Abstract:Objective To investigate the prevalence of allergic diseases in children aged 0-24 months in the Wuhu urban area of Anhui Province and risk factors for allergic diseases. Methods Cluster random sampling was performed to select 600 children aged 0-24 months and their mothers from the Wuhu urban area, and a questionnaire survey was conducted to collect the data of disease history, family history, mothers' conditions during pregnancy, and child-rearing situation. Univariate analysis and multivariate logistic regression analysis were performed for such data. Results Among the 597 children included in the analysis, 56 (9.4%) were diagnosed with allergic diseases in the past. The univariate analysis showed that the age, use of antipyretic and analgesic drugs, a history of allergy in the father or grandparents, and the consumption of fish, shrimps, crabs, and shellfish during pregnancy were significantly associated with past allergic diseases (P < 0.05). The multivariate logistic regression analysis showed that the age and a history of allergy in the father or grandparents were positively associated with past allergic diseases (OR=4.0-4.9, 2.7, and 2.4 respectively; P < 0.05), while frequent consumption of fish, shrimps, crabs, and shellfish during pregnancy was negatively associated with past allergic diseases (OR=0.3; P < 0.05). Conclusions A family history of allergy is an independent risk factor for allergic diseases in children aged 0-24 months in the Wuhu urban area of Anhui Province, while frequent consumption of fish, shrimps, crabs, and shellfish during pregnancy is a protective factor.
WANG Shou-Gui,ZHANG Xiang-Sheng,ZHAO Yan-Fang et al. Risk factors for allergic diseases in children aged 0-24 months in the Wuhu urban area, Anhui Province, China[J]. CJCP, 2017, 19(3): 303-307.
Netting MJ, Middleton PF, Makrides M. Does maternal diet during pregnancy and lactation affect outcomes in offspring? A systematic review of food-based approaches[J]. Nutrition, 2014, 30(11-12):1225-1241.
Koplin JJ, Allen KJ, Gurrin LC, et al. The impact of family history of allergy on risk of food allergy:a population-based study of infants[J]. Int J Environ Res Public Health, 2013, 10(11):5364-5377.
Prescott SL, Taylor A, Roper J, et al. Maternal reactivity to fetal alloantigens is related to newborn immune responses and subsequent allergic disease[J]. Clin Exp Allergy, 2005, 35(4):417-425.
Ben-Shoshan M, Soller L, Harrington DW, et al. Eczema in early childhood, sociodemographic factors and lifestyle habits are associated with food allergy:a nested case-control study[J]. Int Arch Allergy Immunol, 2015, 166(3):199-207.
[15]
Miyake Y, Okubo H, Sasaki S, et al. Maternal dietary patterns during pregnancy and risk of wheeze and eczema in Japanese infants aged 16-24 months:the Osaka Maternal and Child Health Study[J]. Pediatr Allergy Immunol, 2011, 22(7):734-741.
[16]
Maslova E, Strom M, Oken E, et al. Fish intake during pregnancy and the risk of child asthma and allergic rhinitis-longitudinal evidence from the Danish National Birth Cohort[J]. Br J Nutr, 2013, 110(7):1313-1325.
[17]
Miyake Y, Tanaka K, Okubo H, et al. Maternal fat intake during pregnancy and wheeze and eczema in Japanese infants:the Kyushu Okinawa Maternal and Child Health Study[J]. Ann Epidemiol, 2013, 23(11):674-680.
[18]
Leermakers ET, Sonnenschein-van der Voort AM, Heppe DH, et al. Maternal fish consumption during pregnancy and risks of wheezing and eczema in childhood:the Generation R Study[J]. Eur J Clin Nutr, 2013, 67(4):353-359.