Does asthma affect school performance in adolescents? Results from the Swedish population‐based birth cohort BAMSE

Nilsson, Sara; Ödling, Maria; Andersson, Niklas; Bergström, Anna; Kull, Inger

doi:10.1111/pai.12855

Cited by 23 publications

(24 citation statements)

References 20 publications

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“…Several studies have found a negative association between asthma and academic performance, while others have found none . This could be because of the heterogeneity of asthma and that most cases are mild and controlled which may not influence learning and cognition, where as other phenotypes of asthma such as uncontrolled, severe or late onset asthma may have a more obvious impact on learning and performance . Another reason for a lack of consistency between study findings could be due to heterogeneity of the confounding factors adjusted for and the impact of possible unmeasured confounding.…”

Section: Introductionmentioning

confidence: 98%

“…Although asthma has been shown to be associated with increased absenteeism and in turn absenteeism has been shown to be associated with reduced academic performance, the direct association between asthma and academic performance is unclear. Several studies have found a negative association between asthma and academic performance, while others have found none . This could be because of the heterogeneity of asthma and that most cases are mild and controlled which may not influence learning and cognition, where as other phenotypes of asthma such as uncontrolled, severe or late onset asthma may have a more obvious impact on learning and performance .…”

Section: Introductionmentioning

confidence: 99%

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Academic achievement of adolescents with asthma or atopic disease

Brew

Soderberg

Lundholm

et al. 2019

Clin Experimental Allergy

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SummaryBackgroundOver a fifth of children and adolescents suffer with asthma or atopic disease. It is unclear whether asthma impacts academic performance in children and adolescents, and little is known about the association of eczema, food allergy or hayfever and academic performance.ObjectiveTo examine whether asthma, eczema, food allergy or hayfever impacts on adolescent academic performance and to assess the role of unmeasured confounding.MethodsThis study used the Childhood and Adolescent Twin Study of Sweden cohort born 1992‐1998. At age 9‐12 years, parents reported on their child's ever or current asthma, eczema, food allergy and hayfever status (n = 10 963). At age 15, linked national patient and medication register information was used to create current and ever asthma definitions including severe and uncontrolled asthma for the same children. Academic outcomes in Grade 9 (age 15‐16 years) included: eligibility for high school (Grades 10‐12), and total mark of the best 16 subject units, retrieved from the Grade 9 academic register. Whole cohort analyses adjusted for known covariates were performed, and co‐twin control analyses to assess unmeasured confounders.ResultsThere were no associations found for asthma or food allergy at 9‐12 years and academic outcomes in adolescence. In addition, at age 15, there were no statistically significant associations with current, ever, severe or uncontrolled asthma and academic outcomes. Eczema and hayfever at age 9‐12 years were found to be positively associated with academic outcomes; however, co‐twin control analyses did not support these findings, suggesting the main analyses may be subject to unmeasured confounding.Conclusion and clinical relevanceHaving asthma or an atopic disease during childhood or adolescence does not negatively impact on academic performance. This information can be used by clinicians when talking with children and parents about the implications of living with asthma or atopic disease.

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Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Academic achievement of adolescents with asthma or atopic disease

Brew

Soderberg

Lundholm

et al. 2019

Clin Experimental Allergy

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“…A Swedish population-based birth cohort study (BAMSE) investigated how asthma affects school performance in adolescents. 124 Multimorbidity and poor asthma control increased the likelihood of poorer school performance. Allergic rhinitis lowers the QoL and can lead to loss of productivity in the workplace.…”

Section: So CI O -Economi C Impac Tmentioning

confidence: 99%

Highlights and recent developments in airway diseases in EAACI journals (2018)

Bousquet

Akdiş

Grattan

et al. 2019

Allergy

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The European Academy of Allergy and Clinical Immunology (EAACI) supports three journals: Allergy, Pediatric Allergy and Immunology, and Clinical and Translational Allergy. EAACI's major goals include supporting the promotion of health, in which the prevention of allergy and asthma plays a critical role, and disseminating the knowledge of allergic disease to all stakeholders. In 2018, the remarkable progress in the identification of basic mechanisms of allergic and respiratory diseases as well as the translation of these findings into clinical practice were observed. Last year's highlights include publication of EAACI guidelines for allergen immunotherapy, many EAACI Position Papers covering important aspects for the specialty, better understanding of molecular and cellular mechanisms, identification of biomarkers for disease prediction and progress monitoring, novel prevention and intervention studies, elucidation of mechanisms of multimorbidities, introduction of new drugs to the clinics, recently completed phase three clinical studies, and publication of a large number of allergen immunotherapy studies and meta‐analyses.

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“…This issue contains several articles related to asthma and allergic airway diseases, including one analyzing factors influencing variation of spirometric indices and fractional exhaled nitric oxide level (FeNO) in relation to their genetic and environmental determinants . In addition to this, you will find an article on results from a large birth cohort from Taiwan in which food allergy during early life, lower respiratory tract infection, and longer durations of symptomatic AD were found to influence later asthma development; as well as another on children from the Swedish BAMSE birth cohort who were shown to have poorer school performances if their asthma was uncontrolled …”

mentioning

confidence: 99%

“…BAMSE birth cohort who were shown to have poorer school performances if their asthma was uncontrolled. 3 I would like to focus on education, specifically education in asthma control. In this issue, Guarnaccia et al 4 report on over 800 pre-adolescents and adolescents who benefited from a diagnostic therapeutic educational pathway (DTEP) on asthma control.…”

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confidence: 99%