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Published on: August 7, 2017
Serum IgE levels during the first 6 years of life
1Institute of Medical Statistics and Information Technology, Free University, Berlin, Germany.
Insights
This study established total serum immunoglobulin E (IgE) percentiles for German children. IgE levels increase with age, with higher levels observed in boys compared to girls.
Area of Science:
- Pediatric Allergy and Immunology
- Epidemiology
- Biostatistics
Background:
- Accurate reference ranges for total serum immunoglobulin E (IgE) are crucial for diagnosing and managing allergic diseases.
- Previous IgE percentile data may not accurately reflect current population values.
Purpose of the Study:
- To derive population-based total serum IgE percentiles for white children in Germany.
- To establish age- and sex-specific IgE reference ranges.
Main Methods:
- Weighted analysis of total serum IgE measurements from 4082 white children in the German Multicenter Allergy Study cohort.
- IgE levels were measured at multiple time points from birth to 6 years of age.
- Data were weighted for sex, atopic family history, and cord blood IgE levels.
Main Results:
- Total serum IgE levels demonstrated a statistically significant increase with age (P <.0001).
- Boys exhibited significantly higher total IgE levels than girls across all measured ages (P <.05).
- This sex difference in IgE levels was not significant within the subgroup of atopic children.
Conclusions:
- The derived IgE percentiles for this large German cohort were lower than previously reported values.
- Expressing total serum IgE values using percentiles is recommended for clinical, epidemiologic, and genetic studies.
- These findings provide updated reference ranges for pediatric IgE assessment.
Objective:
Total serum IgE percentiles were derived for a population-based sample of 4082 white children from Germany by weighted analysis of measurements from the Multicenter Allergy Study cohort.
Methods:
The children of a prospective birth cohort were selected from a complete 1-year sample of newborns in 6 obstetric departments in 1990. Total IgE was determined at 1, 2, 3, 5, and 6 years of age in 1160 newborns of the cohort. By weighting these measurements for sex, atopic family history, and elevated cord blood IgE, total serum IgE percentiles were estimated for the original population-based sample of 4082 children.
Results:
IgE levels increased by age (P <.0001). We found statistically significant higher total IgE values in boys than in girls at each age (P <.05). Within the group of atopic children, this sex difference was not statistically significant.
Conclusion:
Our estimates of total serum IgE levels for a large population-based sample were lower than most values previously reported. We suggest that for both clinical and epidemiologic and genetic studies, IgE values should be expressed with percentiles.
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