본문 바로가기
KERD
논문KCI 등재

Perinatal Risk Factors for Asthma and Allergic Rhinitis in Children and Adolescents

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Objectives. In this study, we evaluated the associations between birth-related exposures, postnatal factors, and the risk ofallergic rhinitis and asthma in children and adolescents. Methods. We performed a comprehensive search of five literature databases up to May 2023. To quantify the associationsof birth-related exposures (birth weight, delivery mode, prematurity, sex, maternal age, and parental allergy history)and postnatal factors (birth order, number of siblings, breastfeeding exclusivity, and breastfeeding duration) with al-lergic disease, we calculated pooled odds ratios and 95% confidence intervals. We conducted subgroup analyses forallergic disease type, birth order, number of siblings, and parental allergy history. The methodological quality of theidentified studies was evaluated using the Newcastle-Ottawa Scale. Results. This meta-analysis included 31 studies, encompassing 218,899 patients in total. The birth-related exposures of lowbirth weight, maternal age, and prematurity (less than 37 weeks gestation) were not significantly associated with therisk of asthma or allergic rhinitis during childhood or adolescence. Male sex, family history of allergy, and cesareandelivery were linked to an elevated risk of asthma or allergic rhinitis. Among postnatal factors, exclusive breastfeed-ing, breastfeeding for longer than 6 months, second or later birth order, and having siblings exhibited protective ef-fects against allergic diseases in offspring. Conclusion. The risks of allergic rhinitis and asthma were elevated in male patients, those delivered by cesarean section,and those with a family history of allergy. Conversely, exclusive breastfeeding, breastfeeding for longer than 6 months,and having siblings corresponded to a reduced risk of respiratory allergic diseases.

Abstract

Objectives. In this study, we evaluated the associations between birth-related exposures, postnatal factors, and the risk ofallergic rhinitis and asthma in children and adolescents. Methods. We performed a comprehensive search of five literature databases up to May 2023. To quantify the associationsof birth-related exposures (birth weight, delivery mode, prematurity, sex, maternal age, and parental allergy history)and postnatal factors (birth order, number of siblings, breastfeeding exclusivity, and breastfeeding duration) with al-lergic disease, we calculated pooled odds ratios and 95% confidence intervals. We conducted subgroup analyses forallergic disease type, birth order, number of siblings, and parental allergy history. The methodological quality of theidentified studies was evaluated using the Newcastle-Ottawa Scale. Results. This meta-analysis included 31 studies, encompassing 218,899 patients in total. The birth-related exposures of lowbirth weight, maternal age, and prematurity (less than 37 weeks gestation) were not significantly associated with therisk of asthma or allergic rhinitis during childhood or adolescence. Male sex, family history of allergy, and cesareandelivery were linked to an elevated risk of asthma or allergic rhinitis. Among postnatal factors, exclusive breastfeed-ing, breastfeeding for longer than 6 months, second or later birth order, and having siblings exhibited protective ef-fects against allergic diseases in offspring. Conclusion. The risks of allergic rhinitis and asthma were elevated in male patients, those delivered by cesarean section,and those with a family history of allergy. Conversely, exclusive breastfeeding, breastfeeding for longer than 6 months,and having siblings corresponded to a reduced risk of respiratory allergic diseases.

참고문헌 (50)

