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Table 1 Characteristics of all the studies included in the systematic review and meta-analysis

From: Association of cesarean section with asthma in children/adolescents: a systematic review and meta-analysis based on cohort studies

Author

Year

Country

Continent

No. of Paticipants

Diagnostic age (year)

Ajusted factors

Child factors

Maternal factors

    

CS

VD

   

Nafstad [25]

2000

Norway

Europe

279

2,193

4.3

NA

Xu [26]

2000

Finland

Europe

1,147

6,386

7

Sex, GA, BW, birth seasons

Age, parity, pregnancy (smoking, BMI before, weight gain), allergic disorders history, status, social class

Annesi-Maesano [27]

2001

UK

Europe

NA

NA

1–18

Sex, age, BW < 2.5 kg, prematurity, birth order, sibship size

Age, parity, pregnancy smoking, asthma

McKeever [29]

2002

UK

Europe

4,073

18,573

0–11

NA

Kero [28]

2002

Finland

Europe

8,826

51,039

7

Sex, BW

Age, previous deliveries

Maitra [30]

2004

UK

Europe

1,387

10,980

5–8

Sex, BW, preterm delivery, breastfeeding duration

Age, asthma/eczema and hayfever, pregnancy smoking, environmental tobacco smoke exposure at 6 months, education, number of 0–15 years old in household, crowding in home, damp housing, household cats, ethnicity

Bernsen [31]

2005

Netherlands

Europe

85

1,627

6

Sex, sibship size, birth order, birth season, birth year, age at the check-up time, diphtheria tetanus pertussis poliomyelitis vaccination status

Age, atopic disease (parents), occupation of the breadwinner level, urbanization level, origin country

Renz-Polster [33]

2005

USA

North America

1,286

6,586

3–10

Sex, BW, birth order, diagnosis age

Age, pregnancy smoking, multiple gestation, asthma/hay fever medications use, exposure to antibiotics in the postpartum period, marital status, education, ethnicity

Juhn [32]

2005

USA

North America

714

6,392

7

Sex, BW

Age, education

Salam [34]

2006

USA

North America

717

2,747

8–17

Sex, GA, BW, birth order, birth calendar period, requirement for special care after birth

Age at childbirth, asthma and allergy history (parents), pregnancy smoking, environmental tobacco smoke exposure, disease history (pneumonia, bronchitis, bronchiolitis, croup), parents or guardians education, health insurance coverage, residence community, race

Werner [35]

2007

Denmark

Europe

841

6,278

 ≤ 18

Sex, breastfeeding

Age, previous deliveries, pregnancy smoking, educational level

Pistiner [36]

2008

USA

North America

102

330

9

NA

Tollånes [37]

2008

Norway

Europe

136,735

1,520,088

0–18

Sex, birth order, birth year

Age, asthma, education

Roduit [38]

2009

Netherlands

Europe

247

2,670

8

Sex, BW, breastfeeding

BMI, education, allergy status (parents)

Park [40]

2010

Korea

Asia

100

179

4.6 ± 3.8

Sex, GA, BW, breastfeeding

Age, allergy (parents)

Davidson [39]

2010

UK

Europe

18,462

230,150

2–11

Sex, GA, BW, breastfed or not, Apgar 1, birth year

Age, parity, smoking, asthma, forceps delivery, marital status, social class

Magnus [41]

2011

Norway

Europe

5,020

32,151

3

Sex, GA, BW, exclusive breastfeeding duration, childcare attendance

Age, parity, pregnancy (smoking, BMI before, chronic conditions before, complications), indication of personal preference for CS, previous delivery by CS, atopy, membrane rupture indication, marital status, educational level

Almqvist [42]

2012

Sweden

Europe

16,460

145,341

 > 10

Sex, GA, BW, birth order, Apgar score, hypoxia/asphyxia

Age, pregnancy smoking, birth country, BMI, living with child father

Bråbäck [43]

2013

Sweden

Europe

29,925

143,347

2–5; 6–9

Sex, GA (small or large), birth year, meconium aspiration, neonatal respiratory distress, transient tachypnoea

Age, smoking, education, BMI, chorioamnionitis, history of diabetes and hypertension, premature rupture of the membranes, preeclampsia, pregnancy diabetes, HDP, fever during labour, asthma medication (parents), social welfare, urban/rural living, county

Pyrhönen [44]

2013

Finland

Europe

551

2,630

1–4

Sex, BW, birth order, breastfeeding duration

Pregnancy (smoking, duration), allergy (parents)

Black [45]

2015

UK

Europe

68,370

252,917

5

GA, BW, birth year, male infant, breastfeeding at 6 weeks

Age, smoking status, salbutamol prescription, Carstairs decile

Brüske [46]

2015

Germany

Europe

389

1,461

15

Sex, GA

Education level (parents), study center

Kristensen [48]

2016

Denmark

Europe

124,130

666,439

0–14

Sex, GA, BW

Age, pregnancy smoking, pregnancy complications (preeclampsia, eclampsia, hemorrhage, and hyperemesis)

Sevelsted [49]

2016

Denmark

Europe

163,462

696,864

0–15

Sex, GA, BW, calendar year

Age, multiple births, parity, pregnancy (smoking, antibiotics), employment status, asthma

Black [47]

2016

UK

Europe

26,766

13,379

 > 6

GA, male infant, BW, birth year, breastfeeding at 6 weeks

Age, smoking status, salbutamol prescription, Carstairs decile

Rusconi [51]

2017

mutiple countries

Europe

NA

NA

5–9

Sex, GA, weight for GA, birth year, birth country

Age, parity, education, pregnancy (smoking, BMI before, and diabetes), HDP, asthma

Lavin [20]

2017

India

Asia

289

1,717

8

Sex, term low BW

Age, liveborn parity, household smoking, cooking fuel, geographic location, livestock ownership, housing quality, household size, wealth index

Vietnam

178

1,760

Chen [50]

2017

China

Asia

6,556

13,143

5.5

Sex, GA, birth order

Age, education level, family monthly income

Peters [52]

2018

Australia

Oceania

107,560

185,883

5

Sex, GA (small or large), BW, birth trauma

Age, parity, pharmacological pain medication or anesthesia at birth, birth country, socioeconomic status

Liao [53]

2020

Australia

Oceania

2,138

4,651

6–7

GA, BW

Age, pregnancy smoking, birth country, Socio-economic Indexes for Areas

Soullane [55]

2021

Canada

North America

216,547

645,427

 ≤ 13

Sex

Age, parity, atopy, HDP, diabetes (pregnancy or preexisting), illicit use (drug, alcohol, and tobacco), socioeconomic disadvantage, time period

Brew [54]

2021

Australia

Oceania

5,755

20,018

1–4

NA

Asthma, medical conditions, remoteness

Salem [56]

2022

Switzerland

Europe

65

306

6

Sex, GA, BW, exclusive breastfeeding duration, older siblings, childcare attendance

Age, pregnancy smoking, atopy status, current smoking (parents)

Wang [19]

2023

China

Asia

305,890

583,303

9

GA, BW, birth length

Age, parity, allergic diseases, pregnancy diabetes, preeclampsia, urbanization levels

O’Connor [57]

2023

UK

Europe

3,873

14,340

7, 11, 14

GA (small)

Age, BMI, asthma, pregnancy smoking, HDP, diabetes, education, ethnicity, income quintile

  1. CS cesarean section, VD vaginal delivery, GA gestational age, BW birth weight, BMI body mass index, HDP hypertensive disorders of pregnancy, NA not available