Table 4

Definitions and response options for wheeze questions from epidemiology studies of childhood asthma

Authors Reference Definition of “wheeze” Response options
Venn et al 3 A noisy whistling sound from the chest, not the throat causing tightness and breathlessnessYes/no
Clifford et al 18 Noisy breathing with a whistling sound coming from the chest, not the throatNot reported
Pararajasingamet al 19 Noisy breathing with a whistling or squeaky sound coming from the chest0, 1–4, 5–12, >12 times
Luyt et al 20 Breathing that makes a high pitched musical sound from the chest, not the throatNot reported
Brabin et al 21 Noisy breathing and a whistling sound coming from the chest, not the throatNot reported
Kellyet al 22 Noisy breathing with a whistling sound coming from the chest or throatNot reported
Doull et al 23 Noisy breathing with a whistling sound coming from the chest and not the throatQuantify frequency
Lee et al 28 Noisy breathing with a whistling quality coming from the chest and not just the throatYes/no/not sure
“Whistling” alternative
Burney et al 5 Does his or her chest ever sound wheezy or whistling?Not reported
Strachan et al 11 Includes ISAAC question “Has this child ever had wheezing or whistling in the chest at any time in the past?”Yes/no
Powell and Primhak4-150 24 (1) Preliminary survey used ISAAC question “Have you ever had wheezing or whistling in the chest at any time in the past?”(1) Yes/no
(2) Detailed survey uses Usherwood et al—wheeze in statements not defined(2) Every/most/some/few days/not at all
ISAAC Steering Committee4-160 27 ISAAC International “Has your child ever had wheezing or whistling in the chest at any time?”Yes/no
  • Studies UK based or UK as part of international studies.

  • 4-150 Uses the ISAAC key questions and Usherwood et al questionnaire.29

  • 4-160 Phase 1 for 6–7 year olds. Reported as defined in Asheret al.30