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睡在动物皮毛上与儿童后期的哮喘结果有关。

Sleeping on animal fur is related to asthma outcomes in later childhood.

机构信息

Helmholtz Zentrum München - German Research Center for Environmental Health, Institute of Epidemiology I, Neuherberg, Germany

Helmholtz Zentrum München - German Research Center for Environmental Health, Institute of Epidemiology I, Neuherberg, Germany.

出版信息

Eur Respir J. 2015 Jul;46(1):107-14. doi: 10.1183/09031936.00204914. Epub 2015 Apr 2.

Abstract

Animal furs might represent a "proxy" for high and diverse microbial exposures within a critical time window of immune development. We assessed whether sleeping on animal fur shortly after birth is associated with asthma and atopy up to the age of 10 years. LISAplus participants (n=2441) from Munich and Leipzig, Germany, were included in the analysis. Animal fur exposure, cofactors and health outcomes were obtained periodically up to 10 years of age by parental questionnaires. Information on specific IgE to aeroallergens was available at 10 years. Cytokine-producing peripheral T-cells were assessed in a subgroup of children at 2 and 3 years. Confounder-adjusted associations were evaluated using logistic regression analyses. Sleeping on animal fur was very common (55%). In adjusted logistic regression analyses, sleeping on animal fur was inversely associated with recurrent early wheezing at 4 years (adjusted OR 0.75, 95% CI 0.61-0.93) and current asthma at 6 years (adjusted OR 0.56, 95% CI 0.31-1.01). Furthermore, sleeping on animal fur during the first 3 months of life was significantly associated with a persistently stimulated interferon-γ response until the age of 3 years. Animal fur could be an effective measure of creating environments associated with higher microbial exposure.

摘要

动物皮毛可能代表着在免疫发育的关键窗口期内,高浓度且多样化的微生物暴露的“替代物”。我们评估了婴儿出生后短时间内睡在动物皮毛上是否与 10 岁时的哮喘和过敏有关。来自德国慕尼黑和莱比锡的 LISAplus 参与者(n=2441)被纳入分析。通过父母问卷定期获取动物皮毛暴露、协变量和健康结果,直至 10 岁。在 10 岁时可获得特定过敏原的特异性 IgE 信息。在一个亚组儿童中,在 2 岁和 3 岁时评估了产生细胞因子的外周 T 细胞。使用逻辑回归分析评估了经过混杂因素调整的关联。睡在动物皮毛上非常普遍(55%)。在调整后的逻辑回归分析中,睡在动物皮毛上与 4 岁时反复出现的早期喘息(调整后的 OR 0.75,95%CI 0.61-0.93)和 6 岁时的当前哮喘(调整后的 OR 0.56,95%CI 0.31-1.01)呈负相关。此外,在生命的头 3 个月睡在动物皮毛上与干扰素-γ反应持续刺激至 3 岁显著相关。动物皮毛可能是创造与更高微生物暴露相关环境的有效措施。

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