Acute respiratory tract infections during the first 6 years of life – results from the German birth cohort study LoewenKIDS

Objectives: Acute respiratory tract infections (ARIs) often occur in early childhood and are mostly self-limited. However, they impose a high socioeconomic burden and can be associated with chronic diseases later in life. To date, data on self-reported ARIs beyond infancy are limited. This study aim...

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Main Authors: Bianca Klee, Sophie Diexer, Susan Langer, Cornelia Gottschick, Carla Hartmann, Nadine Glaser, Johannes Horn, Evelyn Dorendorf, Heike Raupach-Rosin, Lamiaa Hassan, Nicole Rübsamen, Kristin Maria Meyer-Schlinkmann, Carlos A. Guzman, Valerie Heselich, Eva Battin, Thomas Pietschmann, Dietmar H. Pieper, Mathias Pletz, Peggy Riese, Stephanie Trittel, Saskia Thies, Constantin von Kaisenberg, Frank Dressler, Florian Guthmann, Carsten Oberhoff, Ralf L. Schild, Andre Karch, Rafael Mikolajczyk
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:International Journal of Infectious Diseases
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Online Access:http://www.sciencedirect.com/science/article/pii/S1201971225000268
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author Bianca Klee
Sophie Diexer
Susan Langer
Cornelia Gottschick
Carla Hartmann
Nadine Glaser
Johannes Horn
Evelyn Dorendorf
Heike Raupach-Rosin
Lamiaa Hassan
Nicole Rübsamen
Kristin Maria Meyer-Schlinkmann
Carlos A. Guzman
Valerie Heselich
Eva Battin
Thomas Pietschmann
Dietmar H. Pieper
Mathias Pletz
Peggy Riese
Stephanie Trittel
Saskia Thies
Constantin von Kaisenberg
Frank Dressler
Florian Guthmann
Carsten Oberhoff
Ralf L. Schild
Andre Karch
Rafael Mikolajczyk
author_facet Bianca Klee
Sophie Diexer
Susan Langer
Cornelia Gottschick
Carla Hartmann
Nadine Glaser
Johannes Horn
Evelyn Dorendorf
Heike Raupach-Rosin
Lamiaa Hassan
Nicole Rübsamen
Kristin Maria Meyer-Schlinkmann
Carlos A. Guzman
Valerie Heselich
Eva Battin
Thomas Pietschmann
Dietmar H. Pieper
Mathias Pletz
Peggy Riese
Stephanie Trittel
Saskia Thies
Constantin von Kaisenberg
Frank Dressler
Florian Guthmann
Carsten Oberhoff
Ralf L. Schild
Andre Karch
Rafael Mikolajczyk
author_sort Bianca Klee
collection DOAJ
description Objectives: Acute respiratory tract infections (ARIs) often occur in early childhood and are mostly self-limited. However, they impose a high socioeconomic burden and can be associated with chronic diseases later in life. To date, data on self-reported ARIs beyond infancy are limited. This study aimed to describe the incidence and characteristics of self-reported ARIs in the first 6 years of life. Methods: Data were obtained from the LoewenKIDS birth cohort study, including 782 children born between 2014 and 2018. Parents recorded daily ARI symptoms, which were classified into episodes for incidence and characteristics analysis. Regression analyses explored the influence of exposure factors on ARI incidence. Results: This longitudinal birth cohort study of a subsample of 258 children found a mean cumulative duration of 51.5 weeks (95% confidence interval: 47.5-55.6 weeks) of respiratory symptoms in the first 6 years of life, with large individual differences. Children with frequent infections in infancy had more infections in preschool age. Exposure factors explained only a small fraction of variation in incidence (5%). Conclusions: There is a substantial variation in susceptibility to ARIs in childhood, which is not explained by exposure factors.
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spelling doaj-art-0bb5ee62b1414c209857d3e1f3994c9c2025-02-10T04:34:15ZengElsevierInternational Journal of Infectious Diseases1201-97122025-04-01153107802Acute respiratory tract infections during the first 6 years of life – results from the German birth cohort study LoewenKIDSBianca Klee0Sophie Diexer1Susan Langer2Cornelia Gottschick3Carla Hartmann4Nadine Glaser5Johannes Horn6Evelyn Dorendorf7Heike Raupach-Rosin8Lamiaa Hassan9Nicole Rübsamen10Kristin Maria Meyer-Schlinkmann11Carlos A. Guzman12Valerie Heselich13Eva Battin14Thomas Pietschmann15Dietmar H. Pieper16Mathias Pletz17Peggy Riese18Stephanie Trittel19Saskia Thies20Constantin von Kaisenberg21Frank Dressler22Florian Guthmann23Carsten Oberhoff24Ralf L. Schild25Andre Karch26Rafael Mikolajczyk27Institute of Medical Epidemiology, Biometrics, and Informatics, Interdisciplinary Centre for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), GermanyInstitute of Medical Epidemiology, Biometrics, and Informatics, Interdisciplinary Centre for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), GermanyInstitute of Medical Epidemiology, Biometrics, and Informatics, Interdisciplinary Centre for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), GermanyInstitute of Medical Epidemiology, Biometrics, and Informatics, Interdisciplinary Centre for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), GermanyInstitute of Medical Epidemiology, Biometrics, and Informatics, Interdisciplinary Centre for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), GermanyInstitute of Medical Epidemiology, Biometrics, and Informatics, Interdisciplinary Centre for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), GermanyInstitute of Medical Epidemiology, Biometrics, and Informatics, Interdisciplinary Centre for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), GermanyHelmholtz Centre for Infection Research, Epidemiology Research Group Epidemiological and Statistical Methods, Braunschweig, GermanyHelmholtz Centre for Infection Research, Epidemiology Research Group