Systematic review of worldwide variations of the prevalence of wheezing symptoms in children
2008

Global Variations in Childhood Wheezing Symptoms

Sample size: 127 publication 10 minutes Evidence: high

Author Information

Author(s): Swatee P Patel, Marjo-Riitta Järvelin, Mark P Little

Primary Institution: University of Greenwich

Hypothesis

What are the worldwide variations in the prevalence of wheezing symptoms in children?

Conclusion

The UK has the highest recorded prevalence of wheezing and Ethiopia the lowest, with significant trends observed over time.

Supporting Evidence

  • The UK had the highest recorded prevalence of wheeze at 32.2%.
  • Ethiopia had the lowest prevalence at 1.7%.
  • ISAAC studies reported significantly higher prevalences than non-ISAAC studies.
  • Prevalence of wheezing increased from the 1970s to the early 1990s but has decreased since then.
  • Australia showed a significantly higher prevalence of current wheezing compared to the UK.
  • Self-reported wheezing was significantly higher than parental-reported wheezing.
  • Significant differences in prevalence trends were observed between ISAAC and non-ISAAC studies.
  • Methodological differences may affect the reported prevalence of wheezing.

Takeaway

This study looked at how many kids around the world have wheezing, finding that some places have a lot more kids with this problem than others.

Methodology

A systematic review of studies published between 1990 and 2005, including those with sample sizes greater than 1000.

Potential Biases

Potential selection bias due to the focus on ISAAC studies, which may not represent all populations.

Limitations

The review may not include all relevant studies and is limited to those published in English.

Participant Demographics

Children aged 0-19 from various countries.

Statistical Information

P-Value

p<0.0005

Confidence Interval

[1.318, 1.369]

Statistical Significance

p<0.0005

Digital Object Identifier (DOI)

10.1186/1476-069X-7-57

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