Paediatric asthma is the most common chronic respiratory disease globally and remains a significant cause of childhood morbidity and mortality. The prevalence appears to have plateaued in affluent countries, decreased in low-income countries, and increased in lower-middle-income countries.[4]Asher MI, Rutter CE, Bissell K, et al. Worldwide trends in the burden of asthma symptoms in school-aged children: Global Asthma Network Phase I cross-sectional study. Lancet. 2021 Oct 30;398(10311):1569-80.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573635
http://www.ncbi.nlm.nih.gov/pubmed/34755626?tool=bestpractice.com
Prevalence remains higher in high-income countries than in low- and middle-income countries.[5]Song P, Adeloye D, Salim H, et al. Global, regional, and national prevalence of asthma in 2019: a systematic analysis and modelling study. J Glob Health. 2022 Jun 29;12:04052.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9239324
http://www.ncbi.nlm.nih.gov/pubmed/35765786?tool=bestpractice.com
In the US, the estimated prevalence of current asthma in children is:[6]Centers for Disease Control and Prevention. Most recent national asthma data. May 2023 [internet publication].
https://www.cdc.gov/asthma/most_recent_national_asthma_data.htm
1.9% for ages 0-4 years
7.5% for ages 5-11 years
One mixed-effects meta-regression model of 220 population-based studies from 88 countries reported the following prevalence estimates for asthma:[5]Song P, Adeloye D, Salim H, et al. Global, regional, and national prevalence of asthma in 2019: a systematic analysis and modelling study. J Glob Health. 2022 Jun 29;12:04052.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9239324
http://www.ncbi.nlm.nih.gov/pubmed/35765786?tool=bestpractice.com
Current asthma, 13.41% for ages 5-9 years and 10.95% for ages 10-14 years
Ever asthma, 17.79% for ages 5-9 years and 16.07% for ages 10-14 years
A significant number of children and adolescents aged 5-18 years experience exercise-induced bronchoconstriction (EIB), with a higher prevalence among athletes and those with asthma.[7]de Aguiar KB, Anzolin M, Zhang L. Global prevalence of exercise-induced bronchoconstriction in childhood: a meta-analysis. Pediatr Pulmonol. 2018 Apr;53(4):412-25.
https://onlinelibrary.wiley.com/doi/10.1002/ppul.23951
http://www.ncbi.nlm.nih.gov/pubmed/29364581?tool=bestpractice.com
The estimated worldwide prevalence of exercise-induced wheeze increases with age from 6.4% for ages 6-7 years to 18.2% for ages 13-14 years.[4]Asher MI, Rutter CE, Bissell K, et al. Worldwide trends in the burden of asthma symptoms in school-aged children: Global Asthma Network Phase I cross-sectional study. Lancet. 2021 Oct 30;398(10311):1569-80.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573635
http://www.ncbi.nlm.nih.gov/pubmed/34755626?tool=bestpractice.com