Review series
Paediatric origins of adult lung disease
Introduction
Peter D Sly
Centre for Child
Health Research, TVWT Institute for Child Health Research, University
of Western Australia, Perth, Australia
Correspondence to: Professor P D Sly, 100 Roberts Road, Subiaco, Western Australia 6008, Australia email: peters@ichr.uwa.edu.au
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Managing lung diseases makes up a large part of the daily work
of general practitioners, paediatricians, specialists in internal medicine, and respiratory physicians. While the spectrum of diseases managed by these different groups may differ, many of the diseases are
likely to have common origins and are influenced by early life events.
The fetal origins of disease have been recognised recently in the
relationships between birth weight and cardiovascular disease in adults
in the UK and have led to the so-called Barker hypothesis.1 This initial report has led to a growing
interest in determining how early life events can influence the
expression of disease later in life. This is particularly true for lung
diseases with a growing recognition of the influences of the
intrauterine environment on lung growth and development. The most well
known example of this has been the effects of maternal smoking on lung growth.2-5 However, the influences
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