  1. Bousquet J, "Next-generation Allergic Rhinitis and Its Impact on Asthma(ARIA)guidelines for allergic rhinitis based on Grading of Recommendations Assessment, Development and Evaluation(GRADE)and real-world evidence", J Allergy Clin Immunol, 145(1), pp.70~80 (2020)
  2. Gutowska-Slesik J, "The increase in allergic conditions based on a review of literature", Postepy Dermatol Alergol, 40(1), pp.1~7 (2023)
  3. D’Amato G, "Climate change, air pollution, and allergic respiratory diseases : an update", Curr Opin Allergy Clin Immunol, 16(5), pp.434~440 (2016)
  4. Montgomery SM, "The initial care of newborn infants and subsequent hay fever", Allergy, 55(10), pp.916~922 (2000)
  5. Xu B, "Prenatal factors and occurrence of rhinitis and eczema among offspring", Allergy, 54(8), pp.829~836 (1999)
  6. Tulic MK, "Differences in innate immune function between allergic and nonallergic children : new insights into immune ontogeny", J Allergy Clin Immunol, 127(2), pp.470~478 (2011)
  7. Bager P, "Mode of delivery and risk of allergic rhinitis and asthma", J Allergy Clin Immunol, 111(1), pp.51~56 (2003)
  8. Bedolla-Barajas M, "A rural environment does not protect against asthma or other allergic diseases amongst Mexican children", Allergol Immunopathol(Madr), 46(1), pp.31~38 (2018)
  9. Bion V, "Evaluating the efficacy of breastfeeding guidelines on long-term outcomes for allergic disease", Allergy, 71(5), pp.661~670 (2016)
  10. Chu S, "Cesarean section without medical indication and risks of childhood allergic disorder, attenuated by breastfeeding", Sci Rep, 7(1), pp.9762~ (2017)
  11. Ehlayel MS, "Duration of breast-feeding and the risk of childhood allergic diseases in a developing country", Allergy Asthma Proc, 29(4), pp.386~391 (2008)
  12. Gorris A, "Cesarean section and risk of allergies in Ecuadorian children : a cross-sectional study", Immun Inflamm Dis, 8(4), pp.763~773 (2020)
  13. Han DH, "Long-term breastfeeding in the prevention of allergic rhinitis : Allergic Rhinitis Cohort Study for Kids(ARCO-Kids study)", Clin Exp Otorhinolaryngol, 12(3), pp.301~307 (2019)
  14. Hu Y, "Breastfeeding duration modified the effects of neonatal and familial risk factors on childhood asthma and allergy : a population-based study", Respir Res, 22(1), pp.41~ (2021)
  15. Goycochea Valdivia WA, "Association among prematurity, low birth weight and exclusive breastfeeding with allergic rhinitis in 2 to 7 year-old pediatric patients from Hospital Nacional Cayetano Heredia, Peru", Bol Med Hosp Infant Mex, 67(4), pp.315~326 (2010)
  16. Jelding-Dannemand E, "Breast-feeding does not protect against allergic sensitization in early childhood and allergy-associated disease at age 7 years", J Allergy Clin Immunol, 136(5), pp.1302~1308 (2015)
  17. Kim HI, "Cesarean section does not increase the prevalence of allergic disease within 3 years of age in the offsprings", Obstet Gynecol Sci, 62(1), pp.11~18 (2019)
  18. Krzych-Falta E, "The effect of selected risk factors, including the mode of delivery, on the development of allergic rhinitis and bronchial asthma", Postepy Dermatol Alergol, 35(3), pp.267~273 (2018)
  19. Li Y, "Pre-and postnatal risk factors in relation to allergic rhinitis in school-aged children in China", PLoS One, 10(2), pp.e0114022~ (2015)
  20. Lu HY, "Association between maternal age at delivery and allergic rhinitis in schoolchildren : a population-based study", World Allergy Organ J, 13(6), pp.100127~ (2020)
  21. Mallen CD, "Birth-related exposures and asthma and allergy in adulthood : a population-based cross-sectional study of young adults in North Staffordshire", J Asthma, 45(4), pp.309~312 (2008)
  22. Matheson MC, "Breast-feeding and atopic disease : a cohort study from childhood to middle age", J Allergy Clin Immunol, 120(5), pp.1051~1057 (2007)
  23. McKeever TM, "Mode of delivery and risk of developing allergic disease", J Allergy Clin Immunol, 109(5), pp.800~802 (2002)
  24. Meza-Lopez C, "Prevalence of allergic diseases and their symptoms in schoolchildren according to the birth mode", Bol Med Hosp Infant Mex, 78(2), pp.130~135 (2021)
  25. Miyake Y, "Cross-sectional study of allergic disorders associated with breastfeeding in Japan : the Ryukyus Child Health Study", Pediatr Allergy Immunol, 18(5), pp.433~440 (2007)
  26. Nafstad P, "Risk of childhood asthma and allergic rhinitis in relation to pregnancy complications", J Allergy Clin Immunol, 106(5), pp.867~873 (2000)
  27. Negele K, "Mode of delivery and development of atopic disease during the first 2 years of life", Pediatr Allergy Immunol, 15(1), pp.48~54 (2004)
  28. Park YH, "Relationship between mode of delivery in childbirth and prevalence of allergic diseases in Korean children", Allergy Asthma Immunol Res, 2(1), pp.28~33 (2010)
  29. Pistiner M, "Birth by caesarean section, allergic rhinitis, and allergic sensitization among children with a parental history of atopy", J Allergy Clin Immunol, 122(2), pp.274~279 (2008)
  30. Renz-Polster H, "Caesarean section delivery and the risk of allergic disorders in childhood", Clin Exp Allergy, 35(11), pp.1466~1472 (2005)
  31. Salam MT, "Mode of delivery is associated with asthma and allergy occurrences in children", Ann Epidemiol, 16(5), pp.341~346 (2006)
  32. Tong H, "Prevalence of allergic rhinitis and associated risk factors in 6 to 12 years schoolchildren from Wuhan in Central China : a cross-sectional study", Am J Rhinol Allergy, 34(5), pp.632~641 (2020)
  33. Tong X, "A multicenter study of prevalence and risk factors for allergic rhinitis in primary school children in 5 cities of Hubei province, China", Int Arch Allergy Immunol, 183(1), pp.34~44 (2022)
  34. Wang T, "Parental, gestational, and early-life exposure to indoor environmental hazardous factors on allergic rhinitis among preschool children in Urumqi City : a case-control study", J Pediatr(Rio J), 99(4), pp.348~354 (2023)
  35. Westergaard T, "Sibship characteristics and risk of allergic rhinitis and asthma", Am J Epidemiol, 162(2), pp.125~132 (2005)
  36. Xu B, "Caesarean section and risk of asthma and allergy in adulthood", J Allergy Clin Immunol, 107(4), pp.732~733 (2001)
  37. Moher D, "Preferred reporting items for systematic review and meta-analysis protocols(PRISMA-P)2015 statement", Syst Rev, 4(1), pp.1~ (2015)
  38. Hwang SH, "Efficacy of steroid-impregnated spacers after endoscopic sinus surgery in chronic rhinosinusitis : a systematic review and meta-analysis", Clin Exp Otorhinolaryngol, 16(2), pp.148~158 (2023)
  39. Brandao HV, "Increased risk of allergic rhinitis among children delivered by cesarean section : a cross-sectional study nested in a birth cohort", BMC Pediatr, 16, pp.57~ (2016)
  40. Brozek JL, "Allergic Rhinitis and its Impact on Asthma(ARIA)guidelines : 2016 revision", J Allergy Clin Immunol, 140(4), pp.950~958 (2017)
  41. Rhodes HL, "A birth cohort study of subjects at risk of atopy : twenty-two-year follow-up of wheeze and atopic status", Am J Respir Crit Care Med, 165(2), pp.176~180 (2002)
  42. Stikker BS, "Decoding the genetic and epigenetic basis of asthma", Allergy, 78(4), pp.940~956 (2023)
  43. Bousquet J, "Rhinitis associated with asthma is distinct from rhinitis alone : the ARIA-MeDALL hypothesis", Allergy, 78(5), pp.1169~1203 (2023)
  44. Frohlich M, "Is there a sex-shift in prevalence of allergic rhinitis and comorbid asthma from childhood to adulthood? : a meta-analysis", Clin Transl Allergy, 7, pp.44~ (2017)
  45. Kneepkens CM, "Clinical practice : breastfeeding and the prevention of allergy", Eur J Pediatr, 169(8), pp.911~917 (2010)
  46. Spiekermann GM, "Oral tolerance and its role in clinical disease", J Pediatr Gastroenterol Nutr, 32(3), pp.237~255 (2001)
  47. Madar J, "Surfactant-deficient respiratory distress after elective delivery at ‘term’", Acta Paediatr, 88(11), pp.1244~1248 (1999)
  48. Lunjani N, "Recent developments and highlights in mechanisms of allergic diseases : microbiome", Allergy, 73(12), pp.2314~2327 (2018)
  49. Betran AP, "Trends and projections of caesarean section rates : global and regional estimates", BMJ Glob Health, 6(6), pp.e005671~ (2021)
  50. Hobbs AJ, "The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum", BMC Pregnancy Childbirth, 16, pp.90~ (2016)

