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吃鱼和水果与较低的过敏性疾病患病率相关。

Eating fish and fruits are associated with lower prevalence of allergic diseases.

机构信息

Department of Respiratory Diseases, Bordeaux University Hospital, Magellan Avenue, 33604 Pessac, France.

Clinical epidemiology and toxicology (INSPECT-LB), National institute of public health, Faculty of Public health, Lebanese University, Beirut, Lebanon.

出版信息

Respir Med Res. 2020 Nov;78:100761. doi: 10.1016/j.resmer.2020.100761. Epub 2020 May 12.

Abstract

BACKGROUND

Allergic diseases are recognized as a burden on the public health. They stand as one of the most common chronic diseases, especially in developed countries. Therefore, the objective of this study is to evaluate the association between the development of atopic allergy and the presence of food allergy in children, and food consumption.

METHODS

This multidisciplinary cross-observational epidemiological study was conducted among 1199 schoolchildren who were recruited in 4th grade and 5th grade (9-11 years old from Marseille). Data were collected by means of a standardized epidemiological questionnaire with a medical assessment focusing on allergic diseases, and questions on lifestyle and child nutrition (FFQ).

RESULTS

During the last 12 months, prevalence of allergic diseases were shown as follows: 41% of children presented allergic rhinitis symptoms, 24% reported having asthma related symptoms, while 28% suffered of eczema and 7% complained of food allergy. There was a significant association between food allergy and asthma symptoms (P-value<0.001, IC=[2.29-7.69]), eczema (P-value<0.001, IC=[2.37-8.32]) and allergic rhinitis (P-value<0.001, IC=[2.32-8.17]). Regarding dietary habits, the multivariate analysis shows that the consumption of vegetables (ORa=0.72 [0.64-0.74]) and fish (ORa=0.74 [0.50-1.09], ORa=0.66 [0.47-0.94] respectively) are associated decreased risk of developing asthma and allergic rhinitis symptoms, while fruit consumption (ORa=0.68 [0.45-1.03]) is associated with a decrease in eczema symptoms.

CONCLUSION

This study shows that the presence of a food allergy is strongly associated with allergic diseases. Indeed, the consumption of vegetables, fruits and fish seems to have a protective effect on the occurrence of these diseases.

摘要

背景

过敏性疾病被认为是公共卫生的负担。它们是最常见的慢性疾病之一,尤其是在发达国家。因此,本研究的目的是评估儿童特应性过敏和食物过敏的发展以及食物消费之间的关系。

方法

这项多学科交叉观察性流行病学研究在马赛的 4 年级和 5 年级(9-11 岁)的 1199 名学生中进行。通过标准化的流行病学问卷收集数据,该问卷包含过敏疾病的医学评估以及生活方式和儿童营养问题(FFQ)。

结果

在过去的 12 个月中,过敏疾病的患病率如下:41%的儿童出现过敏性鼻炎症状,24%报告有哮喘相关症状,28%患有湿疹,7%抱怨食物过敏。食物过敏与哮喘症状(P 值<0.001,IC=[2.29-7.69])、湿疹(P 值<0.001,IC=[2.37-8.32])和过敏性鼻炎(P 值<0.001,IC=[2.32-8.17])之间存在显著关联。关于饮食习惯,多变量分析显示,蔬菜(ORa=0.72 [0.64-0.74])和鱼类(ORa=0.74 [0.50-1.09],ORa=0.66 [0.47-0.94])的消费与哮喘和过敏性鼻炎症状的发病风险降低有关,而水果消费(ORa=0.68 [0.45-1.03])与湿疹症状的减少有关。

结论

本研究表明,食物过敏的存在与过敏性疾病密切相关。事实上,蔬菜、水果和鱼类的消费似乎对这些疾病的发生具有保护作用。

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