The use of a feather quilt, childhood asthma and allergic rhinitis: a prospective cohort study
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Published on: June 4, 2017
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.
Background:
Feather bedding has long been considered as a potential source of allergen exposure and thus a potential risk factor for allergic diseases. However, recent cross-sectional studies have reported a higher risk of allergic diseases among users of synthetic bedding compared with feather-bedding users.
Objective:
To explore associations between early life exposure to feather bedding and the risk of developing asthma allergic rhinitis in childhood.
Methods:
We assessed the association between early life exposure to feather quilts and the risk of bronchial obstruction during the first 2 years of life and asthma and allergic rhinitis in a prospective 4-year cohort study of 2531 Norwegian children.
Results:
At the age of 6 months, 24% of the children had a quilt with feathers, decreasing to 20% at the age of 2 years. The adjusted odds ratio for bronchial obstruction 0 to 2 years by exposure to a feather quilt at the age of 6 months was 0.59, 95% confidence interval 0.41 to 0.86, for asthma at the age of 4 years 0.38, 0.23 to 0.64 and for allergic rhinitis at the age of 4 years 0.73, 0.43 to 1.18.
Conclusion:
The use of a feather quilt in early life does not seem to increase the risk of asthma and allergic rhinitis later in childhood.
Related Concept Videos
Asthma: Pathogenesis and Management
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: Introduction
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma I: Introduction
Asthma III: Clinical Manifestations

