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Friday 12 December 2014

Health: Toddlers who share a bed with their parents 'have a higher risk of asthma' in later childhood

- Bed-sharing defined as child sharing a bed with either one or both parents

- Toddlers who shared a bed were more likely to suffer from wheezing

- They were also more likely to be diagnosed with asthma at the age of six

- But the link was not seen in children who bed-shared during infancy

- Researchers say more work is needed to establish why the link exists

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Toddlers who share a bed with their parents are at higher risk of asthma, warn researchers. New research suggests bed sharing may lead to an increased risk of asthma in later childhood although it is unclear how the practice could trigger the breathing disorder.

Warnings were issued earlier this month about the dangers of parents sharing a bed or sofa with a sleeping baby. This was found to raise the risk of sudden infant death syndrome up to the age of one year.

The UK has one of the highest rates of childhood asthma symptoms in the world, affecting 1.1 million children.

In the latest study, Dutch researchers investigated 6,160 mothers and their children in Rotterdam, the Netherlands.

They collected information via a questionnaire on wheezing and asthma symptoms every year from the age of one to six years.

They also assessed sleeping patterns at the ages of two and 24 months, using a parental questionnaire.

Bed-sharing was defined as the child sharing a bed with either the mother or both parents, says a report published online in the European Respiratory Journal.

Children who had bed-shared during infancy – around the age of two months - did not have a higher risk of wheezing during their first six years of life, or of getting diagnosed with asthma.

But bed-sharing at the age of two years was associated with an increased chance of wheezing subsequently - when the children reached the age of three to six years - and with an increased chance of being diagnosed with asthma at age six.

This finding could be explained by parents taking the decision to share a bed with their child if they notice asthma symptoms as a way of monitoring their children.

However, this notion was not confirmed by the analysis, because toddlers who wheezed as infants were not more likely to bed-share at the age of two years than toddlers who had not wheezed in infancy.

Dr Maartje Luijk, from Erasmus University Rotterdam in the Netherlands, said: ‘The current study shows that there is an association between toddlers who share a bed with their parents at the age of two years and wheezing and asthma in later childhood.

‘We postulated that the finding may be explained by parents taking the decision to share a bed with their toddler to monitor their asthma symptoms.

‘However our results found no associations between pre-existing asthma symptoms in the first two years of life and bed-sharing at the age of 2 years.

‘This could suggest that bed-sharing increases the risk of asthma in some way, but this study does not provide causal evidence of this.

‘There could be a number of factors at play here. For example, bed-sharing families might be more likely to report wheezing because they are more attentive or aware of their children’s breathing.

‘Alternatively, families might perceive wheezing as problematic and as something that could lead to sleep problems, which might in turn elicit bed-sharing to better monitor these problems.

‘More research is needed to identify the factors that may impact on the development of asthma through bed-sharing.’

Dr Samantha Walker, Director of Research and Policy at Asthma UK, said: ‘Years of research underfunding means that asthma still remains a relative mystery.

'As the researchers themselves state, more research is needed to understand whether bed-sharing is actually causes asthma to develop or whether it is due to other factors.

‘Asthma is a complex condition, affecting 1 in 11 people in the UK, so we welcome any new research that helps us understand what causes it as it brings us one step closer to finding a cure.

‘Any parents of children who experience wheeze or other breathing problems can contact our Helpline to speak to an asthma nurse specialist on 0800 161 62 44 who can offer them tailored personal medical advice.’

Dr Claudia Kuehni, associate editor of the European Respiratory Journal, said the study stood out from many others because it was able to measure risk factors and health outcomes at different time points.


Source: DailyMail

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