Association between serum allergens and asthma in children

SONG Guo-Chao, WANG Xue-Yan, WANG Zheng, RUAN Xiao-Ling, YANG Jing, ZHU Zhu, LI Xia, LIU Chang-Shan

Chinese Journal of Contemporary Pediatrics ›› 2015, Vol. 17 ›› Issue (8) : 806-810.

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Chinese Journal of Contemporary Pediatrics ›› 2015, Vol. 17 ›› Issue (8) : 806-810. DOI: 10.7499/j.issn.1008-8830.2015.08.009
CLINICAL RESEARCH

Association between serum allergens and asthma in children

  • SONG Guo-Chao, WANG Xue-Yan, WANG Zheng, RUAN Xiao-Ling, YANG Jing, ZHU Zhu, LI Xia, LIU Chang-Shan
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Abstract

Objective To study the association between serum-specific immunoglobulin E (sIgE) allergens and asthma in children. Methods The serum sIgE allergens were determined using Western blot in 2 239 children aged 1-14 years, consisting of 1 415 children with asthma alone and 824 children with non-allergic diseases between December 2004 and April 2013. The case-control models of asthma alone and non-allergic diseases were established. The association between allergens and asthma was investigated using multivariate logistic regression analysis. Results In the 2 239 children, 1 028 children (45.91%) were serum sIgE-positive, and the allergen with the highest positive rate was house-dust mite (15.68%), followed by house dust (14.29%) and moulds (13.40%). The results of the case-control analysis showed that house-dust mite, moulds, house dust, and cashew nut/peanut/soybean were significantly associated with the development of asthma. House dust was associated with the development of asthma in the 1-2 years old group (P< 0.05). House dust and house-dust mite as allergens were identified as the risk factors for the development of asthma in the 3-14 years old group (P< 0.05). In the 6-14 years old group, moulds as allergens were identified as the risk factors for the development of asthma (P< 0.05). House dust and house-dust mite as allergens increased the risk of asthma in boys and girls, while moulds and cashew nuts/peanuts/soybeans as allergens increased the risk of asthma in boys. Conclusions House-dust mite, house dust, and moulds are the most common allergens in children with asthma, and they are closely associated with the development of asthma.

Key words

Asthma / Specific IgE / Allergen / Child

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SONG Guo-Chao, WANG Xue-Yan, WANG Zheng, RUAN Xiao-Ling, YANG Jing, ZHU Zhu, LI Xia, LIU Chang-Shan. Association between serum allergens and asthma in children[J]. Chinese Journal of Contemporary Pediatrics. 2015, 17(8): 806-810 https://doi.org/10.7499/j.issn.1008-8830.2015.08.009

References

[1] Burr ML, Wat D, Evans C, et al. Asthma prevalence in 1973, 1988 and 2003[J]. Thorax, 2006, 61(4): 296-299.
[2] 中华医学会儿科学分会呼吸学组. 儿童支气管哮喘诊断与防治指南[J]. 中华儿科杂志, 2008, 46(10): 745-753.
[3] Strachan DP. The role of environmental factors in asthma[J]. Br Med Bull, 2000, 56(4): 865-882.
[4] 茹凉, 张卫平, 吐尔逊娜依·玉山. 儿童哮喘过敏原检测及临床意义[J]. 临床儿科杂志, 2007, 25(1): 26-29.
[5] 徐文飞, 刘恩梅, 周燕荣, 等. 重庆地区1105例变应性疾病患儿吸入性过敏原临床分析[J]. 实用儿科临床杂志, 2008, 23(9): 654-656.
[6] 赵凯, 徐红梅, 叶侃. 苏州城区支气管哮喘儿童特异性过敏原检测的意义[J]. 实用儿科临床杂志, 2007, 22(4): 279-280.
[7] Chew FT, Lim SH, Goh DY, et al. Sensitization to local dust mite fauna in Singapore[J] . Allergy, 1999, 54 (11):1150-1159.
[8] 黄东明, 肖晓雄, 何晓玲, 等. 学龄儿童支气管哮喘危险因素的调查[J]. 中国当代儿科杂志, 2011, 13(5): 370-372.
[9] Celdon JC, Milton DK, Ramsey CD, et al. Exposure to dust mite allergen and endotoxin in early life and asthma and atopy in childhood[J]. J Allergy Clin Immunol, 2007, 120(1): 144-149.
[10] Han Y, Kim J, Ahn K. Food allergy[J]. Korean J Pediatr, 2012, 55(5): 153-158.
[11] 刘小娟, 竺婷婷, 江咏梅, 等. 儿童食物不耐受临床分析[J]. 中国当代儿科杂志, 2013, 15(7): 550-554.
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