The lung function of infants with cystic fibrosis is often reduced shortly
after diagnosis. We measured the airway function of newly diagnosed infants
to test whether this reduction is independent of clinically recognised low
er respiratory illness. We compared the airway function of 33 infants with
cystic fibrosis and 87 healthy controls after adjustment for sex, age, body
weight and length, and exposure to maternal smoking. Airway function was si
gnificantly reduced in children with cystic fibrosis, even in those without
clinically recognised previous lower respiratory illness. Our findings rai
se important questions about the onset and natural history of impaired airw
ay function in infants with cystic fibrosis.