Table 4

Primary child health outcomes in the ECHO-PATHWAYS consortium at age 8–9

Age 8–9 year visit*N=912
Variable (categorical)N%Variable (continuous)NMeanSD
Asthma and allergy
ISAAC survey†912
 Current wheeze13
 Current asthma14
 Ever asthma19
 Strict asthma12
 Eczema35
 Rhinitis31
Spirometry‡739Spirometry‡739
 FEV1<LLN3 FEV1 Z-score0.281.00
 FVC<LLN2 FVC Z-score0.390.99
 FEV1/FVC<LLN8 FEV1/FVC Z-score−0.171.10
 FEF 25–75<LLN7 FEF 25–75 Z-score−0.160.95
IgE§545
 Food Phadiotop (≥0.35)29
 Food Phadiotop (≥0.10)58
 Aeroallergen Phadiotop (≥0.35)50
 Aeroallergen Phadiotop (≥0.10)63
 Any allergy (≥0.35)56
 Any allergy (≥0.10)76
Neurodevelopment and mental health
Child Behaviour Checklist¶912Child Behaviour Checklist ¶912
 Externalising score (T-score >63)6 Externalising score4810
 Internalising score (T-score >63)8 Internalising score4810
 Affective scale (T-score >69)3 Affective scale546
 Anxiety scale (T-score >69)3 Anxiety scale545
 ADHD scale (T-score >69)3 ADHD scale546
Depression820Depression**820
 Elevated CDI-2 (≥65)17 CDI-2 t-score5511
 Very elevated CDI-2 (≥70)10
Anxiety820Anxiety ††
 SCARED score ≥2555 SCARED score8222814
Digit Span scaled score7489.53.0
Hearts and Flowers
 Overall accuracy7440.840.12
Flanker
 Age-corrected standard score72095.613.8
  • *Total count for the age 8–9 year visit in this table is defined as those participants having at least one neurodevelopment or airway outcome in the CANDLE cohort. Age 8–9 year visits are currently ongoing in the TIDES and GAPPS-PW cohorts, and thus data are not included here.

  • †ISAAC, International Study of Asthma and Allergies in Childhood. Current wheeze was defined as an affirmative response to two questions: ‘Has your child ever had wheezing or whistling in the chest at any time in the past?’ and ‘Has your child ever had wheezing or whistling in the chest in the last 12 months?’ Ever asthma was defined as an affirmative response to the question: ‘Has your child ever had asthma?’ Current asthma was defined as at least two of current wheeze, ever asthma and asthma medication use (‘In the past 12 months has the child used any medications for asthma or wheeze’). Strict asthma was defined as ever asthma AND at least one of current wheeze and current asthma medication use. Eczema was defined as an affirmative response to the question ‘Has your child ever had eczema?’ Rhinitis was defined as an affirmative response to the question ‘Has your child ever had a problem with sneezing, or a runny, or blocked nose when he/she did not have a cold or the flu?’.

  • ‡FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity; FEF25−75, forced expiratory flow at 25–75% of FVC; LLN, lower limit of normal, defined as a Z-score of −1.645.

  • §Serum IgE screen was measured from child participants’ blood samples collected at the age 8–9 year visit. The food allergen mix included chicken egg, cow’s milk, peanut, soybean, codfish and wheat. Values less than the limit of detection (<0.1) were set to 0.1/√2.

  • ¶Continuous scales are T-scores that were calculated using standard Child Behaviour Checklist norms; T-scores were dichotomised using clinical cut-points; ADHD, attention deficit/hyperactivity disorder.

  • **CDI-2, Children’s Depression Inventory, Second Edition. Continuous measures are T-scores using age and gender specific norms.

  • ††SCARED, Screen for Child Anxiety Related Disorders. Continuous measures are raw scores; possible range is 0–82.

  • Possible Digit Span scaled score range is 1–19.

  • CANDLE, Conditions Affecting Neurocognitive Development and Learning in Early Childhood; GAPPS, Global Alliance to Prevent Prematurity and Stillbirth; TIDES, The Infant Development and Environment Study.