BACKGROUND: Evidence relating to the effect of asthma on puberty or height is
inconclusive. We aimed to examine whether the exposure of childhood asthma,
including timing and phenotypes, and inhaled corticosteroid (ICS) use is either
cross-sectionally or longitudinally associated with the outcomes of pubertal
staging or height.
METHODS: This study employed data from a longitudinal,
population-based cohort of Swedish children (born 1994-1996). At ages 1, 2, 4, 8,
and 12 years, parent-reported data on asthma and ICS use in the previous 12
months were collected. At 8 and 12 years, height was ascertained at a clinical
visit, and child-reported, respectively. At 12 years, children answered
puberty-related questions.
RESULTS: Retention through 12 years was 82%
(3366/4089). Participants without puberty data (n = 620) were excluded, yielding
a study population of 2746 (67%). Asthma at 8 years, including timing of onset
and phenotypes, was not statistically significantly associated with pubertal
staging in adjusted models. Children with asthma averaged 0.93 cm (95% CI
0.35-1.50) shorter than children without asthma. Children with asthma using ICS
were 1.28 (95% CI 0.62-1.95) shorter than those with asthma without using ICS.
CONCLUSIONS: We found no consistent association between asthma and pubertal
staging. Children with asthma were shorter than those without asthma. Moreover,
children with asthma using ICS were shorter than those not using ICS.NoneAccepte
