Department of Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Pediatr Allergy Immunol. 2011 Feb;22(1 Pt 1):69-74. doi: 10.1111/j.1399-3038.2010.01081.x.
It is uncertain whether B group vitamins are risk or preventive factors for allergic disorders. We prospectively investigated the association between maternal intake of folate and vitamins B(12) , B(6) , and B(2) during pregnancy and the risk of wheeze and eczema in the infants aged 16-24 months. Subjects were 763 Japanese mother-child pairs. Data on maternal intake during pregnancy were assessed with a diet history questionnaire (DHQ). Symptoms of wheeze and eczema were based on criteria of the International Study of Asthma and Allergies in Childhood. Among 763 infants, 169 (22.1%) and 142 (18.6%) had symptoms of wheeze and eczema, respectively. There were no evident relationships between maternal consumption of folate, vitamin B(12) , vitamin B(6) , and vitamin B(2) during pregnancy and the risk of wheeze or eczema in the offspring after adjustment for maternal age, gestation at baseline, residential municipality at baseline, family income, maternal and paternal education, maternal and paternal history of asthma, atopic eczema, and allergic rhinitis, changes in maternal diet in the previous 1 month, season when data at baseline were collected, maternal smoking during pregnancy, baby's older siblings, baby's sex, baby's birth weight, household smoking in the same room as the infant, breastfeeding duration, age at which solid foods were introduced, age of infant at the third survey, and maternal intake of docosahexaenoic acid, n-6 polyunsaturated fatty acids, vitamin D, calcium, vitamin E, and β-carotene during pregnancy. Further investigation is warranted to draw conclusions as to the question of whether maternal B vitamin intake during pregnancy is related to the risk of childhood allergic disorders.
目前尚不确定 B 族维生素是过敏疾病的危险因素还是预防因素。我们前瞻性地研究了母亲在怀孕期间摄入叶酸以及维生素 B(12)、B(6)和 B(2)与 16-24 月龄婴儿喘息和特应性皮炎风险之间的关系。研究对象为 763 对日本母婴。孕期母亲摄入量的数据通过饮食史问卷(DHQ)进行评估。喘息和特应性皮炎的症状依据国际儿童哮喘和过敏研究(ISAAC)的标准进行判断。在 763 名婴儿中,分别有 169 名(22.1%)和 142 名(18.6%)出现喘息和特应性皮炎症状。在调整了母亲年龄、基线妊娠、基线居住市町村、家庭收入、母亲和父亲的教育程度、母亲和父亲的哮喘、特应性皮炎和过敏性鼻炎病史、母亲在过去 1 个月饮食的变化、收集基线数据的季节、母亲孕期吸烟、婴儿的哥哥或姐姐、婴儿的性别、婴儿的出生体重、与婴儿同住房间的家庭吸烟、母乳喂养时间、固体食物引入时间、第三次调查时婴儿的年龄以及母亲在怀孕期间摄入的二十二碳六烯酸、n-6 多不饱和脂肪酸、维生素 D、钙、维生素 E 和β-胡萝卜素等因素后,母亲在怀孕期间摄入叶酸以及维生素 B(12)、B(6)和 B(2)与子女喘息或特应性皮炎风险之间没有明显的关联。有必要进行进一步的研究,以确定母亲在怀孕期间摄入 B 族维生素是否与儿童期过敏疾病的风险有关。