Babies born four months before the peak cold
and flu season have a 30 percent higher risk of developing asthma, U.S.
researchers said on Friday, suggesting that these common infections may
trigger asthma."All
infants are exposed to this and it is potentially preventable," said
Dr. Tina Hartert, director of the center for Asthma Research at
Vanderbilt University, whose study appears in the American Journal of
Respiratory and Critical Care Medicine.
She
said it has been known for some time that infants in the Northern
Hemisphere born in the fall are at higher risk of developing asthma,
but the study is the first to tie this trend to peak viral activity in
the winter months.
Hartert and colleagues studied the medical records of 95,000 infants and their mothers in the state of Tennessee.
They
found that all babies in the study were at increased risk if they had
bronchiolitis, a lung infection usually caused by respiratory syncytial
virus or RSV. But autumn babies were at the highest risk.
"What
we were able to show was the timing of birth and the risk of developing
asthma moves in time almost to the day with the peak of these viral
infections each winter," she said.
While
genetic risk factors predispose a child to develop asthma, Hartert
thinks environmental exposure such as winter viral infection, and
particularly RSV infection, may activate those genes.
Nearly
every child is infected with RSV early in life, with infections
occurring most often between the ages of 3 and 6 months. The virus
usually clears up without serious complications.
Hartert said the task now is to prove that
preventing such infections could keep infants from developing asthma.
"That is where we are now. We need to prove that preventing this
infection prevents this lifelong chronic disease," she said.
The
easiest way to do that would be a vaccine, but so far, none exists.
Vaccine makers GenVec Inc, AstraZeneca's MedImmune unit and others are
working on RSV vaccines.
"It's in the pipeline. We just don't have one yet," Hartert said.