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分析学龄前儿童特应性皮炎的遗传和环境因素:病例对照研究。

Analysis of heritability and environmental factors in preschool children with eczema: a case-control study.

机构信息

Department of Dermatology, Shaanxi Provincial People's Hospital, No. 256 West Youyi Road, Beilin District, Xi 'an, 710068, China.

The 63600 hospital of PLA, Dongfeng Chang District, Suzhou District, Jiuquan, 732750, China.

出版信息

Sci Rep. 2024 Oct 9;14(1):23529. doi: 10.1038/s41598-024-75081-1.

Abstract

Eczema is common in children, and its onset is affected by both genetic and environmental factors. We investigated the effects of genetic and environmental factors on the incidence of eczema in preschool children. 515 preschool children with eczema and 515 children participating in the physical examination were enrolled. The study included the incidence of childhood eczema, the child's birth and feeding conditions, the history of eczema in the parents, and relevant environmental risk factors, and to comprehensively analyze the genetic and environmental factors influencing childhood eczema. Among 1030 children, 173 parents (8.4%) had eczema, with a heritability of 73.59% for boys' parents and 58.59% for girls' parents. Multivariate logistic regression results showed that premature infants, low birth weight, children who had used antibiotics before the age of 1 year the living environment between the first year of mother pregnancy and the first year of the child is humid, a father with a history of eczema, a mother with a history of eczema are risk factors for eczema in children. Actively preventing environmental factors related to eczema may be an effective means to reduce the risk of eczema in children.

摘要

湿疹在儿童中很常见,其发病受遗传和环境因素的影响。我们研究了遗传和环境因素对学龄前儿童湿疹发病率的影响。共纳入 515 例湿疹学龄前儿童和 515 例体检儿童。研究内容包括儿童湿疹的发病情况、儿童出生及喂养情况、父母的湿疹史及相关环境危险因素,并进行综合分析影响儿童湿疹的遗传和环境因素。在 1030 例儿童中,173 例父母(8.4%)患有湿疹,男孩父母的遗传率为 73.59%,女孩父母的遗传率为 58.59%。多因素 logistic 回归结果显示,早产儿、低出生体重、1 岁前使用过抗生素、母亲妊娠第 1 年至儿童第 1 年生活环境潮湿、父亲有湿疹史、母亲有湿疹史是儿童湿疹的危险因素。积极预防与湿疹相关的环境因素可能是降低儿童湿疹风险的有效手段。

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本文引用的文献

1
mRNAs in skin surface lipids unveiled atopic dermatitis at 1 month.皮肤表面脂质中的 mRNAs 在 1 个月时揭示特应性皮炎。
J Eur Acad Dermatol Venereol. 2023 Jul;37(7):1385-1395. doi: 10.1111/jdv.19017. Epub 2023 Mar 21.
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Atopic dermatitis.特应性皮炎。
Lancet. 2016 Mar 12;387(10023):1109-1122. doi: 10.1016/S0140-6736(15)00149-X. Epub 2015 Sep 13.
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Immune tolerance in allergy.过敏中的免疫耐受
Curr Opin Immunol. 2009 Dec;21(6):700-7. doi: 10.1016/j.coi.2009.07.012. Epub 2009 Aug 21.
9
Is eczema really on the increase worldwide?湿疹在全球范围内真的在增多吗?
J Allergy Clin Immunol. 2008 Apr;121(4):947-54.e15. doi: 10.1016/j.jaci.2007.11.004. Epub 2007 Dec 21.

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