Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, 303 E. Superior Street, Lurie 10-109, Chicago, IL, 60611, USA.
Department of Biostatistics, University of Iowa, Iowa City, IA, USA.
J Assist Reprod Genet. 2023 Jun;40(6):1349-1359. doi: 10.1007/s10815-023-02801-3. Epub 2023 May 3.
There has been a noted parallel rise in both the use of Assisted Reproductive Technology (ART) to conceive and childhood allergies in the last few decades. The purpose of this study was to investigate the possible association between reproductive and allergy history in parents and allergies in their children.
This exploratory study used a cross-sectional study design and web-based survey to collect anonymous data on demographics, allergy, and health history from parents and about each of their children under 18 years of age. Children were stratified into two groups by allergy status (yes/no), and associations between each variable and the odds of allergies were tested using univariable and multivariable mixed logistic regression models.
Of the 563 children in the study, 237 were reported to have allergies whereas 326 did not. Age, residential community, household income, mode of conception, paternal age at conception, biological parental allergy status, and history of asthma and eczema were significantly associated with allergies in univariable analysis. Multivariable analysis revealed household income ($50 k to $99 k vs ≥ $200 k adj OR = 2.72, 95% CI 1.11, 6.65), biological parental allergies (mother-adj OR 2.74, 95% CI 1.59, 4.72, father-adj OR 2.06, 95% CI 1.24, 3.41) and each additional year of age of children (adj OR 1.17, CI 1.10, 1.24) were significantly associated with odds of allergies in children.
Although the exploratory nature of this convenience, snowballing sample limited the generalizability of the findings, initial observations warrant further investigation and validation in a larger more diverse population.
在过去几十年中,辅助生殖技术(ART)的使用和儿童过敏的发生率呈显著平行上升。本研究的目的是调查父母的生殖和过敏史与子女过敏之间的可能关联。
本探索性研究采用横断面研究设计和基于网络的调查,从父母那里收集关于人口统计学、过敏和健康史的匿名数据,并收集他们每个不满 18 岁的孩子的相关信息。根据过敏状况(是/否)将孩子分为两组,并使用单变量和多变量混合逻辑回归模型检验每个变量与过敏发生几率的关联。
在这项研究的 563 名儿童中,237 名报告有过敏,326 名没有过敏。年龄、居住社区、家庭收入、受孕方式、父亲受孕时的年龄、亲生父母的过敏史以及哮喘和湿疹史在单变量分析中与过敏显著相关。多变量分析显示,家庭收入(50-99k 美元与≥200k 美元相比,调整后的比值比[OR] = 2.72,95%可信区间[CI] 1.11, 6.65)、亲生父母过敏史(母亲,调整后的比值比[OR] = 2.74,95%CI 1.59, 4.72;父亲,调整后的比值比[OR] = 2.06,95%CI 1.24, 3.41)和儿童年龄每增加一岁(调整后的比值比[OR] = 1.17,CI 1.10, 1.24)与儿童过敏的几率显著相关。
尽管本研究采用的便利、滚雪球抽样方法限制了研究结果的普遍性,但初步观察结果值得在更大、更多样化的人群中进一步研究和验证。