Hikino S, Nakayama H, Yamamoto J, Kinukawa N, Sakamoto M, Hara T
Departments of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Acta Paediatr. 2001 Aug;90(8):850-5.
The prevalence rates of food allergy and atopic dermatitis in low birthweight infants were evaluated. In Fukuoka City, Japan, between July 1994 and September 1997, sufficient information including birthweight, gestational age, sex, feeding method and a history of food allergy was obtained from questionnaires at the well-baby check-ups of 21766 infants (18 mo of age) and 4378 children (3 y of age). All the children were examined by pediatricians with regard to the existence of atopic dermatitis. The prevalence rate (8.1%) of food allergy in infants with low birthweight (<2,500 g) was significantly lower than that (11.2%) in infants with normal birthweight (> or = 2,500 g) at 18 mo of age (p = 0.0002). Atopic dermatitis was also observed at a lower prevalence rate (1.2%) in infants with low birthweight than in those with normal birthweight (2.3%) at the same age (p = 0.0041). However, this significance was lost at 3 y of age. Other characteristics including male sex and breast-feeding showed independent risks for the development of food allergy and atopic dermatitis at both ages.
This study found that low birthweight was significantly associated with a lower risk of both food allergy and atopic dermatitis at 18 mo of age.
对低体重出生婴儿的食物过敏和特应性皮炎患病率进行了评估。在日本福冈市,于1994年7月至1997年9月期间,从21766名18个月大婴儿和4378名3岁儿童的健康检查问卷中获取了包括出生体重、胎龄、性别、喂养方式和食物过敏史等充分信息。所有儿童均由儿科医生检查是否存在特应性皮炎。低体重出生(<2500克)婴儿在18个月大时的食物过敏患病率(8.1%)显著低于正常出生体重(≥2500克)婴儿的患病率(11.2%)(p = 0.0002)。低体重出生婴儿在同一年龄时的特应性皮炎患病率(1.2%)也低于正常出生体重婴儿(2.3%)(p = 0.0041)。然而,在3岁时这种显著性消失了。包括男性性别和母乳喂养在内的其他特征在两个年龄段均显示为食物过敏和特应性皮炎发生的独立风险因素。
本研究发现低体重出生与18个月大时食物过敏和特应性皮炎的较低风险显著相关。