Kuzume Kazuyo, Kusu Masahito
Department of Pediatrics, Ehime University School of Medicine, Toon, Japan.
Pediatr Allergy Immunol. 2007 Jun;18(4):281-7. doi: 10.1111/j.1399-3038.2006.00526.x. Epub 2007 Mar 7.
While an exacerbation in allergic symptoms corresponding to seasons has long been reported, few studies have investigated the association between the season of birth and allergic disorders. The aim of this study was to investigate whether the climatologic data before and after birth affected the incidence of atopic dermatitis (AD) and the results of allergy-related blood tests in early infancy. From February 1995 to January 2000, 2136 infants were tested for AD and followed for 12 months. AD patients were tested by using allergy-related blood tests. Data were compared according to the month of birth and the climatologic data using a computed statistical software package. Six hundred and thirty infants had AD before 12 months old, and significant differences were found according to the season of birth (p < 0.0001). Infants born in spring showed the lowest (22.3%) incidence, while those born in autumn showed the highest (34.6%). In 369 patients, total serum IgE levels, and serum specific IgE levels with egg white at 3 months old were also different according to the season of birth. All of these levels were lower in patients born in spring and summer, and higher in patients born in autumn and winter. Furthermore, the cumulative sunshine amount during the 3 months before and after birth was inversely correlated, while the average temperature over the 3 months before birth was positively correlated to the incidence of AD according to the month of birth. The climatologic data around birth may play an important role in whether an infant develops allergies.
虽然长期以来一直有报道称过敏症状会随季节加重,但很少有研究调查出生季节与过敏性疾病之间的关联。本研究的目的是调查出生前后的气候数据是否会影响婴儿早期特应性皮炎(AD)的发病率以及过敏相关血液检测的结果。1995年2月至2000年1月,对2136名婴儿进行了AD检测,并随访了12个月。AD患者通过过敏相关血液检测进行检测。使用计算机统计软件包根据出生月份和气候数据对数据进行比较。630名婴儿在12个月前患有AD,根据出生季节发现了显著差异(p < 0.0001)。春季出生的婴儿发病率最低(22.3%),而秋季出生的婴儿发病率最高(34.6%)。在369名患者中,3个月大时的总血清IgE水平和蛋清特异性IgE水平也因出生季节而异。所有这些水平在春夏季出生的患者中较低,在秋冬季出生的患者中较高。此外,出生前后3个月的累计日照量呈负相关,而出生前3个月的平均温度与根据出生月份的AD发病率呈正相关。出生前后的气候数据可能在婴儿是否发生过敏方面发挥重要作用。