家族过敏病史如何影响儿童食物过敏:日本环境与儿童健康研究。
How a Family History of Allergic Diseases Influences Food Allergy in Children: The Japan Environment and Children's Study.
机构信息
Medical Support Center for the Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo 157-8535, Japan.
Department of Data Science, Clinical Research Center, National Center for Child Health and Development, Tokyo 157-8535, Japan.
出版信息
Nutrients. 2022 Oct 15;14(20):4323. doi: 10.3390/nu14204323.
The influence of family allergic history on food allergy in offspring in Japan is unknown. We analyzed data from a nationwide birth cohort study using logistic regression models to examine the associations of maternal, paternal, and both parental histories of allergic diseases (food allergy, atopic dermatitis, asthma, and rhinitis) with their child’s food allergy at 1.5 and 3 years of age. This analysis included 69,379 singleton full-term mothers and 37,179 fathers and their children. All parental histories of allergic diseases showed significant positive associations with their child’s food allergy. When both parents had a history of allergic diseases, the adjusted odds ratio (aOR) tended to be higher than when either parent had allergic diseases (p for trend < 0.0001). The highest aOR was detected when both parents had food allergy (2.60; 95% confidential interval, 1.58−4.27), and the aOR was 1.71 when either parent had food allergy (95% confidential interval, 1.54−1.91). The aORs were attenuated but still had significant positive associations after adjusting for the child’s atopic dermatitis, a risk factor for allergy development. In conclusion, all parental allergic diseases were significantly positively associated with their child’s food allergy. The effect of family history showed a stepwise increase in risk from either parent to both parents, and the highest risk of allergic disease was a parental history of food allergy.
在日本,家族过敏史对后代食物过敏的影响尚不清楚。我们使用逻辑回归模型分析了一项全国性出生队列研究的数据,以检查母亲、父亲和双亲的过敏疾病(食物过敏、特应性皮炎、哮喘和鼻炎)史与孩子在 1.5 岁和 3 岁时食物过敏的关联。该分析包括 69379 名单胎足月母亲和 37179 名父亲及其子女。所有父母的过敏疾病史均与孩子的食物过敏呈显著正相关。当父母双方都有过敏疾病史时,调整后的优势比(aOR)往往高于父母一方有过敏疾病史时(趋势检验 P<0.0001)。当父母双方都有食物过敏史时,aOR 最高(2.60;95%置信区间,1.58−4.27),当父母一方有食物过敏史时,aOR 为 1.71(95%置信区间,1.54−1.91)。在调整了孩子的特应性皮炎(过敏发展的危险因素)后,aOR 虽然减弱,但仍呈显著正相关。总之,所有父母的过敏疾病均与孩子的食物过敏显著正相关。家族史的影响显示,风险从父母一方到双方呈逐步增加,过敏疾病的最高风险是父母有食物过敏史。