Antens C J M, Oldenwening M, Wolse A, Gehring U, Smit H A, Aalberse R C, Kerkhof M, Gerritsen J, de Jongste J C, Brunekreef B
Institute for Risk Assessment Sciences, Universiteit Utrecht, Utrecht, The Netherlands.
Clin Exp Allergy. 2006 Dec;36(12):1525-31. doi: 10.1111/j.1365-2222.2006.02603.x.
Studies of the association between indoor allergen exposure and the development of allergic diseases have often measured allergen exposure at one point in time.
We investigated the variability of house dust mite (Der p 1, Der f 1) and cat (Fel d 1) allergen in Dutch homes over a period of 8 years.
Data were obtained in the Dutch PIAMA birth cohort study. Dust from the child's mattress, the parents' mattress and the living room floor was collected at four points in time, when the child was 3 months, 4, 6 and 8 years old. Dust samples were analysed for Der p 1, Der f 1 and Fel d 1 by sandwich enzyme immuno assay.
Mite allergen concentrations for the child's mattress, the parents' mattress and the living room floor were moderately correlated between time-points. Agreement was better for cat allergen. For Der p 1 and Der f 1 on the child's mattress, the within-home variance was close to or smaller than the between-home variance in most cases. For Fel d 1, the within-home variance was almost always smaller than the between-home variance. Results were similar for allergen levels expressed per gram of dust and allergen levels expressed per square metre of the sampled surface. Variance ratios were smaller when samples were taken at shorter time intervals than at longer time intervals.
Over a period of 4 years, mite and cat allergens measured in house dust are sufficiently stable to use single measurements with confidence in epidemiological studies. The within-home variance was larger when samples were taken 8 years apart so that over such long periods, repetition of sampling is recommended.
关于室内过敏原暴露与过敏性疾病发生之间关联的研究,常常只在某一个时间点测量过敏原暴露情况。
我们调查了荷兰家庭中屋尘螨(Der p 1、Der f 1)和猫(Fel d 1)过敏原在8年期间的变异性。
数据取自荷兰PIAMA出生队列研究。在孩子3个月、4岁、6岁和8岁时的四个时间点,收集孩子床垫、父母床垫及客厅地板上的灰尘。采用夹心酶免疫分析法对灰尘样本进行Der p 1、Der f 1和Fel d 1分析。
孩子床垫、父母床垫及客厅地板上的螨过敏原浓度在各时间点之间呈中度相关。猫过敏原的一致性更好。对于孩子床垫上的Der p 1和Der f 1,在大多数情况下,家庭内部方差接近或小于家庭之间的方差。对于Fel d 1,家庭内部方差几乎总是小于家庭之间的方差。以每克灰尘表示的过敏原水平和以每平方米采样表面表示的过敏原水平的结果相似。与较长时间间隔采样相比,较短时间间隔采样时的方差比更小。
在4年期间,房屋灰尘中测量的螨和猫过敏原足够稳定,在流行病学研究中可以放心地使用单次测量结果。当样本采集间隔为8年时,家庭内部方差更大,因此在如此长的时间段内,建议重复采样。