Parental histories of childhood respiratory trouble (CRT) were examine
d as risk factors for lower respiratory tract illnesses in healthy inf
ants enrolled in the Children's Respiratory Study, Tucson, Arizona. A
parental history of childhood respiratory trouble before age 16 was a
risk factor for infantile lower respiratory tract illnesses (LRIs). Ea
rly age of onset of the parental CRT and those illnesses described as
asthma or bronchiolitis showed the greatest risk: odds ratio = 2.8, P
< 0.05. After controlling for known and suspected confounders, a paren
tal history of CRT described as asthma or bronchiolitis with onset bef
ore age 3 was associated with wheezing LRIs in their children, with an
odds ratio of 2.6, P < 0.05. A parental history of CRT described as b
ronchitis/croup was associated with nonwheezing LRIs in their children
: odds ratio = 2.2, P < 0.05. These findings suggest a familial compon
ent to childhood respiratory trouble which may have a hereditary basis
. (C) 1993 Wiley-Liss, Inc.