PMID- 23448406 OWN - NLM STAT- MEDLINE DCOM- 20130909 LR - 20151119 IS - 1399-3038 (Electronic) IS - 0905-6157 (Linking) VI - 24 IP - 2 DP - 2013 Mar TI - Dry night cough as a marker of allergy in preschool children: the PARIS birth cohort. PG - 131-7 LID - 10.1111/pai.12045 [doi] AB - BACKGROUND: Early detection of children at risk for developing allergy is an important challenge. Our first analyses in infants from the Pollution and Asthma Risk: an Infant Study (PARIS) birth cohort suggested that dry night cough was associated with parental-reported allergic disorders. The aim of the present study was to refine this finding by investigating the time course of dry night cough from birth to age 4 yr in relation to blood markers of atopy and allergic morbidity. METHODS: Health outcomes were regularly assessed by parental self-administered questionnaires. Blood markers of atopy were measured at age 18 months. Children with similar patterns of dry night cough over the first 4 yr of life were grouped together using k-means clustering. Associations with atopy/allergy were studied using multinomial logistic regression. RESULTS: Three trajectories of dry night cough were identified in 1869 children. Besides the never/infrequent pattern (72.4%), the transient pattern (8.8%) was composed of children who coughed in the first year and recovered by age 4 yr, while the rising pattern (18.8%) included all symptomatic children at age 4 yr, whether they were persistent or late coughers. Compared with the never/infrequent pattern, the rising pattern was significantly associated with elevated total immunoglobulin E (IgE) level (odds ratio [OR] = 1.70, 95% confidence interval [CI] = 1.21-2.39) and inhalant allergens sensitization (OR = 2.66, 95% CI = 1.26-5.61) at age 18 months, and with doctor-diagnosed allergic diseases over the first 4 yr such as hay fever (OR = 2.52, 95% CI = 1.49-4.26) and eczema (OR = 1.29, 95% CI = 1.00-1.66). CONCLUSIONS: This study provides evidence that persistent/late dry night cough may indicate allergy in preschool children. CI - (c) 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd. FAU - Ranciere, Fanny AU - Ranciere F AD - Univ Paris Descartes, Sorbonne Paris Cite, EA 4064, Laboratoire Sante Publique et Environnement, Paris, France. FAU - Nikasinovic, Lydia AU - Nikasinovic L FAU - Momas, Isabelle AU - Momas I LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20130301 PL - England TA - Pediatr Allergy Immunol JT - Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology JID - 9106718 RN - 0 (Biomarkers) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Age Factors MH - Biomarkers/blood MH - Child, Preschool MH - *Circadian Rhythm MH - Cluster Analysis MH - Cough/blood/diagnosis/*epidemiology/immunology MH - Female MH - Humans MH - Hypersensitivity/blood/diagnosis/*epidemiology/immunology MH - Immunoglobulin E/blood MH - Infant MH - Infant, Newborn MH - Logistic Models MH - Male MH - Odds Ratio MH - Paris/epidemiology MH - Prevalence MH - Prognosis MH - Prospective Studies MH - Surveys and Questionnaires MH - Time Factors EDAT- 2013/03/02 06:00 MHDA- 2013/09/10 06:00 CRDT- 2013/03/02 06:00 PHST- 2013/01/03 00:00 [accepted] PHST- 2013/03/02 06:00 [entrez] PHST- 2013/03/02 06:00 [pubmed] PHST- 2013/09/10 06:00 [medline] AID - 10.1111/pai.12045 [doi] PST - ppublish SO - Pediatr Allergy Immunol. 2013 Mar;24(2):131-7. doi: 10.1111/pai.12045. Epub 2013 Mar 1.