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婴儿血清免疫球蛋白E及喂养方式的影响

Serum IgE in infants and influence of type of feeding.

作者信息

Juto P, Björkstén B

出版信息

Clin Allergy. 1980 Sep;10(5):593-600. doi: 10.1111/j.1365-2222.1980.tb02141.x.

Abstract

Serum IgE in healthy infants was followed longitudinally during the first year of life and was related to heredity for allergy and type of feeding. During the first 6 months of life there were no significant differences of serum IgE levels in relation to presence or absence of heredity for allergy and type of feeding. IgE levels determined at the age of 12 months in infants who were weaned after the age of 6 months were significantly higher than in infants weaned before that age (P < 0.05). When the time periods had passed, following onset of cow's milk-feeding and complete cassation of breast-feeding, and were correlated to IgE at the age of 12 months, there were inverse significant correlations; i.e. the earlier the onset of cow's milk-feeding the lower the IgE and the later the cessation of breast-feeding the higher the IgE. This was particularly obvious as regards infants with heredity for allergy and a long duration of breast-feeding (r = -0.43; P < 0.01). Infants with heredity for allergy subjected to a hypoallergenic diet adhered to for 6 months had significantly higher IgE at the age of 12 months than infants with similar heredity but a normal diet (P < 0.05). The results indicate that serum IgE during late infancy is influenced by both genetic factors and the time of introduction of cow's milk formula in the diet and the time of cessation of breast-feeding.

摘要

对健康婴儿出生后第一年的血清免疫球蛋白E(IgE)进行了纵向跟踪,并研究了其与过敏遗传和喂养方式的关系。在出生后的前6个月,无论是否有过敏遗传以及喂养方式如何,血清IgE水平均无显著差异。6个月后断奶的婴儿在12个月时测定的IgE水平显著高于6个月前断奶的婴儿(P < 0.05)。当经过一段时间,即开始喂牛奶和完全停止母乳喂养后,并与12个月时的IgE进行相关性分析时,存在显著的负相关;也就是说,开始喂牛奶的时间越早,IgE越低,停止母乳喂养的时间越晚,IgE越高。对于有过敏遗传且母乳喂养时间长的婴儿,这种情况尤为明显(r = -0.43;P < 0.01)。接受低敏饮食6个月的有过敏遗传的婴儿在12个月时的IgE显著高于有相似遗传但饮食正常的婴儿(P < 0.05)。结果表明,婴儿后期的血清IgE受遗传因素以及饮食中引入牛奶配方的时间和停止母乳喂养的时间影响。

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