{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T06:37:09Z","timestamp":1768718229563,"version":"3.49.0"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T00:00:00Z","timestamp":1642032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Allergy Immunology"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A proportion of asthmatic children outgrow their disease by adulthood, but there are limited data on predictors for asthma persistence. This prospective study characterized the trajectory of spirometric indices and identified predictors for the persistence of childhood asthma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Chinese asthmatic children aged 6\u201315\u00a0years from pediatric allergy clinic underwent annual visits for \u22655\u00a0years and until their adulthood. Pre\u2010bronchodilator spirometry and anti\u2010asthma medications were recorded at baseline and then at least annually. Asthma resolution was defined when patients were free from asthma symptoms and use of anti\u2010asthma drugs for \u22652\u00a0years. Logistic regression was used to identify predictors for asthma persistence. Generalized estimating equation was used to analyze longitudinal changes in lung function parameters in relation to asthma persistence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>181 asthmatic children aged [mean (SD)] 10.0 (2.7) years were followed for [mean (SD)] 12.5 (2.8) years. One third of them outgrew asthma during follow\u2010up. Female was 3.36 times more likely to have persistent asthma. Inhaled corticosteroid (ICS) treatment ever and frequent asthma exacerbation (AE) predicted asthma persistence with respective odds ratios of 3.19 (95% confidence interval [CI] 1.44\u20137.09) and 3.05 (95% CI 1.39\u20136.68). Persistent asthma was inversely associated with baseline forced expiratory volume in 1\u2010second (FEV<jats:sub>1<\/jats:sub>%) with an odds ratio of 0.96 (95% CI 0.93\u20131.00). Throughout follow\u2010up, patients with persistent asthma had generally lower forced expiratory indices than those with asthma resolution. Children with persistent asthma experienced poorer lung function growth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Female, ICS ever, and frequent AE predicted persistent asthma. Patients with persistent asthma had lower forced expiratory indices and poorer lung function growth into adulthood.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pai.13726","type":"journal-article","created":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T09:00:55Z","timestamp":1642064455000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prospective study of disease persistence and lung function trajectories of childhood asthma"],"prefix":"10.1111","volume":"33","author":[{"given":"Man Fung","family":"Tang","sequence":"first","affiliation":[{"name":"Department of Paediatrics The Chinese University of Hong Kong, Prince of Wales Hospital  Shatin Hong Kong"},{"name":"Hong Kong Hub of Paediatric Excellence The Chinese University of Hong Kong  Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8249-4478","authenticated-orcid":false,"given":"Agnes Sze Yin","family":"Leung","sequence":"additional","affiliation":[{"name":"Department of Paediatrics The Chinese University of Hong Kong, Prince of Wales Hospital  Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noelle Anne","family":"Ngai","sequence":"additional","affiliation":[{"name":"Department of Paediatrics The Chinese University of Hong Kong, Prince of Wales Hospital  Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oi Man","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Paediatrics The Chinese University of Hong Kong, Prince of Wales Hospital  Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5939-812X","authenticated-orcid":false,"given":"Gary Wing Kin","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Paediatrics The Chinese University of Hong Kong, Prince of Wales Hospital  Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6469-1926","authenticated-orcid":false,"given":"Ting Fan","family":"Leung","sequence":"additional","affiliation":[{"name":"Department of Paediatrics The Chinese University of Hong Kong, Prince of Wales Hospital  Shatin Hong Kong"},{"name":"Hong Kong Hub of Paediatric Excellence The Chinese University of Hong Kong  Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,1,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa022363"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/mai.2002.120951"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2006.01082.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.146845"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-012-0255-6"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2009.06.045"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2008.01.006"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.309.6947.90"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7040.1195"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1513737"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69283-0"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3038.2010.01055.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/pai.12836"},{"key":"e_1_2_9_15_1","doi-asserted-by":"crossref","unstructured":"Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease (COPD) and asthma. This official statement of the American Thoracic Society was adopted by the ATS Board of Directors. 1986. Am Rev Respir Dis. 1987;136(1):225\u2010244.","DOI":"10.1164\/ajrccm\/136.1.225"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2008.01873.x"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2004.03.048"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00130112"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2009.01514.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770900802468533"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.05.00034805"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.162.2.9905057"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2007.093187"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00121705"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2007.06.011"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2003.016246"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2008.01.012"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/140.5.1325"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.03.00046903"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2015.04.048"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-0741"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.24881"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1067\/mai.2002.125600"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2004.09.032"}],"container-title":["Pediatric Allergy and Immunology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pai.13726","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pai.13726","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pai.13726","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T17:58:43Z","timestamp":1692727123000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pai.13726"}},"subtitle":[],"editor":[{"given":"\u00d6mer","family":"Kalayci","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,1,13]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.1111\/pai.13726"],"URL":"https:\/\/doi.org\/10.1111\/pai.13726","archive":["Portico"],"relation":{},"ISSN":["0905-6157","1399-3038"],"issn-type":[{"value":"0905-6157","type":"print"},{"value":"1399-3038","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,13]]},"assertion":[{"value":"2021-10-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13726"}}