevier, 2025. Vol. 155, no 4, p. 1214-1223.e10
Keywords [en]
Asthma, birth cohort, COVID-19, epidemiology, hygiene, infancy, NorthPop, respiratory infections, sensitization, wheeze
National Category
Epidemiology Respiratory Medicine and Allergy Pediatrics
Identifiers
URN: urn:nbn:se:umu:diva-234871DOI: 10.1016/j.jaci.2024.12.1080PubMedID: 39734033Scopus ID: 2-s2.0-85215849975OAI: oai:DiVA.org:umu-234871DiVA, id: diva2:1935532
Funder
Swedish Research Council, 2018-02642Swedish Research Council, 2021-01637Swedish Heart Lung Foundation, 2018-0641Ekhaga Foundation, 2018-40Region Västerbotten, RV 832 441Region Västerbotten, RV 967 569Available from: 2025-02-07 Created: 2025-02-07 Last updated: 2025-05-28Bibliographically approved

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Kelderer, FannyGranåsen, GabrielHolmlund, SophiaSilfverdal, Sven-ArneDomellöf, MagnusMogren, IngridWest, Christina E.

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Kelderer, FannyGranåsen, GabrielHolmlund, SophiaSilfverdal, Sven-ArneDomellöf, MagnusMogren, IngridWest, Christina E.
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