The use of a feather quilt, childhood asthma and allergic rhinitis: a prospective cohort study

P Nafstad1, W Nystad, J J K Jaakkola

  • 1Section of Epidemiology, Department of Papulation Health Sciences, National Institute of Public Health, Oslo, Norway. per.nafstad@fhi.no

Insights

Early life feather bedding use was not associated with an increased risk of childhood asthma or allergic rhinitis. This prospective study suggests feather quilts may not pose a risk for developing these common allergic diseases.

Area of Science:

  • Pediatric Allergy and Immunology
  • Environmental Health
  • Epidemiology

Background:

  • Feather bedding is traditionally viewed as a potential allergen source.
  • Recent studies suggest synthetic bedding may be associated with higher allergy risks.
  • This study investigates the role of early life feather bedding exposure.

Purpose of the Study:

  • To examine the association between early childhood feather bedding exposure and the development of asthma and allergic rhinitis.
  • To assess the risk of bronchial obstruction in infants exposed to feather quilts.

Main Methods:

  • A prospective cohort study of 2531 Norwegian children was conducted over 4 years.
  • Exposure to feather quilts was assessed at 6 months of age.
  • Development of bronchial obstruction, asthma, and allergic rhinitis was monitored until age 4.

Main Results:

  • Feather quilt use decreased from 24% at 6 months to 20% at 2 years.
  • Exposure to feather quilts at 6 months was associated with reduced odds of bronchial obstruction (OR 0.59) and asthma (OR 0.38) by age 4.
  • The association with allergic rhinitis was not statistically significant (OR 0.73).

Conclusions:

  • Early life exposure to feather quilts does not appear to increase the risk of asthma or allergic rhinitis.
  • Findings challenge the traditional view of feather bedding as a significant allergen risk factor in early childhood.
Abstract

Related Concept Videos

Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...