Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, MOE Key Laboratory of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China.
The Central Hospital of Wuhan, Hubei, China.
Food Funct. 2023 Feb 21;14(4):1929-1936. doi: 10.1039/d2fo02064e.
Maternal fermented food consumption during pregnancy was suggested to be beneficial for a healthy microbiome, and prevent infantile eczema. However, the association between yogurt and eczema has not been well investigated. To examine whether maternal yogurt consumption during pregnancy is associated with risk of infantile eczema, we performed a prospective mother-offspring cohort study in Wuhan, China. Maternal yogurt consumption in late pregnancy was assessed with a semi-quantitative food frequency questionnaire. The main outcomes were doctor-diagnosed infantile eczema collected at 3 and 6 months postpartum. Adjusted rate ratios (aRRs) were calculated by Poisson regression models adjusted for potential confounders. In our study, 182 (7.7%) of 2371 infants followed for 3 months and 84 (4.0%) of 2114 infants followed until 6 months reported doctor-diagnosed eczema. Compared to infants whose mothers had not consumed any yogurt, infants with mothers who consumed yogurt during late pregnancy had reduced risk of eczema between 3 and 6 months of age (aRR = 0.54, 95% CI 0.35-0.85); the reduction was pronounced in those with maternal yogurt intake >3 times per week (aRR = 0.48, 95% CI 0.28-0.82) and >50 g day (aRR = 0.50, 95% CI 0.30-0.81). Moreover, infants with mothers who consumed yogurt showed decreased risk for recurrent eczema within the first 6 months (aRR = 0.46, 95% CI 0.22-0.98). In conclusion, this study found that maternal yogurt consumption during late pregnancy was related to a reduced incidence of eczema in infants aged 3 to 6 months, and recurrent eczema in the first 6 months of life.
孕期食用发酵乳制品被认为有益于建立健康的微生物组,预防婴儿湿疹。然而,酸奶与湿疹之间的关联尚未得到充分研究。为了研究孕期母体食用酸奶是否与婴儿湿疹的发病风险相关,我们在中国武汉进行了一项前瞻性的母婴队列研究。采用半定量食物频率问卷评估孕妇在妊娠晚期的酸奶摄入量。主要结局是产后 3 个月和 6 个月时医生诊断的婴儿湿疹。采用泊松回归模型调整潜在混杂因素后计算调整后的率比(aRR)。在我们的研究中,在随访 3 个月的 2371 名婴儿中,有 182 名(7.7%)和在随访至 6 个月的 2114 名婴儿中,有 84 名(4.0%)报告了医生诊断的湿疹。与母亲未食用任何酸奶的婴儿相比,母亲在妊娠晚期食用酸奶的婴儿在 3 至 6 个月龄时湿疹发病风险降低(aRR=0.54,95%CI 0.35-0.85);在母亲每周食用酸奶>3 次(aRR=0.48,95%CI 0.28-0.82)和>50 g/天(aRR=0.50,95%CI 0.30-0.81)的婴儿中,这种降低更为明显。此外,母亲食用酸奶的婴儿在头 6 个月内复发湿疹的风险降低(aRR=0.46,95%CI 0.22-0.98)。综上所述,本研究发现妊娠晚期母体食用酸奶与婴儿在 3 至 6 个月龄时湿疹的发病率降低以及头 6 个月内湿疹的复发相关。