The change in the prevalence of wheeze, eczema and rhino‐conjunctivitis among Japanese children: Findings from 3 nationwide cross‐sectional surveys between 2005 and 2015

Sasaki, Mari; Morikawa, Emi; Yoshida, Koichi; Adachi, Yuichi; Odajima, Hiroshi; Akasawa, Akira

doi:10.1111/all.13773

Cited by 37 publications

(32 citation statements)

References 9 publications

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“…A 2015 study reported that the prevalence of wheeze in Japanese children at age 6-8 years was 10.2% [1]. Our study group previously identified five phenotypes in the trajectory of wheeze in Japanese children [2].…”

Section: Introductionmentioning

confidence: 58%

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Impact of swimming school attendance in 3-year-old children with wheeze and rhinitis at age 5 years: A prospective birth cohort study in Tokyo

et al. 2020

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Background In Japan, swimming school attendance is promoted as a form of therapy or as a prophylactic measure against asthma in young children. However, the putative beneficial effects have not been sufficiently verified. Objective The aim of the present study was to clarify whether or not swimming school attendance at age 3 years affects the onset and/or improvement of wheeze and rhinitis at age 5 years. Methods This study was a single-center, prospective, general, longitudinal cohort study (T-CHILD Study). Between November 2003 and December 2005, 1776 pregnant women were enrolled, and their offspring were followed up until age 5 years. Swimming school attendance at age 3 years and the presence of wheeze and/or rhinitis in the previous one year were examined using the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire. The relationship between swimming school attendance and wheeze and/or rhinitis was analyzed using multivariable logistic regression analysis. Results Data on the 1097 children were analyzed. At age 3 years, 126 (11.5%) children attended a swimming school, and at age 5 years, the prevalence of wheeze was 180 (16.4%) while that of rhinitis was 387 (35.3%). Swimming school attendance at age 3 showed no significant relationship with the development of either wheeze (aOR 0.83, 95% CI (0.43-1.60) or rhinitis (aOR 0.80, 95% CI (0.43-1.60) at age 5.

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Section: Introductionmentioning

confidence: 58%

“…The same study reported that the prevalence of rhinoconjunctivitis in children at age 6-8 years was 18.7% and that the prevalence of nasal conjunctivitis had been increasing for ten years [1]. Allergic rhinitis usually decreases QOL and is associated with sleep disturbance and reduced daily activity [6,7].…”

Section: Introductionmentioning

confidence: 97%

Impact of swimming school attendance in 3-year-old children with wheeze and rhinitis at age 5 years: A prospective birth cohort study in Tokyo

et al. 2020

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“…Asthma exacerbation cases are responsible for a large number of emergency department visits, hospitalization, and healthcare expenditures each year in the most developed countries [1, 2]. In Japan, asthma affects 8–13% of children [3, 4]. Among them, approximately 15% were uncontrolled, and <5% experienced severe wheeze in the past year [4, 5].…”

Section: Introductionmentioning

confidence: 99%

Recent Practice Patterns and Variations in Children Hospitalized for Asthma Exacerbation in Japan

Okubo

Horimukai

Michihata

et al. 2020

Int Arch Allergy Immunol

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Background: High antibiotic prescribing rates for adults with an asthma exacerbation have been reported in developed countries, but few studies have assessed the variation of antibiotic and adjunctive treatment in the routine care of children. Objective: We evaluated the trends in health resource utilization for children hospitalized for asthma exacerbation, ascertained the variations of practices across hospitals and geographic location, and classified these different patterns at hospital levels. Methods: Using data on Japanese children hospitalized for asthma exacerbation with no indication of bacterial infection during 2010–2018, we conducted a retrospective observational study to assess the trends in initial treatment patterns and their variations. Mixed-effect generalized linear models were used to investigate the treatment trends. Hierarchical cluster analyses were performed to classify the treatment variations across hospitals. Results: Overall, 54,981 children were eligible for the study. Proportions of antibiotic use decreased from 47.2% in 2010 to 26.9% in 2018. Similarly, utilization of antitussives, antihistamines, and methylxanthine showed decreasing trends over the period, whereas the use of mucolytics and ambroxol increased. These treatment variations were more considerable in hospital levels than in 47 prefecture levels. Hierarchical cluster analyses classified these patterns into 6 groups, mostly based on mediator release inhibitor, ambroxol, and antitussives. Conclusions: Wide variations in antibiotics and adjunctive treatments were observed across hospital levels. Our findings support the improvement in reducing inappropriate antibiotic use and highlight the need for comparative effectiveness research of the adjunctive treatments among children hospitalized for asthma.

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“…1,2 In Japan, asthma affects 8% to 13% of children. 3,4 Among them, approximately 15% were uncontrolled and less than 5% experienced severe wheeze in the past year. 4,5 According to most guidelines for the treatment of patients hospitalized for asthma exacerbation, 6,7 the standard treatments consist of oxygen administration, inhaled short-acting b 2 -agonists, and systemic corticosteroids.…”

mentioning

confidence: 99%

“…3,4 Among them, approximately 15% were uncontrolled and less than 5% experienced severe wheeze in the past year. 4,5 According to most guidelines for the treatment of patients hospitalized for asthma exacerbation, 6,7 the standard treatments consist of oxygen administration, inhaled short-acting b 2 -agonists, and systemic corticosteroids. Some current guidelines 6,8 recommended against routine antibiotic prescription for asthma exacerbations in the absence of concurrent bacterial infections because respiratory viral infections are the major cause of asthma exacerbations.…”

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confidence: 99%

Association between early antibiotic treatment and clinical outcomes in children hospitalized for asthma exacerbation

Okubo

Horimukai

Michihata

et al. 2021

Journal of Allergy and Clinical Immunology

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The change in the prevalence of wheeze, eczema and rhino‐conjunctivitis among Japanese children: Findings from 3 nationwide cross‐sectional surveys between 2005 and 2015

Cited by 37 publications

References 9 publications

Impact of swimming school attendance in 3-year-old children with wheeze and rhinitis at age 5 years: A prospective birth cohort study in Tokyo

Impact of swimming school attendance in 3-year-old children with wheeze and rhinitis at age 5 years: A prospective birth cohort study in Tokyo

Recent Practice Patterns and Variations in Children Hospitalized for Asthma Exacerbation in Japan

Association between early antibiotic treatment and clinical outcomes in children hospitalized for asthma exacerbation

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