Epidemiological and Statistical Methods, Braunschweig, GermanyInstitute of Medical Epidemiology, Biometrics, and Informatics, Interdisciplinary Centre for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), GermanyInstitute of Epidemiology and Social Medicine, University of Münster, Münster, GermanyMVZ Labor Krone eGbR, Siemensstraße 40, Bad Salzuflen, GermanyDepartment Vaccinology and Applied Microbiology, Helmholtz Centre for Infection Research, Braunschweig, GermanyDepartment of Paediatrics, Dr. von Hauner Children's Hospital, Ludwig- Maximilians-University Munich, Munich, GermanyDepartment of Paediatrics, Dr. von Hauner Children's Hospital, Ludwig- Maximilians-University Munich, Munich, GermanyInstitute of Experimental Virology, TWINCORE, Centre for Experimental and Clinical Infection Research; a Joint Venture Between the Medical School Hannover (MHH) and the Helmholtz Centre for Infection Research (HZI), Hannover, GermanyResearch Group Microbial Interactions and Processes, Helmholtz Centre for Infection Research, Braunschweig, GermanyInstitute for Infectious Diseases and Infection Control, University Hospital Jena, Jena, GermanyDepartment Vaccinology and Applied Microbiology, Helmholtz Centre for Infection Research, Braunschweig, GermanyDepartment Vaccinology and Applied Microbiology, Helmholtz Centre for Infection Research, Braunschweig, GermanyInstitute of Medical Epidemiology, Biometrics, and Informatics, Interdisciplinary Centre for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), GermanyDepartment of Obstetrics, Gynecology and Reproductive Medicine, Hanover Medical School, Hanover, GermanyDepartment of Pediatric Pulmonology, Allergology and Neonatology, Hanover Medical School, Hanover, GermanyDepartment of Neonatology, Children and Youth Hospital AUF DER BULT, Hanover, GermanyDepartment of Gynecology and Obstetrics, Klinikum Links der Weser, Bremen, GermanyDepartment of Obstetrics and Perinatal Medicine, DIAKOVERE Henriettenstift Hanover, GermanyInstitute of Epidemiology and Social Medicine, University of Münster, Münster, GermanyInstitute of Medical Epidemiology, Biometrics, and Informatics, Interdisciplinary Centre for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), Germany; Helmholtz Centre for Infection Research, Epidemiology Research Group Epidemiological and Statistical Methods, Braunschweig, Germany; Corresponding author: Tel.: +49345557-3571.Objectives: Acute respiratory tract infections (ARIs) often occur in early childhood and are mostly self-limited. However, they impose a high socioeconomic burden and can be associated with chronic diseases later in life. To date, data on self-reported ARIs beyond infancy are limited. This study aimed to describe the incidence and characteristics of self-reported ARIs in the first 6 years of life. Methods: Data were obtained from the LoewenKIDS birth cohort study, including 782 children born between 2014 and 2018. Parents recorded daily ARI symptoms, which were classified into episodes for incidence and characteristics analysis. Regression analyses explored the influence of exposure factors on ARI incidence. Results: This longitudinal birth cohort study of a subsample of 258 children found a mean cumulative duration of 51.5 weeks (95% confidence interval: 47.5-55.6 weeks) of respiratory symptoms in the first 6 years of life, with large individual differences. Children with frequent infections in infancy had more infections in preschool age. Exposure factors explained only a small fraction of variation in incidence (5%). Conclusions: There is a substantial variation in susceptibility to ARIs in childhood, which is not explained by exposure factors.http://www.sciencedirect.com/science/article/pii/S1201971225000268Acute respiratory infectionsBirth cohort studyPediatric infectionsInfection susceptibility
spellingShingle Bianca Klee
Sophie Diexer
Susan Langer
Cornelia Gottschick
Carla Hartmann
Nadine Glaser
Johannes Horn
Evelyn Dorendorf
Heike Raupach-Rosin
Lamiaa Hassan
Nicole Rübsamen
Kristin Maria Meyer-Schlinkmann
Carlos A. Guzman
Valerie Heselich
Eva Battin
Thomas Pietschmann
Dietmar H. Pieper
Mathias Pletz
Peggy Riese
Stephanie Trittel
Saskia Thies
Constantin von Kaisenberg
Frank Dressler
Florian Guthmann
Carsten Oberhoff
Ralf L. Schild
Andre Karch
Rafael Mikolajczyk
Acute respiratory tract infections during the first 6 years of life – results from the German birth cohort study LoewenKIDS
International Journal of Infectious Diseases
Acute respiratory infections
Birth cohort study
Pediatric infections
Infection susceptibility
title Acute respiratory tract infections during the first 6 years of life – results from the German birth cohort study LoewenKIDS
title_full Acute respiratory tract infections during the first 6 years of life – results from the German birth cohort study LoewenKIDS
title_fullStr Acute respiratory tract infections during the first 6 years of life – results from the German birth cohort study LoewenKIDS
title_full_unstemmed Acute respiratory tract infections during the first 6 years of life – results from the German birth cohort study LoewenKIDS
title_short Acute respiratory tract infections during the first 6 years of life – results from the German birth cohort study LoewenKIDS
title_sort acute respiratory tract infections during the first 6 years of life results from the german birth cohort study loewenkids
topic Acute respiratory infections
Birth cohort study
Pediatric infections
Infection susceptibility
url http://www.sciencedirect.com/science/article/pii/S1201971225000268
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