관련 논문AI추천

Long-term Breastfeeding in the Prevention of Allergic Rhinitis: Allergic Rhinitis Cohort Study for Kids (ARCO-Kids Study)김대우, 김동영, 김상욱, 김시완, 김영효, 김정수, 김종승, 김효진, 나기상, 노환중, 문성지, 신재민, 심우섭, 안서경, 이승신, 이재서, 조규섭, 조중생, 한두희, Sue K. Park대한이비인후과학회 · Clinical and Experimental Otorhinolaryngology2019 · 제12권 제3호Cesarean section does not increase the prevalence of allergic disease within 3 years of age in the offsprings권자영, 김경원, 김영한, 김하얀, 김혜인, 남선미, 박예진, 손명현, 이준호, 정윤지, 홍수종대한산부인과학회 · Obstetrics & Gynecology Science2019 · 제62권 제1호분만 방법이 소아 천식의 발생에 영향을 미칠 수 있는가?김봉성대한 소아알레르기 호흡기학회 · Allergy Asthma & Respiratory Disease2011 · 제21권 제4호소아 알레르기비염의 위험 인자와 보호 인자박양, 대한 소아알레르기 호흡기학회 비염 연구회, 김민지, 김현희, 김효빈, 나영호, 박용민, 성명순, 신윤호, 염혜영, 이경석, 이용주, 전윤홍, 지혜미, 최봉석, 최선희대한 소아알레르기 호흡기학회 · Allergy Asthma & Respiratory Disease2022 · 제10권 제2호Prenatal Maternal Risk Factors Contributing to Atopic Dermatitis: A Systematic Review and Meta-analysis of cohort studiesHong Cui, Zhijuan Mu대한피부과학회 · Annals of Dermatology2023 · 제35권 제1호The Influence of Breastfeeding and WeaningPractices on the Development of Allergic Disease Review of Current EvidenceLEE Bee Wah, LIM L Dawn, LIM SL Zerlina, SHEK PC Lynette, VAN BEVER Hugo대한 소아알레르기 호흡기학회 · Allergy Asthma & Respiratory Disease2008 · 제18권 제1호

이 간행물의 다른 논문 (8건)