Kummeling Ischa, Thijs Carel, Huber Machteld, van de Vijver Lucy P L, Snijders Bianca E P, Penders John, Stelma Foekje, van Ree Ronald, van den Brandt Piet A, Dagnelie Pieter C
Department of Epidemiology, Care and Public Health Research Institute (Caphri), Maastricht University, Maastricht, The Netherlands.
Br J Nutr. 2008 Mar;99(3):598-605. doi: 10.1017/S0007114507815844. Epub 2007 Aug 29.
We prospectively investigated whether organic food consumption by infants was associated with developing atopic manifestations in the first 2 years of life. The KOALA Birth Cohort Study in the Netherlands (n 2764) measured organic food consumption, eczema and wheeze in infants until age 2 years using repeated questionnaires. Diet was defined as conventional ( 90 % organic). Venous blood samples taken from 815 infants at 2 years of age were analysed for total and specific IgE. Multivariate logistic regression models were fitted to control for potential confounding factors. Eczema was present in 32 % of infants, recurrent wheeze in 11 % and prolonged wheezing in 5 %. At 2 years of age, 27 % of children were sensitised against at least one allergen. Of all the children, 10 % had consumed a moderately organic diet and 6 % a strictly organic diet. Consumption of organic dairy products was associated with lower eczema risk (OR 0.64 (95 % CI 0.44, 0.93)), but there was no association of organic meat, fruit, vegetables or eggs, or the proportion of organic products within the total diet with the development of eczema, wheeze or atopic sensitisation. Further studies to substantiate these results are warranted.
我们前瞻性地研究了婴儿食用有机食品是否与生命最初2年内出现特应性表现有关。荷兰的考拉出生队列研究(n = 2764)通过重复问卷调查,对婴儿2岁前的有机食品消费、湿疹和喘息情况进行了测量。饮食被定义为传统饮食(<10%为有机食品)或有机饮食(≥90%为有机食品)。对815名2岁婴儿采集的静脉血样本进行了总IgE和特异性IgE分析。采用多变量逻辑回归模型来控制潜在的混杂因素。32%的婴儿患有湿疹,11%的婴儿反复喘息,5%的婴儿喘息持续时间延长。在2岁时,27%的儿童对至少一种过敏原致敏。在所有儿童中,10%食用适度有机饮食,6%食用严格有机饮食。食用有机乳制品与较低的湿疹风险相关(比值比0.64(95%置信区间0.44,0.93)),但食用有机肉类、水果、蔬菜或蛋类,或总饮食中有机产品的比例与湿疹、喘息或特应性致敏的发生无关。有必要进行进一步研究以证实这些结果。