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In young children wheezing and asthma are more common in boys than
girls, but this difference has reversed by early adulthood. Venn et al
therefore measured age and sex specific prevalences in amost 28 000
11-16 year olds in Nottingham (p 1945). Self reported wheeze and
diagnosed asthma were both more prevalent in girls (relative risk for
wheeze in past year 1.24), but at 11 wheeze was more common in boys:
thereafter it declined in boys and increased in girls. On the basis of
the children's reports of wheeze the mean age of sex reversal was 12;
on the basis of parents' responses it was 13. The authors speculate
that hormonal changes at puberty may have a role in changing
prevalences
as might a greater increase in airways size in boys.